A Phase 1/2, Open-label Study of Oral S241656 (BDTX-4933) as Monotherapy and in Combination With Other Anti-Cancer Therapies in Patients With KRAS, BRAF and Other Selected RAS/MAPK Mutation-Positive Malignancies
Summary
BDTX-4933-101 is a first-in-human, open-label, Phase 1/2 dose escalation, dose optimization and expansion study designed to evaluate the safety and tolerability of S241656 as monotherapy and in combination with other anti-cancer therapies in participants with selected advanced malignancies. The study population for the Dose Escalation part of the study comprises adults with recurrent advanced/metastatic non-small cell lung cancer (NSCLC), Gastrointestinal (GI) cancers, and other solid tumors harboring KRAS, HRAS, NRAS, BRAF, and/or CRAF (Rapidly Accelerated Fibrosarcoma (RAF1)) mutations or alterations. A dose optimization part in adults with NSCLC may follow the dose escalation phase if the sponsor, in consultation with the safety review committee, decides it is necessary to further characterize the optimal dose. However, the study may also proceed directly to the expansion phase. The study population for the Dose Expansion part of the study comprises adults with advanced/metastatic NSCLC with KRAS and/or BRAF mutations, and with Pancreatic Ductal AdenoCarcinoma (PDAC), ColoRectal Cancer (CRC), and Biliary Tract Cancer (BTC) with KRAS, HRAS, NRAS, BRAF, and/or CRAF (RAF1) mutations and alterations. All patients will self-administer S241656 orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or termination of the study.
Arms & interventions
- DrugS241656
RAF inhibitor targeting all classes of oncogenic BRAF alterations (Classes I, II, and III) and constitutively active CRAF, KRAS or NRAS mutations
- DrugFOLFOX6/FOLFOX7
Used as a combination therapy and administered intravenously
- DrugFOLFIRI
Used as a combination therapy and administered intravenously
- DrugCetuximab
Used as a combination therapy and administered intravenously
- DrugPanitumumab
Used as a combination therapy and administered intravenously
- DrugGemcitabine
Used as a combination therapy and administered intravenously
- DrugNab-paclitaxel
Used as a combination therapy and administered intravenously
Outcome measures
Primary
Dose Escalation: Incidence of dose-limiting toxicities (DLTs)
A DLT is defined as any event meeting the DLT criteria occurring within the first 28-day cycle
Time frame: The first 28-day cycle (Cycle 1)
Dose Escalation: Number of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Through study completion, approximately 5 years
Dose Optimization/Expansion: Objective response (OR)
Time frame: Through study completion, approximately 5 years
Secondary
Dose Escalation/Expansion: Incidence and severity of treatment-emergent adverse events (TEAEs)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Maximum plasma concentration (Cmax) of S241656 and its metabolite S243796
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Time of maximum plasma concentration (Tmax) of S241656 and its metabolite S243796
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Area under the plasma drug concentration-time curve (AUC) of S241656 and its metabolite S243796
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Half-life (t1/2) of S241656 and its metabolite S243796
Time frame: Through study completion, approximately 5 years
Dose Escalation: Objective response (OR)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Disease Control (DC)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Clinical Benefit (CB)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Duration of response (DOR)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Time to response (TTR)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Progression-free Survival (PFS)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Overall survival (OS)
Time frame: Through study completion, approximately 5 years
Dose Optimization/Expansion: Number of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Number of Dose Interruptions
Time frame: Through study completion, approximately 5 years
Dose Escalation/Optimization/Expansion: Number of Dose Reductions
Time frame: Through study completion, approximately 5 years
Dose Escalation: Number of Dose Discontinuations
Time frame: Through study completion, approximately 5 years
Dose Optimization/Expansion: Changes in allelic fraction of DNA sequence variants detected in ctDNA from baseline to on-treatment time points
Time frame: Through study completion, approximately 5 years
Eligibility criteria
Study locations (20)
Banner Health- MD Anderson Cancer Center
Gilbert, Arizona, 85234
The Angeles clinic - A cedars SINAI AFFILIATE
Los Angeles, California, 90025
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
University of California, San Francisco (UCSF)
San Francisco, California, 94143
University of Colorado - Aurora Cancer Center
Aurora, Colorado, 80045
Yale University School of Medicine - Yale Cancer Center
New Haven, Connecticut, 06520-8028
Georgetown University Lombardi Cancer Center
Washington D.C., District of Columbia, 20007
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
South Texas Accelerated Research Therapeutics (START) Midwest
Grand Rapids, Michigan, 49546
Masonic Cancer Center University of Minnesota
Minneapolis, Minnesota, 55455
Washington University
St Louis, Missouri, 63130
NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute)
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Duke University School of Medicine
Durham, North Carolina, 27710
Cleveland Clinic
Cleveland, Ohio, 44195
Sarah Canon Research Institute (SCRI) Oncology Partners
Nashville, Tennessee, 37203
MD Anderson Cancer Center
Houston, Texas, 77030
START San Antonio
San Antonio, Texas, 78229
NEXT Virginia
Fairfax, Virginia, 22031
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109