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The primary purpose of this study is to evaluate the safety and tolerability, determine the maximally tolerated dose (MTD) and/or recommended Phase 2 dose(s) (RP2D) of PT0511 in adult participants with solid tumors as monotherapy and in combination with cetuximab in participants with colorectal cancer (CRC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1a: Dose Escalation | Experimental | Participants with solid tumors with any KRAS mutation or amplified WT KRAS will receive PT0511 infusion, intravenously (IV), until disease progression or intolerance. |
|
| Part 1b: Dose Expansion: Tumor type 1 | Experimental | Participants with tumor type 1 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 2 | Experimental | Participants with tumor type 2 will receive PT0511 infusion in combination with cetuximab infusion, until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 3 | Experimental | Participants with tumor type 3 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PT0511 | Drug | Intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Dose-limiting Toxicities (DLT) | Cycle 1 (Cycle length=21 days) | |
| Number of Participants with Treatment-Emergent Adverse Events (TEAEs) | Up to 24 months | |
| Number of Participants with TEAEs Leading to Treatment Interruptions, Dose Reductions and Permanent Discontinuations | Up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax/C0: Maximum Blood Concentration (Cmax) and/or Concentration at Time 0 (C0) of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) | |
| Tmax: Time to Reach Cmax of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
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Inclusion Criteria:
Exclusion Criteria:
Cancer History
Active brain metastasis or carcinomatous meningitis. If participants have had brain metastases resected or have received radiation therapy, they may be eligible if: (1) study treatment begins at least 4 weeks from the end of brain-specific therapy, (2) residual neurological symptoms Grade <=2, (3) currently on stable doses of corticosteroids, and (4) pre-study brain MRI documents no new/worsening brain lesions
History of any other malignancy within the past 2 years, except:
Prior Cancer Therapy
Unresolved toxicities from prior anti-cancer therapies. Participants with prior endocrine replacement therapies are eligible for entry even if administered to treat endocrine deficiency due to the prior anti-cancer therapy
Concurrent participation in another interventional clinical study.
Treatment with anticancer medications or investigational drugs within the following intervals before the first administration of study drug:
Prior treatment with a KRAS/RAS degrader
Medical History
Medications
• Part 1a (Dose escalation): Use of a strong or moderate CYP3A4/5 inhibitor or inducer, Use of a strong P-gp inhibitor or inducer
Organ Function
• Participants with laboratory values indicating inadequate hematology, hepatic, or renal function
Diagnostic Assessments
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| PAQ Therapeutics | Contact | 781-819-2949 | ClinicalTrials@paqtx.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dana-Farber/Massachusetts General Hospital, Inc | Recruiting | Boston | Massachusetts | 02215 | United States |
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| Part 1b: Dose Expansion: Tumor type 4 |
| Experimental |
Participants with tumor type 4 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 5 | Experimental | Participants with tumor type 5 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 6 | Experimental | Participants with tumor type 6 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 7 | Experimental | Participants with tumor type 7 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Part 1b: Dose Expansion: Tumor type 8 | Experimental | Participants with tumor type 8 will receive PT0511 infusion until disease progression or intolerance. Recommended dose or doses for expansion for Part 1b will be determined based on the safety, tolerability, PK and PD data for PT0511 established in Part 1a. |
|
| Cetuximab | Drug | Intravenous infusion. |
|
| AUC0-t: Area Under the Curve From time 0 to the time of the Last Quantifiable Concentration of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| t1/2: Terminal Elimination Half-life of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| AUC0-∞: Area Under the Curve From Time 0 Extrapolated to Infinity of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| CL: Clearance of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| Vd: Volume of Distribution of PT0511 | Cycle 1 Days 1 and 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| Overall Response Rate (ORR) | ORR will be determined by radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. | Up to 12 months |
| Duration of Response (DOR) | DOR will be determined by radiographic disease assessments per RECIST 1.1. | Up to 12 months |
| Number of Participants with Antitumor Activity Markers in Peripheral Blood of PT0511 | Cycle 1 Day 15: Pre-infusion and up to 24 hours post-infusion (Cycle length=21 days) |
| Overall Survival (OS) | OS is defined as the time from enrollment up to death due to any cause. | At 1 year |
| Progression-free Survival (PFS) | PFS will be determined by radiographic disease assessments per RECIST 1.1. | At 1 year |
| New Experimental Therapeutics of San Antonio LLC | Recruiting | San Antonio | Texas | 78229 | United States |
|
| START - South Texas Accelerated Research Therapeutics, LLC | Recruiting | San Antonio | Texas | 78229 | United States |
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| START Mountain Region | Recruiting | West Valley City | Utah | 84119 | United States |
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| NEXT Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
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| Samsung Medical Center | Recruiting | Seoul | South Korea |
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| Seoul National University Bundang Hospital | Recruiting | Seoul | South Korea |
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| Seoul National University Hospital | Recruiting | Seoul | South Korea |
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| Severance Hospital, Yonsei University Health System | Recruiting | Seoul | South Korea |
|
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| 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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