Study of the Safety and Pharmacokinetics of BGB-283 (Lifirafenib) and PD-0325901 (Mirdametinib) in Participants With Advanced or Refractory Solid Tumors
A Phase 1b, Open-Label, Dose-escalation and Expansion Study to Investigate the Safety, Pharmacokinetics and Antitumor Activities of a RAF Dimer Inhibitor BGB-283 in Combination With MEK Inhibitor PD-0325901 in Patients With Advanced or Refractory Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: BeiGene
- Phone Number: 1 (877) 828-5568
- Email: clinicaltrials@beigene.com
Study Locations
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New South Wales
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Blacktown, New South Wales, Australia, 2148
- Blacktown Cancer and Haematology Centre
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Randwick, New South Wales, Australia, 2031
- The Prince of Wales Private Hospital - Specialist Medical Randwick
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Victoria
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Melbourne, Victoria, Australia, 3000
- Peter MacCallum Cancer Centre
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Linear Clinical Research
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California
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Santa Monica, California, United States, 90404
- University of California Los Angeles
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Texas
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Houston, Texas, United States, 77030
- MD Anderson
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Able to provide informed consent
- Age 18 on day of signing informed consent form (ICF) or of the legal age of consent in the jurisdiction in which the study is taking place
Advanced or metastatic, unresectable tumors (other than patients with tumors of the brain or central nervous system) who have experienced disease progression
- Part A: NSCLC, CRC, ovarian cancer, endometrial cancer, thyroid cancer, melanoma, pancreatic cancer, and other)
- Part B: NRAS mutated solid tumors must have a known mutation status and a histologically or cytologically confirmed advanced or refractory solid tumor. Up to 40% Melanoma and Up to 20% CRC.
- Must have archival tumor tissue or agree to tumor biopsy
- Measurable disease per RECIST 1.1
- Eastern Cooperative Oncology Group performance status of less than or equal to 1
- Life expectancy is greater than 12 weeks of the signing of ICF.
- Adequate organ function and no transfusion within 14 days of first dose.
- Females are of non-child bearing potential or willing to use contraception.
- Males vasectomized or agree to use contraception.
Key Exclusion Criteria:
- Central Nervous System metastasis
- Any retinal pathology considered to be a risk factor for central serous retinopathy
- History of glaucoma
- Active parathyroid disorder or history of malignancy associated hypercalcemia
- Clinically significant cardiac disease within the past 6 months of signing ICF.
- LVEF less than 50%
- Abnormal QT interval at Screening
- Severe uncontrolled systemic disease
- HIV
- Clinically significant active or known history of liver disease. (Hepatitis B and Hepatitis C)
- Hemorrhage or bleeding event at NCI-CTCAE v5.0 Grade 3 or higher within 28 days of first dose.
- history of or ongoing Von Willebrand disease and/or other past or present bleeding disorders
- Increased serum calcium
- Inability to swallow oral medications
- Ongoing radiation therapy or radio-cytotoxic therapy within prior 4 weeks. No chemotherapy, immunotherapy, biologic therapy, hormonal, or molecular targeted therapy within prior 2 weeks
- Concomitant systemic or glucocorticoid therapy within 2 weeks
- Major surgical procedure or significant traumatic injury within 4 weeks prior to first dose or anticipates need for major surgery while on study
- Concomitant medicines that are strong CYP3A inhibitors
- History of toxicity from another RAF, MEK, ERK inhibitor requiring discontinuation of treatment from these drugs
- Underlying medical conditions in investigator's opinion to be unfavorable to be a part of the study
- Has been administered a live vaccine within 4 weeks (28 days) of initiation of study treatment. NOTE: injectable seasonal vaccines for influenza and COVID-19 are generally inactivated vaccines and are allowed. Intranasal vaccines are live vaccines and are not allowed.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Part A: Dose Escalation/Dose finding Dose Level Cohorts ranging in dose levels and dose regimens.
Combination doses of, Mirdametinib at once a day and lifirafenib at once a day And Mirdametinib at twice a day and lifirafenib at once a day
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RAF Dimer Inhibitor
Other Names:
MEK Inhibitor
Other Names:
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Experimental: Part B: Expansion
Approximately 20 participants with NRAS mutated solid tumors will be enrolled
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RAF Dimer Inhibitor
Other Names:
MEK Inhibitor
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse Events and Serious Adverse Events
Time Frame: Approximately 2 years from date of the participants enrollment
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Incidence and severity of AEs and SAEs and graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0
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Approximately 2 years from date of the participants enrollment
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The incidence of DLT events and treatment-emergent AEs (TEAEs)
Time Frame: Approximately 2 years from date of the participants enrollment
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Approximately 2 years from date of the participants enrollment
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|
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Objective response rate based on Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 in participants with selected tumor types
Time Frame: Approximately 2 years from date of the participants enrollment
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Approximately 2 years from date of the participants enrollment
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BGB-283/PD-0325901-AU-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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