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Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib in G12C NSCLC Patients (RAMP203)

Primary Purpose

Non Small Cell Lung Cancer, KRAS Activating Mutation

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
avutometinib (VS-6766) and sotorasib
Sponsored by
Verastem, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Small Cell Lung Cancer focused on measuring NSCLC, KRAS G12C

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female patients ≥ 18 years of age
  • Histologic or cytologic evidence of NSCLC
  • Known G12C KRAS mutation
  • Have not received a KRAS inhibitor to be included in Part A and Part B, Cohort 1
  • Received at least 1 dose of a G12C inhibitor to be included in Part A or Part B Cohort 2
  • Must have received appropriate treatment with at least one prior systemic regimen, but no more than 3 prior regimens, for Stage 3B-C or 4 NSCLC
  • Measurable disease according to RECIST 1.1
  • An Eastern Cooperative Group (ECOG) performance status ≤ 1
  • Adequate organ function
  • Adequate recovery from toxicities related to prior treatments
  • Agreement to use highly effective method of contraceptive

Exclusion Criteria:

  • Systemic anti-cancer therapy within 4 weeks of the first dose of study therapy
  • History of prior malignancy, with the exception of curatively treated malignancies
  • Major surgery within 4 weeks (excluding placement of vascular access)
  • History of treatment with a direct and specific inhibitor of MEK
  • Exposure to strong CYP3A4 inhibitors or inducers within 14 days prior to the first dose and during the course of therapy
  • Symptomatic brain metastases requiring steroids or other local interventions.
  • Known SARS-Cov2 infection ≤28 days prior to first dose of study therapy
  • Known hepatitis B, hepatitis C, or human immunodeficiency virus infection that is active
  • Active skin disorder that has required systemic therapy within the past year
  • History of rhabdomyolysis
  • Concurrent ocular disorders
  • Concurrent heart disease or severe obstructive pulmonary disease
  • Inability to swallow oral medications
  • Female patients that are pregnant or breastfeeding

Sites / Locations

  • Rocky Mountain Cancer Center, LLPRecruiting
  • Georgetown University Medical CenterRecruiting
  • Illinois Cancer SpecialistsRecruiting
  • Dana Farber Cancer InstituteRecruiting
  • Henry Ford Health SystemRecruiting
  • Minnesota Oncology Hematology, P.ARecruiting
  • Washington University School of MedicineRecruiting
  • Cleveland Clinic Taussig Cancer CenterRecruiting
  • Consultants in Medical Oncology & HematologyRecruiting
  • Texas OncologyRecruiting
  • Texas OncologyRecruiting
  • Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer CareRecruiting
  • Virginia Cancer Specialists, PCRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

avutometinib (VS-6766)+sotorasib

avutometinib (VS-6766)+sotorasib - G12C inhibitor naïve

avutometinib (VS-6766)+sotorasib - G12C inhibitor exposed

Arm Description

To determine the recommended phase 2 dose (RP2D) for avutometinib (VS 6766) in combination with sotorasib in G12C inhibitor naïve and exposed patients

To determine the efficacy of the RP2D identified from Part A in G12C inhibitor naïve patients

To determine the efficacy of the RP2D identified from Part A in G12C inhibitor exposed patients

Outcomes

Primary Outcome Measures

Part A: To determine RP2D for avutometinib(VS-6766) in combination with sotorasib
Assessment of Dose-limiting toxicities (DLTs)
Part B: To determine the efficacy of the optimal regimen identified from Part A
Confirmed overall response rate per RECIST 1.1

Secondary Outcome Measures

To characterize the safety and toxicity profile
Treatment emergent adverse events/ treatment emergent serious adverse events - their frequency, duration and severity, lab parameters, vital signs and ECG changes based on CTCAE
Duration of Response (DOR)
Time of first response to PD as assessed per RECIST 1.1
Disease Control Rate (DCR)
CR and PR stable disease as assessed per RECIST 1.1
Progression Free Survival (PFS)
From the time of first dose of study intervention to PD or death from any cause
Overall Survival (OS)
From time of first dose of study intervention to death
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites - Tmax
time of Maximum concentration (Tmax)
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites -AUC
Area under plasma Concentration (AUC) 0 to t
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites half-life
concentration Half-life (T1/2)

Full Information

First Posted
September 29, 2021
Last Updated
October 2, 2023
Sponsor
Verastem, Inc.
Collaborators
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT05074810
Brief Title
Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib in G12C NSCLC Patients
Acronym
RAMP203
Official Title
A Phase 1/2 Study of Avutometinib (VS-6766) in Combination With Sotorasib in Patients With KRAS G12C Mutant Non-Small Cell Lung Cancer (NSCLC)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 12, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
September 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Verastem, Inc.
Collaborators
Amgen

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
This study will assess the safety and efficacy of avutometinib (VS-6766) in combination with sotorasib in patients with G12C Non-Small Cell Lung Cancer (NSCLC) in patients who have been exposed to prior G12C inhibitor and those who have not been exposed to prior G12C inhibitor.
Detailed Description
This is a multicenter, non-randomized, open-label Phase 1/2 study designed to evaluate safety and tolerability and efficacy of avutometinib (VS-6766) in combination with sotorasib in patients with KRAS G12C mutant NSCLC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer, KRAS Activating Mutation
Keywords
NSCLC, KRAS G12C

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
53 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
avutometinib (VS-6766)+sotorasib
Arm Type
Experimental
Arm Description
To determine the recommended phase 2 dose (RP2D) for avutometinib (VS 6766) in combination with sotorasib in G12C inhibitor naïve and exposed patients
Arm Title
avutometinib (VS-6766)+sotorasib - G12C inhibitor naïve
Arm Type
Experimental
Arm Description
To determine the efficacy of the RP2D identified from Part A in G12C inhibitor naïve patients
Arm Title
avutometinib (VS-6766)+sotorasib - G12C inhibitor exposed
Arm Type
Experimental
Arm Description
To determine the efficacy of the RP2D identified from Part A in G12C inhibitor exposed patients
Intervention Type
Drug
Intervention Name(s)
avutometinib (VS-6766) and sotorasib
Other Intervention Name(s)
AMG 510, LUMAKRAS™
Intervention Description
The RP2D of avutometinib(VS-6766) + sotorasib determined in Part A will be used in Part B dose expansion
Primary Outcome Measure Information:
Title
Part A: To determine RP2D for avutometinib(VS-6766) in combination with sotorasib
Description
Assessment of Dose-limiting toxicities (DLTs)
Time Frame
From start of treatment to confirmation of RP2D; 28 days
Title
Part B: To determine the efficacy of the optimal regimen identified from Part A
Description
Confirmed overall response rate per RECIST 1.1
Time Frame
From start of treatment to confirmation of response; 16 weeks
Secondary Outcome Measure Information:
Title
To characterize the safety and toxicity profile
Description
Treatment emergent adverse events/ treatment emergent serious adverse events - their frequency, duration and severity, lab parameters, vital signs and ECG changes based on CTCAE
Time Frame
24 months
Title
Duration of Response (DOR)
Description
Time of first response to PD as assessed per RECIST 1.1
Time Frame
Time from the first documentation of response to first documentation of progressive disease or death due to any cause, greater than or equal to 6 months
Title
Disease Control Rate (DCR)
Description
CR and PR stable disease as assessed per RECIST 1.1
Time Frame
Greater than or equal to 8 weeks
Title
Progression Free Survival (PFS)
Description
From the time of first dose of study intervention to PD or death from any cause
Time Frame
24 months
Title
Overall Survival (OS)
Description
From time of first dose of study intervention to death
Time Frame
Up to 5 years
Title
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites - Tmax
Description
time of Maximum concentration (Tmax)
Time Frame
10 weeks
Title
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites -AUC
Description
Area under plasma Concentration (AUC) 0 to t
Time Frame
10 weeks
Title
Plasma Pharmacokinetics (PK) of VS 6766, sotorasib, and relevant metabolites half-life
Description
concentration Half-life (T1/2)
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patients ≥ 18 years of age Histologic or cytologic evidence of NSCLC Known G12C KRAS mutation Have not received a KRAS inhibitor to be included in Part A and Part B, Cohort 1 Received at least 1 dose of a G12C inhibitor to be included in Part A or Part B Cohort 2 Must have received appropriate treatment with at least one prior systemic regimen, but no more than 2 prior regimens, for Stage 3B-C or 4 NSCLC Measurable disease according to RECIST 1.1 An Eastern Cooperative Group (ECOG) performance status ≤ 1 Adequate organ function Adequate recovery from toxicities related to prior treatments Agreement to use highly effective method of contraceptive Exclusion Criteria: Systemic anti-cancer therapy within 4 weeks of the first dose of study therapy History of prior malignancy, with the exception of curatively treated malignancies Major surgery within 4 weeks (excluding placement of vascular access) History of treatment with a direct and specific inhibitor of MEK Exposure to strong CYP3A4 inhibitors or inducers within 14 days prior to the first dose and during the course of therapy Symptomatic brain metastases requiring steroids or other local interventions. Known SARS-Cov2 infection ≤28 days prior to first dose of study therapy Known hepatitis B, hepatitis C, or human immunodeficiency virus infection that is active Active skin disorder that has required systemic therapy within the past year History of rhabdomyolysis Concurrent ocular disorders Concurrent heart disease or severe obstructive pulmonary disease Inability to swallow oral medications Female patients that are pregnant or breastfeeding
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Verastem Call Center
Phone
781-292-4204
Email
clinicaltrials@verastem.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD Verastem
Organizational Affiliation
Verastem, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Rocky Mountain Cancer Center, LLP
City
Boulder
State/Province
Colorado
ZIP/Postal Code
80303
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Hege
Phone
303-385-2067
Email
jennifer.hege@usoncology.com
First Name & Middle Initial & Last Name & Degree
David Andorsky, MD
Facility Name
Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jeannette Crawford
Phone
202-687-0893
Email
jeanette.g.crawford@medstar.net
First Name & Middle Initial & Last Name & Degree
Joshua Reuss, MD
Facility Name
Illinois Cancer Specialists
City
Arlington Heights
State/Province
Illinois
ZIP/Postal Code
60005
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Lozano
Phone
847-463-2604
Email
Laura.Lozano@usoncology.com
First Name & Middle Initial & Last Name & Degree
Rajat Malhotra, MD
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
Dana Farber Cancer Institute
Phone
877-338-7425
First Name & Middle Initial & Last Name & Degree
Mark Awad, MD
Facility Name
Henry Ford Health System
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Meir Stauss
Phone
313-570-2818
Email
MSTAUSS1@hfhs.org
First Name & Middle Initial & Last Name & Degree
Shirish Gadgeel, MD
Facility Name
Minnesota Oncology Hematology, P.A
City
Woodbury
State/Province
Minnesota
ZIP/Postal Code
55125
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kayla McDonald
Phone
763-712-2128
Email
kayla.mcdonald1@usoncology.com
First Name & Middle Initial & Last Name & Degree
Girum Lemma, 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
Rose Tipton
Phone
314-273-0846
Email
atipton@wustl.edu
First Name & Middle Initial & Last Name & Degree
Ramaswamy Govindan, MD
Facility Name
Cleveland Clinic Taussig Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alex Adjei
Phone
216-444-4951
Email
Adjeia2@ccf.org
First Name & Middle Initial & Last Name & Degree
Alex Adjei, MD
Facility Name
Consultants in Medical Oncology & Hematology
City
Broomall
State/Province
Pennsylvania
ZIP/Postal Code
19008
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maureen Lisowski
Phone
610-585-6287
Email
Maureen.Lisowski@alliancecancer.com
First Name & Middle Initial & Last Name & Degree
John Sprandio, MD
Facility Name
Texas Oncology
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Amy Ressel
Phone
512-427-9400
Email
amy.ressel@usoncology.com
First Name & Middle Initial & Last Name & Degree
Jeffrey Yorio, MD
Facility Name
Texas Oncology
City
Longview
State/Province
Texas
ZIP/Postal Code
75601
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shelly Maxfield
Email
shelly.maxfield@usoncology.com
First Name & Middle Initial & Last Name & Degree
John Lijo, MD
Facility Name
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
City
Blacksburg
State/Province
Virginia
ZIP/Postal Code
24060
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Natasha Holt
Phone
540-808-1704
Email
mailto:Natasha.Holt@USONCOLOGY.COM
First Name & Middle Initial & Last Name & Degree
Jerome Goldschmidt, MD
Facility Name
Virginia Cancer Specialists, PC
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
Carrie Friedman
Phone
703-636-1473
Email
mailto:carrie.friedman@usoncology.com
First Name & Middle Initial & Last Name & Degree
Alexander Spira, MD

12. IPD Sharing Statement

Learn more about this trial

Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib in G12C NSCLC Patients

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