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This study is conducted in two phases. The Dose-finding Lead-in Phase, Part A, will evaluate the safety and determine the maximum tolerated dose (MTD) of momelotinib (MMB) when combined with trametinib. Once the MTD of momelotinib (MMB) is determined, the study will proceed to the Dose-finding Lead-in Phase, Part B, to determine the MTD of trametinib. After the MTD is established, the study may proceed to an expansion phase to determine the efficacy, safety, and tolerability of MMB combined with trametinib at the MTD in participants with kirsten rat sarcoma viral oncogene homolog (KRAS) mutated metastatic non-small cell lung cancer (NSCLC). Each treatment cycle will consist of 28 days and treatment will continue in the absence of disease progression, unacceptable toxicity, consent withdrawal, or participant's refusal of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Momelotinib (MMB) dose escalation | Experimental | Participants will receive momelotinib (MMB) plus trametinib. Momelotinib (MMB) dose will increase to find the MTD. |
|
| Trametinib dose escalation | Experimental | Participants will receive momelotinib (MMB) plus trametinib. Trametinib dose will increase to find the MTD. |
|
| Momelotinib (MMB)+trametinib | Experimental | Expansion Phase: participants will receive momelotinib (MMB) plus trametinib for the duration of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Momelotinib (MMB) | Drug | Momelotinib (MMB) tablet(s) administered orally once or twice daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| For the Dose-finding Lead-in Phase, incidence of dose limiting toxicities (DLTs) | Dose limiting toxicities (DLTs) refer to toxicities experienced during the first 28 days of treatment that have been judged to be clinically significant and at least possibly related to study treatment. | Up to 28 days |
| For Expansion Phase, disease control rate (DCR) at Week 8 | Disease control rate (DCR) is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) or stable disease (SD) as assessed by Response Evaluation Criteria In Solid Tumor (RECIST) v1.1. | Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| For the Dose-finding Lead-in Phase, disease control rate (DCR) at Week 8 | Week 8 | |
| For the Dose-finding Lead-in Phase, overall survival | Overall survival is defined as the interval from first dose of study drug to death from any cause. |
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Key Inclusion Criteria:
Individuals with KRAS-mutated metastatic or recurrent non-small cell lung cancer
Radiologic documentation of disease progression
Measurable disease per RECIST v1.1
Adequate organ function defined as follows:
Hematological: Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L, platelet ≥ 100 x 10^9/L, hemoglobin ≥ 9 g/dL
Adequate left ventricular ejection fraction (LVEF) ≥ 50%
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
Negative serum pregnancy test for females
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duarte | California | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30087028 | Derived | Barbie DA, Spira A, Kelly K, Humeniuk R, Kawashima J, Kong S, Koczywas M. Phase 1B Study of Momelotinib Combined With Trametinib in Metastatic, Kirsten Rat Sarcoma Viral Oncogene Homolog-Mutated Non-Small-Cell Lung Cancer After Platinum-Based Chemotherapy Treatment Failure. Clin Lung Cancer. 2018 Nov;19(6):e853-e859. doi: 10.1016/j.cllc.2018.07.004. Epub 2018 Aug 4. |
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|
| Trametinib | Drug | Trametinib tablet administered orally once daily |
|
| Up to 2 years |
| For the Dose-finding Lead-in Phase, progression free survival (PFS) | Progression free survival (PFS) is defined as the interval from first dose date of study drug to the earlier of the first documentation of definitive disease progression or death from any cause. | Up to 2 years |
| For the Dose-finding Lead-in Phase, overall response rate (ORR) | Overall response rate (ORR) is defined as the proportion of participants who achieve a CR or PR as assessed by RECIST v1.1. | Up to 2 years |
| For the Dose-finding Lead-in Phase, plasma pharmacokinetics (PK) parameters of momelotinib (MMB) and major metabolite GS-644603 as measured by Cmax and AUCtau | This composite endpoint will measure the plasma PK profile of momelotinib (MMB) and GS-644603. The following parameters will be measured:
| Days 1 and 15 (Cycle 1 only) |
| For Expansion Phase, overall survival | Up to 2 years |
| For Expansion Phase, progression free survival (PFS) | Up to 2 years |
| For Expansion Phase, overall response rate (ORR) | Up to 2 years |
| Sacramento |
| California |
| United States |
| Boston | Massachusetts | United States |
| Fairfax | Virginia | United States |
| Spokane | Washington | United States |
| ID | Term |
|---|---|
| C546012 | N-(cyanomethyl)-4-(2-((4-(4-morpholinyl)phenyl)amino)-4-pyrimidinyl)benzamide |
| C560077 | trametinib |
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