Trial in progress: A phase 1b study of sotorasib, a specific and irreversible KRASG12C inhibitor, as monotherapy in non-small cell lung cancer (NSCLC) with brain metastasis and in combination with other anticancer therapies in advanced solid tumors (CodeBreaK 101).

Authors

David S. Hong

David S. Hong

The University of Texas MD Anderson Cancer Center, Houston, TX

David S. Hong , John H. Strickler , Marwan Fakih , Gerald Steven Falchook , Bob T. Li , Greg Andrew Durm , Timothy F. Burns , Suresh S. Ramalingam , Sarah B. Goldberg , Richard C. Frank , Kristen Marrone , Catherine A. Shu , David R. Gandara , Neelesh Soman , Haby Adel Henary , Ramaswamy Govindan

Organizations

The University of Texas MD Anderson Cancer Center, Houston, TX, Duke University School of Medicine, Durham, NC, City of Hope Comprehensive Medical Center, Duarte, CA, Sarah Cannon Research Institute, Denver, CO, Memorial Sloan Kettering Cancer Center, New York, NY, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, IN, University of Pittsburgh Cancer Institute, Pittsburgh, PA, Winship Cancer Institute of Emory University, Atlanta, GA, Yale School of Medicine, New Haven, CT, Nuvance Health, Norwalk, CT, Johns Hopkins University School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, Columbia University Medical Center, New York, NY, University of California Davis Comprehensive Cancer Center, Sacramento, CA, Translational Medicine, Amgen Inc., Thousand Oaks, CA, Amgen Inc., Thousand Oaks, CA, Washington University School of Medicine, St. Louis, MO

Research Funding

Pharmaceutical/Biotech Company
Amgen Inc

Background: Kirsten rat sarcoma viral oncogene homolog(KRAS) p.G12C mutation is an oncogenic driver mutation in several solid tumors. Sotorasib is a specific, irreversible, small molecule inhibitor of KRASG12C that has demonstrated durable clinical benefit in NSCLC, with mild and manageable toxicities. The combination of sotorasib with other anticancer therapies may enhance antitumor efficacy. This master protocol is designed to evaluate safety, tolerability, pharmacokinetics (PK), and efficacy of multiple sotorasib combinations in patients (pts) with KRASp.G12C mutated solid tumors. Herein, we overview 1 monotherapy and 11 combination cohorts. Methods: This is a phase 1b, open-label study evaluating sotorasib alone and in combination regimens (Table) in pts with advanced KRAS p.G12Cmutated solid tumors. Dose exploration will evaluate the safety and tolerability of sotorasib alone and in combination regimens; dose expansion will then verify the safety and tolerability profile of sotorasib regimens and assess antitumor efficacy. Key eligibility criteria include locally-advanced or metastatic solid tumor with KRAS p.G12C mutation identified through molecular testing in pts who have received ≥1 lines of prior systemic therapy. Primary endpoints include dose-limiting toxicities and treatment-emergent or treatment-related adverse events. Secondary endpoints include PK profile of combination regimens and efficacy (eg, objective response, disease control, duration of response, progression-free survival, and duration of stable disease assessed per RECIST 1.1). Enrollment began in December 2019 and is ongoing. Clinical trial information: NCT04185883

Advanced tumor types
Treatment arms
NSCLC with brain metastasis
Sotorasib monotherapy
NSCLC
Sotorasib + TKI

Sotorasib + anti-PDL1 therapy

Sotorasib + chemotherapeutic regimen

Sotorasib + anti-PD1 therapy
Colorectal cancer
Sotorasib + anti-VEGF therapy + chemotherapeutic regimen
All solid tumors
Sotorasib + MEK inhibitor ± EGFR inhibitor

Sotorasib + anti-PD1 therapy

Sotorasib + SHP2 inhibitor

Sotorasib + anti-EGFR therapy ± chemotherapeutic regimen

Sotorasib + CDK inhibitor

Sotorasib + mTOR inhibitor

CDK = cyclin-dependent kinase; EGFR = epidermal growth factor receptor; MEK = mitogen-activated protein kinase; mTOR = mammalian target of rapamycin; PD1 = programmed cell death protein-1; PDL1 = programmed death-ligand 1; SHP2 = Src homology region-containing protein tyrosine phosphatase 2; TKI = tyrosine kinase inhibitor; VEGF = vascular endothelial growth factor.

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Abstract Details

Meeting

2021 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics—Immunotherapy

Sub Track

New Targets and New Technologies (IO)

Clinical Trial Registration Number

NCT04185883

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr TPS2669)

DOI

10.1200/JCO.2021.39.15_suppl.TPS2669

Abstract #

TPS2669

Poster Bd #

Online Only

Abstract Disclosures