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SHP2 Inhibitor BBP-398 in Combination With Sotorasib in Patients With Advanced Solid Tumors and a KRAS-G12C Mutation

PHASE1RECRUITING

This is a Phase 1 study of BBP-398, a SHP2 inhibitor, in combination with sotorasib, a KRAS-G12C inhibitor (KRAS-G12Ci), in patients with a KRAS-G12C mutation. The study involves 2 parts: Phase 1a Dose Escalation and Phase 1b Dose Expansion/Optimization.

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Study details:

The primary objectives for Phase 1a Dose Escalation are to evaluate safety and tolerability, and recommend a phase 1b dose (RP1bD) of the combination. The primary objectives for Phase 1b Dose Expansion/Optimization are to evaluate safety and tolerability, and the antitumor activity (defined by the ORR assessed by the investigator according to RECIST v1. 1) of BBP-398 when used in combination with sotorasib across two dose regimens in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with a KRAS-G12C mutation and who are KRAS-G12Ci naïve, and recommend a phase 2 dose (RP2D) of the combination.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Patients must have histologically documented, locally advanced and unresectable, or metastatic solid tumor with documentation of a KRAS-G12C mutation within 2 years prior to screening.
  • Patients must have measurable disease by RECIST v1.1.
  • Patients must have a minimum life expectancy of >12 weeks after start of study treatment.
  • Patients must have progression or disease recurrence on or after all available standard of care therapies.
  • Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
  • Patients must have adequate organ function.
  • Exclusion criteria

  • Patients that have participated in an interventional clinical study within the last 4 weeks.
  • Patients that have received radiotherapy or proton therapy with a limited field of radiation for palliation within 1 week of the start of study treatment, OR radiation to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the start of study treatment.
  • Patients with untreated and/or active CNS metastases.
  • Patients that have a history of allogenic bone marrow transplant.
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2022-07-06

    Primary completion: 2024-06-01

    Study completion finish: 2025-06-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT05480865

    Intervention or treatment

    DRUG: BBP-398

    DRUG: sotorasib

    Conditions

    • Solid Tumor, Adult
    • Metastatic Solid Tumor
    • Non Small Cell Lung Cancer
    • Metastatic NSCLC
    Image related to Solid Tumor, Adult
    • Condition: Solid Tumor, Adult, Metastatic Solid Tumor and more

    • DRUG: BBP-398 and other drugs

    • Adelaide, South Australia, Australia and more

    • Sponsor: Navire Pharma Inc., a BridgeBio company

    Find a site

    Closest Location:

    Cancer Research SA

    Research sites nearby

    Select from list below to view details:

    • Cancer Research SA

      Adelaide, South Australia, Australia

    • St John of God Subiaco Hospital

      Subiaco, Western Australia, Australia

    • Southern Oncology Clinical Research Unit

      Adelaide, South Australia, Australia

    • Peninsula & South Eastern Haematology and Oncology Group

      Frankston, Victoria, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Dose Escalation: BBP-398 Level 1 and sotorasib
    • BBP-398 dose Level 1 capsules administered once a day (QD) for a 28-day treatment cycle in combination with sotorasib tablets administered once a day (QD) for a 28-day treatment cycle
    DRUG: BBP-398
    • BBP-398 administered orally
    EXPERIMENTAL: Dose Escalation: BBP-398 Level 2 and sotorasib
    • BBP-398 dose Level 2 capsules administered once a day (QD) for a 28-day treatment cycle in combination with sotorasib tablets administered once a day (QD) for a 28-day treatment cycle
    DRUG: BBP-398
    • BBP-398 administered orally
    EXPERIMENTAL: Dose Escalation: BBP-398 Level 3 and sotorasib
    • BBP-398 dose Level 3 capsules administered once a day (QD) for a 28-day treatment cycle in combination with sotorasib tablets administered once a day (QD) for a 28-day treatment cycle
    DRUG: BBP-398
    • BBP-398 administered orally
    EXPERIMENTAL: Dose Expansion/Optimization: BBP-398 Dose Regimen 1 and sotorasib
    • BBP-398 Dose Regimen 1 capsules administered once a day (QD) for a 28-day treatment cycle in combination with sotorasib tablets administered once a day (QD) for a 28-day treatment cycle
    DRUG: BBP-398
    • BBP-398 administered orally
    EXPERIMENTAL: Dose Expansion/Optimization: BBP-398 Dose Regimen 2 and sotorasib
    • BBP-398 Dose Regimen 2 capsules administered once a day (QD) for a 28-day treatment cycle in combination with sotorasib tablets administered once a day (QD) for a 28-day treatment cycle
    DRUG: BBP-398
    • BBP-398 administered orally

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Phase 1a Dose Escalation Primary Objective: Incidence and Severity of Treatment-Emergent Adverse Events, Serious Adverse Events, and Dose Limiting ToxicitiesNumber of patients experiencing treatment-emergent adverse events, serious adverse events, including changes in lab parameters, vital signs and electrocardiogram changes; duration, and severity based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0Completion of 1 Cycle (28 days)
    Phase 1b Dose Expansion/Optimization Primary Objective: Incidence and Severity of Treatment-Emergent Adverse Events, and Serious Adverse EventsNumber of patients experiencing treatment-emergent adverse events, serious adverse events, including changes in lab parameters, vital signs and electrocardiogram changes; duration, and severity based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0Completion of 1 Cycle (28 days)
    Phase 1b Dose Expansion/Optimization Primary Objective: Overall Response Rate (ORR)Complete Response (CR) + Partial Response (PR) rates, defined by RECIST v1.18 weeks

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Phase 1a Dose Escalation Secondary Objectives: Overall Response Rate (ORR)Complete Response (CR) + Partial Response (PR) rates, defined by RECIST v1.18 weeks
    Duration of responseDefined by RECIST v1.18 weeks
    Progression Free Survival (PFS)Time from treatment start to progression of disease or death by any cause8 weeks
    Overall survival (OS)Time from treatment start to death8 weeks
    Maximum Observed Plasma Concentration (Cmax) of BBP-398Maximum plasma concentration of BBP-398 in combination with sotorasibCycle 2 Day 1
    Time to Cmax (Tmax) of BBP-398Amount of time to reach Cmax of BBP-398 in combination with sotorasibCycle 2 Day 1
    Area under the plasma concentration-time curve (AUC) of BBP-398Area under the plasma concentration versus time curve of BBP-398 in combination with sotorasibCycle 2 Day 1
    Half-life (T1/2) of BBP-398Terminal half-life of BBP-398 in combination with sotorasibCycle 2 Day 1
    Observed Maximum Plasma Concentration (Cmax) of sotorasibMaximum plasma concentration of sotorasib in combination with BBP-398Cycle 2 Day 1
    Time to Cmax (Tmax) of sotorasibAmount of time to reach Cmax of sotorasib in combination with BBP-398Cycle 2 Day 1
    Area under the plasma concentration-time curve (AUC) over dosing interval of sotorasibArea under the plasma concentration versus time curve of sotorasib in combination with BBP-398Cycle 2 Day 1
    Half-life (T1/2) of sotorasibTerminal half-life of sotorasib in combination with BBP-398Cycle 2 Day 1
    Circulating and intratumoral target engagement biomarkers of BBP-398 activity in combination with sotorasibRaw, normalized, and/or baseline adjusted analyte signal24 months

    Frequently Asked Questions

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    References

    Clinical Trials Gov: SHP2 Inhibitor BBP-398 in Combination With Sotorasib in Patients With Advanced Solid Tumors and a KRAS-G12C Mutation

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