A Phase 1b, Multicenter, Open-Label Study of Valemetostat Tosylate in Combination With DXd ADCs in Subjects With Solid Tumors
Summary
This study will evaluate the safety, tolerability, and efficacy of valemetostat tosylate in combination with DXd ADC in patients with advanced solid tumors.
Detailed description
This is a 2-part study of valemetostat in combination with DXd ADCs in patients with HER2-positive gastric cancer, non-squamous NSCLC, or unresectable or metastatic HER2 low breast cancer. The study will begin with a Part 1 Dose-escalation Phase and will continue until the recommended dose for expansion "RDE" of valemetostat is determined and will then be followed by a Part 2 Dose-expansion Phase to further evaluate the safety and tolerability of the combination.
Arms & interventions
- DrugValemetostat tosylate
Administered orally once daily
- DrugT-DXd
One IV infusion Q3W on Day 1 of each 21-day cycle
- DrugDato-DXd
One IV infusion Q3W on Day 1 of each 21-day cycle.
Outcome measures
Primary
Number of Participants Reporting Dose-limiting Toxicities (Part 1 Dose Escalation)
Time frame: Cycle 1 Day 1 up to Day 21 (each cycle is 21 days)
Number of Participants Reporting Treatment-emergent Adverse Events (Part 1 Dose Escalation)
Time frame: Screening up to 40 days after last dose
Objective Response Rate Based on Investigator Assessment (Part 2 Dose Expansion)
Objective response rate (ORR) is defined as the proportion of participants with a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v 1.1 criteria. CR is defined as a disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.
Time frame: Baseline (Screening), at every 6 weeks from Cycle 1 Day 1 in the first year, and every 12 weeks thereafter until disease progression or until the start of a new anticancer treatment, up to approximately 5 years
Secondary
Overall Survival
Time frame: Date of enrollment up to date of death due to any cause, up to approximately 5 years
Progression-free Survival
Time frame: Date of enrollment up to date of radiographic disease progression or death due to any cause (whichever occurs first), up to approximately 5 years
Duration of Response (DoR)
Time frame: Date of first documentation of objective tumor response (CR or PR) that is subsequently confirmed to the first documentation of objective tumor progression or to death due to any cause (whichever occurs first), up to approximately 5 years
Objective Response Rate Based on Investigator Assessment (Part 1 Dose Escalation)
Time frame: Baseline (Screening), at every 6 weeks from Cycle 1 Day 1 in the first year, and every 12 weeks thereafter until disease progression or until the start of a new anticancer treatment, up to approximately 5 years
Number of Participants Reporting Treatment-emergent Adverse Events (Part 2 Dose Expansion)
Time frame: Screening up to 40 days after last dose
Total and Unbound Plasma Concentration of Valemetostat
Time frame: Cycle 1, Day 1: Predose, 1 hour (hr), 2 hr, 4 hr, and 5 hr postdose; Cycle 1, Day 8 and Day 15: Predose; Cycles 2, 3, 4, Day 1: Predose (each cycle is 21 days)
Plasma Concentration of DXd Antibody-Drug Conjugates
Time frame: Cycle 1, Day 1: Predose, 1 hour (hr), 2 hr, 4 hr, and 5 hr postdose; Cycle 1, Day 8 and Day 15: Predose; Cycles 2, 3, 4, Day 1: Predose (each cycle is 21 days)
Eligibility criteria
Study locations (20)
City of Hope At Orange County Lennar Foundation Cancer Center
Irvine, California, 92618
Valkyrie Clinical Trials
Los Angeles, California, 90067
Sharp Memorial Hospital
San Diego, California, 92123
Brcr Medical Center, Inc Dba Boca Raton Clinical Research
Plantation, Florida, 33322
H. Lee Moffitt Cancer Center and Research Institute, Inc
Tampa, Florida, 33612
University of Hawaii At Manoa
Honolulu, Hawaii, 96813
University of Chicago Medical Center
Chicago, Illinois, 60637
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Memorial Sloan-Kettering Cancer Center (Mskcc) - New York
New York, New York, 10065
Clinical Research Alliance
Westbury, New York, 11590
Unc Hospitals
Chapel Hill, North Carolina, 27514
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Providence Portland Medical Center
Portland, Oregon, 97213
Mary Crowley Cancer Research Centers
Dallas, Texas, 75230
Ut Southwestern Medical Center
Dallas, Texas, 75390
University of Texas M. D. Anderson Cancer Center
Houston, Texas, 77030
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Next Virginia
Fairfax, Virginia, 22031
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226