Description:
This is an open-label, FIH study designed to evaluate the safety, tolerability, PK,
pharmacodynamics, and preliminary antineoplastic activity of RLY-4008, a potent and highly
selective fibroblast growth factor receptor 2 (FGFR2) inhibitor administered orally patients
with unresectable or metastatic ICC and other unresectable or metastatic solid tumors. This
study consists of 2 parts, a dose escalation (Part 1) and a dose expansion (Part 2).
Title
- Brief Title: First-in-Human Study of Highly Selective FGFR2 Inhibitor, RLY-4008, in Patients With ICC and Other Advanced Solid Tumors
- Official Title: A First-in-Human Study of Highly Selective FGFR2 Inhibitor, RLY-4008, in Patients With Intrahepatic Cholangiocarcinoma (ICC) and Other Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
RLY-4008-101
- NCT ID:
NCT04526106
Conditions
- Solid Tumor, Adult
- FGFR2 Amplification
- FGFR2 Gene Mutation
- FGFR2 Gene Rearrangement
- FGFR2 Gene Translocation
- FGFR2 Gene Activation
- Intrahepatic Cholangiocarcinoma
- Cholangiocarcinoma
- Endometrial Cancer
- Gastric Cancer
- Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
RLY-4008 | | Part 1: Dose Escalation |
Purpose
This is an open-label, FIH study designed to evaluate the safety, tolerability, PK,
pharmacodynamics, and preliminary antineoplastic activity of RLY-4008, a potent and highly
selective fibroblast growth factor receptor 2 (FGFR2) inhibitor administered orally patients
with unresectable or metastatic ICC and other unresectable or metastatic solid tumors. This
study consists of 2 parts, a dose escalation (Part 1) and a dose expansion (Part 2).
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1: Dose Escalation | Experimental | Multiple doses of RLY-4008 for oral administration. | |
Part 2: Dose Expansion | Experimental | Oral dose of RLY-4008 as determined during Part 1 Dose Escalation. | |
Eligibility Criteria
Key Inclusion Criteria
- Histologically or cytologically confirmed unresectable or metastatic solid tumor
- Documented FGFR2 gene fusion, mutation, or amplification per local testing of blood
and/or tumor
- Additional FGFR2 alterations/tumor types may be considered for the Part 1 dose
escalation
- Part 2 dose expansion patients must additionally meet the group requirements detailed
below.
- Group 1 - Patients must have unresectable or metastatic intrahepatic
cholangiocarcinoma with FGFR2 fusion previously treated with a pan-FGFR inhibitor
- Group 2 - Patients must have unresectable or metastatic intrahepatic
cholangiocarcinoma with FGFR2 fusion NOT previously treated with a pan-FGFR
inhibitor
- Group 3 - Patients must have unresectable or metastatic solid tumor with FGFR2
fusion other than ICC
- Group 4 - Patients must have unresectable or metastatic solid tumor with FGFR2
amplification
- Group 5 - Patients must have unresectable or metastatic solid tumor with an
oncogenic FGFR2 mutation
- Patient must have disease that is refractory to standard therapy, disease that has not
adequately responded to standard therapy, disease for which standard or curative
therapy does not exist, or the patient must be intolerant to or have declined standard
therapy
- Patient must have measurable or evaluable disease per RECIST v1.1
- Patient has ECOG performance status of 0-2
Key Exclusion Criteria
- Ongoing, clinically significant corneal or retinal disorder
- Patient has any of the following within 14 days prior to the first dose of RLY-4008:
- Platelet count < 75 x 10^9 /L
- Absolute neutrophil count (ANC) < 1 x 10^9 /L
- Hemoglobin < 8 g/dL (red blood cell transfusion and erythropoietin may be used to
reach 8 g/dL, but must have been administered at least 2 weeks prior to the first
dose of RLY-4008)
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 x the
upper limit of normal (ULN) if no hepatic metastases are present; > 5 x ULN if
hepatic metastases are present
- Total bilirubin > 1.5 x ULN; > 3 x ULN with direct bilirubin > 1.5 x ULN in
presence of Gilbert's disease
- Estimated (Cockcroft-Gault formula) or measured creatinine clearance < 50 mL/min
- QT interval corrected using Fridericia's formula (QTcF) > 480 msec or history of
prolonged QT syndrome, Torsades de pointes or familial history of prolonged QT
syndrome
- Clinically significant, uncontrolled cardiovascular disease
- CNS metastases or primary CNS tumor that is associated with progressive neurologic
symptoms
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Determination of maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of RLY-4008 |
Time Frame: | Cycle 1 (4-week cycle) of treatment for MTD and at the end of every cycle (4-week cycles) for RP2D until study discontinuation, approximately 24 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | FGFR2 gene status in plasma circulating tumor deoxyribonucleic acid (ctDNA) and tumor tissue |
Time Frame: | Every cycle (4-week cycles) through Cycle 3 and every other cycle thereafter until study discontinuation, approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Overall response rate (ORR) as assessed by RECIST v1.1 |
Time Frame: | Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months |
Safety Issue: | |
Description: | |
Measure: | Duration of Response (DOR) as assessed by RECIST v1.1 |
Time Frame: | Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months |
Safety Issue: | |
Description: | |
Measure: | Disease Control Rate (DCR) as assessed by RECIST v1.1 |
Time Frame: | Approximately every 8 weeks during treatment and every 12 weeks after the last dose in the absence of progressive disease, approximately 36 months |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic parameters including maximum plasma drug concentration (Cmax) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle though Cycle 4 (4-week cycles) |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic parameters including area under the plasma concentration versus time curve from time 0 to 24 hours postdose (AUC0-24) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle though Cycle 4 (4-week cycles) |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic parameters including terminal elimination half-life (t1/2) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every cycle though Cycle 4 (4-week cycles) |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic parameters including changes in fibroblast growth factor 23 (FGF-23) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic parameters including changes in carcinoembryonic antigen (CEA) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic parameters including changes in cancer antigen 19-9 (CA 19-9) |
Time Frame: | Approximately every 2 weeks in Cycle 1 (4-week cycle) and every other cycle (4-week cycles) from Cycle 3, approximately 24 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Relay Therapeutics, Inc. |
Last Updated
April 22, 2021