Description:
A phase Ib, open-label platform study of select drug combinations chosen in order to
characterize safety and tolerability of each treatment arm tested and to identify recommended
doses and regimens for future studies.
Title
- Brief Title: A Study of Select Drug Combinations in Adult Patients With Advanced/Metastatic BRAF V600 Colorectal Cancer
- Official Title: A Phase Ib, Multicenter, Open-label Dose Escalation and Expansion Platform Study of Select Drug Combinations in Adult Patients With Advanced or Metastatic BRAF V600 Colorectal Cancer
Clinical Trial IDs
- ORG STUDY ID:
CADPT01C12101
- NCT ID:
NCT04294160
Conditions
- BRAF V600 Colorectal Cancer
Interventions
Drug | Synonyms | Arms |
---|
Dabrafenib | DRB436, Tafinlar | Dabrafenib + LTT462 + LXH254 triplet arm 2 |
LTT462 | | Dabrafenib + LTT462 + LXH254 triplet arm 2 |
Trametinib | TMT212, Mekinist | Dabrafenib + LTT462 + trametinib triplet arm 1 |
LXH254 | | Dabrafenib + LTT462 + LXH254 triplet arm 2 |
TNO155 | | Dabrafenib + LTT462 + TNO155 triplet arm 3 |
Spartalizumab | PDR001 | Dabrafenib + LTT462 + spartalizumab triplet arm 4 |
Purpose
A phase Ib, open-label platform study of select drug combinations chosen in order to
characterize safety and tolerability of each treatment arm tested and to identify recommended
doses and regimens for future studies.
Detailed Description
This is a phase Ib, multi-center, open-label study with multiple treatment arms in adult
patients with advanced or metastatic BRAF V600 (E, D, or K) in order to characterize safety
and tolerability of each treatment arm tested and to identify recommended doses and regimens
for future studies. The open platform design of this study is adaptive to allow removal of
combination treatment arm(s) based on emerging data and facilitate introduction of new
candidate combinations. The study is comprised of a dose escalation part and may be followed
by a dose expansion part for any combination treatment arm.
Trial Arms
Name | Type | Description | Interventions |
---|
Dabrafenib + LTT462 backbone arm 1 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | |
Dabrafenib + LTT462 + trametinib triplet arm 1 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | - Dabrafenib
- LTT462
- Trametinib
|
Dabrafenib + LTT462 + LXH254 triplet arm 2 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | |
Dabrafenib + LTT462 + TNO155 triplet arm 3 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | |
Dabrafenib + LTT462 + spartalizumab triplet arm 4 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | - Dabrafenib
- LTT462
- Spartalizumab
|
Dabrafenib + trametinib + TNO155 triplet arm 5 | Experimental | dose escalation to determine maximum tolerated dose (MTD)/ Recommended dose (RD) in adult patients with advanced or metastatic BRAF V600 colorectal cancer | - Dabrafenib
- Trametinib
- TNO155
|
Eligibility Criteria
Key Inclusion Criteria:
- Patients must have a site of disease amenable to biopsy, and be a candidate for tumor
biopsy according to the treating institution's guidelines. Patients must be willing to
undergo a new tumor biopsy at baseline and during on study therapy. Exceptions may be
considered after documented discussion with Novartis.
- All patients must have a BRAF V600 mutation confirmed by local assessment.
- Patients with unresectable advanced/metastatic BRAF V600 cancer of the colon or rectum
with measurable disease as determined by RECIST v1.1
- Patients must have documented disease progression following, or are intolerant to, 1
or 2 lines of chemotherapy for advanced/metastatic disease
Key Exclusion Criteria:
- Has a known additional malignancy that is progressing or requires active treatment.
Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the
skin that has undergone potentially curative therapy, or in-situ cervical cancer, or
other tumors that will not affect life expectancy
- Impairment of gastrointestinal function or gastrointestinal disease that may
signficantly alter the absorption of study drugs
- History of or current evidence/risk of retinal verin occlusion or serous retinopathy
- History of or current interstitial lung disease or non-infectious pneumonitis
- Patients with a known history of testing positive for HIV
- Clinically significant cardiac disease at screening
- Any medical condition that would, in the investigator's judgment, prevent the
patient's participation in the clinical study due to safety concerns or compliance
with clinical study procedures.
- Pregnant or lactating women
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence and nature of dose limiting toxicities (DLTs) in the first cycle |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To characterize safety and tolerability of each treatment arm tested and identify recommended doses (RD) and regimens for future studies |
Secondary Outcome Measures
Measure: | AUClast derived from Serum/plasma concentration of individual investigational drugs within combination treatments |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To characterize the PK of each investigational drug within each treatment arm |
Measure: | Best overall response (BOR) |
Time Frame: | 34 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of each treatment arm per RECIST v1.1. |
Measure: | Progression free survival (PFS) |
Time Frame: | 34 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of each treatment arm per RECIST v1.1. |
Measure: | Overall response rate (ORR) |
Time Frame: | 34 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of each treatment arm per RECIST v1.1. |
Measure: | Duration of response (DOR) |
Time Frame: | 34 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of each treatment arm per RECIST v1.1. |
Measure: | Disease control rate (DCR) |
Time Frame: | 34 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of each treatment arm per RECIST v1.1. |
Measure: | Change from baseline of the PD marker DUSP6 in tumor tissue (dose escalation only) |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To evaluate PD effect in their respective combinations in tumor |
Measure: | AUCtau derived from Serum/plasma concentration of individual investigational drugs within combination treatments |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To characterize the PK of each investigational drug within each treatment arm |
Measure: | Cmax derived from Serum/plasma concentration of individual investigational drugs within combination treatments |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To characterize the PK of each investigational drug within each treatment arm |
Measure: | Tmax derived from Serum/plasma concentration of individual investigational drugs within combination treatments |
Time Frame: | 30 months |
Safety Issue: | |
Description: | To characterize the PK of each investigational drug within each treatment arm |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Phase Ib, BRAF-mutated, BRAF V600E, BRAF V600D, BRAF V600K, colorectal cancer, colon cancer, rectal cancer, metastatic, BLRM with EWOC
Last Updated
June 23, 2021