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The purpose of this study is to evaluate rising dose levels of VS-5584 administered in combination with a fixed dose of VS-6063 in subjects with relapsed malignant mesothelioma to determine a recommended Phase 2 dose (RP2D) for further development of this combination in this indication.
This study is comprised of 2 sequential parts: Part 1 (Dose Escalation of VS-5584) and Part 2 (Expansion). Up to 56 evaluable subjects (i.e., subjects who complete at least 1 cycle [21 days] of therapy) will be enrolled, assuming that:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VS-5584 and VS-6063 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VS-5584 and VS-6063 | Drug | Starting dose of VS-5584 will be 20mg taken once daily, 3x/week of each 21 day cycle. All subjects will also receive 2x/day treatment with 400mg VS-6063 in 21 day cycles. Number of Cycles: until progression or unacceptable toxicity develops. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose-limiting toxicities (DLTs) | Dose Escalation Phase: Frequency of DLTs at each dose level associated with administration of VS-5584 and VS-6063 in a 21 day cycle | 6 months |
| Safety and tolerability of the combination of VS-5584 and VS-6063 | Dose Escalation Phase and Expansion Phase: A composite by dose level to include incidence of AEs, SAEs (overall and severity), laboratory abnormalities, ECGs, vital signs, Karnofsky Performance Status, dose interruptions and dose reductions as a measure of safety and tolerability | 16 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of VS-5584 & VS-6063 maximum observed plasma concentration (Cmax) | 0-48 hours per patient | |
| Pharmacokinetics of VS-5584 & VS-6063 plasma area under the curve from time zero to last quantifiable concentration (AUClast) | 0-48 hours per patient |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hagop Youssoufian | Verastem, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Chicago Medical Center | Chicago | Illinois | 60637 | United States | ||
| Memorial Sloane Kettering Cancer Center |
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| Pharmacokinetics of VS-5584 & VS-6063 time to reach maximum observed concentration (Tmax) | 0-48 hours per patient |
| Pharmacokinetics of VS-5584 & VS-6063 area under the curve from time zero to extrapolated infinite time (AUCO-inf) | 0-48 hours per patient |
| Pharmacokinetics of VS-5584 & VS-6063 apparent oral clearance (CL/F) | 0-48 hours per patient |
| Pharmacokinetics of VS-5584 & VS-6063 apparent volume of distribution (Vz/F) | 0-48 hours per patient |
| Pharmacokinetics of VS-5584 & VS-6063 trough plasma concentration | 0-48 hours per patient |
| New York |
| New York |
| 10065 |
| United States |
| University of Leicester | Leicester | United Kingdom |
| The Institute of Cancer Research | Sutton Surrey | United Kingdom |
| ID | Term |
|---|---|
| D000086002 | Mesothelioma, Malignant |
| ID | Term |
|---|---|
| D008654 | Mesothelioma |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D018301 | Neoplasms, Mesothelial |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D010997 | Pleural Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C585120 | VS-5584 |
| C584510 | defactinib |
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