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A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and in Combination With Trametinib in Subjects With BRAF V600 Mutant Solid Tumors

Primary Purpose

Solid Tumors, Melanoma, NSCLC

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CFT1946
Trametinib
Sponsored by
C4 Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumors focused on measuring Solid Tumors, Melanoma, NSCLC, ATC, BRAF mutant, CRC

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Subject (or legally authorized representative, where applicable) is willing and able to provide signed informed consent and can follow protocol requirements Subject is ≥18 years of age at time of informed consent Eastern Cooperative Oncology Group performance status of 0 or 1 Subject has documented evidence of a BRAF V600 mutation obtained from tumor tissue or liquid biopsy: (other protocol conditions may apply) Subject must have received ≥1 prior line of SoC therapy for their unresectable locally advanced or metastatic disease with disease progression on or after last prior treatment. Prior regimens for these subjects vary by indication and investigational arm, but must have included the following: Melanoma or NSCLC (Phase 1 and Phase 2 Arms A1 and B1): Prior receipt of a BRAF inhibitor and an immune checkpoint inhibitor (any sequence or combination). Prior (neo)adjuvant immunotherapy may be acceptable. CRC: Receipt of a systemic chemotherapy-based regimen per SoC for unresectable locally advanced or metastatic disease, and previous treatment with BRAF inhibitor in combination with an EGFR monoclonal antibody. Subjects with documented MSI-H or dMMR CRC must have received prior immunotherapy. Subjects with MSS disease must have received at least 2 prior treatments. Subjects who received neo(adjuvant) chemotherapy regimens may be eligible. ATC: Subjects must have received SoC therapy options including BRAF inhibitor if available and of benefit to the subject Other BRAF V600 mutant solid tumors (non-CNS): Subjects must have received SoC therapy options per their Investigator's best judgment, including BRAF inhibitor if available and of benefit to the subject Subject has measurable disease per RECIST v1.1 Adequate bone marrow, liver, renal, and cardiac function A female subject may be eligible if not pregnant, planning a pregnancy, not breast feeding, a women of non-child bearing potential or a WOCBP willing to comply with protocol conditions relating to the use contraception, ova or blood donation and pregnancy testing prior to the first dose A male subject must agree to comply with protocol conditions relating to the use of contraception, sperm and blood donation Subject can safely swallow a tablet or pill Other protocol defined exclusion criteria may apply Exclusion Criteria: Subject has had major surgery within 21 days prior to the planned first dose. Minor surgery is permitted within 21 days prior to enrollment Subject with CNS involvement (primary tumor or metastatic disease), except if clinically stable, have no evidence of new or enlarging brain metastases and are on stable or tapering doses of steroids for at least 7 days prior to first dose. Subjects with untreated brain metastases may be eligible to enter without prior radiation therapy. Subject with known malignancy other than trial indication that is progressing or has required treatment within the past 3 years, except for conditions that have undergone potentially curative therapy Subject with history of thromboembolic or cerebrovascular events ≤6 months as defined in the protocol Subject with impaired cardiac function or clinically significant cardiac disease, as defined in the protocol Subject with history of uncontrolled diabetes mellitus (only for subjects who will receive CFT1946 + trametinib) Subject with history or current evidence of retinal vein occlusion (RVO), chorioretinopathy, or current risk factors for RVO (only for subjects who will receive CFT1946 + trametinib) Subject has received live, attenuated vaccine within 28 days prior to first dose administration Subject has history of pneumonitis or interstitial lung disease Subject has history of uveitis Subject has known human immunodeficiency virus (HIV) infection (with exceptions) Subject has history of or known HBV or active HCV infection Subject has concurrent administration of strong CYP3A4/5 inhibitors and inducers, including any herbal medications/supplements Subject has presence of Grade ≥2 toxicity due to prior cancer therapy, excepting alopecia and hypothyroidism requiring thyroid replacement therapy Subject has initiation or receipt of the following ≤7 days prior to first dose administration: Hematopoietic colony-stimulating growth factors, transfusion of packed red blood cells (pRBC), and transfusion of platelets Subject is pregnant, breastfeeding, or expecting to conceive or father children any time during the study Other protocol defined exclusion criteria may apply

Sites / Locations

  • Dana-Farber Cancer InstituteRecruiting
  • Washington University School of MedicineRecruiting
  • David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer CenterRecruiting
  • Sarah Cannon and HCA Research InstituteRecruiting
  • MD Anderson Cancer CenterRecruiting
  • Virginia Cancer Specialists (NEXT Oncology Virginia)Recruiting
  • Institut BergonieRecruiting
  • Centre Leon BerardRecruiting
  • NEXT Oncology BarcelonaRecruiting
  • Hospital Universitario Vall d'Hebron
  • South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jiminez DiazRecruiting
  • Hospital Clinico Universitario de ValenciaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase 1: Arm A: CFT1946

Phase 1: Arm B: CFT1946 + trametinib

Phase 2: Arm A1: CFT1946

Phase 2: Arm B1: CFT1946 + trametinib

Arm Description

Approximately 40 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma, ATC)

Approximately 28 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma)

Approximately 30 subjects with V600 melanoma or NSCLC (post BRAF inhibitor)

Approximately 20 subjects with V600 melanoma or NSCLC (post BRAF Inhibitor)

Outcomes

Primary Outcome Measures

Frequency and severity of AEs and SAEs
Phase 1
Incidence of dose limiting toxicities (DLTs)
Phase 1
Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0
Phase 1
Frequency of dose interruptions and dose reductions
Phase 1
Frequency of AEs leading to discontinuation of study treatment(s)
Phase 1
Overall response rate (ORR)
Phase 2 only according to RECIST v1.1 criteria

Secondary Outcome Measures

Frequency and severity of AEs and SAEs
Phase 2
Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0
Phase 2
Frequency of dose interruptions and dose reductions
Phase 2
Frequency of AEs leading to discontinuation of study treatment(s)
Phase 2
Plasma concentration of CFT1946 to characterize the pharmacokinetics (PK) parameters of CFT1946 monotherapy and in combination with trametinib
Phase 1 and Phase 2
PK-QTcF relationship
Phase 1 and Phase 2
Overall response rate (ORR)
Phase 1 and Phase 2
Disease control rate (DCR) at 3, 6, and 12 months
Phase 1 and Phase 2
Progression-free survival (PFS)
Phase 1 and Phase 2
Duration of response (DOR)
Phase 1 and Phase 2
Assess the pharmacodynamics by percent reduction from baseline of target protein
Tumor BRAF-V600 degradation at scheduled timepoints

Full Information

First Posted
December 6, 2022
Last Updated
October 12, 2023
Sponsor
C4 Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05668585
Brief Title
A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and in Combination With Trametinib in Subjects With BRAF V600 Mutant Solid Tumors
Official Title
A Phase 1/2 Open-Label Multicenter Trial to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and in Combination With Trametinib in Subjects With BRAF V600 Mutant Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 8, 2022 (Actual)
Primary Completion Date
March 11, 2027 (Anticipated)
Study Completion Date
April 11, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
C4 Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability of CFT1946 as well as to determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of CFT1946 as monotherapy (Arm A) and in combination with trametinib (CFT1946 + trametinib; Arm B).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumors, Melanoma, NSCLC, CRC, ATC
Keywords
Solid Tumors, Melanoma, NSCLC, ATC, BRAF mutant, CRC

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
102 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1: Arm A: CFT1946
Arm Type
Experimental
Arm Description
Approximately 40 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma, ATC)
Arm Title
Phase 1: Arm B: CFT1946 + trametinib
Arm Type
Experimental
Arm Description
Approximately 28 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma)
Arm Title
Phase 2: Arm A1: CFT1946
Arm Type
Experimental
Arm Description
Approximately 30 subjects with V600 melanoma or NSCLC (post BRAF inhibitor)
Arm Title
Phase 2: Arm B1: CFT1946 + trametinib
Arm Type
Experimental
Arm Description
Approximately 20 subjects with V600 melanoma or NSCLC (post BRAF Inhibitor)
Intervention Type
Drug
Intervention Name(s)
CFT1946
Intervention Description
Specified oral dose on specified day
Intervention Type
Drug
Intervention Name(s)
Trametinib
Intervention Description
Specified oral dose on specified day
Primary Outcome Measure Information:
Title
Frequency and severity of AEs and SAEs
Description
Phase 1
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Incidence of dose limiting toxicities (DLTs)
Description
Phase 1
Time Frame
From enrollment until 28 days after first dose
Title
Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0
Description
Phase 1
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Frequency of dose interruptions and dose reductions
Description
Phase 1
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Frequency of AEs leading to discontinuation of study treatment(s)
Description
Phase 1
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Overall response rate (ORR)
Description
Phase 2 only according to RECIST v1.1 criteria
Time Frame
Up to approximately 43 months
Secondary Outcome Measure Information:
Title
Frequency and severity of AEs and SAEs
Description
Phase 2
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Number of subjects with changes between baseline and post-baseline safety assessments based on safety laboratory results graded by CTCAE v5.0
Description
Phase 2
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Frequency of dose interruptions and dose reductions
Description
Phase 2
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Frequency of AEs leading to discontinuation of study treatment(s)
Description
Phase 2
Time Frame
From enrollment until 30 days after completion of study treatment
Title
Plasma concentration of CFT1946 to characterize the pharmacokinetics (PK) parameters of CFT1946 monotherapy and in combination with trametinib
Description
Phase 1 and Phase 2
Time Frame
Up to approximately 20 weeks
Title
PK-QTcF relationship
Description
Phase 1 and Phase 2
Time Frame
Up to approximately 8 weeks
Title
Overall response rate (ORR)
Description
Phase 1 and Phase 2
Time Frame
Up to approximately 43 months
Title
Disease control rate (DCR) at 3, 6, and 12 months
Description
Phase 1 and Phase 2
Time Frame
Up to 12 months
Title
Progression-free survival (PFS)
Description
Phase 1 and Phase 2
Time Frame
Up to approximately 43 months
Title
Duration of response (DOR)
Description
Phase 1 and Phase 2
Time Frame
Up to approximately 43 months
Title
Assess the pharmacodynamics by percent reduction from baseline of target protein
Description
Tumor BRAF-V600 degradation at scheduled timepoints
Time Frame
At multiple time points up to 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject (or legally authorized representative, where applicable) is willing and able to provide signed informed consent and can follow protocol requirements Subject is ≥18 years of age at time of informed consent Eastern Cooperative Oncology Group performance status of 0 or 1 Subject has documented evidence of a BRAF V600 mutation obtained from tumor tissue or liquid biopsy: (other protocol conditions may apply) Subject must have received ≥1 prior line of SoC therapy for their unresectable locally advanced or metastatic disease with disease progression on or after last prior treatment. Prior regimens for these subjects vary by indication and investigational arm, but must have included the following: Melanoma or NSCLC (Phase 1 and Phase 2 Arms A1 and B1): Prior receipt of a BRAF inhibitor and an immune checkpoint inhibitor (any sequence or combination). Prior (neo)adjuvant immunotherapy may be acceptable. CRC: Receipt of a systemic chemotherapy-based regimen per SoC for unresectable locally advanced or metastatic disease, and previous treatment with BRAF inhibitor in combination with an EGFR monoclonal antibody. Subjects with documented MSI-H or dMMR CRC must have received prior immunotherapy. Subjects with MSS disease must have received at least 2 prior treatments. Subjects who received neo(adjuvant) chemotherapy regimens may be eligible. ATC: Subjects must have received SoC therapy options including BRAF inhibitor if available and of benefit to the subject Other BRAF V600 mutant solid tumors (non-CNS): Subjects must have received SoC therapy options per their Investigator's best judgment, including BRAF inhibitor if available and of benefit to the subject Subject has measurable disease per RECIST v1.1 Adequate bone marrow, liver, renal, and cardiac function A female subject may be eligible if not pregnant, planning a pregnancy, not breast feeding, a women of non-child bearing potential or a WOCBP willing to comply with protocol conditions relating to the use contraception, ova or blood donation and pregnancy testing prior to the first dose A male subject must agree to comply with protocol conditions relating to the use of contraception, sperm and blood donation Subject can safely swallow a tablet or pill Other protocol defined exclusion criteria may apply Exclusion Criteria: Subject has had major surgery within 21 days prior to the planned first dose. Minor surgery is permitted within 21 days prior to enrollment Subject with CNS involvement (primary tumor or metastatic disease), except if clinically stable, have no evidence of new or enlarging brain metastases and are on stable or tapering doses of steroids for at least 7 days prior to first dose. Subjects with untreated brain metastases may be eligible to enter without prior radiation therapy. Subject with known malignancy other than trial indication that is progressing or has required treatment within the past 3 years, except for conditions that have undergone potentially curative therapy Subject with history of thromboembolic or cerebrovascular events ≤6 months as defined in the protocol Subject with impaired cardiac function or clinically significant cardiac disease, as defined in the protocol Subject with history of uncontrolled diabetes mellitus (only for subjects who will receive CFT1946 + trametinib) Subject with history or current evidence of retinal vein occlusion (RVO), chorioretinopathy, or current risk factors for RVO (only for subjects who will receive CFT1946 + trametinib) Subject has received live, attenuated vaccine within 28 days prior to first dose administration Subject has history of pneumonitis or interstitial lung disease Subject has history of uveitis Subject has known human immunodeficiency virus (HIV) infection (with exceptions) Subject has history of or known HBV or active HCV infection Subject has concurrent administration of strong CYP3A4/5 inhibitors and inducers, including any herbal medications/supplements Subject has presence of Grade ≥2 toxicity due to prior cancer therapy, excepting alopecia and hypothyroidism requiring thyroid replacement therapy Subject has initiation or receipt of the following ≤7 days prior to first dose administration: Hematopoietic colony-stimulating growth factors, transfusion of packed red blood cells (pRBC), and transfusion of platelets Subject is pregnant, breastfeeding, or expecting to conceive or father children any time during the study Other protocol defined exclusion criteria may apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Study Medical Officer
Phone
(617)231-0770
Email
clinicaltrials@c4therapeutics.com
Facility Information:
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elizabeth Buchbinder, MD
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Brian Van Tine, MD, PhD
Facility Name
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ezra Rosen, MD, PhD
Facility Name
Sarah Cannon and HCA Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Meredith McKean, MD, MPH
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jordi Rodon, MD
Facility Name
Virginia Cancer Specialists (NEXT Oncology Virginia)
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alexander Spira, MD, PhD
Facility Name
Institut Bergonie
City
Bordeaux Cedex
ZIP/Postal Code
33076
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sophie Cousin, MD
Facility Name
Centre Leon Berard
City
Lyon
ZIP/Postal Code
69008
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Philippe Cassier, MD
Facility Name
NEXT Oncology Barcelona
City
Barcelona
ZIP/Postal Code
08023
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Omar Saavedra Santa Gadea, MD
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Garralda, MD
Facility Name
South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jiminez Diaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Victor Moreno Garcia, MD, PhD
Facility Name
Hospital Clinico Universitario de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Valentina Gambardella, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and in Combination With Trametinib in Subjects With BRAF V600 Mutant Solid Tumors

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