Clinical Trials /

First-in-Human Study of the SHP2 Inhibitor BBP-398 in Patients With Advanced Solid Tumors

NCT04528836

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.

Related Conditions:
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: First-in-Human Study of the SHP2 Inhibitor BBP-398 in Patients With Advanced Solid Tumors
  • Official Title: A Phase 1/1B First-in-Human Study of the SHP2 Inhibitor BBP-398 (Formerly Known as IACS-15509) in Patients With Advanced Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: NAV-1001
  • NCT ID: NCT04528836

Conditions

  • Tumor, Solid

Interventions

DrugSynonymsArms
BBP-398 (Formerly Known as IACS-15509)Dose Escalation Level 1

Purpose

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.

Detailed Description

      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.
    

Trial Arms

NameTypeDescriptionInterventions
Dose Escalation Level 1ExperimentalLevel 1 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Dose Escalation Level 2ExperimentalLevel 2 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Dose Escalation Level 3ExperimentalLevel 3 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Dose Escalation Level 4ExperimentalLevel 4 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Dose Escalation Level 5ExperimentalLevel 5 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Dose Escalation Level 6ExperimentalLevel 6 oral capsules. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD).
  • BBP-398 (Formerly Known as IACS-15509)
Expansion Cohort A: Advanced KRAS G12C NSCLCExperimentalMTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD)
  • BBP-398 (Formerly Known as IACS-15509)
Expansion Cohort B: Advanced KRAS G12C non-NSCLCExperimentalMTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD)
  • BBP-398 (Formerly Known as IACS-15509)
Expansion Cohort C: Advanced solid tumor with other MAPK-ExperimentalMTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD)
  • BBP-398 (Formerly Known as IACS-15509)
Expansion Cohort D: Advanced EGFR-mutant NSCLCExperimentalMTD/RP2D defined dose. Oral capsules Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD)
  • BBP-398 (Formerly Known as IACS-15509)

Eligibility Criteria

        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

Primary Outcome Measures

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.

Secondary Outcome Measures

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)

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Navire Pharma Inc.

Trial Keywords

  • Cancer
  • MAPK-pathway alterations

Last Updated

February 24, 2021