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The purpose of the dose escalation part of the study is to characterize the safety and tolerability of ALN-BCAT as monotherapy and in combination with pembrolizumab; and to determine the recommended dose(s) for expansion (RDFE) of ALN-BCAT as monotherapy and in combination with pembrolizumab. The purpose of the dose expansion part of the of the study is to evaluate the antitumor activity of ALN-BCAT as monotherapy and in combination with pembrolizumab; to characterize the safety and tolerability of ALN-BCAT as monotherapy and in combination with pembrolizumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monotherapy: Dose Escalation | Experimental | Patients will be administered multiple doses of ALN-BCAT. |
|
| Monotherapy: Dose Expansion | Experimental | Patients will be administered multiple doses of ALN-BCAT. |
|
| Combination Therapy: Dose Escalation | Experimental | Patients will be administered multiple doses of ALN-BCAT in combination with pembrolizumab. |
|
| Combination Therapy: Dose Expansion | Experimental | Patients will be administered multiple doses of ALN-BCAT in combination with pembrolizumab. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALN-BCAT | Drug | Administered by intravenous (IV) infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Adverse Events (AEs) | From the time of first dose of study drug administration to 30-37 days after the last dose | |
| Severity of AEs | From the time of first dose of study drug administration to 30-37 days after the last dose | |
| Dose Escalation: Occurrence of Dose-limiting Toxicities (DLTs) | From the time of first dose of study drug administration up to 21 days | |
| Dose Expansion: Antitumor Activity as assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) | Up to 30-37 Days after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Concentrations of ALN-BCAT in Plasma | Area Under the Plasma Concentration-time Curve (AUC), Maximum Observed Plasma Concentration (Cmax) Time to Maximum Plasma Concentration (Tmax) | Up to the end of the last study drug administration |
| Percent Change in Gene that Encodes ß-catenin Protein (CTNNB1) Messenger Ribonucleic Acid (mRNA) Expression Comparing Pre- treatment with On-treatment Tumor Samples |
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Inclusion Criteria:
Exclusion Criteria:
Note: other protocol defined inclusion / exclusion criteria apply
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alnylam Clinical Trial Information Line | Contact | 1-877-ALNYLAM | clinicaltrials@alnylam.com | |
| Alnylam Clinical Trial Information Line | Contact | 1-877-256-9526 | clinicaltrials@alnylam.com |
| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Alnylam Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Trial Site | Recruiting | Phoenix | Arizona | 85054 | United States | |
| Clinical Trial Site |
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| Pembrolizumab | Drug | Administered by intravenous (IV) infusion |
|
|
| Up to 30 days |
| Dose Escalation: Antitumor Activity as assessed by RECIST v1.1 | Up to 30-37 Days after the last dose |
| Recruiting |
| La Jolla |
| California |
| 92037 |
| United States |
| Clinical Trial Site | Recruiting | Los Angeles | California | 90033 | United States |
| Clinical Trial Site | Recruiting | Jacksonville | Florida | 32224 | United States |
| Clinical Trial Site | Recruiting | Atlanta | Georgia | 30322 | United States |
| Clinical Trial Site | Recruiting | Chicago | Illinois | 60637 | United States |
| Clinical Trial Site | Recruiting | Ann Arbor | Michigan | 48109 | United States |
| Clinical Trial Site | Recruiting | Rochester | Minnesota | 55905 | United States |
| Clinical Trial Site | Recruiting | New York | New York | 10029 | United States |
| Clinical Trial Site | Completed | New York | New York | 10032 | United States |
| Clinical Trial Site | Recruiting | Cleveland | Ohio | 44106 | United States |
| Clinical Trial Site | Recruiting | Pittsburgh | Pennsylvania | 15232 | United States |
| Clinical Trial Site | Recruiting | Dallas | Texas | 75390 | United States |
| Clinical Trial Site | Recruiting | Houston | Texas | 77030 | United States |
| Clinical Trial Site | Recruiting | San Antonio | Texas | 78229 | United States |
| Clinical Trial Site | Recruiting | Richmond | Virginia | 23298 | United States |
| Clinical Trial Site | Recruiting | Milan | 20132 | Italy |
| Clinical Trial Site | Recruiting | Rozzano | 20089 | Italy |
| Clinical Trial Site | Recruiting | Verona | 37134 | Italy |
| Clinical Trial Site | Recruiting | Busan | 49241 | South Korea |
| Clinical Trial Site | Recruiting | Seongnam | 13496 | South Korea |
| Clinical Trial Site | Recruiting | Seongnam | 13620 | South Korea |
| Clinical Trial Site | Recruiting | Seoul | 03722 | South Korea |
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| D008107 | Liver Diseases |
| D008113 | Liver Neoplasms |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
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