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This is a Phase 1 first-in-human, open-label multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of RLY-8161, an NRAS-selective inhibitor, in participants with advanced NRAS-mutant melanoma and other solid tumors.
This is a Phase 1 first-in-human, open-label multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary antitumor activity of RLY-8161, an NRAS-selective inhibitor, in participants with advanced NRAS-mutant melanoma and other solid tumors. This study consists of 2 parts: dose escalation (Part 1) and dose expansion (Part 2).
Part 1, dose escalation will explore multiple ascending doses of RLY-8161 in participants with any advanced NRAS-mutant solid tumor until maximum tolerated dose is reached or one or more recommended Phase 2 dose (RP2D) is identified.
Part 2, dose expansion will be at the RP2D(s) identified in Part 1 in NRAS-mutant solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: RLY-8161 for participants with advanced NRAS-mutant solid tumors | Experimental | Multiple doses of RLY-8161 for oral administration |
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| Part 2: RLY-8161 for participants with advanced NRAS-mutant solid tumors | Experimental | Oral doses of RLY-8161 as determined during Part 1 Dose Escalation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RLY-8161 | Drug | RLY-8161 is an NRAS-selective inhibitor |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Tolerated Dose (MTD) and/or RP2D of RLY-8161 | Cycle 1 (28-day cycle) of treatment for MTD and at the end of every cycle (28-day cycle) for RP2D until treatment discontinuation, approximately 12 months | |
| Part 1: Number of participants with Adverse Events (AEs) or Serious Adverse Events (SAEs), with changes in vital signs, electrocardiograms (ECGs), and laboratory tests | Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months | |
| Part 2: Objective Response Rate (ORR) of RLY-8161 as assessed by RECIST v1.1 | Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 and Part 2: Changes in NRAS mutant allele fraction in ctDNA | Approximately every 2 weeks in Cycle 1 (28-day cycle), at the beginning of Cycle 2 (28-day cycle), and at the beginning of every odd cycle (28-day cycle) until End of Treatment (EOT), approximately 12 months | |
| Part 1 and Part 2: Plasma concentration and PK parameters of RLY-8161 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Relay Therapeutics, Inc | Contact | 617-322-0731 | ClinicalTrials@relaytx.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Los Angeles | Recruiting | Los Angeles | California | 90095 | United States |
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| Approximately every 2 weeks in Cycle 1 (28-day cycle) and at Day 1 of every cycle (28-day cycle) through Cycle 4 |
| Part 1: ORR of RLY-8161 as assessed by RECIST v1.1 | Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months |
| Part 1 and 2: Duration of Response (DOR) of RLY-8161 as assessed by RECIST v1.1 | Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months |
| Part 1 and 2: Disease Control Rate (DCR) of RLY-8161 as assessed by RECIST v1.1 | Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months |
| Part 2: Progression-free survival (PFS) as assessed by RECIST v1.1 | Approximately every 8 weeks on treatment and every 12 weeks after last dose in the absence of progressive disease, approximately 18 months |
| Part 2: Overall Survival | Cycle 1 (28-day cycles) until study completion, approximately 30 months |
| Part 2: Number of participants with AEs or SAEs, with changes in vital signs, ECGs, and laboratory tests | Cycle 1 (28-day cycle) of treatment and at the end of every cycle (28-day cycle) until 30 days after treatment discontinuation, approximately 13 months |
| University of California, San Francisco | Recruiting | San Francisco | California | 94143 | United States |
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| University of Colorado Hospital | Recruiting | Aurora | Colorado | 80045 | United States |
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| Massachusetts General Hospital | Recruiting | Boston | Massachusetts | 02114 | United States |
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| Dana Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
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| START Midwest, LLC | Recruiting | Grand Rapids | Michigan | 49546 | United States |
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| Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10065 | United States |
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| Sarah Cannon Research Institute Oncology Partners | Recruiting | Nashville | Tennessee | 37203 | United States |
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| NEXT Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
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