A Phase 1a/1b Open-Label Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of BBO-11818 in Subjects With Advanced KRAS Mutant Cancers
Summary
A first in human study to evaluate the safety and preliminary antitumor activity of BBO-11818, a pan-KRAS inhibitor, in subjects with locally advanced unresectable or metastatic KRAS mutant solid tumors.
Detailed description
This is an open-label, multi-center, Phase 1 study designed to evaluate the safety, tolerability, pharmacokinetics, and efficacy of BBO-11818, a pan-KRAS inhibitor, alone and in combination with pembrolizumab, pembrolizumab + cis/carboplatin + pemetrexed, cetuximab, cetuximab + mFOLFOX6, BBO-10203 + mFOLFOX6, BBO-10203 +cetuximab, mFOLFIRINOX, gemcitabine + nab-paclitaxel, or BBO-10203 in subjects with locally advanced unresectable or metastatic KRAS mutant solid tumors. The study includes a dose escalation phase and a dose expansion phase.
Arms & interventions
- DrugBBO-11818
Participants will receive assigned dose of BBO-11818 orally (PO)
- DrugPembrolizumab
Patients will receive IV pembrolizumab
- DrugPlatinum chemotherapy (cisplatin or carboplatin)
Patients will receive IV platinum chemotherapy (cisplatin or carboplatin)
- DrugPemetrexed
Patients will receive IV pemetrexed
- DrugCetuximab
Patients will receive IV cetuximab
- DrugmFOLFOX6
Patients may receive IV mFOLFOX6
- DrugmFOLFOX6
Patients will receive IV mFOLFOX6
- DrugBBO-10203
Participants will receive BBO-10203 orally (PO)
- DrugmFOLFIRINOX
Patients will receive IV mFOLFIRINOX
- DrugGemcitabine
Patients will receive IV gemcitabine
- DrugNab-paclitaxel
Patients will receive IV nab-paclitaxel
Outcome measures
Primary
Incidence and severity of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs)
Time frame: approximately 5 years
Determine recommended dose of BBO-11818 in combination with pembrolizumab ± cis/carboplatin + pemetrexed, cetuximab ± mFOLFOX6, BBO-10203 + mFOLFOX6, BBO-10203 + cetuximab, cetuximab, mFOLFIRINOX, gemcitabine + nab-paclitaxel, or BBO-10203
Time frame: approximately 5 years
Secondary
Objective response rate (ORR) per RECIST v1.1 and CNS RECIST
Time frame: approximately 5 years
Clinical benefit rate (CBR) per RECIST v1.1
Time frame: approximately 5 years
Duration of Response (DOR) per RECIST v1.1
Time frame: approximately 5 years
Progression-Free Survival (PFS) per RECIST v1.1
Time frame: approximately 5 years
Overall Survival (OS)
Time frame: approximately 5 years
Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Maximum blood concentration (Cmax)
Time frame: approximately 5 years
Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Time to achieve maximum concentration (Tmax)
Time frame: approximately 5 years
Pharmacokinetics of BBO-11818, BBO-10203, irinotecan, and its metabolites (SN-38 and SN-38-G): Area under the concentration-time curve (AUC)
Time frame: approximately 5 years
Eligibility criteria
Study locations (16)
The Angeles Clinic and Research Institute - West Los Angeles Office
Los Angeles, California, 90025
University of California Davis
Sacramento, California, 95817
University of California San Diego Moores Cancer Center
San Diego, California, 92037
University of California San Francisco Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158
Yale University
New Haven, Connecticut, 06510
Moffitt Cancer Center
Tampa, Florida, 33612
OSF Healthcare Cancer Institute
Peoria, Illinois, 61637
Massachusetts General Hospital
Boston, Massachusetts, 02114
NYU Langone Health
New York, New York, 10016
Columbia University Irving Medical Center
New York, New York, 10032
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Sarah Cannon Research Institute at Mary Crowley
Dallas, Texas, 75230
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
NEXT Oncology
San Antonio, Texas, 78229
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
References
- Stahlhut C, Maciag AE, Sullivan KA, Singh K, Gitego N, Zhang Z, Chan AH, Sharma AK, Alexander PA, Shu J, Yang Y, Rigby M, Ma R, Setoodeh S, Smith BP, Pei J, Rabara D, Larsen EK, Turner DM, Zhang C, Feng C, Feng S, Stice JP, Xu R, Lin K, Stephen AG, Lightstone FC, Ji C, Wang K, Simanshu DK, Nissley DV, Wallace E, Wang B, Sinkevicius KW, McCormick F, Beltran PJ. Discovery of BBO-11818, a Potent and Selective Noncovalent Inhibitor of (ON) and (OFF) KRAS with Activity against Multiple Oncogenic Mutants. Cancer Discov. 2026 Apr 1;16(4):740-759. doi: 10.1158/2159-8290.CD-25-1280.(PubMed)