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RecruitingInterventionalPhase 1

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

NCT ID: NCT06026410Sponsor: Kura Oncology, Inc.Last updated: 2026-06-08

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * At least 18 years of age. * Histologically or cytologically confirmed advanced solid tumors * Arm #1 (KO-2806 monotherapy): Patients who have progressed on, or are refractory to, standard of care (SOC) treatments with advanced solid tumors, specifically: HRAS-mutant and/or amplified tumors (any solid tumor type); HRAS overexpression (only for HNSCC tumors); KRAS and/or NRAS, and/or HRAS-mutant and/or amplified NSCLC or CRC; KRAS-mutant and/or amplified PDAC * Arm #2 (Combination): Patients who have received at least 1 prior systemic therapy with IO-based treatment for locally advanced or metastatic RCC with predominantly clear cell subtype; non-clear cell RCC patients who are either treatment-naïve or have received any prior systemic treatment for locally advanced and metastatic RCC. * Arm #3 (Combination): Patients who have received at least 1 prior systemic therapy including available approved SOC treatments for KRAS G12C-mutant locally advanced or metastatic NSCLC, CRC, or PDAC. * Arm #4 (Combination): Patients must be cabozantinib-naïve and have received at least 1 prior systemic therapy with IO-based treatment for locally advanced or metastatic ccRCC, but no more than 3 prior systemic anticancer therapies. * Arm #5 (Cabozantinib monotherapy): Patients must be cabozantinib-naïve and have received at least 1 prior systemic therapy with IO-based treatment for locally advanced or metastatic ccRCC, but no more than 3 prior systemic anticancer therapies. * Arm #6 (Cabozantinib rollover to combination): Patients must be cabozantinib-naïve and have received at least 1 prior systemic therapy with IO-based treatment for locally advanced or metastatic ccRCC, but no more than 3 prior systemic anticancer therapies. * Arm #7 (Combination): Patients who have received at least 1 prior systemic therapy including available approved SOC treatments for KRAS G12C-mutant locally advanced or metastatic NSCLC * Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. * Karnofsky Performance Status of 70 or higher with no clinically significant deterioration over the previous 2 weeks. * Acceptable liver, renal, endocrine, and hematologic function. * Other protocol-defined inclusion criteria may apply. Exclusion Criteria: * Any use of anticancer therapy within 14 days or 5 half-lives (whichever is shorter) of Cycle 1 Day 1. * Prior treatment with an FTI or HRAS inhibitor. * Major surgery, other than local procedures, within 28 days prior to Cycle 1 Day 1, without complete recovery. * Spinal cord compression, leptomeningeal disease, or clinically active CNS metastases. * Toxicity (excluding alopecia) from prior therapy that has not been completely resolved to baseline at the time of consent. * Active or prior documented autoimmune or inflammatory disorders within the past 5 years prior to Cycle 1 Day 1 (with exceptions). * Active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy. * Inability to swallow, impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of the trial drugs. * Inadequate cardiac and/or vascular function, including receipt of treatment for unstable angina, myocardial infarction, and/or cerebrovascular attack within the prior 6 months, mean QTcF ≥470 ms, or Class II or greater congestive heart failure. * Other invasive malignancy within 2 years. * Other protocol-defined exclusion criteria may apply.

Study locations (22)

Mayo Clinic Comprehensive Cancer Center

Phoenix, Arizona, 85054

Recruiting

University of Arizona

Tucson, Arizona, 85724

Recruiting

University of Southern California

Los Angeles, California, 90033

Recruiting
Xiomara Menendez, RN · Contact

Cedars-Sinai Medical Center

Los Angeles, California, 90048

Recruiting
William Mills · Contact

UCLA Department of Medicine

Los Angeles, California, 90095

Recruiting

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, 80218

Recruiting

AdventHealth Celebration

Celebration, Florida, 34747

Recruiting
Amy Whitaker · Contact

Mayo Clinic Comprehensive Cancer Center

Jacksonville, Florida, 32224

Recruiting

Florida Cancer Specialists

Sarasota, Florida, 34232

Recruiting
Nancy Olsen · Contact

University of Iowa Hospitals & Clinics

Iowa City, Iowa, 52242

Recruiting
Mimi McKay · Contact

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215

Recruiting
Kailene Sullivan, RN · Contact

Henry Ford Health System

Detroit, Michigan, 48202

Recruiting
Bethany Adams, RN · Contact

Mayo Clinic Comprehensive Cancer Center

Rochester, Minnesota, 55905

Recruiting

Washington University School of Medicine

St Louis, Missouri, 63110

Recruiting
Jessica Ley · Contact

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08901

Recruiting
Mohammad Ghalib · Contact

Ohio State University

Columbus, Ohio, 43210

Recruiting

OU Stephenson Cancer Center

Oklahoma City, Oklahoma, 73104

Recruiting
Christina Caldwell · Contact

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232

Recruiting
Immunotherapy and Drug Development Center (IDDC) Referrals · Contact

SCRI - Oncology Partners

Nashville, Tennessee, 37203

Recruiting
· Contact

UT Southwestern Simmons Cancer Center

Dallas, Texas, 75235

Recruiting
Tian Zhang, MD · Contact

MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting

University of Wisconsin (Carbone Cancer Center)

Madison, Wisconsin, 53792

Recruiting
UW Carbone Cancer Center - Cancer Connect · Contact
KO-2806 Monotherapy and Combination Therapies in Advanced Solid Tumors | Cancerify