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A Phase 1/2a Study of K-1728 in Advanced Solid Tumors (PIKYMA-01)

2026年10月1日 更新者:KymaThera, Inc.

A First-in-Human Study of K-1728 Administered Alone and in Combination in Participants With Advanced or Metastatic Solid Tumors

This first-in-human, open-label, multicenter study evaluates K-1728 administered as monotherapy and in combination in participants with advanced or metastatic solid tumors. The study assesses the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of K-1728.

研究概览

研究类型

介入性

注册 (估计的)

110

阶段

  • 阶段2
  • 阶段1

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Key Inclusion Criteria:

  • Adults with advanced or metastatic solid tumors who are able to provide consent
  • Documented activating PIK3CA mutation
  • ECOG performance status 0 or 1
  • Adequate organ function

Key Exclusion Criteria:

  • Active or untreated central nervous system disease
  • Clinical significant or uncontrolled cardiovascular disease
  • Significant or uncontrolled intercurrent illness
  • Pregnant or breastfeeding
  • Other protocol-defined exclusion criteria

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:非随机化
  • 介入模型:顺序分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:K-1728 Monotherapy

Participants receive K-1728 orally as monotherapy

K-1728 will be administered orally once daily in 28-day cycles

实验性的:K-1728 + Endocrine Therapy

Participants receive K-1728 orally in combination with endocrine therapy

K-1728 will be administered orally once daily in 28-day cycles

Fulvestrant will be administered intramuscularly on Days 1 and 15 of Cycle 1, and then Day 1 of each subsequent 28-day cycle

实验性的:K-1728 + Endocrine Therapy + CDK4/6 Inhibitor

Participants receive K-1728 orally in combination with endocrine therapy and a CDK4/6 inhibitor

K-1728 will be administered orally once daily in 28-day cycles

Fulvestrant will be administered intramuscularly on Days 1 and 15 of Cycle 1, and then Day 1 of each subsequent 28-day cycle

Palbociclib will be administered orally on Days 1-21 in 28-day cycles

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Maximum Tolerated Dose (MTD)/Maximum Efficacious Dose (MED) and Recommended Phase 2 Dose (RP2D)
大体时间:Cycle 1 (28 days) through completion of dose escalation (up to approximately 24 months)

Determination of the MTD/MED and RP2D of K-1728 administered as monotherapy and in combination

Cycle 1 (28 days) through completion of dose escalation (up to approximately 24 months)
Incidence of Dose-Limiting Toxicities (DLTs)
大体时间:Initiation of study drug through Cycle 1 (28 days)

Number and percentage of participants experiencing a dose-limiting toxicity during the DLT-evaluation period with of K-1728 administered as monotherapy and in combination

Initiation of study drug through Cycle 1 (28 days)
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
大体时间:From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

Number and percentage of participants with adverse events and serious adverse events with K-1728 administered as a monotherapy and in combination

From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)
Changes in laboratory parameters
大体时间:From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

Compared to baseline, changes in laboratory parameters with K-1728 administered as monotherapy and in combination

From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)
Changes in vital signs
大体时间:From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

Compared to baseline, changes in vital signs with K-1728 administered as monotherapy and in combination

From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)
Changes in electrocardiogram (ECG) parameters
大体时间:From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

Compared to baseline, changes in ECG parameters (including QT interval, QTc interval, QRS complex, and PR interval)

From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)
Changes in physical examination
大体时间:From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

Compared to baseline, changes in physical examination

From first dose through 30 days after the last dose of study treatment (up to approximately 24 months)

次要结果测量

结果测量
措施说明
大体时间
Pharmacokinetics - Maximum Plasma Concentration (Cmax) of K-1728
大体时间:Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months

Cmax of K-1728 when administered as monotherapy or in combination

Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months
Pharmacokinetics - Time to Maximum Plasma Concentration (Tmax) of K-1728
大体时间:Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months

Tmax of K-1728 when administered as monotherapy or in combination

Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months
Pharmacokinetics - Area Under the Plasma Concentration-Time Curve (AUC) of K-1728
大体时间:Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months

AUC of K-1728 when administered as monotherapy or in combination

Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months
Pharmacokinetics - Half-life (t1/2) of K-1728 when administered as monotherapy or in combination
大体时间:Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months

t1/2 of K-1728 when administered as monotherapy or in combination

Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle until end of treatment, approximately 24 months
Preliminary Efficacy - Overall Response Rate (ORR)
大体时间:Initiation of study drug until disease progression, assessed up to approximately 24 months

Objective Response Rate (ORR) as assessed by RECIST v1.1

Initiation of study drug until disease progression, assessed up to approximately 24 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年10月1日

初级完成 (估计的)

2028年9月1日

研究完成 (估计的)

2029年3月1日

研究注册日期

首次提交

2026年9月24日

首先提交符合 QC 标准的

2026年10月1日

首次发布 (实际的)

2026年10月6日

研究记录更新

最后更新发布 (实际的)

2026年10月6日

上次提交的符合 QC 标准的更新

2026年10月1日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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