Clinical Trials /

A Safety, Tolerability and PK Study of DCC-3116 in Patients With RAS or RAF Mutant Advanced or Metastatic Solid Tumors.

NCT04892017

Description:

This is a Phase 1, multicenter, open-label, first-in-human (FIH) study designed to evaluate the safety, tolerability, clinical activity, pharmacokinetics (PK), and pharmacodynamics (PD) of DCC-3116 as a single agent and in combination with trametinib in patients with advanced or metastatic solid tumors with RAS or RAF mutations. The study consists of 2 parts, a dose-escalation phase, and an expansion phase.

Related Conditions:
  • Colorectal Carcinoma
  • Malignant Solid Tumor
  • Melanoma
  • Non-Small Cell Lung Carcinoma
  • Pancreatic Ductal Adenocarcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Safety, Tolerability and PK Study of DCC-3116 in Patients With RAS or RAF Mutant Advanced or Metastatic Solid Tumors.
  • Official Title: A Phase 1, First-in-Human Study of DCC-3116 as a Single Agent and in Combination With Trametinib in Patients With Advanced or Metastatic Solid Tumors With RAS or RAF Mutations.

Clinical Trial IDs

  • ORG STUDY ID: DCC-3116-01-001
  • NCT ID: NCT04892017

Conditions

  • Pancreatic Ductal Adenocarcinoma
  • Non-Small Cell Lung Cancer
  • Colorectal Cancer
  • Melanoma
  • Advanced Solid Tumor
  • Metastatic Solid Tumor

Interventions

DrugSynonymsArms
DCC-3116Dose Escalation (Part 1-A Monotherapy)
TrametinibDose Escalation (Part 1-B Combination)

Purpose

This is a Phase 1, multicenter, open-label, first-in-human (FIH) study designed to evaluate the safety, tolerability, clinical activity, pharmacokinetics (PK), and pharmacodynamics (PD) of DCC-3116 as a single agent and in combination with trametinib in patients with advanced or metastatic solid tumors with RAS or RAF mutations. The study consists of 2 parts, a dose-escalation phase, and an expansion phase.

Trial Arms

NameTypeDescriptionInterventions
Dose Escalation (Part 1-A Monotherapy)ExperimentalDCC-3116 tablets in escalating dose cohorts given orally twice daily (BID) in 28-day cycles as monotherapy (single agent). If no DLT in 3 participants or 1 DLT/6 participants is observed, dose escalation will continue to the next planned dose cohort.
  • DCC-3116
Dose Escalation (Part 1-B Combination)ExperimentalUpon determination of the RP2D/MTD single agent, DCC-3116 will be dosed in combination with trametinib.
  • DCC-3116
  • Trametinib
Expansion Cohort 1 (Part 2)ExperimentalDCC-3116 tablets BID given in combination with trametinib in 28-day cycles to evaluate safety and preliminary efficacy of participants with pancreatic ductal adenocarcinoma (PDAC).
  • DCC-3116
  • Trametinib
Expansion Cohort 2 (Part 2)ExperimentalDCC-3116 tablets orally BID given in combination with trametinib in 28-day cycles to evaluate safety and preliminary efficacy of participants with non-small cell lung cancer (NSCLC).
  • DCC-3116
  • Trametinib
Expansion Cohort 3 (Part 2)ExperimentalDCC-3116 tablets orally BID given in combination with trametinib in 28-day cycles to evaluate safety and preliminary efficacy of participants with colorectal cancer (CRC).
  • DCC-3116
  • Trametinib
Expansion Cohort 4 (Part 2)ExperimentalDCC-3116 tablets orally BID given in combination with trametinib in 28-day cycles to evaluate safety and preliminary efficacy of participants with melanoma.
  • DCC-3116
  • Trametinib

Eligibility Criteria

        Inclusion Criteria:

          1. Male or female participants ≥18 years of age at the time of informed consent.

          2. Dose Escalation Phase:

               1. Participants must have a histologically confirmed diagnosis of an advanced or
                  metastatic solid tumor with a documented RAS or RAF mutation.

               2. Progressed despite standard therapies, and received at least 1 prior line of
                  anticancer therapy.

                    -  Participants with a documented mutation in BRAF V600E or V600K must have
                       received approved treatments known to provide clinical benefit prior to
                       study entry.

          3. Dose Expansion Phase:

               1. Cohort 1: Pancreatic Ductal Adenocarcinoma.

                    -  Histologically confirmed PDAC with a documented mutation in KRAS or BRAF.

                    -  Received at least 1 prior line but no more than 3 prior lines of systemic
                       therapy in the advanced or metastatic setting.

               2. Cohort 2: Non-Small Cell Lung Cancer

                    -  Histologically confirmed NSCLC with a documented mutation in KRAS, NRAS, or
                       BRAF.

                    -  Received at least 2 prior lines but no more than 4 prior lines of systemic
                       therapy in the advanced or metastatic setting.

               3. Cohort 3: Colorectal Cancer

                    -  Histologically confirmed CRC with a documented mutation in KRAS, NRAS, or
                       BRAF.

                    -  Received at least 2 prior lines of systemic therapy in the advanced or
                       metastatic setting.

               4. Cohort 4: Melanoma

                    -  Histologically confirmed melanoma with a documented mutation in NRAS or
                       BRAF.

                    -  Received at least 2 prior lines but no more than 4 prior lines of systemic
                       therapy in the advanced or metastatic setting.

          4. Must be able to provide tumor tissue sample

          5. Eastern Cooperative Oncology Group (ECOG) score of 0 to 2 at Screening

          6. Adequate organ function and bone marrow function.

          7. If a female of childbearing potential must have a negative pregnancy test prior to
             enrollment and agree to follow the contraception requirements.

          8. Male participants must agree to follow contraception requirements.

          9. Must provide signed consent to participate in the study and is willing to comply with
             study-specific procedures.

        Exclusion Criteria:

          1. Received prior anticancer therapy, including investigational therapy within 2 weeks or
             5 × the half-life (whichever is shorter) prior to the first dose of study drug.

          2. Have not recovered from all toxicities from prior therapy according to National Cancer
             Institute Common Terminology Criteria for Adverse Events (NCI CTCAE).

          3. Symptomatic central nervous system (CNS) metastases or presence of leptomeningeal
             disease Note: A participant with previously treated brain metastases may participate
             provided that they are stable.

          4. New York Heart Association Class III or IV heart disease, active ischemia, or any
             other uncontrolled cardiac condition such as angina pectoris, clinically significant
             cardiac arrhythmia requiring therapy, uncontrolled hypertension, congestive heart
             failure, or myocardial infarction within 6 months prior to the first dose of study
             drug.

          5. Prolongation of the QT interval corrected by Fridericia's formula (QTcF) based on
             repeated demonstration of QTcF >450 ms in males or >470 ms in females at screening, or
             history of long QT syndrome.

          6. Left ventricular ejection fraction (LVEF) <50% at Screening

          7. Systemic arterial thrombotic or embolic events

          8. Systemic venous thrombotic events

          9. A history or current evidence/risk of retinal vein occlusion (RVO) or central serous
             retinopathy including uncontrolled glaucoma or ocular hypertension, uncontrolled
             hypertension, uncontrolled diabetes mellitus, or a history of hyperviscosity or
             hypercoagulability syndromes.

         10. Concurrent neuromuscular disorder that is associated with the potential of elevated
             creatine kinase.

         11. Bone disease that requires treatment.

         12. Major surgery within 4 weeks of the first dose of study drug. All surgical wounds must
             be healed and free of infection or dehiscence before the first dose of the study drug.

         13. Any other clinically significant comorbidities.

         14. For participants receiving DCC-3116 and trametinib combination: previous treatment
             with trametinib that resulted in treatment discontinuation due to intolerability as a
             result of an adverse event (AE) that was considered related to trametinib.

         15. Known allergy or hypersensitivity to any component of the investigational drug
             product.

         16. Known human immunodeficiency virus or hepatitis C infection only if the participant is
             taking medications that are excluded per protocol, active hepatitis B, or active
             hepatitis C infection.

         17. If female, the participant is pregnant or lactating.

         18. Ongoing or prior participation in an investigational drug study within 30 days of
             screening.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of Adverse Events
Time Frame:Approximately 24 months
Safety Issue:
Description:Identify the observed adverse events, serious adverse events associated with DCC-3116

Secondary Outcome Measures

Measure:Duration of response (DoR) (Escalation Phase)
Time Frame:Approximately 24 months
Safety Issue:
Description:DoR is defined as the time interval from the time that the measurement criteria are first met for CR or PR (whichever is first recorded) until the first date that the progressive disease is objectively documented.
Measure:Clinical benefit rate (CBR) (Escalation Phase)
Time Frame:Approximately 24 months
Safety Issue:
Description:The proportion of participants who achieve CR, PR, or SD per RECIST v1.1 at the corresponding assessment.
Measure:Time to response (Escalation Phase)
Time Frame:Approximately 24 months
Safety Issue:
Description:Time to response is defined as the time from initiation of treatment until the first assessment demonstrating CR or PR per RECIST v1.1.
Measure:Progression-free survival (PFS) (Escalation Phase)
Time Frame:Approximately 24 months
Safety Issue:
Description:PFS is defined as the time from initiation of treatment until documented disease progression per RECIST v1.1 or death.
Measure:Maximum observed concentration (Cmax)
Time Frame:Predose and up to 12 hours postdose.
Safety Issue:
Description:Measure the maximum observed concentration of DCC-3116 (single-agent and combination)
Measure:Time to maximum observed concentration (Tmax)
Time Frame:Predose and up to 12 hours postdose.
Safety Issue:
Description:Measure the time to maximum plasma concentration of DCC-3116 (single-agent and combination)
Measure:Minimum observed concentration (Cmin)
Time Frame:Predose and up to 12 hours postdose.
Safety Issue:
Description:Measure the minimum observed concentration of DCC-3116 (single-agent and combination)
Measure:Area under the concentration-time curve( AUC)
Time Frame:Predose and up to 12 hours postdose.
Safety Issue:
Description:Measure the AUC of DCC-3116 (single-agent and combination)

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Deciphera Pharmaceuticals LLC

Trial Keywords

  • RAF
  • RAS
  • KRAS
  • NRAS
  • BRAF
  • DCC-3116

Last Updated

August 2, 2021