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The purpose of this study is to evaluate the safety and tolerability of CFT1946 as well as to determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of CFT1946 as monotherapy (Arm A) and in combination with trametinib (CFT1946 + trametinib; Arm B) or Cetuximab (CFT1946 + cetuximab; Arm C).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1: Arm A: CFT1946 | Experimental | Approximately 40 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma, ATC) |
|
| Phase 1: Arm B: CFT1946 + trametinib | Experimental | Approximately 28 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma) |
|
| Phase 2: Arm A1: CFT1946 | Experimental | Approximately 30 subjects with V600 melanoma or NSCLC (post BRAF inhibitor) |
|
| Phase 2: Arm B1: CFT1946 + trametinib | Experimental | Approximately 20 subjects with V600 melanoma or NSCLC (post BRAF Inhibitor) |
|
| Phase 1: Arm C: CFT1946 + cetuximab | Experimental | Approximately 30 subjects with CRC (post BRAF inhibitor) |
|
| Phase 2: Arm C1: CFT1946 + cetuximab |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CFT1946 | Drug | Specified oral dose on specified day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of AEs and SAEs | Phase 1 | From enrollment until 30 days after completion of study treatment |
| Incidence of dose limiting toxicities (DLTs) | Phase 1 | From enrollment until 28 days after first dose |
| Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0 | Phase 1 | From enrollment until 30 days after completion of study treatment |
| Frequency of dose interruptions and dose reductions | Phase 1 | From enrollment until 30 days after completion of study treatment |
| Frequency of AEs leading to discontinuation of study treatment(s) | Phase 1 | From enrollment until 30 days after completion of study treatment |
| Overall response rate (ORR) | Phase 2 only according to RECIST v1.1 criteria | Up to approximately 43 months |
| Disease control rate (DCR) at 3, 6, and 12 months | Phase 2 | Up to 12 months |
| Duration of Response (DOR) | Phase 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of AEs and SAEs | Phase 2 | From enrollment until 30 days after completion of study treatment |
| Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0 |
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Inclusion Criteria:
Subject (or legally authorized representative, where applicable) is willing and able to provide signed informed consent and can follow protocol requirements
Subject is ā„18 years of age at time of informed consent
Eastern Cooperative Oncology Group performance status of 0 or 1
Subject has documented evidence of a BRAF V600 mutation obtained from tumor tissue or liquid biopsy: (other protocol conditions may apply)
Subject must have received ā„1 prior line of SoC therapy for their unresectable locally advanced or metastatic disease with disease progression on or after last prior treatment. Prior regimens for these subjects vary by indication and investigational arm, but must have included the following:
Subject has measurable disease per RECIST v1.1
Adequate bone marrow, liver, renal, and cardiac function
A female subject may be eligible if not pregnant, planning a pregnancy, not breast feeding, a women of non-child bearing potential or a WOCBP willing to comply with protocol conditions relating to the use contraception, ova or blood donation and pregnancy testing prior to the first dose
A male subject must agree to comply with protocol conditions relating to the use of contraception, sperm and blood donation
Subject can safely swallow a tablet or pill
Other protocol defined exclusion criteria may apply
Exclusion Criteria:
Other protocol defined exclusion criteria may apply
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona - Cancer Center | Tucson | Arizona | 85719 | United States | ||
| Florida Cancer Specialists |
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| Experimental |
Approximately 40 subjects with CRC (post BRAF inhibitor) |
|
| Trametinib | Drug | Specified oral dose on specified day |
|
| Cetuximab | Drug | Specified intravenous dose on specified day |
|
| Up to approximately 43 months |
Phase 2 |
| From enrollment until 30 days after completion of study treatment |
| Frequency of dose interruptions and dose reductions | Phase 2 | From enrollment until 30 days after completion of study treatment |
| Frequency of AEs leading to discontinuation of study treatment(s) | Phase 2 | From enrollment until 30 days after completion of study treatment |
| Plasma concentration of CFT1946 to characterize the pharmacokinetics (PK) parameters of CFT1946 monotherapy and in combination with trametinib | Phase 1 and Phase 2 | Up to approximately 20 weeks |
| PK-QTcF relationship | Phase 1 and Phase 2 | Up to approximately 8 weeks |
| Overall response rate (ORR) | Phase 1 | Up to approximately 43 months |
| Disease control rate (DCR) at 3, 6, and 12 months | Phase 1 | Up to 12 months |
| Progression-free survival (PFS) | Phase 1 and Phase 2 | Up to approximately 43 months |
| Duration of response (DOR) | Phase 1 | Up to approximately 43 months |
| Assess the pharmacodynamics by percent reduction from baseline of target protein | Tumor BRAF-V600 degradation at scheduled timepoints | At multiple time points up to 4 weeks |
| Sarasota |
| Florida |
| 34232 |
| United States |
| Community Health Network | Indianapolis | Indiana | 46250 | United States |
| Dana-Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Allina Health System DBA Virginia Piper Cancer Institute | Minneapolis | Minnesota | 55407 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center | New York | New York | 10021 | United States |
| Sarah Cannon and HCA Research Institute | Nashville | Tennessee | 37203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Virginia Cancer Specialists (NEXT Oncology Virginia) | Fairfax | Virginia | 22031 | United States |
| University of Wisconsin | Madison | Wisconsin | 53792 | United States |
| Institut Bergonie | Bordeaux | 33076 | France |
| Chu de Lille | Lille | 59037 | France |
| Centre Leon Berard | Lyon | 69008 | France |
| IUCT Oncopole | Toulouse | 31059 | France |
| KEM | Evang. Kliniken Essen-Mitte gGmbH | Essen | 45136 | Germany |
| Universitaetsklinikum Essen | Essen | 45147 | Germany |
| NEXT Oncology Barcelona | Barcelona | 08023 | Spain |
| Hospital Universitario Vall d'Hebron | Barcelona | 08035 | Spain |
| Complejo Hospitalario de Jaen | JaƩn | 23007 | Spain |
| Hospital General Universitario Gregorio Maranon | Madrid | 28007 | Spain |
| South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jiminez Diaz | Madrid | 28040 | Spain |
| Hospital Universitario 12 de Octubre | Madrid | 28041 | Spain |
| Hospital Clinico Universitario de Valencia | Valencia | 46010 | Spain |
| Beatson West of Scotland Cancer Centre | Glasgow | G12 0YN | United Kingdom |
| The Christie NHS Foundation Trust | Manchester | M20 4BX | United Kingdom |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C560077 | trametinib |
| D000068818 | Cetuximab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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