Carcinoma, Non-Small-Cell Lung Clinical Trial
Official title:
A TWO-PART, PHASE 1A/B, OPEN-LABEL, MULTICENTER TRIAL EVALUATING PHARMACOKINETICS, SAFETY AND EFFICACY OF PF 07284890 (ARRY 461) IN PARTICIPANTS WITH BRAF V600 MUTANT SOLID TUMORS WITH AND WITHOUT BRAIN INVOLVEMENT
Verified date | May 2024 |
Source | Pfizer |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
First-in-human study to assess safety, tolerability, PK, and preliminary activity of PF-07284890 as a single agent and in combination with binimetinib in participants with BRAF V600-mutated advanced solid tumor malignancies with and without brain involvement.
Status | Terminated |
Enrollment | 66 |
Est. completion date | March 20, 2024 |
Est. primary completion date | March 20, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years and older |
Eligibility | Inclusion Criteria: - Age =16 years at the time of consent - Histologically confirmed diagnosis of advanced/metastatic solid tumor including primary brain tumor - Documented evidence of a BRAF V600 mutation in tumor tissue or blood - Confirmation of availability of adequate tumor tissue for submission to the sponsor/central laboratory - Presence or absence of brain involvement unless specified below - Dose Expansion (Part B) - Cohort 1, 2, 3, 4: melanoma with at least 1 parenchymal brain lesion - Cohort 1,3: asymptomatic in the brain for at least 14 days prior to start of study treatment - Cohort 2,4: symptomatic in the brain within 14 days prior to the start of study treatment - Cohort 5: any solid tumor that does not meet requirements for Cohorts 1-4, history of or current leptomeningeal metastases. - Optional Cohort 6 (DDI Sub-study) and 7 (Food-Effect): if brain involvement present, must be asymptomatic - Disease progression despite prior treatment and no acceptable alternative treatment options available unless specified below - Dose Expansion (Part B) - Cohort 1, 2: No prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of study treatment - Cohort 3, 4: Required prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of treatment - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 Exclusion Criteria: - Brain metastasis/primary brain tumor requiring immediate local intervention - History of or current leptomeningeal metastases - Any other active malignancy within 2 years prior to enrollment - Radiation therapy to visceral metastases within 14 days prior to study treatment. WBRT within 28 days prior to study treatment. - Systemic anti-cancer therapy or small-molecular therapeutic(s) within 2 weeks prior to start of study treatment; Antibody based agents within 4 weeks prior to start of study treatment. - History or current evidence of RVO or current risk factors for RVO; History of retinal degenerative disease |
Country | Name | City | State |
---|---|---|---|
Canada | Hamilton Health Sciences-Juravinski Cancer Centre | Hamilton | Ontario |
Canada | Jewish General Hospital | Montreal | Quebec |
Canada | Princess Margaret Cancer Centre | Toronto | Ontario |
Canada | Sunnybrook Research Institute | Toronto | Ontario |
Israel | Rambam Health Care Campus | Haifa | ?eif? |
Israel | Hadassah Medical Center | Jerusalem | Yerushalayim |
Israel | Rabin Medical Center | Petah-Tikva | Hamerkaz |
Israel | Sheba Medical Center | Ramat Gan | Hamerkaz |
Israel | Sourasky Medical Center | Tel Aviv | Tell Abib |
United States | Johns Hopkins University / Johns Hopkins Hospital | Baltimore | Maryland |
United States | Brigham & Women's Hospital | Boston | Massachusetts |
United States | Dana-Farber Cancer Institute | Boston | Massachusetts |
United States | Imaging: Brigham and Women's Hospital | Boston | Massachusetts |
United States | Massachusetts General Hospital | Boston | Massachusetts |
United States | Ophthalmic Consultants of Boston Inc (OCB) | Boston | Massachusetts |
United States | Imaging: Brigham and Women's Radiology, Coolidge Corner Imaging | Brookline | Massachusetts |
United States | UNC Cancer Hospital Infusion Pharmacy | Chapel Hill | North Carolina |
United States | UNC Hospitals, The University of North Carolina at Chapel Hill | Chapel Hill | North Carolina |
United States | Imaging: Brigham and Women's Ambulatory Care | Chestnut Hill | Massachusetts |
United States | Northwestern Medical Group | Chicago | Illinois |
United States | Northwestern Memorial Hospital | Chicago | Illinois |
United States | Carl & Edyth Lindner Center for Research & Education at TCH and TCH Cancer Center | Cincinnati | Ohio |
United States | University of Cincinnati Medical Center | Cincinnati | Ohio |
United States | MSK Commack | Commack | New York |
United States | Siteman Cancer Center - West County | Creve Coeur | Missouri |
United States | City of Hope (City of Hope National Medical Center, City of Hope Medical Center) | Duarte | California |
United States | City of Hope Investigational Drug Services (IDS) | Duarte | California |
United States | Duke Eye Center | Durham | North Carolina |
United States | Duke University Medical Center | Durham | North Carolina |
United States | Duke University Medical Center, Investigational Chemotherapy Services | Durham | North Carolina |
United States | The University of Kansas Cancer Center - Investigational Drug Services | Fairway | Kansas |
United States | The University of Kansas Clinical Research Center | Fairway | Kansas |
United States | Michigan Health Professionals (PI Clinic) | Farmington Hills | Michigan |
United States | Siteman Cancer Center - North County | Florissant | Missouri |
United States | Imaging: Brigham and Women's Mass General Healthcare Center | Foxboro | Massachusetts |
United States | Tennessee Oncology PLLC | Franklin | Tennessee |
United States | Hackensack University Medical Center | Hackensack | New Jersey |
United States | John Theurer Cancer Center at Hackensack University Medical Center | Hackensack | New Jersey |
United States | MSKCC-Westchester (500 Westchester Ave.) | Harrison | New York |
United States | The University of Texas MD Anderson Cancer Center | Houston | Texas |
United States | The University of Texas MD Anderson Cancer Center | Houston | Texas |
United States | Community Health Network, Inc. | Indianapolis | Indiana |
United States | University of Iowa Hospitals and Clinics | Iowa City | Iowa |
United States | The University of Kansas Hospital | Kansas City | Kansas |
United States | Keck Hospital of USC | Los Angeles | California |
United States | LAC + USC Medical Center | Los Angeles | California |
United States | Norris Healthcare Center 3 (HC3) | Los Angeles | California |
United States | USC/Norris Comprehensive Cancer Center | Los Angeles | California |
United States | USC/Roski Eye Institute | Los Angeles | California |
United States | University of Wisconsin Hospitals and Clinics | Madison | Wisconsin |
United States | MSK Monmouth. | Middletown | New Jersey |
United States | Sarah Cannon Research Institute - Pharmacy | Nashville | Tennessee |
United States | Tennessee Oncology PLLC | Nashville | Tennessee |
United States | Laura and Isaac Perlmutter Cancer Center | New York | New York |
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
United States | Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street). | New York | New York |
United States | Memorial Sloan Kettering Cancer Center Rockefeller Outpatient Pavilion | New York | New York |
United States | NYU Langone Health | New York | New York |
United States | NYU Langone Medical Center (Tisch Hospital) | New York | New York |
United States | NYU Langone Radiology- ACC East 41st street | New York | New York |
United States | Rockefeller Outpatient Pavilion (53rd Street) | New York | New York |
United States | Dana-Farber Cancer Institute - Chestnut Hill | Newton | Massachusetts |
United States | Orlando Health Cancer Institute | Orlando | Florida |
United States | Keck Medical Center of USC Pasadena | Pasadena | California |
United States | Barnes-Jewish Hospital | Saint Louis | Missouri |
United States | Siteman Cancer Center - South County | Saint Louis | Missouri |
United States | Washington University Infusion Center Pharmacy | Saint Louis | Missouri |
United States | Washington University School of Medicine | Saint Louis | Missouri |
United States | HealthPartners Cancer Center at Regions Hospital | Saint Paul | Minnesota |
United States | Regions Hospital Pharmacy | Saint Paul | Minnesota |
United States | Siteman Cancer Center - St Peters | Saint Peters | Missouri |
United States | UCSF Helen Diller Family Comprehensive Cancer Center | San Francisco | California |
United States | UCSF Medical Center | San Francisco | California |
United States | Revive Research Institute | Sterling Heights | Michigan |
United States | Moffitt Cancer Center | Tampa | Florida |
United States | Richard M Schulze Family Foundation Outpatient Center at McKinley Campus | Tampa | Florida |
United States | West Chester Hospital | West Chester | Ohio |
United States | The University of Kansas Cancer Center | Westwood | Kansas |
Lead Sponsor | Collaborator |
---|---|
Pfizer |
United States, Canada, Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Phase 1a - Number of participants with dose limiting toxicities (DLTs) | DLTs will be evaluated during the first cycle (21 days) as both a single agent or in combination with binimetinib. The number of DLTs will be used to determine the maximum tolerated dose (MTD)/recommended dose for further study | Cycle 1 (approximately 21 days / 3 weeks) | |
Primary | Phase 1a - Number of participants with treatment emergent adverse events (AEs) | AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy | Baseline up to 30 days after last dose of study medication | |
Primary | Phase 1a - Number of participants with clinically significant change from baseline in laboratory abnormalities | Laboratory abnormalities as characterized by type, frequency, severity, and timing | Baseline up to follow up visit (30 days after last dose of study treatment) | |
Primary | Phase 1a - Number of dose interruptions, dose modifications, and discontinuations due to AEs | Incidence of dose interruptions, dose modifications, and discontinuations due to AEs | Baseline through approximately 12 months | |
Primary | Phase 1b - Overall response | Response will be evaluated via radiographical tumor assessments by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) and intracranial response by modified RECIST version 1.1 (mRECIST v 1.1) or RANO for primary brain tumors | Baseline up to approximately 12 months | |
Secondary | Phase 1a: Maximum plasma concentration of PF-07284890 and binimetinib | Single dose (Cmax) and multiple dose (assuming steady state is achieved; Css,max) pharmacokinetic (PK) parameters | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); End of Treatment (EOT) | |
Secondary | Phase 1a: Time to reach maximum plasma concentration of PF-07284890 and binimetinib | Single dose (Tmax) and multiple dose (assuming steady state is achieved; Tss,max) PK parameters | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Area under the plasma concentration-time curve from time 0 to the last time point of quantifiable concentration (AUClast) of PF-07284890 and binimetinib | Single dose PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Terminal half-life (t1/2) of PF-07284890 and binimetinib | Single dose and multiple dose (assuming steady state is achieved and data permit) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUCinf) of PF-07284890 and binimetinib | Single dose will be calculated as data permit PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Apparent oral clearance of PF-07284890 and binimetinib | Single dose (CL/F) and multiple dose (assuming steady state is achieved and as data permit; CLss/F) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Volume of distribution of PF-07284890 and binimetinib | Single dose (Vz/F) and multiple dose (assuming steady state is achieved and as data permit; Vss/F) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Area under the plasma concentration-time curve over the dosing interval at steady state (AUCss,T) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Trough plasma concentration at steady state (Css,min) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Accumulation ratio (Rac) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved and as data permit) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8, and 24 hours (Day 2) post dose); Cycle 1 Day 15 (predose, 1, 2, 4, 6, and 8 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1a: Overall response | Response will be evaluated via radiographical tumor assessments by RECIST v1.1 and intracranial response by mRECIST v 1.1 or RANO for primary brain tumors | Baseline up to approximately 12 months | |
Secondary | Phase 1b - Number of patients with treatment emergent AEs | AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy | Baseline up to 30 days after last dose of study medication | |
Secondary | Phase 1b - Number of participants with clinically significant change from baseline in laboratory abnormalities | Laboratory abnormalities as characterized by type, frequency, severity, and timing | Baseline up to follow up visit (30 days after last dose of study treatment) | |
Secondary | Phase 1b - Number of dose interruptions, dose modifications, and discontinuations due to AEs | Incidence of dose interruptions, dose modifications, and discontinuations due to AEs | Baseline through approximately 12 months | |
Secondary | Phase 1b: Maximum plasma concentration of PF-07284890 and binimetinib | Single dose (Cmax) and multiple dose (assuming steady state is achieved; Css,max) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Time to reach maximum plasma concentration of PF-07284890 and binimetinib | Single dose (Tmax) and multiple dose (assuming steady state is achieved; Tss,max) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Area under the plasma concentration-time curve from time 0 to the last time point of quantifiable concentration (AUClast) of PF-07284890 and binimetinib | Single dose PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Terminal half-life (t1/2) of PF-07284890 and binimetinib | Single dose and multiple dose (assuming steady state is achieved and data permit) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUCinf) of PF-07284890 and binimetinib | Single dose will be calculated as data permit PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Apparent oral clearance of PF-07284890 and binimetinib | Single dose (CL/F) and multiple dose (assuming steady state is achieved and as data permit; CLss/F) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Volume of distribution of PF-07284890 and binimetinib | Single dose (Vz/F) and multiple dose (assuming steady state is achieved and as data permit; Vss/F) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Area under the plasma concentration-time curve over the dosing interval at steady state (AUCss,T) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Trough plasma concentration at steady state (Css,min) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Accumulation ration (Rac) of PF-07284890 and binimetinib | Multiple dose (assuming steady state is achieved and as data permit) PK parameter | Cycle 1 Day 1 and 15 (predose, 1, 2, and 4 hours post dose); Cycles 2-6 Day 1 (predose and 2 hours post dose); EOT | |
Secondary | Phase 1b: Disease Control Rate (DCR) | DCR is defined as the percent of participants with a confirmed complete response (CR), partial response (PR) or stable disease (SD) according to RECIST 1.1/RANO, at 6 weeks for both overall and intracranial | Every 6 weeks from time of enrollment up to 1 year, then every 12 weeks thereafter | |
Secondary | Phase 1b: Progression Free Survival (PFS) | The period from study entry until disease progression, death or date of last contact for both overall and intracranial. | Baseline to measured progressive disease (up to 12 months) | |
Secondary | Phase 1b: Overall Survival (OS) | Overall survival was the duration from enrollment to death. For participants who are alive, overall survival was censored at the last contact. | Baseline to date of death from any cause (up to 12 months) | |
Secondary | Phase 1b: Duration of Response (DoR) | Duration of response (DR) defined as time from start of first documented objective tumor response [Complete Response (CR) or Partial Response (PR)] to first documented objective tumor progression or death due to any cause, whichever occurs first. | Baseline, every 6 weeks until disease progression or unacceptable toxicity up to 1 year, then every 12 weeks thereafter | |
Secondary | Phase 1b: Time to Tumor Response (TTR) | TTR is defined as the time from first dose to first documentation of objective tumor response (CR or PR). For participants whose objective response (OR) proceeds from PR to CR, the onset of PR is taken as the onset of response. TTR will only be calculated for the subgroup of participants with a confirmed objective tumor response for both overall and intracranial | Every 6 weeks from the time of enrollment up to 12 months | |
Secondary | Phase 1b: Maximum plasma concentration (Cmax) of CYP34A probe substrate midazolam | PK parameter | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1b: Time to reach maximum plasma concentration (Tmax) of CYP3A4 probe substrate midazolam | PK parameter | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1b: Area under the plasma concentration-time curve from time 0 to the last time point of quantifiable concentration (AUClast) of CYP3A4 probe substrate midazolam | PK parameter | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1b: Terminal half-life (t1/2) of CYP3A4 probe substrate midazolam | PK parameter as data permit | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1b: Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUCinf) of CYP3A4 probe substrate midazolam | PK parameter as data permit | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1a: Apparent oral clearance (CL/F) of CYP3A4 probe substrate midazolam | PK parameter as data permit | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) | |
Secondary | Phase 1a: Volume of distribution (Vz/F) of CYP3A4 probe substrate midazolam | PK parameter as data permit | Day -7 (Lead-in); Cycle 1 Day 1 and Day 15 (predose, 0.5, 1, 2, 4, and 8 hours post dose) |
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