Study of DCC-3084 in Participants with Advanced Malignancies Driven by the Mitogen-Activated Protein Kinase (MAPK) Pathway

Clinicaltrials.gov ID: NCT06287463
db-list-check Status RECRUITING
b-loader Phase PHASE1, PHASE2
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 140

Conditions

Advanced Solid Tumor, RAF Mutation, RAS Mutation, NF1 Mutation, Non-Small Cell Lung Cancer, Pancreatic Ductal Adenocarcinoma, Melanoma, BRAF Gene Mutation, CRAF Gene Mutation, Castration-Resistant Prostate Cancer (CRPC)

Drugs

DCC-3084

Summary

This is a multicenter, Phase 1/2 clinical trial to evaluate DCC-3084 alone or in combination with other cancer therapies in participants with advanced cancers. Module A will enroll participants with advanced/metastatic solid tumors. Additional modules exploring other cancers may be added to the master protocol at a later date. Each module will be conducted in 2 parts: Part 1 (Dose Escalation) and Part 2 (Dose Expansion).

Locations

6 locations Found with status Recruiting

Status

  • RECRUITING

Contact Person

  • Anthony El-Khoueiry, MD

Status

  • RECRUITING

Contact Person

  • Gerald Falchook, MD, MS

Status

  • RECRUITING

Contact Person

  • Cesar Perez Batista, MD

Status

  • RECRUITING

Contact Person

  • Vivek Subbiah, MD

Status

  • RECRUITING

Contact Person

  • Ildefonso Ismael Rodriguez Rivera, MD

Status

  • RECRUITING

Contact Person

  • Alexander Spira, MD, PhD

Eligibility Criteria

Inclusion Criteria:

General Inclusion Criteria ModA Part 1 and 2:

* Able to take oral medication
* If a female is of childbearing potential, must have a negative pregnancy test prior to enrollment and all participants agree to follow the contraception requirements
* Adequate organ function and electrolytes
* Eastern Cooperative Oncology Group Performance Status (ECOG-PS) of 0 to 1 at Screening
* Has a life expectancy of more than 6 months
* In addition to these general inclusion criteria, participants must meet all the module cohort-specific inclusion criteria

Inclusion Criteria ModA Part 1 Cohort Specific:

* Pathologically confirmed diagnosis of solid cancer and documentation of Kirsten rat sarcoma (KRAS), Harvey rat sarcoma virus (HRAS), neuroblastoma ras viral oncogene homolog (NRAS), v-raf murine sarcoma viral oncogene homolog B1 (BRAF), v-raf murine sarcoma viral oncogene homolog C1(CRAF), and/or neurofibromatosis 1 (NF1) mutation
* Have exhausted all available standard of care therapies that are known to provide benefit for the participant's condition, as judged by the Investigator

Inclusion Criteria ModA Part 2 Cohort Specific:

* Documented BRAF gene mutation
* Pathologically confirmed diagnosis with PD after at least one prior line of therapy in the advanced or metastatic setting

Exclusion Criteria:

General Exclusion Criteria ModA Part 1 and 2:

* Prior treatment with certain BRAF dimer inhibitors
* Female participant is pregnant or lactating
* Received any prior or concurrent medications or therapies known to be prohibited with DCC-3084 within 14 days
* Received any prior antitumor therapy or any investigational therapy within a specified timeframe prior to first dose of DCC-3084
* Known allergy or hypersensitivity to any component of the study drug
* Invasive malignancy within 2 years prior to the first dose of study drug other than the study indication or specific types of cancer treated with curative intent
* Have not recovered from all clinically relevant toxicities from prior therapy
* Impaired cardiac function
* History of recent thrombotic or embolic events
* Malabsorption syndrome or other illness that could affect oral absorption
* Major surgery within 28 days of the first dose of study drug
* In addition to the general exclusion criteria, participants will also be excluded based on the cohort-specific exclusion criteria

Exclusion Criteria: Module A Part 2 Cohort Specific:

• Has known co-occurring mutation of KRAS, HRAS, NRAS, NF1, epidermal growth factor receptor, Phosphoinositide-3-kinase, catalytic, alpha polypeptide (PI3KCA), or Phosphatase and TENsin homolog deleted on chromosome 10 (PTEN)

Study Plan

DCC-3084 Module A Escalation Phase (ModA Part 1)

EXPERIMENTAL

Participants will receive DCC-3084 in ModA Part 1, Escalation Phase.

  • DRUG:

    DCC-3084

    Description:

    Administered orally

DCC-3084 Module A Expansion Phase (ModA Part 2)

EXPERIMENTAL

Participants will receive DCC-3084 in ModA Part 2, Expansion Phase.

  • DRUG:

    DCC-3084

    Description:

    Administered orally

Outcome Measures

Primary Outcome Measures

Number of Participants with Dose-limiting Toxicities (DLTs) (ModA Part 1)

Time Frame: Cycle 1 (28 days)

Objective Response Rate (ORR) (ModA Part 2)

Time Frame: Start of Therapy to Progressive Disease (PD), Death Due to Any Cause, or Start of New Antitumor Therapy (Estimated up to 24 months)

Secondary Outcome Measures

ORR (ModA Part 1)

Time Frame: Start of Therapy to PD, Death Due to Any Cause, or Start of New Antitumor Therapy (Estimated up to 24 months)

Progression-Free Survival (PFS) (ModA Part 1 and 2)

Time Frame: Start of Therapy to PD or Death Due to Any Cause (Estimated up to 24 months)

Overall Survival (OS) (ModA Part 1 and 2)

Time Frame: Start of Therapy to Death Due to Any Cause (Estimated up to 36 months)

Pharmacokinetics (PK): Maximum observed plasma drug concentration (Cmax) (ModA Part 1 and 2)

Time Frame: Predose up to 12 hours postdose

Timeline

  • Last Updated
    November 15, 2024
  • Start Date
    March 1, 2024
  • Today
    February 5, 2025
  • Completion Date ( Estimated )
    August 1, 2027

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