- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT04249843
Studie zur Sicherheit, Pharmakokinetik und Antitumoraktivität von BGB-3245 bei Teilnehmern mit fortgeschrittenen oder refraktären Tumoren
Eine First-in-Human, Phase 1a/1b, Open Label, Dosiseskalations- und Expansionsstudie zur Untersuchung der Sicherheit, Pharmakokinetik und Antitumoraktivität des RAF-Dimer-Inhibitors BGB-3245 bei Patienten mit fortgeschrittenen oder refraktären Tumoren
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 1
Kontakte und Standorte
Studienorte
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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, Vereinigte Staaten, 90212
- Cedars Sinai Medical Center
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02114
- Massachusetts General Hospital
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New York
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New York, New York, Vereinigte Staaten, 10065
- Memorial Sloan Kettering Cancer Center
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Texas
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Houston, Texas, Vereinigte Staaten, 77030
- MD Anderson
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22903
- University of Virginia Comprehensive Cancer Centre
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Beschreibung
Wichtige Einschlusskriterien:
Teilnehmer mit histologisch bestätigtem fortgeschrittenem oder metastasiertem solidem Tumor, die eine Krankheitsprogression während oder nach mindestens 1 Linie einer vorherigen systemischen Krebstherapie hatten oder für die eine Behandlung nicht verfügbar ist oder für die Teilnehmer nicht vertragen/annehmbar ist. Darüber hinaus müssen die Teilnehmer die folgenden Zulassungskriterien für die entsprechende Phase der Studie erfüllen:
a. Phase 1a: Teilnehmer mit bekanntem Mutationsstatus und Tumor, der eine onkogene Mutation des BRAF-Gens (v-RAF murine sarcoma viral oncogene homolog B, BRAF) trägt (die Mutationen von primärem Interesse sind die BRAF-Klasse-II-Mutation, Klasse
III-Mutation oder BRAF-Fusion). Darüber hinaus sind Teilnehmer mit Tumoren, die die Mutation des NRAS-Gens (Neuroblastoma RAS Viral Oncogen Homolog) oder des KRAS-Gens (Kirsten Rat Sarcoma Virus Oncogen Homolog) aufweisen, für Teil 1a berechtigt. Bei Patienten mit KRAS-Mutationen sind die Tumorarten Darmkrebs (CRC) und Bauchspeicheldrüsenkrebs ausgeschlossen. Phase 1b: Die Teilnehmer müssen einen bekannten Mutationsstatus haben und eines der folgenden Kriterien erfüllen, je nach Gruppe, in die sie aufgenommen wurden:
I. Gruppe 1: Patienten mit anderen Tumortypen als kolorektalem Karzinom (CRC), die BRAF-V600-Mutationen aufweisen, die behandelt wurden und bei denen eine vorangegangene BRAF- und/oder mitogenaktivierte Proteinkinase (MEK)-Hemmung auftrat.
II. Gruppe 2: Patienten mit fortgeschrittenen soliden Tumoren, die eine BRAF-Klasse-II-Mutation oder eine BRAF-Fusionsmutation III aufweisen. Gruppe 3: Patienten mit kutanem Melanom, die eine Mutation IV des viralen Onkogen-Homologs (NRAS) des Neuroblastoms RAS beherbergen. Gruppe 4: Patienten mit kutanem Melanom, die eine NRAS-Mutation beherbergen und gepaarten frischen Biopsien zustimmen i. .
- Patienten in Phase 1b Gruppe 1: Die Patienten müssen die letzte Dosis einer vorherigen BRAF- und/oder MEK-Inhibitortherapie innerhalb von 90 Tagen nach Beginn der BGB-3245-Studienbehandlung erhalten haben (Zyklus 1 Tag 1)
- Die Teilnehmer müssen archiviertes Tumorgewebe zur Verfügung stellen oder einer frischen Tumorbiopsie zur Mutations- und Biomarkeranalyse zustimmen (frische Tumorbiopsien
Wichtige Ausschlusskriterien:
- Teilnehmer, die zum Zeitpunkt von Zyklus 1, Tag 1, eine Krebstherapie (Chemotherapie oder andere systemische Krebstherapien, Immuntherapie, Strahlentherapie oder Operation) erhalten.
Alle Teilnehmer, die innerhalb der folgenden Zeiträume eine vorherige systemische Krebsbehandlung erhalten haben, werden ausgeschlossen:
- Systemische Chemotherapie innerhalb eines Zeitraums, der kürzer ist als die für diese Behandlung verwendete Zykluslänge (d. h. 6 Wochen für Nitrosoharnstoff, Mitomycin C) vor Tag 1 von Zyklus 1; und
- Biologische Therapie (d. h. Antikörper), kontinuierliche oder intermittierende niedermolekulare Therapien oder andere Prüfsubstanzen innerhalb eines Zeitraums, der dem 5-fachen der Halbwertszeit des Wirkstoffs entspricht, oder ≤ 4 Wochen (je nachdem, welcher Wert kürzer ist) vor Tag 1 von Zyklus 1.
- Vorgeschichte oder Vorhandensein von Magen-Darm-Erkrankungen oder anderen Erkrankungen, von denen bekannt ist, dass sie die Absorption, Verteilung, den Metabolismus oder die Ausscheidung von Arzneimitteln beeinträchtigen.
- Aktuelle Hinweise auf symptomatische ZNS-Metastasen, leptomeningeale Karzinomatose oder unbehandelte Rückenmarkskompression. Asymptomatisch behandelte oder asymptomatisch unbehandelte Hirnmetastasen sind erlaubt, solange die Patienten klinisch stabil sind.
- Jeder instabile, vorbestehende schwerwiegende medizinische Zustand, der nach Ansicht des Prüfarztes die Anwendung eines Studienmedikaments kontraindiziert, einschließlich einer bekannten Infektion mit dem humanen Immunschwächevirus (HIV) oder dem aktiven Hepatitis-B-Virus (HBV) oder dem Hepatitis-C-Virus (HCV).
HINWEIS: Es können andere im Protokoll definierte Einschluss-/Ausschlusskriterien gelten.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Experimental: 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
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Phase 1a: Number of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: 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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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Phase 1a: ORR
Zeitfenster: From first dose until disease progression or death, Maximum treatment duration was 47 months.
|
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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: From first dose until 30 days after last dose of study treatment. Maximum treatment duration was 25 months.
|
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.
|
Mitarbeiter und Ermittler
Sponsor
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- 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
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- BGB-3245-AU-001
Plan für individuelle Teilnehmerdaten (IPD)
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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