Description:
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and
pharmacodynamic (PD) profiles of RMC-4630 and cobimetinib in adult participants with
relapsed/refractory solid tumors with specific genomic aberrations and to identify the
recommended Phase 2 dose (RP2D); and to evaluate the safety, tolerability, pharmacokinetic
(PK), and pharmacodynamic (PD) profiles of RMC-4630 and osimertinib in adult participants with
EGFR mutation-positive locally advanced or metastatic NSCLC.
Title
- Brief Title: Dose-Escalation/Expansion of RMC-4630 and Cobimetinib in Relapsed/Refractory Solid Tumors and RMC-4630 and Osimertinib in EGFR Positive Locally Advanced/Metastatic NSCLC
- Official Title: A Phase 1b/2, Open-Label, Multicenter Dose-Escalation and Dose-Expansion Study of the Combination of RMC-4630 and Cobimetinib in Adult Participants With Relapsed/Refractory Solid Tumors and a Phase 1b Study of RMC-4630 With Osimertinib in Participants With EGFR Mutation Positive, Locally Advanced or Metastatic NSCLC
Clinical Trial IDs
- ORG STUDY ID:
RMC-4630-02
- NCT ID:
NCT03989115
Conditions
Interventions
Drug | Synonyms | Arms |
---|
RMC-4630 | | RMC-4630 and Cobimetinib |
Cobimetinib | GDC-0973, XL518 | RMC-4630 and Cobimetinib |
Drug: Osimertinib | Tagrisso, AZD9291 | RMC-4630 and Osimertinib |
Purpose
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and
pharmacodynamic (PD) profiles of RMC-4630 and cobimetinib in adult participants with
relapsed/refractory solid tumors with specific genomic aberrations and to identify the
recommended Phase 2 dose (RP2D); and to evaluate the safety, tolerability, pharmacokinetic
(PK), and pharmacodynamic (PD) profiles of RMC-4630 and osimertinib in adult participants with
EGFR mutation-positive locally advanced or metastatic NSCLC.
Detailed Description
This open-label, phase 1b/2 dose-escalation and dose-expansion study is designed to evaluate
the safety and maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of RMC-4630
in combination with cobimetinib in participants with relapsed/refractory solid tumors; and of
RMC-4630 in combination with osimertinib in adult participants with EGFR mutation-positive
locally advanced or metastatic NSCLC.
Trial Arms
Name | Type | Description | Interventions |
---|
RMC-4630 and Cobimetinib | Experimental | RMC-4630 and Cobimetinib for oral administration | |
RMC-4630 and Osimertinib | Experimental | RMC-4630 and Osimertinib for oral administration | - RMC-4630
- Drug: Osimertinib
|
Eligibility Criteria
Inclusion Criteria:
- Age ≥18 years
- For RMC-4630 + Cobimetinib only - Participants who have advanced solid tumors that
have failed, are intolerant to, or are considered ineligible for standard of care
anti-cancer treatments including approved drugs for oncogenic drivers in their tumor
type.
- For RMC-4630 + Osimertinib only - Locally advanced or metastatic EGFR mutant NSCLC not
amenable to curative surgery or radiotherapy
- For RMC-4630 + Cobimetinib only - Participants must have one of the following
genotypic aberrations: KRAS mutations and amplifications, BRAF Class 3 mutations, or
NF1 LOF mutations
- For RMC-4630 + Osimertinib only - Evidence of radiological documentation of
progression with osimertinib monotherapy or an osimertinib containing regimen.
Participants should not be considered a current candidate for 1st generation EGFR
TKI's by the investigator.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
- Adequate hematological, hepatic, and renal function
- Capable of giving signed informed consent form (ICF). Willing and able to compile with
study requirements and restrictions
- Life expectancy >12 weeks
- Female of childbearing potential and males with partners of childbearing potential
must comply with effective contraception criteria .
Exclusion Criteria:
- Primary central nervous system (CNS) tumors.
- Known or suspected leptomeningeal or brain metastases or spinal cord compression.
- For RMC-4630 + osimertinib arm only - Known or suspected Small cell, squamous, or
pleomorphic lung transformations
- 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 or 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 SAEs, graded according to the NCI CTCAE v5 for the combination of RMC-4360 and cobimetinib or RMC-4360 and osimertinib |
Secondary Outcome Measures
Measure: | Cmax |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Peak plasma concentration of RMC-4630 and cobimetinib or RMC-4360 and osimertinib |
Measure: | Tmax |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Time to achieve peak plasma concentration of RMC-4630 and cobimetinib or RMC-4360 and osimertinib |
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 and cobimetinib or RMC-4360 and osimertinib |
Measure: | t1/2 |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Elimination half-life of RMC-4630 and cobimetinib or RMC-4360 and osimertinib |
Measure: | Accumulation Ratio |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Ratio of accumulation of RMC-4630 and cobimetinib or RMC-4360 and osimertinib 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 and cobimetinib or RMC-4360 and osimertinib per RECIST v1.1 |
Measure: | Duration of Response (DOR) |
Time Frame: | up to 3 years |
Safety Issue: | |
Description: | Duration of response of RMC-4630 and cobimetinib or RMC-4360 and osimertinib per RECIST v1.1 |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Revolution Medicines, Inc. |
Trial Keywords
- SHP2
- PTPN11
- NSCLC
- KRAS G12
- BRAF Class 3
- NF1 LOF
- KRAS amplification
- KRAS mutations
- advanced solid tumor
- advanced solid malignancies
- bladder cancer
- carcinoma, non-small-cell lung
- neoplasm, 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
- gastrointestinal cancer
- colorectal cancer
- skin cancer
- ovarian cancer
- pancreatic cancer
- endometrium/uterus cancer
- cervical cancer
Last Updated
September 1, 2021