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The objective of this study is to determine the safety, pharmacokinetics, maximum tolerated dose/recommended Phase 2 dose, and efficacy of FORE8394.
Dose Escalation (Part 1): To evaluate safety, pharmacokinetics, pharmacodynamics of FORE8394 in adult and pediatric patients with advanced BRAF- mutated tumors, and to identify the recommended Phase 2 Dose.
Dose Extension (Part 2): To access objective tumor response to FORE8394 treatment in adult and in adolescent patients with advanced BRAF- mutated tumors, to access RECIST, and to access pharmacokinetics, pharmacodynamics, and safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FORE8394 | Experimental | Group A: Phase 1-Dose Escalation: Adult patients. Group B: Phase 1-Dose Escalation: Pediatric patients. Phase 2a-Dose Extension: Adult patients with advanced unresectable solid tumors will be enrolled among two cohorts.
Phase 2a-RP2D Confirmation: Adult patients. Phase 2a-RP2D Redefinition and Extension:
Phase 2a-RP2D Redefinition:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FORE8394 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area under the curve (AUC) of FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Maximum concentration (Cmax) of FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Time to peak concentration (Tmax) of FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Half life (T1/2) of FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Number of participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v4.0. | First dose of FORE8394 up to 30 days after end of treatment | |
| To identify the recommended Phase 2 dose (RP2D) of FORE8394 in Group A (adult patients) for further evaluation in Dose Extension. | 2 years | |
| Compare AUC of FORE8394 with FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Compare Cmax of FORE8394 with FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Compare Tmax of FORE8394 with FORE8394 | First dose of FORE8394 up to 30 days after end of treatment | |
| Compare T1/2 of FORE8394 with FORE8394 |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the duration of response (defined as time of initial response to progressive disease or death) at the applicable RP2D in Dose Extension. | 5 years | |
| To evaluate the progression free survival (defined as time of first dose to progressive disease or death) at the applicable RP2D in Dose Extension. |
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Inclusion Criteria- Group A:
Age ≥ 10 years and at least 30 kg.
Phase 1-Dose Escalation (no longer enrolling as of Protocol Amendment 10): Patients with histologically confirmed advanced solid tumors who are refractory to, relapsed after, or intolerant to standard therapy or for whom no standard therapy exists.
Phase 2a-Dose Extension: Criteria for Dose Extension [HME] Cohort 1 or Cohort 2, are specified below:
Phase 2a-Dose Extension-Cohort 1
Phase 2a-Dose Extension-Cohort 2
Phase 2a - RP2D Redefinition Extension: Following RP2D redefinition, extension participants must meet criteria for Cohort 3 or Cohort 4 as specified below:
Measurable disease by RECIST 1.1.
RANOS (CNS tumors) - High Grade Glioma for high grade glioma (Grades 3 and 4) and RANO-Low Grade Glioma for low grade glioma.
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Adequate hematologic, hepatic, and renal function.
Women of child-bearing potential must have a negative pregnancy test and must agree to use an effective form of contraception from the time of the negative pregnancy test up to 3 months after the last dose of study drug. Women of non-child-bearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥ 1 year.
Fertile men must agree to use an effective method of birth control during the study and for up to 3 months after the last dose of study drug.
Completion of previous anti-cancer therapy at least 2 weeks before study drug initiation.
Exclusion Criteria- Group A:
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| Name | Affiliation | Role |
|---|---|---|
| Stacie Peacock Shepherd, MD, PhD | Fore Biotherapeutics U.S. Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HonorHealth | Scottsdale | Arizona | 85258 | United States | ||
| St. Joseph's Hospital at Orange |
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| First dose of FORE8394 up to 30 days after end of treatment |
| To determine the overall response rate of FORE8394 treatment at the applicable RP2D in a) Group A, Cohort 1, and b) Group A, Cohort 2. | 5 years |
| 5 years |
| Clinical benefit rate (defined as stable disease, partial response and complete response) after 24 weeks on study | 5 years |
| Orange |
| California |
| 92868 |
| United States |
| Stanford Hospitals and Clinics | Stanford | California | 94305 | United States |
| University of Miami | Miami | Florida | 33136 | United States |
| Community Health Network | Indianapolis | Indiana | 46011 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201 | United States |
| Capital Regional Medical Center | Jefferson City | Missouri | 65101 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Baptist Cancer Center | Memphis | Tennessee | 38120 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Texas Children's Hospital (Baylor College of Medicine) | Houston | Texas | 77030 | United States |
| Huntsman Cancer Institute | Salt Lake City | Utah | 84112 | United States |