A First-in-human Study of RLY-8161 in Advanced NRAS-Mutant Solid Tumors
A First-in-human Study of RLY-8161 for Treatment of Advanced NRAS-Mutant Melanoma and Other Solid Tumors
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This is a Phase 1 first-in-human, open-label multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of RLY-8161, an NRAS-selective inhibitor, in participants with advanced NRAS-mutant melanoma and other solid tumors. This study consists of 2 parts: dose escalation (Part 1) and dose expansion (Part 2).
Part 1, dose escalation will explore multiple ascending doses of RLY-8161 in participants with any advanced NRAS-mutant solid tumor until maximum tolerated dose is reached or one or more recommended Phase 2 dose (RP2D) is identified.
Part 2, dose expansion will be at the RP2D(s) identified in Part 1 in NRAS-mutant solid tumors.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Relay Therapeutics, Inc
- Telefonnummer: 617-322-0731
- E-mail: ClinicalTrials@relaytx.com
Studiesteder
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California
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Los Angeles, California, Forenede Stater, 90095
- Rekruttering
- University of California, Los Angeles
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Kontakt:
- Bartosz Chmielowski, MD
- Telefonnummer: 310-794-4655
- E-mail: bchmielowski@mednet.ucla.edu
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San Francisco, California, Forenede Stater, 94143
- Rekruttering
- University of California, San Francisco
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Kontakt:
- Sonia C Martinez
- Telefonnummer: 415-714-4484
- E-mail: Sonia.ContrerasMartinez@ucsf.edu
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- Rekruttering
- University Of Colorado Hospital
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Kontakt:
- Meagan Brander
- Telefonnummer: 303-724-8869
- E-mail: MAEGAN.BRANDER@CUANSCHUTZ.EDU
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Rekruttering
- Massachusetts General Hospital
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Kontakt:
- Ryan Sullivan, MD
- Telefonnummer: 617-243-5480
- E-mail: RSULLIVAN7@mgh.harvard.edu
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Boston, Massachusetts, Forenede Stater, 02215
- Rekruttering
- Dana Farber Cancer Institute
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Kontakt:
- Linnea Drew
- Telefonnummer: 617-632-6704
- E-mail: Linneam_drew@dfci.harvard.edu
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Michigan
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Grand Rapids, Michigan, Forenede Stater, 49546
- Rekruttering
- START Midwest, LLC
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Kontakt:
- Telefonnummer: 616-954-5554
- E-mail: hopeteam@startresearch.com
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New York
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New York, New York, Forenede Stater, 10065
- Rekruttering
- Memorial Sloan Kettering Cancer Center
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Kontakt:
- Monica Chen, MD
- Telefonnummer: 646-888-5108
- E-mail: chenm9@mskcc.org
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Rekruttering
- Sarah Cannon Research Institute Oncology Partners
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Kontakt:
- ASKSarah
- Telefonnummer: 877-MY-1-SCRI (691-7274)
- E-mail: ASKSARAH@scresearch.net
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Virginia
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Fairfax, Virginia, Forenede Stater, 22031
- Rekruttering
- NEXT Virginia
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Kontakt:
- Paolo Umayam
- Telefonnummer: 703-783-4546
- E-mail: pumayam@nextoncology.com
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Histologically confirmed diagnosis of unresectable Stage III or IV melanoma or other solid tumor.
- Disease is refractory to standard therapy (including targeted therapy), participant is intolerant of standard therapy, or participant has declined standard therapy.
- Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
- One or more documented primary oncogenic NRAS mutation(s).
Exclusion Criteria:
- Known activating KRAS, HRAS, or BRAF mutation or known alterations in other driver oncogenes.
- Prior treatment with ERK, MEK, RAF, or RAS targeting agents or any agent whose mechanism of action is to inhibit the RAS-MAPK pathway.
- For participants with melanoma: lactate dehydrogenase (LDH) >2×ULN.
- Central nervous system (CNS) metastases that are associated with progressive neurologic symptoms or require ongoing corticosteroids to control the CNS disease.
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 |
|---|---|
|
Eksperimentel: Part 1: RLY-8161 for participants with advanced NRAS-mutant solid tumors
Multiple doses of RLY-8161 for oral administration
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RLY-8161 is an NRAS-selective inhibitor
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Eksperimentel: Part 2: RLY-8161 for participants with advanced NRAS-mutant solid tumors
Oral doses of RLY-8161 as determined during Part 1 Dose Escalation
|
RLY-8161 is an NRAS-selective inhibitor
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Part 1: Maximum Tolerated Dose (MTD) and/or RP2D of RLY-8161
Tidsramme: Cycle 1 (28-day cycle) of treatment for MTD and at the end of every cycle (28-day cycle) for RP2D until treatment discontinuation, approximately 12 months
|
Cycle 1 (28-day cycle) of treatment for MTD and at the end of every cycle (28-day cycle) for RP2D until treatment discontinuation, approximately 12 months
|
|
Part 1: Number of participants with Adverse Events (AEs) or Serious Adverse Events (SAEs), with changes in vital signs, electrocardiograms (ECGs), and laboratory tests
Tidsramme: Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months
|
Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months
|
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Part 2: Objective Response Rate (ORR) of RLY-8161 as assessed by RECIST v1.1
Tidsramme: Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Part 1 and Part 2: Changes in NRAS mutant allele fraction in ctDNA
Tidsramme: Approximately every 2 weeks in Cycle 1 (28-day cycle), at the beginning of Cycle 2 (28-day cycle), and at the beginning of every odd cycle (28-day cycle) until End of Treatment (EOT), approximately 12 months
|
Approximately every 2 weeks in Cycle 1 (28-day cycle), at the beginning of Cycle 2 (28-day cycle), and at the beginning of every odd cycle (28-day cycle) until End of Treatment (EOT), approximately 12 months
|
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Part 1 and Part 2: Plasma concentration and PK parameters of RLY-8161
Tidsramme: Approximately every 2 weeks in Cycle 1 (28-day cycle) and at Day 1 of every cycle (28-day cycle) through Cycle 4
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Approximately every 2 weeks in Cycle 1 (28-day cycle) and at Day 1 of every cycle (28-day cycle) through Cycle 4
|
|
Part 1: ORR of RLY-8161 as assessed by RECIST v1.1
Tidsramme: Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
|
Part 1 and 2: Duration of Response (DOR) of RLY-8161 as assessed by RECIST v1.1
Tidsramme: Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
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Part 1 and 2: Disease Control Rate (DCR) of RLY-8161 as assessed by RECIST v1.1
Tidsramme: Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
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Part 2: Progression-free survival (PFS) as assessed by RECIST v1.1
Tidsramme: Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
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Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months
|
|
Part 2: Overall Survival
Tidsramme: Cycle 1 (28-day cycles) until study completion, approximately 30 months
|
Cycle 1 (28-day cycles) until study completion, approximately 30 months
|
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Part 2: Number of participants with AEs or SAEs, with changes in vital signs, ECGs, and laboratory tests
Tidsramme: Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months
|
Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- RLY-8161-101
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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