Study of RP-6306 With Gemcitabine in Advanced Solid Tumors

NCT ID: NCT05147272

Last Updated: 2025-12-05

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-16

Study Completion Date

2024-08-28

Brief Summary

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The primary purpose of this study is to assess the safety and tolerability of RP-6306 in combination gemcitabine, in patients with eligible advanced solid tumors, determine the maximum tolerated dose (MTD) of RP-6306 in combination with gemcitabine, identify a recommended phase 2 dose (RP2D) and preferred schedule, examine preliminary pharmacokinetics (PK) and assess anti-tumor activity.

Detailed Description

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Phase 1, multi-center, open-label, dose-escalation study to:

* Evaluate the safety profile and MTD of RP-6306 with gemcitabine to establish the RP2D and schedule
* Characterize the PK and pharmacodynamics of RP-6306 with gemcitabine
* Assess preliminary anti-tumor activity associated with RP-6306 with gemcitabine

The Sponsor of the study has changed from 'Repare Therapeutics' to 'Debiopharm International SA' in the United States.

Conditions

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Adult Solid Tumor

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Dose Escalation and Expansion
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1 Dose Escalation

Multiple dose levels of RP-6306 and gemcitabine

Group Type EXPERIMENTAL

RP-6306 (oral PKMYT1 inhibitor)

Intervention Type DRUG

RP-6306 in combination with gemcitabine

Interventions

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RP-6306 (oral PKMYT1 inhibitor)

RP-6306 in combination with gemcitabine

Intervention Type DRUG

Other Intervention Names

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Gemcitabine (IV)

Eligibility Criteria

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Inclusion Criteria

* Male or female and ≥18 years-of-age at the time of informed consent.
* ECOG Performance status 0 or 1.
* Locally advanced or metastatic resistant or refractory solid tumors.
* Submission of available tumor tissue at screening or willingness to have a biopsy performed if safe and feasible.
* Measurable disease as per RECIST v1.1.
* Ability to swallow and retain oral medications.
* Acceptable hematologic and organ function at screening.
* Negative pregnancy test (serum) for women of childbearing potential (WOCBP) at Screening.
* Resolution of all toxicities of prior therapy or surgical procedures.
* Life expectancy ≥12 weeks after the start of the treatment

Exclusion Criteria

* Chemotherapy or small molecule antineoplastic agent given within 21 days or \<5 half- lives, whichever is shorter, prior to first dose of study drug.
* History or current condition, therapy, or laboratory abnormality that might confound the study results or interfere with the patient's participation for the full duration of the study treatment.
* Patients who are pregnant or breastfeeding.
* Known sensitivity to any of the ingredients of RP-6306 or gemcitabine.
* Life-threatening illness, medical condition, active uncontrolled infection, or organ system dysfunction or other reasons which, in the investigator's opinion, could compromise the participating patient's safety.
* Major surgery within 4 weeks prior to first dose of RP-6306 and gemcitabine.
* Uncontrolled, symptomatic brain metastases.
* Uncontrolled hypertension.
* Moderate or severe hepatic impairment
* Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol and/or follow-up procedures outlined in the protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Repare Therapeutics

INDUSTRY

Sponsor Role collaborator

Debiopharm International SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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# 1018, Mayo Clinic

Phoenix, Arizona, United States

Site Status

# 1019, UCLA, Westwood Cancer Center

Los Angeles, California, United States

Site Status

# 1017, Mayo Clinic

Jacksonville, Florida, United States

Site Status

# 1022, Moffitt Cancer Center

Tampa, Florida, United States

Site Status

# 1023, START Midwest

Grand Rapids, Michigan, United States

Site Status

# 1016, Mayo Clinic

Rochester, Minnesota, United States

Site Status

# 1008, Columbia University

New York, New York, United States

Site Status

# 1004, Memorial Sloan Kettering Cancer Institute

New York, New York, United States

Site Status

# 1010, University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

# 2001, Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

# 3003, Sarah Cannon Research Institute

London, , United Kingdom

Site Status

Countries

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United States Canada United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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RP-6306-02

Identifier Type: -

Identifier Source: org_study_id

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