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
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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