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A Study of DCC-3116 in Combination With Anticancer Therapies in Participants With Advanced Malignancies

Primary Purpose

Colorectal Cancer, GIST

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DCC-3116
Ripretinib
Cetuximab
Encorafenib
Sponsored by
Deciphera Pharmaceuticals LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring Advanced colorectal cancer, DCC-3116, encorafenib, cetuximab, Advanced gastrointestinal stromal tumors, gastrointestinal stromal tumors, ripretinib, CRC

Eligibility Criteria

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

Inclusion Criteria: Male or female ≥18 years of age Module A: Part 1 and Part 2: Pathologically confirmed diagnosis of CRC with BRAF V600E mutation. Must have received at least 1 and not more than 2 lines of prior systemic therapy in the advanced or metastatic setting. Must not have received prior treatment with an epidermal growth factor receptor or BRAF inhibitor Module B: Only for Part 1 (Safety/Dose-finding): Pathologically confirmed diagnosis of GIST with a KIT or platelet-derived growth factor receptor alpha (PDGFRA) mutation. Must have progressed on at least one approved systemic regimen given in the locally advanced or metastatic setting or have documented intolerance to it Must not have received prior ripretinib treatment Module B: Only for Part 2 (Expansion) Pathologically confirmed GIST with documented mutation in KIT exon 11 Must have progressed on imatinib given in the locally advanced or metastatic setting or have been intolerant to imatinib and may not have received additional systemic therapy for GIST. Measurable disease. Must have a life expectancy of more than 3 months and an ECOG performance status of 0-1 Adequate organ function and bone marrow reserve based on laboratory assessments performed at Screening Must provide a fresh tumor biopsy and an archival tumor tissue sample, if available. Must agree to provide an on treatment biopsy Exclusion Criteria: Must not have received the following within the specified time periods prior to the first dose of study drug: Medications, including anticancer therapies, that are known strong or moderate inhibitors or inducers of CYP3A4 or P-glycoprotein (P-gp) including certain herbal medications (eg, St. John's wort): 14 days or 5×the half-life of the medication (whichever is longer) Other anticancer therapies and any investigational therapies with a known safety and PK profile: 14 days or 5×the half-life of the medication (whichever is shorter) Investigational therapies with unknown safety and PK profile: 28 days. If there is enough data on the investigational therapy to assess the risk for drug-drug interactions and late toxicities of prior therapy as low, the Sponsor's Medical Monitor may approve a shorter washout of 14 days Grapefruit or grapefruit juice: 14 days Have not recovered from all clinically relevant toxicities from prior therapy New York Heart Association Class III or IV heart disease, active ischemia, or any other uncontrolled cardiac condition, clinically significant cardiac arrhythmia requiring therapy, uncontrolled hypertension, congestive heart failure, or myocardial infarction within 6 months prior to the first dose of study drug Symptomatic central nervous system (CNS) metastases or presence of leptomeningeal disease Malabsorption syndrome Bone disease that requires ongoing treatment or has required treatment Radiation for indications other than bone disease must have been completed 4 weeks prior to first dose of study drug, unless it consisted of limited field palliative radiation, including whole brain radiation, which must have been completed at least 2 weeks prior to first dose of study drug Major surgery within 4 weeks of the first dose of study drug Active HIV, Hepatitis B or Hepatitis C infection

Sites / Locations

  • START MidwestRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose Escalation (Part 1, Module A)

Expansion (Part 2, Module A)

Dose Escalation (Part 1, Module B)

Expansion (Part 2, Module B)

Arm Description

DCC-3116 tablets in escalating dose cohorts in 28-day cycles will be administered in combination with encorafenib once daily (QD) and cetuximab once every 2 weeks (Q2W).

DCC-3116 tablets will be administered in combination with encorafenib and cetuximab in 28-day cycles to evaluate preliminary efficacy in participants with 2nd- or 3rd-line BRAF V600E mutated colorectal cancer (CRC).

DCC-3116 tablets in escalating dose cohorts in 28-day cycles will be administered in combination with ripretinib once daily (QD).

DCC-3116 tablets will be administered in combination with ripretinib in 28-day cycles to evaluate preliminary efficacy in participants with 2nd-line advanced gastrointestinal stromal tumor (GIST).

Outcomes

Primary Outcome Measures

Incidence of Adverse Events (Escalation Phase)
Identify the observed adverse events and serious adverse events associated with DCC-3116 in combination with cetuximab and encorafenib or ripretinib.
Recommended Phase 2 Doses (RP2D) (Escalation Phase)
Identify the dose-limiting toxicities for each dose level tested and determine the recommended Phase 2 doses of DCC-3116 in combination with cetuximab and encorafenib or ripretinib.
Objective response rate (ORR) (Expansion Phase)
Proportion of participants who achieve CR or PR per RECIST (or mRECIST, as applicable) v1.1.

Secondary Outcome Measures

Duration of response (DoR) (Escalation Phase)
DoR is defined as the time interval from the time that the measurement criteria are first met for CR or PR (whichever is first recorded) until the first date that the progressive disease is objectively documented or death, whichever occurs first.
Disease Control Rate (DCR) (Escalation Phase)
The DCR is defined as the proportion of participants who achieve CR, PR, or stable disease [SD] at the specified time point per RECIST (or mRECIST, as applicable) v1.1.
Time to response (Escalation Phase)
Time to response is defined as the time from initiation of treatment until the first assessment demonstrating CR or PR per RECIST (or mRECIST, as applicable) v1.1.
Progression-free survival (PFS) (Escalation Phase)
PFS is defined as the time from initiation of treatment until documented disease progression per RECIST (or mRECIST, as applicable) v1.1 or death, whichever occurs first.
Overall Survival (OS)
OS is defined as the time from initiation of treatment until death.
Maximum observed concentration (Cmax)
Measure the maximum observed concentration of DCC-3116 combinations.
Time to maximum observed concentration (Tmax)
Measure the time to maximum plasma concentration of DCC-3116 combinations.
Minimum observed concentration (Cmin)
Measure the minimum observed concentration of DCC-3116 combinations.
Area under the concentration-time curve (AUC)
Measure the AUC of DCC-3116 combinations.

Full Information

First Posted
July 14, 2023
Last Updated
September 29, 2023
Sponsor
Deciphera Pharmaceuticals LLC
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05957367
Brief Title
A Study of DCC-3116 in Combination With Anticancer Therapies in Participants With Advanced Malignancies
Official Title
A Master Protocol for the Multi-Cohort, Phase 1/2 Study of DCC-3116 in Combination With Anticancer Therapies in Participants With Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 28, 2023 (Actual)
Primary Completion Date
March 2027 (Anticipated)
Study Completion Date
June 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Deciphera Pharmaceuticals LLC
Collaborators
Pfizer

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 1/2, multicenter, open-label (unless otherwise specified in a combination-specific module) study of DCC-3116 in combination with anticancer therapies. Modules within the master protocol are defined according to different combinations of DCC-3116 with other anticancer agents.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer, GIST
Keywords
Advanced colorectal cancer, DCC-3116, encorafenib, cetuximab, Advanced gastrointestinal stromal tumors, gastrointestinal stromal tumors, ripretinib, 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
170 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation (Part 1, Module A)
Arm Type
Experimental
Arm Description
DCC-3116 tablets in escalating dose cohorts in 28-day cycles will be administered in combination with encorafenib once daily (QD) and cetuximab once every 2 weeks (Q2W).
Arm Title
Expansion (Part 2, Module A)
Arm Type
Experimental
Arm Description
DCC-3116 tablets will be administered in combination with encorafenib and cetuximab in 28-day cycles to evaluate preliminary efficacy in participants with 2nd- or 3rd-line BRAF V600E mutated colorectal cancer (CRC).
Arm Title
Dose Escalation (Part 1, Module B)
Arm Type
Experimental
Arm Description
DCC-3116 tablets in escalating dose cohorts in 28-day cycles will be administered in combination with ripretinib once daily (QD).
Arm Title
Expansion (Part 2, Module B)
Arm Type
Experimental
Arm Description
DCC-3116 tablets will be administered in combination with ripretinib in 28-day cycles to evaluate preliminary efficacy in participants with 2nd-line advanced gastrointestinal stromal tumor (GIST).
Intervention Type
Drug
Intervention Name(s)
DCC-3116
Intervention Description
Oral Tablet Formulation
Intervention Type
Drug
Intervention Name(s)
Ripretinib
Other Intervention Name(s)
QINLOCK, DCC-2618
Intervention Description
Oral Tablet Formulation
Intervention Type
Drug
Intervention Name(s)
Cetuximab
Other Intervention Name(s)
Erbitux
Intervention Description
Solution for Injection
Intervention Type
Drug
Intervention Name(s)
Encorafenib
Other Intervention Name(s)
Braftovi
Intervention Description
Oral capsule formulation
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (Escalation Phase)
Description
Identify the observed adverse events and serious adverse events associated with DCC-3116 in combination with cetuximab and encorafenib or ripretinib.
Time Frame
Approximately 24 months
Title
Recommended Phase 2 Doses (RP2D) (Escalation Phase)
Description
Identify the dose-limiting toxicities for each dose level tested and determine the recommended Phase 2 doses of DCC-3116 in combination with cetuximab and encorafenib or ripretinib.
Time Frame
Approximately 18 months
Title
Objective response rate (ORR) (Expansion Phase)
Description
Proportion of participants who achieve CR or PR per RECIST (or mRECIST, as applicable) v1.1.
Time Frame
Approximately 24 months
Secondary Outcome Measure Information:
Title
Duration of response (DoR) (Escalation Phase)
Description
DoR is defined as the time interval from the time that the measurement criteria are first met for CR or PR (whichever is first recorded) until the first date that the progressive disease is objectively documented or death, whichever occurs first.
Time Frame
Approximately 24 months
Title
Disease Control Rate (DCR) (Escalation Phase)
Description
The DCR is defined as the proportion of participants who achieve CR, PR, or stable disease [SD] at the specified time point per RECIST (or mRECIST, as applicable) v1.1.
Time Frame
Approximately 24 months
Title
Time to response (Escalation Phase)
Description
Time to response is defined as the time from initiation of treatment until the first assessment demonstrating CR or PR per RECIST (or mRECIST, as applicable) v1.1.
Time Frame
Approximately 24 months
Title
Progression-free survival (PFS) (Escalation Phase)
Description
PFS is defined as the time from initiation of treatment until documented disease progression per RECIST (or mRECIST, as applicable) v1.1 or death, whichever occurs first.
Time Frame
Approximately 24 months
Title
Overall Survival (OS)
Description
OS is defined as the time from initiation of treatment until death.
Time Frame
Approximately 48 months
Title
Maximum observed concentration (Cmax)
Description
Measure the maximum observed concentration of DCC-3116 combinations.
Time Frame
Predose and up to 12 hours postdose
Title
Time to maximum observed concentration (Tmax)
Description
Measure the time to maximum plasma concentration of DCC-3116 combinations.
Time Frame
Predose and up to 12 hours postdose
Title
Minimum observed concentration (Cmin)
Description
Measure the minimum observed concentration of DCC-3116 combinations.
Time Frame
Predose and up to 12 hours postdose
Title
Area under the concentration-time curve (AUC)
Description
Measure the AUC of DCC-3116 combinations.
Time Frame
Predose and up to 12 hours postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥18 years of age Module A: Part 1 and Part 2: Pathologically confirmed diagnosis of CRC with BRAF V600E mutation. Must have received at least 1 and not more than 2 lines of prior systemic therapy in the advanced or metastatic setting. Must not have received prior treatment with an epidermal growth factor receptor or BRAF inhibitor Module B: Only for Part 1 (Safety/Dose-finding): Pathologically confirmed diagnosis of GIST with a KIT or platelet-derived growth factor receptor alpha (PDGFRA) mutation. Must have progressed on at least one approved systemic regimen given in the locally advanced or metastatic setting or have documented intolerance to it Must not have received prior ripretinib treatment Module B: Only for Part 2 (Expansion) Pathologically confirmed GIST with documented mutation in KIT exon 11 Must have progressed on imatinib given in the locally advanced or metastatic setting or have been intolerant to imatinib and may not have received additional systemic therapy for GIST. Measurable disease. Must have a life expectancy of more than 3 months and an ECOG performance status of 0-1 Adequate organ function and bone marrow reserve based on laboratory assessments performed at Screening Must provide a fresh tumor biopsy and an archival tumor tissue sample, if available. Must agree to provide an on treatment biopsy Exclusion Criteria: Must not have received the following within the specified time periods prior to the first dose of study drug: Medications, including anticancer therapies, that are known strong or moderate inhibitors or inducers of CYP3A4 or P-glycoprotein (P-gp) including certain herbal medications (eg, St. John's wort): 14 days or 5×the half-life of the medication (whichever is longer) Other anticancer therapies and any investigational therapies with a known safety and PK profile: 14 days or 5×the half-life of the medication (whichever is shorter) Investigational therapies with unknown safety and PK profile: 28 days. If there is enough data on the investigational therapy to assess the risk for drug-drug interactions and late toxicities of prior therapy as low, the Sponsor's Medical Monitor may approve a shorter washout of 14 days Grapefruit or grapefruit juice: 14 days Have not recovered from all clinically relevant toxicities from prior therapy New York Heart Association Class III or IV heart disease, active ischemia, or any other uncontrolled cardiac condition, clinically significant cardiac arrhythmia requiring therapy, uncontrolled hypertension, congestive heart failure, or myocardial infarction within 6 months prior to the first dose of study drug Symptomatic central nervous system (CNS) metastases or presence of leptomeningeal disease Malabsorption syndrome Bone disease that requires ongoing treatment or has required treatment Radiation for indications other than bone disease must have been completed 4 weeks prior to first dose of study drug, unless it consisted of limited field palliative radiation, including whole brain radiation, which must have been completed at least 2 weeks prior to first dose of study drug Major surgery within 4 weeks of the first dose of study drug Active HIV, Hepatitis B or Hepatitis C infection
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Team
Phone
785-830-2100
Email
Clinicaltrials@deciphera.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Team
Organizational Affiliation
Deciphera Pharmaceuticals LLC
Official's Role
Study Director
Facility Information:
Facility Name
START Midwest
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49546
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Julie Burns
Phone
616-954-5559
Email
julie.burns@startmidwest.com
First Name & Middle Initial & Last Name & Degree
Sreenivasa Chandana, M.D., Ph.D.

12. IPD Sharing Statement

Learn more about this trial

A Study of DCC-3116 in Combination With Anticancer Therapies in Participants With Advanced Malignancies

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