SHP2 Inhibitor BBP-398 in Combination With Nivolumab in Patients With Advanced Non-Small Cell Lung Cancer With a KRAS Mutation

NCT ID: NCT05375084

Last Updated: 2024-12-12

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-20

Study Completion Date

2024-07-15

Brief Summary

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This is a Phase 1 study of BBP-398, a SHP2 inhibitor, in combination with nivolumab, a PD-1 antibody, in patients with NSCLC with a KRAS mutation. The study involves 2 parts: Phase 1a Dose Escalation and Phase 1b Dose Expansion.

Detailed Description

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The primary objective for Phase 1a Dose Escalation is to evaluate the safety, tolerability, and RP2D of BBP-398, a SHP2 inhibitor, when used in combination with nivolumab in patients with advanced NSCLC with a KRAS mutation who have failed standard of care treatment.

The primary objective for Phase 1b Dose Expansion is to evaluate the antitumor activity of BBP-398, as defined by the ORR (per investigator) according to RECIST v1.1, when used in combination with nivolumab in patients with advanced NSCLC with a KRAS mutation who have failed standard of care treatment.

Conditions

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Non Small Cell Lung Cancer Solid Tumor

Keywords

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KRAS mutation MAPK-pathway alterations NSCLC SHP2

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation Level 1

Level 1 oral capsules administered in combination with nivolumab

Group Type EXPERIMENTAL

BBP-398 with nivolumab

Intervention Type DRUG

BBP-398 administered orally once a day (QD); nivolumab administered intravenously every 4 weeks (Q4wks)

Dose Escalation Level 2

Level 2 oral capsules administered in combination with nivolumab

Group Type EXPERIMENTAL

BBP-398 with nivolumab

Intervention Type DRUG

BBP-398 administered orally once a day (QD); nivolumab administered intravenously every 4 weeks (Q4wks)

Dose Escalation Level 3

Level 3 oral capsules administered in combination with nivolumab

Group Type EXPERIMENTAL

BBP-398 with nivolumab

Intervention Type DRUG

BBP-398 administered orally once a day (QD); nivolumab administered intravenously every 4 weeks (Q4wks)

Dose Expansion

RP2D defined dose. Oral capsules administered in combination with nivolumab

Group Type EXPERIMENTAL

BBP-398 with nivolumab

Intervention Type DRUG

BBP-398 administered orally once a day (QD); nivolumab administered intravenously every 4 weeks (Q4wks)

Interventions

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BBP-398 with nivolumab

BBP-398 administered orally once a day (QD); nivolumab administered intravenously every 4 weeks (Q4wks)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients must have histologically documented, locally advanced and unresectable, or metastatic NSCLC with documentation of a KRAS mutation within the 1 year prior to screening.
* Patients must have measurable disease by RECIST v1.1.
* Patients must have a minimum life expectancy of \>12 weeks after start of study treatment.
* Patients must have progression or disease recurrence on or after at least one prior line of systemic therapy, which must include platinum-based doublet chemotherapy and anti-PD-(L)1 therapy.
* Patients must have experienced progressive or recurrent disease occurring either during treatment or within 90 days after discontinuing anti-PD-(L)1 therapy.
* Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
* Patients must have adequate organ function.

Exclusion Criteria

* Patients that have participated in an interventional clinical study within the last 4 weeks.
* Patients that have received radiotherapy or proton therapy with a limited field of radiation for palliation within 1 week of the start of study treatment, OR radiation to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the start of study treatment.
* Patients with known central nervous system (CNS) tumors or active CNS metastases.
* Patients that have experienced progressive disease (PD) within the first 120 days of initiating treatment with an anti- PD-(L)1 agent (e.g., primary refractory).
* Patients that have a history of allogenic bone marrow transplant.
* Patients that have select known or suspected autoimmune disease.
* Patients that have a condition requiring systemic treatment with either corticosteroids (\>10 mg prednisone equivalent) or other immunosuppressive medication within 14 days of study start.
* Patients that have received any live/attenuated vaccine within 30 days of first study treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Navire Pharma Inc., a BridgeBio company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Highlands Oncology

Springdale, Arkansas, United States

Site Status

Scripps Clinic Torrey Pines

La Jolla, California, United States

Site Status

Providence Medical Foundation

Santa Rosa, California, United States

Site Status

Memorial Regional Hospital (Memorial Cancer Institute)

Hollywood, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

University of Pennsylvania (Abramson Cancer Center)

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina (MUSC) - Hollings Cancer Center

Charleston, South Carolina, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Millennium Research and Clinical Development

Houston, Texas, United States

Site Status

NEXT Oncology

Fairfax, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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NAV-1004

Identifier Type: -

Identifier Source: org_study_id