Phase 1, First-in-Human, Multicenter, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Antitumor Activity of KO-2806 When Administered as Monotherapy and in Combination Therapy in Adult Patients With Advanced Solid Tumors
Summary
This first-in-human (FIH) dose-escalation and dose-validation/expansion study will assess KO-2806, a farnesyltransferase inhibitor (FTI), as a monotherapy and in combination, in adult patients with advanced solid tumors.
Arms & interventions
- DrugDarlifarnib
Oral administration
- DrugCabozantinib
Oral administration
- DrugAdagrasib
Oral administration
Outcome measures
Primary
Rate of dose-limiting toxicities (DLTs)
Time frame: DLTs will be evaluated during the first 28 days of KO-2806 treatment (dose escalation)
Descriptive statistics of adverse events (AEs)
NCI-CTCAE v5.0
Time frame: First dose of KO-2806 up to and including 28 days after last dose of KO-2806 (dose escalation)
Incidence of dose interruptions, reductions, and discontinuations due to AE
Time frame: First dose of KO-2806 up to last dose of KO-2806 or up to 24 months of treatment (dose escalation)
Objective Response Rate (ORR)
Assessed per RECIST v1.1
Time frame: Up to an estimated period of 24 months (dose expansion)
Secondary
Incidence of dose interruptions, reductions, and discontinuations due to AE
Time frame: First dose of KO-2806 up to last dose of KO-2806 or up to 24 months of treatment (dose expansion)
Descriptive statistics of AEs
Time frame: First dose of KO-2806 up to and including 28 days after last dose of KO-2806 (dose expansion)
Objective Response Rate (ORR)
Time frame: Up to an estimated period of 24 months (dose escalation)
Disease control rate (DCR)
Time frame: Up to an estimated period of 24 months (dose escalation and expansion)
Duration of response (DoR)
Time frame: Up to an estimated period of 24 months (dose escalation and expansion)
Time to response (TTR)
Time frame: Up to an estimated period of 24 months (dose escalation and expansion)
Progression-Free Survival (PFS)
Time frame: Up to an estimated period of 24 months (dose escalation and expansion)
Overall Survival (OS)
Time frame: First dose of KO-2806 until death, or up to an estimated period of 37 months (dose escalation and expansion)
AUClast
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
AUC0-inf
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
Cmax
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
Cmin
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
Tmax
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
Estimated terminal elimination rate constant (λz)
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
t1/2
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
CL/F
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
Vd/F
Time frame: Cycle 1. Each cycle is 28 days. (Dose escalation and dose expansion)
QTcF
Time frame: Up to 28 days following last dose of KO-2806, cabozantinib, or adagrasib. (Dose escalation and dose expansion)
KO-2806 plasma concentration measurements
Time frame: Up to day 28 following first dose of KO-2806 and adagrasib. (Dose escalation and dose expansion)
Amount of KO-2806 excretion in urine
Time frame: Up to 24 hours following first dose of KO-2806. (Dose escalation)
CLr of KO-2806 excretion in urine
Time frame: Up to 24 hours following first dose of KO-2806. (Dose escalation)
Eligibility criteria
Study locations (22)
Mayo Clinic Comprehensive Cancer Center
Phoenix, Arizona, 85054
University of Arizona
Tucson, Arizona, 85724
University of Southern California
Los Angeles, California, 90033
Cedars-Sinai Medical Center
Los Angeles, California, 90048
UCLA Department of Medicine
Los Angeles, California, 90095
Sarah Cannon Research Institute at HealthONE
Denver, Colorado, 80218
AdventHealth Celebration
Celebration, Florida, 34747
Mayo Clinic Comprehensive Cancer Center
Jacksonville, Florida, 32224
Florida Cancer Specialists
Sarasota, Florida, 34232
University of Iowa Hospitals & Clinics
Iowa City, Iowa, 52242
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Henry Ford Health System
Detroit, Michigan, 48202
Mayo Clinic Comprehensive Cancer Center
Rochester, Minnesota, 55905
Washington University School of Medicine
St Louis, Missouri, 63110
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Ohio State University
Columbus, Ohio, 43210
OU Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
SCRI - Oncology Partners
Nashville, Tennessee, 37203
UT Southwestern Simmons Cancer Center
Dallas, Texas, 75235
MD Anderson Cancer Center
Houston, Texas, 77030
University of Wisconsin (Carbone Cancer Center)
Madison, Wisconsin, 53792