A Phase I, Open Label Single-arm Two-part Study to Investigate Safety, Pharmacokinetics, and Preliminary Efficacy of Pan-RAF/MEK Glue NST-628 Oral Tablets in Subject With Solid Tumors Harboring Genetic Alterations in the MAPK Pathway and With Other Solid Tumors
Summary
This is a two-part Phase 1, open label, multi-center, single arm, non-randomized, multiple dose, safety, pharmacokinetic (PK) and preliminary efficacy study of single agent NST-628 in adult patients with MAPK pathway mutated/dependent advanced solid tumors who have exhausted standard treatment options.
Detailed description
The study includes two parts, a dose escalation part (Part A) followed by a dose expansion part (Part B). Part A will estimate the maximum tolerated dose (MTD) in dose escalation cohorts in patients with advanced solid tumors for whom no standard therapy is available in order to establish the recommended dose for expansion (RDE). Successive cohorts of subjects will receive escalating doses of NST-628 orally once daily in 28-day cycles. Bayesian Optimal Interval (BOIN) method will be used for dose escalation. Once MTD is reached or dose escalation is stopped prior to reaching MTD and provisional RDE selected, the provisional RDE level will be expanded. If warranted by dose/toxicity/anti-tumor activity observations, additional, lower dose level(s) may also be expanded. Part B of the study will include up to 6 cohorts of approximately up to 30 subjects each with select MAPK pathway mutant solid tumors enrolled at the RDE in order to explore benefit from treatment as suggested by preclinical findings and will better define the safety profile of NST-628 at the RDE. Additional safety information gathered in Part B may be used to modify the dose recommended for future studies. The end of the study is the last visit of the last subject.
Arms & interventions
- DrugNST-628
NST-628 is a small molecule non-covalent pan-RAF/MEK dual molecular glue targeting RAF and MEK nodes of MAPK pathway.
Outcome measures
Primary
Part A and B: Evaluate the safety of NST-628 in patients with advanced solid tumors
Adverse effects
Time frame: Through study completion, an average of 1 year
Part A: Determine the recommended dose for expansion of NST-628
Dose limiting toxicities (DLTs)
Time frame: The first 28 days of treatment (DLTs)
Part B: Evaluate objective tumor response rate
Objective response per RECIST v. 1.1 or other response assessment tool standard for a given tumor type.
Time frame: Through study completion, an average of 1 year
Secondary
Part A: Evaluate objective tumor response rate
Time frame: Through study completion, an average of 1 year
Part A and B: Evaluate progression free survival (PFS)
Time frame: Through study completion, an average of 1 year
Part A and B: Evaluate overall survival (OS)
Time frame: Through study completion, an average of 2 years
Part A and B: Characterize the pharmacokinetics of NST-628
Time frame: Through study completion, an average of 1 year
Eligibility criteria
Study locations (17)
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158
UCLA Hematology/Oncology
Westwood, Los Angeles, California, 90024
Sarah Cannon Research Institute at Health ONE
Denver, Colorado, 80218
Yale Cancer Center
New Haven, Connecticut, 06511
Moffitt Cancer Center
Tampa, Florida, 33612
Roswell Park
Buffalo, New York, 14263
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
Columbia University Medical Center
New York, New York, 10032
Memorial Slone Kettering Cancer Center
New York, New York, 10065
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
SCRI Oncology Partners
Nashville, Tennessee, 37203
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232
NEXT Oncology - Austin
Austin, Texas, 78758
NEXT Oncology - Dallas
Dallas, Texas, 75039
MD Anderson Cancer Center
Houston, Texas, 77030
START Moutain Region
West Valley City, Utah, 84119
NEXT Oncology - Virginia
Fairfax, Virginia, 22031