Description:
This study is a multi-center, open-label, dose escalation and expansion study of RLY-1971 in
subjects with advanced or metastatic solid tumors.
Title
- Brief Title: RLY-1971 in Subjects With Advanced or Metastatic Solid Tumors
- Official Title: Phase 1, Open Label, Dose Escalation and Expansion Study of RLY-1971, a Highly Potent and Selective SHP2 Inhibitor, in Subjects With Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
GO43242
- SECONDARY ID:
REFMAL 678
- NCT ID:
NCT04252339
Conditions
- Solid Tumor, Unspecified, Adult
Interventions
Drug | Synonyms | Arms |
---|
RLY-1971 | | RLY-1971 - Dose Escalation/Expansion |
Purpose
This study is a multi-center, open-label, dose escalation and expansion study of RLY-1971 in
subjects with advanced or metastatic solid tumors.
Detailed Description
Dose escalation/dose expansion study to assess the MTD, safety, tolerability, PK and
preliminary anti-tumor activity of RLY-1971. Approximately 70 patients.
Trial Arms
Name | Type | Description | Interventions |
---|
RLY-1971 - Dose Escalation/Expansion | Experimental | Dose Escalation: Oral dose of RLY-1971 until Maximum Tolerated Dose (MTD), and Recommended Phase 2 dose (RP2D) are identified
Dose Expansion: Oral dose of RLY-1971 once Maximum Tolerated Dose (MTD), and Recommended Phase 2 Dose (RP2D) are identified. | |
Eligibility Criteria
Inclusion Criteria:
1. Subject is willing and able to provide written informed consent for the study prior to
the performance of any study-specific procedures
2. Subject is a male or female subject ≥18 years of age at the time of consent
3. Subject must have an ECOG PS ≤ 1
4. Subject must have histologically or cytologically confirmed advanced or metastatic
solid tumor
5. Subjects who are refractory to FDA-approved, standard therapy or for which standard or
curative therapy does not exist or is not considered sufficient or appropriate by the
patient or Investigator
6. Subject must have radiographically measurable or evaluable disease
7. Subject must have recovered from the reversible effects of prior anti-neoplastic
therapy, except for alopecia and ≤ grade 2 neuropathy.
8. Subject has adequate end organ function
9. Subject is willing to comply with all protocol-required visits, assessments, and
procedures
10. Male and female subjects of child-bearing potential are willing to use medically
acceptable methods of birth control from the screening visit through 30 days after the
last dose of study medication
Exclusion Criteria:
1. Subjects with documented history of tumor mutations that may not be amenable to
treatment with RLY-1971, including:
1. KRAS mutations: G12D, G12V, G13X, and Q61X
2. BRAF V600E mutation
3. MEK mutations
2. Subjects with prior antineoplastic therapy within 3 weeks of Study Day 1, or 5
half-lives, whichever is shorter
3. Subjects with prior palliative radiotherapy within 1 week of Study Day 1
4. Subjects who have had major surgery or trauma, or incomplete recovery from surgery or
trauma, within 4 weeks of Study Day 1
5. Subjects with known central nervous system (CNS) metastases or primary CNS tumor that
is associated with progressive neurologic symptoms or requires increasing doses of
corticosteroids to control the CNS disease. If patient requires corticosteroids for
management of CNS disease, the dose must have been stable for the 2 weeks preceding
C1D1, or subject has new lesions appearing on follow up brain MRI that require
CNS-directed intervention.
6. Subjects with a history or evidence of ophthalmic disease
7. Subjects with a history or evidence of significant cardiac dysfunction
8. Subjects with a history or evidence of significant gastrointestinal disease
9. Subjects with other serious concurrent medical conditions
10. Subject is pregnant, as documented by a serum beta human chorionic gonadotropin
(β-hCG) pregnancy test consistent with pregnancy obtained within 7 days before the
first dose of study treatment
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum Tolerated Dose (MTD) |
Time Frame: | Escalation Phase - 18 month Enrollment |
Safety Issue: | |
Description: | MTD is defined as a dose level immediately below that at which ≥2 of 6 subjects experience a DLT during the first cycle. |
Secondary Outcome Measures
Measure: | Plasma concentration levels of RLY-1971 |
Time Frame: | At the beginning of Cycle 1 & Cycle 2 (Each Cycle is 21 days) |
Safety Issue: | |
Description: | Blood samples may be taken at pre-dose, 0.5, 1, 2, 4, 6, and 8hrs on Cycle 1 Day 1 and 15, 24 hrs post dose on Cycle 1 Day 2, and pre-dose on Cycle 2 Day 1 |
Measure: | Objective Response Rate (ORR) |
Time Frame: | Through study completion (an average of one year) |
Safety Issue: | |
Description: | Evaluation by RECIST 1.1; ORR is defined as the proportion of subjects in the response evaluable population who achieve the best overall response (BOR) of CR or PR |
Measure: | Disease Control Rate (DCR) |
Time Frame: | Through study completion (an average of one year) |
Safety Issue: | |
Description: | DCR is defined as the percentage of response evaluable subjects who achieve a BOR of CR, PR or SD for at least 3 months |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Hoffmann-La Roche |
Trial Keywords
- Solid Tumors
- Advanced or Metastatic Solid Tumors
- Phase 1
- First in Human (FIH)
- SHP2 inhibition
- PTPN11
- Bypass Resistance
Last Updated
July 14, 2021