- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05669482
Study of Avutometinib (VS-6766) +Defactinib With Gemcitabine and Nab-paclitaxel in Patients With Pancreatic Cancer (RAMP205)
March 4, 2024 updated by: Verastem, Inc.
A Phase 1b/2a Study of Gemcitabine and Nab-paclitaxel in Combination With Avutometinib (VS-6766) and Defactinib in Patients With Previously Untreated Metastatic Adenocarcinoma of the Pancreas
This study will assess the safety and efficacy of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel in patients with Pancreatic Ductal Adenocarcinoma (PDAC) who have been previously untreated.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This is a multicenter, non-randomized, open-label Phase 1/2 study designed to evaluate safety, tolerability and efficacy of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel in patients previously untreated metastatic Pancreatic Ductal Adenocarcinoma (PDAC).
Study Type
Interventional
Enrollment (Estimated)
40
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Verastem Call Center
- Phone Number: 1 781 292 4204
- Email: clinicaltrials@verastem.com
Study Locations
-
-
California
-
San Francisco, California, United States, 94158
- Recruiting
- UCSF Helen Diller Family Comprehensive Cancer Center
-
Principal Investigator:
- Andrew Ko, MD
-
Contact:
- Dalila Stanfield
- Email: Dalila.Stanfield@ucsf.edu
-
-
Illinois
-
Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago
-
Contact:
- Clinical Trials
- Phone Number: 855-702-8222
- Email: clinicaltrials@bsd.uchicago.edu
-
Principal Investigator:
- Shergill Ardaman, MD
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Recruiting
- Dana Farber Cancer Institute
-
Principal Investigator:
- Kimberly Perez, MD
-
Contact:
- Kimberly Perez
- Phone Number: 617-632-6491
- Email: Kimberly_Perez@DFCI.HARVARD.EDU
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Recruiting
- Washington University School of Medicine
-
Principal Investigator:
- Kian-Huat Lim, MD
-
Contact:
- Lynne Mitchell
- Phone Number: 314-273-6758
- Email: lynne.mitchell@wustl.edu
-
-
New York
-
New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
-
Principal Investigator:
- Anna Varghese, MD
-
New York, New York, United States, 10016
- Recruiting
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
-
Contact:
- Kristen Spencer
- Phone Number: 212-731-6000
- Email: Kristen.Spencer@nyulangone.org
-
Principal Investigator:
- Kristen Spencer, DO
-
New York, New York, United States, 10021
- Recruiting
- New York Presbyterian/Weill-Cornell Medical Center
-
Contact:
- Casey Owens
- Email: cdo4001@med.cornell.edu
-
Principal Investigator:
- Despina Siolas, MD
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- University of Pennsylvania
-
Principal Investigator:
- Mark O'Hara, MD
-
Contact:
- Luda Mazaleuskya
- Phone Number: 267-455-9141
- Email: mazali@pennmedicine.upenn.edu
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Recruiting
- University of Utah Huntsman Cancer Institute
-
Principal Investigator:
- Ignacio Garrido-Laguna
-
Contact:
- David Ayala-Talavera
- Phone Number: 801-587-4624
- Email: David.Ayala-Talavera@hci.utah.edu
-
-
Washington
-
Seattle, Washington, United States, 98101
- Recruiting
- Virginia Mason Medical Center
-
Principal Investigator:
- Vincent Picozzi, MD
-
Contact:
- Colleen Soleau
- Phone Number: 206-287-6272
- Email: Colleen.Soleau@vmfh.org
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Seattle, Washington, United States, 98109
- Recruiting
- Fred Hutchinson Cancer Center
-
Contact:
- Rachael Safyan
- Phone Number: 206-606-2038
- Email: rsafyan2@fredhutch.org
-
Principal Investigator:
- Rachael Safyan, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Male or female subjects ≥ 18 years of age
- Histologic or cytologic evidence of metastatic pancreatic ductal adenocarcinoma.
- An Eastern Cooperative Group (ECOG) performance status ≤ 1
- Measurable disease according to RECIST 1.1
- Adequate organ function
- Adequate cardiac function
- Agreement to use highly effective method of contraceptive
Exclusion Criteria:
- Patients with pancreatic neuroendocrine tumors
- Prior or concomitant treatment for metastatic pancreatic ductal adenocarcinoma
- Prior treatment with inhibitors of the RAS /MAPK pathway [e.g. MEK inhibitors] or inhibitors of FAK
- History of prior malignancy, with the exception of curatively treated malignancies
- Major surgery within 4 weeks (excluding placement of vascular access)
- Concurrent heart disease or severe obstructive pulmonary disease
- Concurrent ocular disorders
- Active skin disorder that has required systemic therapy within the past 1 year
- Patients with interstitial lung disease or pulmonary fibrosis or severe lung disease, pulmonary edema, and adult respiratory distress syndrome
- Known SARS-Cov2 infection ≤28 days prior to first dose of study therapy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Gemcitabine + nab-paclitaxel + avutometinib (VS-6766) + defactinib
To determine the recommended phase 2 dose (RP2D) for gemcitabine Gemcitabine + nab-paclitaxel + avutometinib (VS-6766) + defactinib in patients with untreated metastatic PDAC.
|
The RP2D of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel determined in Part A will be used in Part B dose expansion.
Other Names:
|
Experimental: Gemcitabine + nab-paclitaxel + avutometinib (VS-6766) + defactinib RP2D
To determine the efficacy of the RP2D identified in Part A in untreated metastatic PDAC patients
|
The RP2D of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel determined in Part A will be used in Part B dose expansion.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Part A: To determine RP2D for avutometinib (VS-6766) and defactinib in combination gemcitabine and nab-paclitaxel
Time Frame: 28 days
|
Assessment of Dose-limiting toxicities (DLTs)
|
28 days
|
To determine the efficacy of the RP2D identified in Part A
Time Frame: 6 months
|
Confirmed overall response rate (ORR) (partial response [PR] + complete response [CR] defined according to Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST 1.1])
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of Response (DOR)
Time Frame: 24 months
|
Time of first response to PD as assessed per RECIST 1.1
|
24 months
|
Disease Control Rate (DCR)
Time Frame: 24 months
|
CR + PR + SD as assessed per RECIST 1.1
|
24 months
|
Progression Free Survival (PFS)
Time Frame: 24 months
|
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
|
24 months
|
Overall Survival (OS)
Time Frame: Up to 5 years
|
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
|
Up to 5 years
|
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, Tmax
Time Frame: 10 weeks
|
Time to Maximum concentration (Tmax)
|
10 weeks
|
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, AUC
Time Frame: 10 Weeks
|
Area under plasma Concentration (AUC) 0 to t
|
10 Weeks
|
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, Half-life
Time Frame: 10 weeks
|
concentration Half-life (T1/2)
|
10 weeks
|
Frequency and severity adverse events (AEs) and Serious Adverse Events (SAEs)
Time Frame: 24 months
|
Count of AE and SAEs by grade, based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) grading scale
|
24 months
|
Number of abnormal laboratory values
Time Frame: 24 months
|
Count of abnormal laboratory values by grade
|
24 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: MD Verastem, Verastem, Inc.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 22, 2023
Primary Completion (Estimated)
May 31, 2025
Study Completion (Estimated)
December 31, 2025
Study Registration Dates
First Submitted
December 6, 2022
First Submitted That Met QC Criteria
December 19, 2022
First Posted (Actual)
December 30, 2022
Study Record Updates
Last Update Posted (Estimated)
March 5, 2024
Last Update Submitted That Met QC Criteria
March 4, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Neoplasms by Site
- Endocrine System Diseases
- Digestive System Neoplasms
- Endocrine Gland Neoplasms
- Neoplastic Processes
- Pancreatic Diseases
- Neoplasms
- Neoplasm Metastasis
- Pancreatic Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Paclitaxel
- Gemcitabine
Other Study ID Numbers
- VS-6766-205
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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