Clinical trial

A TWO-PART, PHASE 1A/B, OPEN-LABEL, MULTICENTER TRIAL EVALUATING PHARMACOKINETICS, SAFETY AND EFFICACY OF PF 07284890 (ARRY 461) IN PARTICIPANTS WITH BRAF V600 MUTANT SOLID TUMORS WITH AND WITHOUT BRAIN INVOLVEMENT

Name
C4471001
Description
First-in-human study to assess safety, tolerability, PK, and preliminary activity of PF-07284890 as a single agent and in combination with binimetinib in participants with BRAF V600-mutated advanced solid tumor malignancies with and without brain involvement.
Trial arms
Trial start
2021-01-08
Estimated PCD
2024-03-20
Trial end
2024-03-20
Status
Terminated
Phase
Early phase I
Treatment
PF-07284890
PF-07284890 will be administered orally, daily for 21 consecutive days (21-day cycle)
Arms:
Expansion Phase (Part B Cohort 5), Expansion Phase (Part B Optional Cohort 7), Expansion Phase (Part B, Cohort 1), Expansion Phase (Part B, Cohort 2), Expansion Phase (Part B, Cohort 3), Expansion Phase (Part B, Cohort 4), Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6), PF-07284890 (Part A monotherapy), PF-07284890+binimetinib (Part A combo-therapy)
Other names:
ARRY-461
Binimetinib
Binimetinib will be administered together with PF-07284890 orally, 45mg twice daily
Arms:
Expansion Phase (Part B Cohort 5), Expansion Phase (Part B Optional Cohort 7), Expansion Phase (Part B, Cohort 1), Expansion Phase (Part B, Cohort 2), Expansion Phase (Part B, Cohort 3), Expansion Phase (Part B, Cohort 4), Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6), PF-07284890+binimetinib (Part A combo-therapy)
Other names:
Mektovi
Midazolam
Midazolam will be administered 7 days before start of study drug, on Cycle 1 Day 1, and on Cycle 1 Day 15
Arms:
Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6)
Size
65
Primary endpoint
Phase 1a - Number of participants with dose limiting toxicities (DLTs)
Cycle 1 (approximately 21 days / 3 weeks)
Phase 1a - Number of participants with treatment emergent adverse events (AEs)
Baseline up to 30 days after last dose of study medication
Phase 1a - Number of participants with clinically significant change from baseline in laboratory abnormalities
Baseline up to follow up visit (30 days after last dose of study treatment)
Phase 1a - Number of dose interruptions, dose modifications, and discontinuations due to AEs
Baseline through approximately 12 months
Phase 1b - Overall response
Baseline up to approximately 12 months
Eligibility criteria
Inclusion Criteria: * Age ≥16 years at the time of consent * Histologically confirmed diagnosis of advanced/metastatic solid tumor including primary brain tumor * Documented evidence of a BRAF V600 mutation in tumor tissue or blood * Confirmation of availability of adequate tumor tissue for submission to the sponsor/central laboratory * Presence or absence of brain involvement unless specified below * Dose Expansion (Part B) * Cohort 1, 2, 3, 4: melanoma with at least 1 parenchymal brain lesion * Cohort 1,3: asymptomatic in the brain for at least 14 days prior to start of study treatment * Cohort 2,4: symptomatic in the brain within 14 days prior to the start of study treatment * Cohort 5: any solid tumor that does not meet requirements for Cohorts 1-4, history of or current leptomeningeal metastases. * Optional Cohort 6 (DDI Sub-study) and 7 (Food-Effect): if brain involvement present, must be asymptomatic * Disease progression despite prior treatment and no acceptable alternative treatment options available unless specified below * Dose Expansion (Part B) * Cohort 1, 2: No prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of study treatment * Cohort 3, 4: Required prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of treatment * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 Exclusion Criteria: * Brain metastasis/primary brain tumor requiring immediate local intervention * History of or current leptomeningeal metastases * Any other active malignancy within 2 years prior to enrollment * Radiation therapy to visceral metastases within 14 days prior to study treatment. WBRT within 28 days prior to study treatment. * Systemic anti-cancer therapy or small-molecular therapeutic(s) within 2 weeks prior to start of study treatment; Antibody based agents within 4 weeks prior to start of study treatment. * History or current evidence of RVO or current risk factors for RVO; History of retinal degenerative disease
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 65, 'type': 'ACTUAL'}}
Updated at
2024-04-03

1 organization

3 products

6 indications

Indication
Melanoma
Indication
cancer
Indication
Brain Neoplasms
Indication
Primary
Indication
Cancer
Organization
Pfizer
Product
Midazolam