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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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Relay Therapeutics, Inc
- Telefoonnummer: 617-322-0731
- E-mail: ClinicalTrials@relaytx.com
Studie Locaties
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California
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Los Angeles, California, Verenigde Staten, 90095
- Werving
- University of California, Los Angeles
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Contact:
- Bartosz Chmielowski, MD
- Telefoonnummer: 310-794-4655
- E-mail: bchmielowski@mednet.ucla.edu
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San Francisco, California, Verenigde Staten, 94143
- Werving
- University of California, San Francisco
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Contact:
- Sonia C Martinez
- Telefoonnummer: 415-714-4484
- E-mail: Sonia.ContrerasMartinez@ucsf.edu
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Colorado
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Aurora, Colorado, Verenigde Staten, 80045
- Werving
- University Of Colorado Hospital
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Contact:
- Meagan Brander
- Telefoonnummer: 303-724-8869
- E-mail: MAEGAN.BRANDER@CUANSCHUTZ.EDU
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Massachusetts
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Boston, Massachusetts, Verenigde Staten, 02114
- Werving
- Massachusetts General Hospital
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Contact:
- Ryan Sullivan, MD
- Telefoonnummer: 617-243-5480
- E-mail: RSULLIVAN7@mgh.harvard.edu
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Boston, Massachusetts, Verenigde Staten, 02215
- Werving
- Dana Farber Cancer Institute
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Contact:
- Linnea Drew
- Telefoonnummer: 617-632-6704
- E-mail: Linneam_drew@dfci.harvard.edu
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Michigan
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Grand Rapids, Michigan, Verenigde Staten, 49546
- Werving
- START Midwest, LLC
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Contact:
- Telefoonnummer: 616-954-5554
- E-mail: hopeteam@startresearch.com
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New York
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New York, New York, Verenigde Staten, 10065
- Werving
- Memorial Sloan Kettering Cancer Center
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Contact:
- Monica Chen, MD
- Telefoonnummer: 646-888-5108
- E-mail: chenm9@mskcc.org
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Tennessee
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Nashville, Tennessee, Verenigde Staten, 37203
- Werving
- Sarah Cannon Research Institute Oncology Partners
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Contact:
- ASKSarah
- Telefoonnummer: 877-MY-1-SCRI (691-7274)
- E-mail: ASKSARAH@scresearch.net
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Virginia
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Fairfax, Virginia, Verenigde Staten, 22031
- Werving
- NEXT Virginia
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Contact:
- Paolo Umayam
- Telefoonnummer: 703-783-4546
- E-mail: pumayam@nextoncology.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Experimenteel: 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
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Part 1: Maximum Tolerated Dose (MTD) and/or RP2D of RLY-8161
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Part 1 and Part 2: Changes in NRAS mutant allele fraction in ctDNA
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- RLY-8161-101
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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