Undersøgelse af sikkerhed, farmakokinetik og antitumoraktivitet af BGB-3245 hos deltagere med avancerede eller refraktære tumorer
Et første-i-menneskeligt, fase 1a/1b, åbent mærke, dosis-eskalering og udvidelsesundersøgelse for at undersøge sikkerheden, farmakokinetikken og antitumoraktiviteten af RAF Dimer-hæmmeren BGB-3245 hos patienter med avancerede eller refraktære tumorer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: MapKure
- Telefonnummer: 1-877-828-5568
- E-mail: clinicaltrials@mapkure.com
Studiesteder
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New South Wales
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Blacktown, New South Wales, Australien, 2148
- Blacktown Hospital
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Sydney, New South Wales, Australien, 2010
- The Kinghorn Cancer Centre, St Vincent Hospital Sydney
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Perth
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Nedlands, Perth, Australien, 6009
- One Clinical Research
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Victoria
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Melbourne, Victoria, Australien, 2010
- Peter MacCallum Cancer Centre
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California
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Beverly Hills, California, Forenede Stater, 90212
- Cedars Sinai Medical Center
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General Hospital
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New York
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New York, New York, Forenede Stater, 10065
- Memorial Sloan Kettering Cancer Center
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Texas
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Houston, Texas, Forenede Stater, 77030
- MD Anderson
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Virginia
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Charlottesville, Virginia, Forenede Stater, 22903
- University of Virginia Comprehensive Cancer Centre
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Nøgleinklusionskriterier:
Deltagere med histologisk bekræftet fremskreden eller metastatisk solid tumor, som har haft sygdomsprogression under eller efter mindst 1 linje af tidligere systemisk anticancerterapi, eller for hvem behandling ikke er tilgængelig eller ikke tolereres/acceptabel for deltagerne. Derudover skal deltagerne opfylde følgende berettigelseskriterier for den tilsvarende fase af undersøgelsen:
en. Fase 1a: deltagere med en kendt mutationsstatus og tumor, der huser en onkogen mutation af v-RAF murine sarcoma virale onkogen homolog B (BRAF) gen (mutationerne af primær interesse er BRAF klasse II mutationen, klasse
III-mutation eller BRAF-fusion). Derudover er deltagere med tumorer, der huser mutationen af neuroblastom RAS viral onkogen homolog (NRAS) genet eller Kirsten rotte sarcoma virus onkogen homolog (KRAS), kvalificeret til del 1a. For patienter med KRAS-mutationer er tumortyper af kolorektal cancer (CRC) og bugspytkirtelkræft udelukket. Fase 1b: Deltagerne skal have en kendt mutationsstatus og opfylde et af følgende kriterier i henhold til den gruppe, de er tilmeldt:
I. Gruppe 1: Patienter med andre tumortyper end kolorektal cancer (CRC), der rummer BRAF V600-mutationer, som er blevet behandlet og udviklet sig med tidligere BRAF- og/eller mitogenaktiveret proteinkinase-hæmning (MEK).
II. Gruppe 2: Patienter med fremskredne solide tumorer, der huser en BRAF klasse II-mutation eller en BRAF-fusionsmutation III. Gruppe 3: Patienter med kutant melanom, der huser en neuroblastom RAS viral onkogen homolog (NRAS) mutation IV. Gruppe 4: Patienter med kutant melanom, der huser en NRAS-mutation, som giver samtykke til parrede friske biopsier, dvs. .
- Patienter i fase 1b gruppe 1: Patienter skal have modtaget den sidste dosis af tidligere BRAF- og/eller MEK-hæmmerbehandling inden for 90 dage efter påbegyndelse af BGB-3245-undersøgelsesbehandling (cyklus 1 dag 1)
- Deltagerne skal levere arkivtumorvæv eller acceptere en frisk tumorbiopsi til mutations- og biomarkøranalyse (friske tumorbiopsier
Nøgleekskluderingskriterier:
- Deltagere, der modtager kræftbehandling (kemoterapi eller andre systemiske kræftbehandlinger, immunterapi, strålebehandling eller kirurgi) på tidspunktet for cyklus 1 dag 1.
Alle deltagere, der har modtaget tidligere systemisk anticancerbehandling inden for følgende tidsrammer, vil blive udelukket:
- Systemisk kemoterapi inden for et tidsrum, der er kortere end den cykluslængde, der anvendes til den behandling (dvs. 6 uger for nitrosourea, mitomycin C) før cyklus 1 dag 1; og
- Biologisk terapi (dvs. antistoffer), kontinuerlige eller intermitterende små molekyle terapier eller andre forsøgsmidler inden for en periode på 5 gange halveringstiden af midlet eller ≤4 uger (alt efter hvad der er kortest) før cyklus 1 dag 1.
- Anamnese eller tilstedeværelse af gastrointestinal sygdom eller anden tilstand, der vides at interferere med absorption, distribution, metabolisme eller udskillelse af lægemidler.
- Aktuelt bevis for symptomatiske CNS-metastaser, leptomeningeal carcinomatose eller ubehandlet rygmarvskompression. Asymptomatisk behandlede eller asymptomatisk ubehandlede hjernemetastaser er tilladt, så længe patienterne er klinisk stabile.
- Enhver ustabil, allerede eksisterende alvorlig medicinsk tilstand, som efter investigatorens mening kontraindikerer brugen af et forsøgslægemiddel, herunder kendt human immundefektvirus (HIV) eller aktiv hepatitis B-virus (HBV) eller hepatitis C-virus (HCV) infektion.
BEMÆRK: Andre protokoldefinerede inklusions-/eksklusionskriterier kan være gældende.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Phase 1a: Brimarafenib 5 mg
Participants received brimarafenib 5 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1a: Brimarafenib 10 mg
Participants received brimarafenib 10 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1a: Brimarafenib 15 mg
Participants received brimarafenib 15 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1a: Brimarafenib 25 mg
Participants received brimarafenib 25 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1a: Brimarafenib 40 mg
Participants received brimarafenib 40 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1a: Brimarafenib 60 mg
Participants received brimarafenib 60 mg orally on Day 1 and then daily from Day 4 onwards.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1b: Group 1 (Brimarafenib 25 mg)
Participants with solid tumors harboring B-Raf Proto-Oncogene, Serine/Threonine Kinase (BRAF) V600 mutations (excluding colorectal cancer [CRC]) who had progressed on prior BRAF and/or MEK (mitogen-activated protein kinase) inhibition were randomized to receive 25 mg of brimarafenib once daily.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1b: Group 1 (Brimarafenib 40 mg Randomized)
Participants with solid tumors harboring BRAF V600 mutations (excluding CRC) who had progressed on prior BRAF and/or MEK inhibition were randomized to receive 40 mg of brimarafenib once daily.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1b: Group 1 (Brimarafenib 40 mg Non-Randomized)
Participants with solid tumors harboring BRAF V600 mutations (excluding CRC) enrolled under Protocol Version 4.0 were treated with 40 mg of brimarafenib once daily without randomization.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Eksperimentel: Phase 1b: Group 2 (Brimarafenib 40 mg)
Participants with advanced solid tumors harboring BRAF Class II mutations or a BRAF fusion mutation were treated with 40 mg of brimarafenib once daily.
Participants continued treatment until disease progression, unacceptable toxicity, or study completion.
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administered orally (PO) once daily at doses specified in the description of each arm
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Phase 1a: Number of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Tidsramme: From first dose up to 30 days after the last dose of study treatment. Maximum treatment duration was 47 months.
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SAEs were defined as adverse events that resulted in death, were life-threatening, required or prolonged hospitalization, caused significant disability, or were considered important medical events.
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From first dose up to 30 days after the last dose of study treatment. Maximum treatment duration was 47 months.
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Phase 1a: Maximum Tolerated Dose (MTD) of Brimarafenib
Tidsramme: From first dose through the end of Cycle 1 (approximately 30 days)
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The MTD was determined by the Safety Monitoring Committee (SMC) based on the occurrence of dose-limiting toxicities (DLTs), overall safety, and tolerability.
The MTD reflects the dose associated with an acceptable level of toxicity (30%).
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From first dose through the end of Cycle 1 (approximately 30 days)
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Phase 1b: Recommended Phase 2 Dose (RP2D) Confirmation
Tidsramme: From first dose of study drug through last dose (maximum treatment duration in Phase 1b was 25 months)
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The optimal RP2D was to be determined based on safety, tolerability, efficacy, and pharmacokinetic (PK) data obtained from participants treated with the two dose levels tested in Phase 1b (25 mg and 40 mg).
The RP2D could not be determined since the study was terminated early.
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From first dose of study drug through last dose (maximum treatment duration in Phase 1b was 25 months)
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Phase 1b: Objective Response Rate (ORR)
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 25 months.
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ORR was defined as the percentage of participants who achieved a best overall response of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
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From first dose until disease progression or death, Maximum treatment duration was 25 months.
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Phase 1a: ORR
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 47 months.
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ORR was defined as the percentage of participants who achieved a best overall response of complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
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From first dose until disease progression or death, Maximum treatment duration was 47 months.
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Duration of Response (DOR)
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 47 months in Phase 1a and 25 months in Phase 1b.
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DOR was defined as the time from the date that a confirmed response (CR or PR) was first observed per RECIST 1.1 to the date of first documented disease progression or death, whichever occurred first.
Median DOR was estimated using the Kaplan-Meier method.
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From first dose until disease progression or death, Maximum treatment duration was 47 months in Phase 1a and 25 months in Phase 1b.
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Clinical Benefit Rate (CBR)
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 47 months.
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CBR is defined as the percentage of participants with confirmed CR, PR, or durable stable disease (stable disease ≥ 24 weeks).
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From first dose until disease progression or death, Maximum treatment duration was 47 months.
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Progression-free Survival (PFS)
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 47 months Phase 1a and 25 months in Phase 1b.
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PFS was defined as the time from randomization to the date of first documented disease progression per RECIST v1.1 or death from any cause, whichever occurred first.
Median PFS was estimated using the Kaplan-Meier method.
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From first dose until disease progression or death, Maximum treatment duration was 47 months Phase 1a and 25 months in Phase 1b.
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Duration of Stable Disease (DSD)
Tidsramme: From first dose until disease progression or death, Maximum treatment duration was 47 months Phase 1a and 25 months in Phase 1b.
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DSD is defined as the time interval, in the absence of either confirmed CR or PR, between the date of the first administration of study drug and the first documented disease progression per RECIST v1.1 or death due to any cause, whichever occurred first.
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From first dose until disease progression or death, Maximum treatment duration was 47 months Phase 1a and 25 months in Phase 1b.
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Phase 1b: Disease Control Rate (DCR)
Tidsramme: From first dose until death, maximum treatment duration was 25 months.
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DCR is defined as the percentage of participants with a best overall response of CR, PR, or SD per RECIST v1.1 criteria.
DCR reflects the percentage of participants whose disease did not progress during the study, including those with confirmed responses and those with durable SD.
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From first dose until death, maximum treatment duration was 25 months.
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Phase 1b: Overall Survival (OS)
Tidsramme: From first dose until death, assessed maximum treatment duration was 25 months.
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OS was defined as the time from randomization to the date of death from any cause.
Median OS was estimated using the Kaplan-Meier method.
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From first dose until death, assessed maximum treatment duration was 25 months.
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Phase 1a: Trough Plasma Concentration (Ctrough) of Brimarafenib
Tidsramme: Predose on Cycle 1 Day 15; Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1. Each cycle was 28 days.
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Ctrough is the observed concentration at predose.
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Predose on Cycle 1 Day 15; Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1. Each cycle was 28 days.
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Phase 1a: Area Under the Concentration-time Curve From Dosing to Time of Last Quantifiable Concentration (AUClast) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose); Cycle 1 Days 2, 3, 4, 8, and 15; Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose); Cycle 1 Days 2, 3, 4, 8, and 15; Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Phase 1a: Area Under the Concentration-time Curve From Dosing Time to Time Tau (Tau=24 Hours) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, and 24 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, and 24 hours postdose)
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Phase 1a: Area Under the Concentration-time Curve From Dosing Extrapolated to Infinity (AUC0-inf) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Phase 1a: Maximum Observed Plasma Concentration (Cmax) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose); Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose); Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Phase 1a: Time to Maximum Observed Plasma Concentration (Tmax) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, a 8, 24, 48, and 72 hours postdose); Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, a 8, 24, 48, and 72 hours postdose); Cycle 2 Day 1 (predose and 1, 2, 3, 4, 6, and 8 hours postdose)
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Phase 1a: Elimination Half-Life (t½) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Phase 1a: Apparent Oral Clearance (CL/F) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Phase 1a: Apparent Oral Volume of Distribution (Vz/F) of Brimarafenib
Tidsramme: Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Cycle 1 Day 1 (predose and 1, 2, 3, 4, 6, 8, 24, 48, and 72 hours postdose)
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Phase 1b: Plasma Concentrations for Brimarafenib
Tidsramme: C1D1 (predose, 1, 3h postdose); C1D3, D8, D22 (±2d; predose, 2-4h postdose on D22); C2D1 (predose, 1, 3h); C3, 4, 6, 8, 10, 12 D1 and every 3rd cycle (predose); and at treatment discontinuation (2-4h).
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C1D1 (predose, 1, 3h postdose); C1D3, D8, D22 (±2d; predose, 2-4h postdose on D22); C2D1 (predose, 1, 3h); C3, 4, 6, 8, 10, 12 D1 and every 3rd cycle (predose); and at treatment discontinuation (2-4h).
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Phase 1b: Number of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Tidsramme: From first dose until 30 days after last dose of study treatment. Maximum treatment duration was 25 months.
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SAEs were defined as events that resulted in death, were life-threatening, required or prolonged hospitalization, caused significant disability, or were considered important medical events.
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From first dose until 30 days after last dose of study treatment. Maximum treatment duration was 25 months.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Alison M. Schram, Vivek Subbiah, Ryan Sullivan, Rasha Cosman, Jia Liu, Eric I. Sbar, Thuy Hoang, Jiarong Chen, Mark Johnson, Vincent Amoruccio, Todd Shearer, Adeela Kamal, Jocelyn Lewis, Wenlin Shao, Badreddin Edris, Lusong Luo, Jayesh Desai; Abstract CT031: A first-in-human, phase 1a/1b, open-label, dose-escalation and expansion study to investigate the safety, pharmacokinetics, and antitumor activity of the RAF dimer inhibitor BGB-3245 in patients with advanced or refractory tumors. Cancer Res 15 April 2023; 83 (8_Supplement): CT031. https://doi.org/10.1158/1538-7445.AM2023-CT031
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- BGB-3245-AU-001
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