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| ID | Type | Description | Link |
|---|---|---|---|
| KIN 2787CI101 | Other Identifier | Pierre Fabre Medicament |
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The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of KIN-2787 in adults with BRAF/NRAS-mutated advanced or metastatic solid tumors.
This is a two-part, open-label, multi-center, dose escalation and dose expansion study in participants with BRAF mutation-positive and/or NRAS mutation-positive tumors designed to evaluate the safety, tolerability, and pharmacokinetics (PK) of KIN-2787, a RAF small molecule kinase inhibitor, to determine a recommended Phase 2 dose (RP2D) of KIN-2787, and to assess the objective response to KIN-2787 therapy alone and in combination with binimetinib, a mitogen-activated protein kinase (MEK) inhibitor.
The dose expansion phase (Part B) will assess the safety and efficacy of KIN-2787 at the recommended dose and schedule in patients with cancers that contain BRAF Class I, II or III mutations, including lung cancer, melanoma, and other selected solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation Monotherapy (Part A1) | Experimental | Dose escalation of KIN-2787 |
|
| Dose Escalation Combination therapy (Part A2) | Experimental | Dose escalation of KIN-2787 and binimetinib |
|
| Dose Expansion Monotherapy (Part B1) | Experimental | Dose expansion evaluating the recommended phase 2 dose (RP2D) of KIN-2787 |
|
| Dose Escalation Combination therapy (Part B2) | Experimental | Dose expansion evaluating the recommended phase 2 dose (RP2D) of KIN-2787 and binimetinib |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KIN-2787 | Drug | KIN-2787 will be administered orally twice daily in 28-day cycles |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A1 Dose escalation monotherapy: | To determine the safety and tolerability of oral administration of KIN-2787 including dose-limiting toxicities (DLTs), and to identify the maximum tolerated dose (MTD) and/or the appropriate dose for further clinical investigation in Part B Dose Expansion. | Initiation of study drug through 28 days after last dose (up to approximately 18 months) |
| Part A2 Dose Escalation: KIN-2787 + Binimetinib Combination | To determine the safety and tolerability of oral administration of KIN-2787 + binimetinib including DLTs, and to identify the MTD and/or the appropriate dose for further clinical investigation. | Initiation of study drug through 28 days after last dose (up to approximately 18 months) |
| In Part B (Dose Expansion) - objective response rate (ORR) using RECIST v1.1. | To assess preliminary evidence of the anti-cancer activity of KIN-2787 and for (B2) KIN-2787 + binimetinib | Initiation of study drug until disease progression (up to approximately 36 months) |
| In Part B (Dose Expansion) - disease control rate (DCR). | Initiation of study drug until disease progression (up to approximately 36 months) | |
| In Part B (Dose Expansion) - duration of overall response (DOR). | Measure of clinical benefit, defined as the time from initial tumor response to documented tumor progression | Initiation of study drug until disease progression (up to approximately 36 months) |
| In Part B (Dose Expansion) - duration of stable disease. | Initiation of study drug until disease progression (up to approximately 36 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Part A1 Dose Escalation: Characterization of PK properties and effect of food on PK of KIN-2787 including, but not limited to tmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) | |
| Part A1 Dose Escalation: Characterization of PK properties and effect of food on PK of KIN-2787 including, but not limited to AUC. |
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Inclusion Criteria:
Exclusion Criteria:
Complete inclusion and exclusion criteria are listed in the clinical study protocol.
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| Name | Affiliation | Role |
|---|---|---|
| Grazia Saturno, PhD | Pierre Fabre Laboratories | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Angeles Clinic | Los Angeles | California | 90025-6602 | United States | ||
| UCLA |
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|
| KIN-2787 and binimetinib | Drug | Continuous and Ramp-Up cohorts: KIN-2787 (exarafenib) and binimetinib will be administered orally twice daily in 28-day cycles Intermittent Cohort: KIN-2787 will be administered orally twice daily and binimetinib will be administered twice daily for 5 days on, 2 days off for 28-day cycles |
|
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| Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part A1 Dose Escalation: Characterization of PK properties and effect of food on PK of KIN-2787 including, but not limited to Cmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part A2 Dose Escalation: characterization of PK properties of KIN-2787 and binimetinib in combination including, but not limited to Cmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part A2 Dose Escalation: characterization of PK properties of KIN-2787 and binimetinib in combination including, but not limited to AUC. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part A2 Dose Escalation: characterization of PK properties of KIN-2787 and binimetinib in combination including, but not limited to tmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part B Dose Expansion: characterization of PK properties of KIN-2787, and for (B2) KIN-2787 + binimetinib including, but not limited to AUC. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part B Dose Expansion: characterization of PK properties of KIN-2787, and for (B2) KIN-2787 + binimetinib including, but not limited to Cmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Part B Dose Expansion: characterization of PK properties of KIN-2787, and for (B2) KIN-2787 + binimetinib including, but not limited to tmax. | Initiation of study drug through Cycle 5, where each cycle is 28 days (up to approximately 4 months) |
| Los Angeles |
| California |
| 90095 |
| United States |
| University of California San Diego, Moores Cancer Center | San Diego | California | 92093 | United States |
| University of California San Francisco | San Francisco | California | 94143-2205 | United States |
| Stanford Cancer Center | Stanford | California | 94305 | United States |
| Sarah Cannon Research Institute Denver | Denver | Colorado | 80218-1238 | United States |
| Mayo Clinic - Florida | Jacksonville | Florida | 32224 | United States |
| Sarah Cannon Research Institute - Florida Cancer Specialists | Orlando | Florida | 32827 | United States |
| Mayo Clinic - Rochester | Rochester | Minnesota | 55905 | United States |
| Atlantic Health | Morristown | New Jersey | 07960 | United States |
| Rutgers Cancer Institute of New Jersey | New Brunswick | New Jersey | 08901 | United States |
| NYU Langone | New York | New York | 10016 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| Sarah Cannon Research Institute-Tennessee Oncology | Nashville | Tennessee | 37203 | United States |
| MD Anderson | Houston | Texas | 77030 | United States |
| Virginia Cancer Specialists | Fairfax | Virginia | 22031 | United States |
| Calvary Mater Hospital Newcastle | Waratah | New South Wales | 2298 | Australia |
| Melanoma Institute Australia | Wollstonecraft | New South Wales | 2065 | Australia |
| Tasman Health Care | Southport | Queensland | 4215 | Australia |
| Austin Health | Heidelberg | Victoria | 3084 | Australia |
| Linear Clinical Research | Perth | Western Australia | 6009 | Australia |
| Harbin Medical University Cancer Hospital | Haerbin | Heilongjiang | 150081 | China |
| Linyi Cancer Hospital | Linyi | Shandong | 276001 | China |
| Beijing University Cancer Hospital | Beijing | 100142 | China |
| The Shanghai Pulmonary Hospital | Shanghai | 200433 | China |
| Institut Bergonie | Bordeaux | France |
| Centre Francois Baclesse | Caen | France |
| CHU de Lille | Lille | France |
| Centre Leon Berard | Lyon | France |
| APHM-CHU La Timone | Marseille | France |
| CHU Nantes-Hotel Dieu | Nantes | France |
| CHU de Nice - Hôpital Archet 2 | Nice | France |
| APHP - Hôpital St Louis | Paris | France |
| Hospices Civiles de Lyon - Hôpital Lyon Sud | Pierre-Bénite | France |
| CHU de Poitiers | Poitiers | France |
| Oncopole Claudius Regaud | Toulouse | 31059 | France |
| Gustave Roussy | Villejuif | 94805 | France |
| Istituto Nazionale dei Tumori Fondazione G. Pascale | Naples | 80131 | Italy |
| Arance | Barcelona | Spain | Spain |
| NEXT Quirónsalud Madrid | Madrid | Spain | Spain |
| H. Regional de Málaga | Málaga | Spain | Spain |
| H. Virgen Macarena | Seville | Spain | Spain |
| Berrocal | Valencia | Spain | Spain |
| Hospital Quiron Dexeus | Barcelona | Spain |
| Hospital Universitario Insular de Gran Canaria | Las Palmas de Gran Canaria | Spain |
| START Madrid | Madrid | 28050 | Spain |
| Hospital General Gregorio Marañón | Madrid | 29009 | Spain |
| INCLIVA (Hospital Clinico de Valencia) | Valencia | Spain |
| National Taiwan University Hospital | Taipei | Taiwan |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008545 | Melanoma |
| D009362 | Neoplasm Metastasis |
| D013959 | Thyroid Diseases |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C581313 | binimetinib |
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