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
Solid Tumors, Melanoma, NSCLC
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
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
Experimental
Experimental
Experimental
Experimental
Phase 1: Arm A: CFT1946
Phase 1: Arm B: CFT1946 + trametinib
Phase 2: Arm A1: CFT1946
Phase 2: Arm B1: CFT1946 + trametinib
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)