A First-in-Human (FIH) Study to Evaluate the Safety and Tolerability of VVD-159642 in Participants With Advanced Solid Tumors
A Phase 1/1b, Open-Label, Multicenter, First-in-Human Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Anti-Tumor Activity of VVD-159642, a RAS-PI3Kα Inhibitor, as a Single Agent and in Combination in Participants With Advanced Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Vividion Clinical Trial Call Center
- Phone Number: 858-345-9752
- Email: clinicaltrials@vividion.com
Study Locations
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South Australia
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Adelaide, South Australia, Australia, 5000
- Recruiting
- Clinical Research South Australia (CRSA)
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Recruiting
- Linear Clinical
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Michigan
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Grand Rapids, Michigan, United States, 49546
- Recruiting
- START Mid West
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Texas
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Austin, Texas, United States, 78758
- Recruiting
- NEXT Austin
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Irving, Texas, United States, 75039
- Recruiting
- NEXT Dallas
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San Antonio, Texas, United States, 78229
- Recruiting
- START San Antonio
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San Antonio, Texas, United States, 78299
- Recruiting
- NEXT San Antonio
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Utah
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Ogden, Utah, United States, 84401
- Recruiting
- START Mountain
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Virginia
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Fairfax, Virginia, United States, 22031
- Recruiting
- NEXT Virginia
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- For Part 1 Dose Escalation, the prospective participant must have histologically confirmed pancreatic ductal adenocarcinoma (PDAC), colorectal cancer (CRC), non-small cell lung cancer (NSCLC), or any solid tumor that harbors a rat sarcoma viral oncogene (RAS) alteration [Kirsten rat sarcoma viral oncogene homolog (KRAS), neuroblastoma RAS viral oncogene homolog (NRAS), Harvey rat sarcoma viral oncogene homolog (HRAS)] as per local /historical testing; any solid tumor that harbors an epidermal growth factor receptor (EGFR) alteration as per local/historical testing; or human epidermal growth factor receptor 2 (HER2) overexpression (immunohistochemistry [IHC] 3+ or IHC 2+/fluorescence in situ hybridization [FISH] positive) as per local/historical testing.
- Have histologically or cytologically confirmed metastatic or unresectable solid tumors.
- Measurable disease by RECIST version 1.1 as assessed by the investigator.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1.
- Adequate bone marrow, kidney, and liver function as defined in the protocol.
- Able to take oral medications.
Key Exclusion Criteria:
- Active central nervous system (CNS) malignancies.
- History of cardiac diseases as defined in detail in the protocol.
- Uncontrolled arterial hypertension despite optimal medical management (per investigator's opinion).
- History of inflammatory bowel disease or any malabsorption syndrome or any conditions that would interfere with enteral absorption and/or may interfere with the conduct of the study.
- Active hepatitis B infection [positive for hepatitis B surface antigen and Hepatitis B virus deoxyribonucleic acid (DNA)].
- Active hepatitis C infection (positive anti-hepatitis C virus [HCV] antibody and quantitative HCV ribonucleic acid (RNA) results greater than the lower limits of detection of the assay).
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 |
|---|---|
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Experimental: Part 1: Dose Escalation: VVD-159642 Single Agent
Participants will receive ascending doses of VVD-159642, orally, daily in 21-day treatment cycles during Part 1.
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Oral capsules
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Experimental: Part 2: Dose Expansion (Cohort A): VVD-159642 Single Agent
Participants will receive VVD-159642 at the recommended dose for expansion (RDE), orally, daily in 21-day treatment cycles during Part 2.
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Oral capsules
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Experimental: Part 2: Dose Expansion (Cohort B): VVD-159642 + Sotorasib
Participants will receive VVD-159642 at RDE orally, daily in combination with sotorasib, in 21-day treatment cycles after a safety run-in.
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Oral capsules
Oral tablets
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Experimental: Part 2: Dose Expansion (Cohort C): VVD-159642 + Trametinib
Participants will receive VVD-159642 at RDE orally, daily in combination with trametinib, in 21-day treatment cycles after a safety run-in.
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Oral capsules
Oral tablets
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Part 1: Incidence and Severity of Dose-limiting Toxicities (DLTs)
Time Frame: From Day 1 to Day 21 of Cycle 1 [cycle length=21 days]
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From Day 1 to Day 21 of Cycle 1 [cycle length=21 days]
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Part 2: Incidence and Severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: Up to approximately 29 months
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Up to approximately 29 months
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Part 2: Incidence and Severity of Clinically Significant Changes in Vital Signs
Time Frame: Up to approximately 29 months
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Up to approximately 29 months
|
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Part 2: Incidence and Severity of Clinically Significant Changes in Laboratory Evaluations
Time Frame: Up to approximately 29 months
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Up to approximately 29 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part 1: Recommended Dose for Expansion (RDE) of VVD-159642 as a Single Agent
Time Frame: Up to approximately 29 months
|
The RDE will be based on safety, tolerability, PK, and preliminary anti-tumor activity of VVD-159642 as a single agent during the dose escalation phase.
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Up to approximately 29 months
|
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Part 2: Recommended Phase 2 Dose (RP2D) of VVD-159642 as a Single Agent and in Combination with Sotorasib and Trametinib
Time Frame: Up to approximately 29 months
|
The RP2D will be based on safety, tolerability, PK and preliminary anti-tumor activity of VVD-159642 as single agent, and in combination with sotorasib and trametinib during Part 2.
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Up to approximately 29 months
|
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Part 2: Overall Response Rate (ORR)
Time Frame: Up to approximately 29 months
|
ORR is defined as the percentage of participants achieving a best overall response of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator assessment.
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Up to approximately 29 months
|
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Part 2: Duration of Response (DoR)
Time Frame: Up to approximately 29 months
|
DOR is defined as the time from initial response of CR or PR to progressive disease or death, whichever comes first per RECIST version 1.1 by investigator assessment.
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Up to approximately 29 months
|
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Part 2: Progression-free Survival (PFS)
Time Frame: Up to approximately 29 months
|
PFS is defined as the time from the date of randomization to the time of confirmed disease progression or death, whichever occurs first per RECIST version 1.1 by investigator assessment.
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Up to approximately 29 months
|
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Part 2: Disease Control Rate (DCR)
Time Frame: Up to approximately 29 months
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DCR is defined as the percentage of participants achieving CR or PR, or stable disease (SD) per RECIST version 1.1 by investigator assessment.
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Up to approximately 29 months
|
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Parts 1 and 2: Area Under the Plasma Concentration-time Curve (AUC) of VVD-159642 as a Single Agent and in Combination With Sotorasib and Trametinib
Time Frame: Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
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Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
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Parts 1 and 2: Maximum Plasma Concentration (Cmax) of VVD-159642 as a Single Agent and in Combination With Sotorasib and Trametinib
Time Frame: Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
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Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
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Parts 1 and 2: Half-life (t1/2) of VVD-159642 as a Single Agent and in Combination With Sotorasib and Trametinib
Time Frame: Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
|
Predose and multiple timepoints post-dose from Cycle 1 Day 1 up to Cycle 5 Day 1 (cycle length=21 days)
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
- VVD-159642-01
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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