A Phase I, Open Label Single-arm Two-part Study to Investigate Safety, Pharmacokinetics, and Preliminary Efficacy of Pan-RAF/MEK Glue NST-628 Oral Tablets in Subject With Solid Tumors Harboring Genetic Alterations in the MAPK Pathway and With Other Solid Tumors

Status: Recruiting
Location: See all (23) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This is a two-part Phase 1, open label, multi-center, single arm, non-randomized, multiple dose, safety, pharmacokinetic (PK) and preliminary efficacy study of single agent NST-628 in adult patients with MAPK pathway mutated/dependent advanced solid tumors who have exhausted standard treatment options.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

∙ Subjects are eligible to be included in the study only if all of the following criteria apply:

• Subjects must be ≥18 years old (or of legal age of consent in the country in which the study is taking place) at the time of signing the informed consent.

• Subjects who have a histologically or cytologically documented metastatic or locally advanced solid tumor, for which standard of care (SoC) therapy does not exist, no longer provides benefit, or is not tolerated by the subject, or the subject has been assessed by the Investigator as not being suitable for SoC therapy.

‣ Part A: Subjects with any solid tumor with genetic alteration of or evidence of tumor dependence upon the RAS/MAPK pathway (subject to additional restrictions specified in the study protocol)

⁃ Part B: Subjects must be diagnosed with one of the following solid tumors harboring specified genetic alterations based on a validated local test:

• i. Melanoma Cohorts:

⁃ Activating NRAS mutations

⁃ Select BRAF alterations

• ii. Non-Melanoma Cohorts:

⁃ Solid tumors with NRAS activating mutations

⁃ Solid tumors with KRAS activating mutations

⁃ Solid tumors with select BRAF alterations

⁃ Glioma with BRAF alterations

• Newly obtained or archived tumor tissue is required

• Part B: measurable disease as defined by RECIST Version 1.1 or by other disease assessment tool standard for a given tumor type (if RECIST v. 1.1 is not standard)

• Performance status

‣ Solid tumors other than glioma: ECOG 0 or 1

⁃ Glioma: Karnofsky ≥ 70 and ECOG 0 or 1

• Have adequate organ function

• Understand and voluntarily sign an Institutional Review Board/Independent Ethics Committee-approved informed consent form prior to any study-specific evaluation.

• Life expectancy ≥ 12 weeks

Locations
United States
California
UCSF Helen Diller Family Comprehensive Cancer Center
RECRUITING
San Francisco
UCLA Hematology/Oncology
RECRUITING
Westwood, Los Angeles
Colorado
Sarah Cannon Research Institute at Health ONE
RECRUITING
Denver
Connecticut
Yale Cancer Center
RECRUITING
New Haven
Florida
Moffitt Cancer Center
RECRUITING
Tampa
New York
Roswell Park
RECRUITING
Buffalo
Columbia University Medical Center
RECRUITING
New York
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
RECRUITING
New York
Memorial Slone Kettering Cancer Center
RECRUITING
New York
Pennsylvania
UPMC Hillman Cancer Center
RECRUITING
Pittsburgh
Tennessee
SCRI Oncology Partners
RECRUITING
Nashville
Vanderbilt-Ingram Cancer Center
RECRUITING
Nashville
Texas
NEXT Oncology - Austin
RECRUITING
Austin
NEXT Oncology - Dallas
RECRUITING
Dallas
MD Anderson Cancer Center
RECRUITING
Houston
Utah
START Moutain Region
RECRUITING
West Valley City
Virginia
NEXT Oncology - Virginia
RECRUITING
Fairfax
Other Locations
Australia
Southern Oncology Research Unit
RECRUITING
Adelaide
The Kinghorn Cancer Center, St. Vincent's Health Network
RECRUITING
Darlinghurst
Gallipoli Medical Research Centre- Greenslopes Private Hospital
RECRUITING
Greenslopes
Cabrini Health Limited
RECRUITING
Malvern
Cabrini Hospital
RECRUITING
Malvern
Scientia Clinical Research, Ltd
RECRUITING
Randwick
Contact Information
Primary
CMO
info@nestedtx.com
617-468-4292
Backup
Ann Marie Kennedy
amkennedy@nestedtx.com
919-427-4225
Time Frame
Start Date: 2024-04-09
Estimated Completion Date: 2029-11
Participants
Target number of participants: 230
Treatments
Experimental: Part A Dose Escalation and Part B Dose Expansion
Part A will evaluate the safety of NST-628 with advanced solid tumors and determine the recommended dose for expansion of NST-628.~Part B will evaluate the objective tumor response rate in subjects with advanced solid tumors harboring specified genetic alterations receiving NST-628 and evaluate the safety of NST-628 in subjects with advanced solid tumors in cohorts defined below:~i. Melanoma Cohorts~1. Activating NRAS mutations~2. Select BRAF alterations~ii. Non-Melanoma Cohorts:~1. Solid tumors with NRAS activating mutations~2. Solid tumors with KRAS activating mutations~3. Solid tumors with select BRAF alterations~4. Glioma with BRAF alterations
Related Therapeutic Areas
Sponsors
Leads: Nested Therapeutics, Inc

This content was sourced from clinicaltrials.gov

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