Description:
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and
pharmacodynamic (PD) profiles of escalating doses of RMC-4630 monotherapy in adult
participants with relapsed/refractory solid tumors and to identify the recommended Phase 2
dose (RP2D).
Title
- Brief Title: Dose Escalation of RMC-4630 Monotherapy in Relapsed/Refractory Solid Tumors
- Official Title: A Phase 1, Open-Label, Multicenter, Dose-Escalation Study of RMC-4630 Monotherapy in Adult Participants With Relapsed/Refractory Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
RMC-4630-01
- NCT ID:
NCT03634982
Conditions
Interventions
Drug | Synonyms | Arms |
---|
RMC-4630 | | RMC-4630 |
Purpose
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and
pharmacodynamic (PD) profiles of escalating doses of RMC-4630 monotherapy in adult
participants with relapsed/refractory solid tumors and to identify the recommended Phase 2
dose (RP2D).
Detailed Description
This is an open-label, multicenter, Phase 1 study of oral RMC-4630 monotherapy in
participants with advanced relapsed or refractory solid tumors. The study will include 2
components: 1) a Dose-Escalation Component for participants with relapsed or refractory solid
tumors and 2) a Dose-Expansion Component for participants with relapsed or refractory solid
tumors harboring certain specific mutations/rearrangements that result in hyperactivation of
the RAS-MAPK pathway. Participants will be treated until disease progression per RECIST v1.1,
unacceptable toxicity, or other criteria for withdrawal are met, whichever occurs first.
Trial Arms
Name | Type | Description | Interventions |
---|
RMC-4630 | Experimental | RMC-4630 for oral administration | |
Eligibility Criteria
Inclusion Criteria:
- Participant (male or female) ≥18 years of age
- Participants who have advanced solid tumors that have failed, are intolerant to, or
are considered ineligible for standard of care anticancer treatments including
approved drugs for oncogenic drivers in their tumor type
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
- Participants in the Dose-Expansion Component must have one of the following genotypic
aberrations: KRAS amplifications, KRASG12C (NSCLC), BRAF Class 3, or NF1 LOF (NSCLC
and gynecological cancers) mutations
- Adequate hematologic, hepatic and renal function
- Participant able to understand and voluntarily sign the informed consent form (ICF)
and able to comply with the study visit schedule and other protocol requirements.
- Participants willing to agree to not father a child/become pregnant and comply with
effective contraception criteria
Exclusion Criteria:
- Known or suspected leptomeningeal or brain metastases or spinal cord compression
- Primary central nervous system (CNS) tumors
- Clinically significant cardiac disease
- Active, clinically significant interstitial lung disease or pneumonitis
- History or current evidence of retinal pigment epithelial detachment (RPED), central
serous retinopathy, retinal vein occlusion (RVO), or predisposing factors to RPED or
RVO
- Known HIV infection
- Active/chronic hepatitis B or C infection
- Any other unstable or clinically significant concurrent medical condition that would,
in the opinion of the investigator, jeopardize the safety of a participant, impact
their expected survival through the end of the study participation, and/or impact
their ability to comply with the protocol prior/concomitant therapy
- Females who are pregnant or breastfeeding
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with adverse events (AEs) |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Incidence, nature, and severity of treatment-emergent AEs and serious AEs, including incidence and severity of findings in laboratory values and vital signs for RMC-4630 monotherapy |
Secondary Outcome Measures
Measure: | Cmax |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Peak plasma concentration of RMC-4630 |
Measure: | Tmax |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Time to achieve peak plasma concentration of RMC-4630 |
Measure: | Area Under the Curve (AUC) |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Area under the plasma concentration time curve of RMC-4630 |
Measure: | t1/2 |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Elimination half-life of RMC-4630 |
Measure: | Accumulation Ratio |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Ratio of accumulation of RMC-4630 from a single dose to steady state with repeated dosing |
Measure: | Overall Response Rate (ORR) |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Overall response rate of RMC-4630 per RECIST v1.1 |
Measure: | Duration of Response (DOR) |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Duration of response of RMC-4630 per RECIST v1.1 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Revolution Medicines, Inc. |
Trial Keywords
- SHP2
- PTPN11
- NSCLC
- EGFR
- KRAS G12
- BRAF Class 3
- NF1 LOF
- advanced solid tumor
- advanced solid malignancies
- melanoma
- skin cancer
- ovarian cancer
- endometrium/uterus cancer
- bladder cancer
- cervical cancer
- Carcinoma, Non-Small-Cell Lung
- Neoplasms, Squamous Cell
- Carcinoma, Squamous Cell
- Esophageal Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Neoplasms by Site
- Neoplasms
- Lung Diseases
- Respiratory Tract Diseases
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Head and Neck Neoplasms
- Digestive System Diseases
- Esophageal Diseases
- Gastrointestinal Diseases
Last Updated
August 31, 2021