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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT04543188
Other study ID # C4471001
Secondary ID 2022-003184-23
Status Terminated
Phase Phase 1
First received
Last updated
Start date January 8, 2021
Est. completion date March 20, 2024

Study information

Verified date May 2024
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

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

Study Design


Intervention

Drug:
PF-07284890
PF-07284890 will be administered orally, daily for 21 consecutive days (21-day cycle)
Binimetinib
Binimetinib will be administered together with PF-07284890 orally, 45mg twice daily
Midazolam
Midazolam will be administered 7 days before start of study drug, on Cycle 1 Day 1, and on Cycle 1 Day 15

Locations

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

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Canada,  Israel, 

Outcome

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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