Clinical Trials /

RLY-1971 in Subjects With Advanced or Metastatic Solid Tumors

NCT04252339

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.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
RLY-1971RLY-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

NameTypeDescriptionInterventions
RLY-1971 - Dose Escalation/ExpansionExperimentalDose 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.
  • RLY-1971

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