Description:
A first-in-human study is to evaluate the safety, tolerability and maximum tolerated dose (MTD) and establish the recommended phase 2 dose (RP2D) of BBP-398, a SHP2 inhibitor, in patients with advanced solid tumors.
A first-in-human study is to evaluate the safety, tolerability and maximum tolerated dose (MTD) and establish the recommended phase 2 dose (RP2D) of BBP-398, a SHP2 inhibitor, in patients with advanced solid tumors.
Recruiting
Phase 1
Drug | Synonyms | Arms |
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BBP-398 (Formerly Known as IACS-15509) | Dose Escalation Level 1 |
The first-in-human (FIH) study of BBP-398 will be an open-label, sequential-cohort, non-randomized, Phase 1/1B study utilizing BOIN dose escalation followed by an expansion phase in patients with MAPK pathway- or RTK-driven advanced solid tumors. The primary objective is to determine safety and tolerability of BBP-398, the MTD and RP2D. The secondary objectives are to assess the pharmacokinetic (PK) and pharmacodynamic (PD) profile, preliminary anti-tumor activity, objective response rate (ORR, complete response + partial response rate) and the duration of response (DoR) of BBP-398. The exploratory objective is to assess predictive biomarkers of response.
Name | Type | Description | Interventions |
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Dose Escalation Level 1 | Experimental | Level 1 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Dose Escalation Level 2 | Experimental | Level 2 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Dose Escalation Level 3 | Experimental | Level 3 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Dose Escalation Level 4 | Experimental | Level 4 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Dose Escalation Level 5 | Experimental | Level 5 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Dose Escalation Level 6 | Experimental | Level 6 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). |
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Expansion Cohort A: Advanced KRAS G12C NSCLC | Experimental | MTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD) |
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Expansion Cohort B: Advanced KRAS G12C non-NSCLC | Experimental | MTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD) |
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Expansion Cohort C: Advanced solid tumor with other MAPK- | Experimental | MTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD) |
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Expansion Cohort D: Advanced EGFR-mutant NSCLC | Experimental | MTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD) |
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Inclusion 1. Male and non-pregnant females >18 years old. 2. Patients must have a diagnosis of advanced (primary or recurrent) or metastatic solid tumor with MAPK-pathway alterations (excluding BRAF V600X) as assessed by clinically validated and/or FDA-approved molecular diagnostic and no available standard of care or curative therapies (MAPK-pathway alterations include, for example KRASG12C mutant, EGFR-mutant; see Appendix 1). 3. Dose expansion only: Patients with the following genomically defined tumor types will be recruited. 4. Patients must have measurable disease by RECIST v1.1. 5. Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2. 6. Patients must have adequate organ function. 7. Patients must be ≥3 weeks beyond treatment with any chemotherapy or other investigational therapy. 8. Women of childbearing potential (WOCBP) MUST have a negative serum or urine HCG test. 9. Patients must have the ability to understand and the willingness to sign a written informed consent document prior to the initiation of the study and any study procedures. 10. Patients must be willing and able to comply with the scheduled visits, treatment plan, laboratory tests and other specified study procedures. Exclusion Criteria 1. Patients with known active Hepatitis B, Hepatitis C infection, or HIV infection. 2. Patients with active infection requiring intravenous (IV) antibiotics or other uncontrolled intercurrent illness requiring hospitalization. Minor infections are allowed. 3. Patients with a history of CVA, myocardial infarction or unstable angina within the previous 6 months before starting therapy. 4. Patients with clinically significant cardiac disease. 5. Patients with a history of LVEF <50% within the previous 12 months. 6. Patients with a history of retinal vein occlusion (RVO). 7. Patients with tumors harboring known activating mutations in BRAF V600X, PTPN11 (SHP2) or RAS Q61. 8. Patients with a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer. 9. Patients with known central nervous system (CNS) tumors. 10. Patients with known active CNS metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are stable. 11. Patients who have undergone major surgery within 4 weeks prior to study enrollment. 12. Patients who have previously received a SHP2 inhibitor. 13. Patients with inability to swallow oral medications. 14. Patients should not have gastrointestinal illness that would preclude the absorption of an oral agent. 15. Patients on dialysis. 16. Female patients who are pregnant, planning to become pregnant, or who are breastfeeding. 17. Any patient, who in the opinion of the investigator, is likely to be unable to comply with the study procedures.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Measure: | Determination of Maximum Tolerated Dose (MTD) of BBP-398. |
Time Frame: | Completion of 1 Cycle ( 28 days) |
Safety Issue: | |
Description: | The MTD will be based on DLT. |
Measure: | Determination of anti-tumor activity of BBP-398 |
Time Frame: | Completion of 1 Cycle ( 28 days) |
Safety Issue: | |
Description: | Anti-tumor activity will be defined by objective response rate (ORR2, complete response + partial response rate) and duration of response (DOR3) |
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Navire Pharma Inc. |
February 24, 2021