- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07584226
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
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Relay Therapeutics, Inc
- Numéro de téléphone: 617-322-0731
- E-mail: ClinicalTrials@relaytx.com
Lieux d'étude
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California
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Los Angeles, California, États-Unis, 90095
- Recrutement
- University of California, Los Angeles
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Contact:
- Bartosz Chmielowski, MD
- Numéro de téléphone: 310-794-4655
- E-mail: bchmielowski@mednet.ucla.edu
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San Francisco, California, États-Unis, 94143
- Recrutement
- University of California, San Francisco
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Contact:
- Sonia C Martinez
- Numéro de téléphone: 415-714-4484
- E-mail: Sonia.ContrerasMartinez@ucsf.edu
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Colorado
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Aurora, Colorado, États-Unis, 80045
- Recrutement
- University Of Colorado Hospital
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Contact:
- Meagan Brander
- Numéro de téléphone: 303-724-8869
- E-mail: MAEGAN.BRANDER@CUANSCHUTZ.EDU
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Massachusetts
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Boston, Massachusetts, États-Unis, 02114
- Recrutement
- Massachusetts General Hospital
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Contact:
- Ryan Sullivan, MD
- Numéro de téléphone: 617-243-5480
- E-mail: RSULLIVAN7@mgh.harvard.edu
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Boston, Massachusetts, États-Unis, 02215
- Recrutement
- Dana Farber Cancer Institute
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Contact:
- Linnea Drew
- Numéro de téléphone: 617-632-6704
- E-mail: Linneam_drew@dfci.harvard.edu
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Michigan
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Grand Rapids, Michigan, États-Unis, 49546
- Recrutement
- START Midwest, LLC
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Contact:
- Numéro de téléphone: 616-954-5554
- E-mail: hopeteam@startresearch.com
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New York
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New York, New York, États-Unis, 10065
- Recrutement
- Memorial Sloan Kettering Cancer Center
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Contact:
- Monica Chen, MD
- Numéro de téléphone: 646-888-5108
- E-mail: chenm9@mskcc.org
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Tennessee
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Nashville, Tennessee, États-Unis, 37203
- Recrutement
- Sarah Cannon Research Institute Oncology Partners
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Contact:
- ASKSarah
- Numéro de téléphone: 877-MY-1-SCRI (691-7274)
- E-mail: ASKSARAH@scresearch.net
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Virginia
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Fairfax, Virginia, États-Unis, 22031
- Recrutement
- NEXT Virginia
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Contact:
- Paolo Umayam
- Numéro de téléphone: 703-783-4546
- E-mail: pumayam@nextoncology.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation séquentielle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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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Expérimental: Part 2: RLY-8161 for participants with advanced NRAS-mutant solid tumors
Oral doses of RLY-8161 as determined during Part 1 Dose Escalation
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RLY-8161 is an NRAS-selective inhibitor
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
|
Part 1: Maximum Tolerated Dose (MTD) and/or RP2D of RLY-8161
Délai: 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
Délai: 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
|
|
Part 2: Objective Response Rate (ORR) of RLY-8161 as assessed by RECIST v1.1
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
|
Part 1 and Part 2: Changes in NRAS mutant allele fraction in ctDNA
Délai: 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
Délai: 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
|
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Part 1: ORR of RLY-8161 as assessed by RECIST v1.1
Délai: 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
Délai: 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: Disease Control Rate (DCR) of RLY-8161 as assessed by RECIST v1.1
Délai: 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
Délai: 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: Overall Survival
Délai: Cycle 1 (28-day cycles) until study completion, approximately 30 months
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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
Délai: 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
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- RLY-8161-101
Informations sur les médicaments et les dispositifs, documents d'étude
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