Dose Escalation of RMC-4630 Monotherapy in Relapsed/Refractory Solid Tumors

NCT ID: NCT03634982

Last Updated: 2022-09-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

133 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-28

Study Completion Date

2023-05-31

Brief Summary

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The purpose of this study is to evaluate the safety, tolerability, pharmacokinetic (PK), and pharmacodynamic (PD) profiles of escalating doses of RMC-4630 monotherapy in adult participants with relapsed/refractory solid tumors and to identify the recommended Phase 2 dose (RP2D).

Detailed Description

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This is an open-label, multicenter, Phase 1 study of oral RMC-4630 monotherapy in participants with advanced relapsed or refractory solid tumors. The study will include 2 components: 1) a Dose-Escalation Component for participants with relapsed or refractory solid tumors and 2) a Dose-Expansion Component for participants with relapsed or refractory solid tumors harboring certain specific mutations/rearrangements that result in hyperactivation of the RAS-MAPK pathway. Participants will be treated until disease progression per RECIST v1.1, unacceptable toxicity, or other criteria for withdrawal are met, whichever occurs first.

Conditions

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Solid Tumors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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RMC-4630

RMC-4630 for oral administration

Group Type EXPERIMENTAL

RMC-4630

Intervention Type DRUG

RMC-4630 for oral administration

Interventions

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RMC-4630

RMC-4630 for oral administration

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant (male or female) ≥18 years of age
* Participants who have advanced solid tumors that have failed, are intolerant to, or are considered ineligible for standard of care anticancer treatments including approved drugs for oncogenic drivers in their tumor type
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
* Participants in the Dose-Expansion Component must have one of the following genotypic aberrations: KRAS amplifications, KRASG12C (NSCLC), BRAF Class 3, or NF1 LOF (NSCLC and gynecological cancers) mutations
* Adequate hematologic, hepatic and renal function
* Participant able to understand and voluntarily sign the informed consent form (ICF) and able to comply with the study visit schedule and other protocol requirements.
* Participants willing to agree to not father a child/become pregnant and comply with effective contraception criteria

Exclusion Criteria

* Known or suspected leptomeningeal or brain metastases or spinal cord compression
* Primary central nervous system (CNS) tumors
* Clinically significant cardiac disease
* Active, clinically significant interstitial lung disease or pneumonitis
* History or current evidence of retinal pigment epithelial detachment (RPED), central serous retinopathy, retinal vein occlusion (RVO), or predisposing factors to RPED or RVO
* Known HIV infection
* Active/chronic hepatitis B or C infection
* Any other unstable or clinically significant concurrent medical condition that would, in the opinion of the investigator, jeopardize the safety of a participant, impact their expected survival through the end of the study participation, and/or impact their ability to comply with the protocol prior/concomitant therapy
* Females who are pregnant or breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Revolution Medicines, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Revolution Medicines, Inc.

Role: STUDY_DIRECTOR

Revolution Medicines, Inc.

Locations

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Honor Health Research Institute

Scottsdale, Arizona, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

UC Irvine - Chao Family Comprehensive Cancer Center

Orange, California, United States

Site Status

UC Davis Comprehensive Cancer Center

Sacramento, California, United States

Site Status

UC San Francisco - Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States

Site Status

University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status

Sarah Cannon Research Institute - Florida Cancer Specialists

Sarasota, Florida, United States

Site Status

Moffit Cancer Center

Tampa, Florida, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

University of Oklahoma - Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status

Sarah Cannon Research Institute - Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

University of Texas at Austin - Dell Medical School

Austin, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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RMC-4630-01

Identifier Type: -

Identifier Source: org_study_id

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