BRF112680 is a first-time-in-human study to establish the recommended dose and schedule of the orally administered GSK2118436. The recommended dose and regimen will be selected based on the safety, pharmacokinetic, and pharmacodynamic profiles observed after the treatment of subjects with solid tumors. This is a two-part study. Part 1 will identify the recommended Part 2 dose using a dose-escalation procedure. Escalation may proceed until either a maximum tolerated dose is established, or the toxicokinetic safety limit is reached. The recommended Part 2 dose will be expanded to up to 12 patients. Part 2 will explore further the safety, tolerability, and clinical activity of GSK2118436 in subjects with BRAF mutation-positive tumors. In addition, the effect of GSK2118436 on midazolam will be assessed in a subset of patients in Part 2. Biologically active doses will be identified by measurement of pharmacodynamic markers in tumor tissue and blood across a range of doses and these doses may be explored in Part 2.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
170
Dose escalation with GSK2118436 may proceed until either a maximum tolerated dose is established, or the toxicokinetic safety limit is reached.
Part 2 will use the recommended Part 2 dose of GSK2118436 identified during Part 1 of the study. Biologically active doses will be identified by measurement of pharmacodynamic markers in tumor tissue and blood across a range of doses and these doses may be explored in Part 2.
Midazolam will be administered alone and with GSK2118436 in a sub-set of subjects in Part 2 to study the effect of GSK2118436 on CYP3A using midazolam as a probe.
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
New York, New York, United States
GSK Investigational Site
Nashville, Tennessee, United States
GSK Investigational Site
Houston, Texas, United States
GSK Investigational Site
Randwick, New South Wales, Australia
GSK Investigational Site
Westmead, New South Wales, Australia
GSK Investigational Site
Adelaide, South Australia, Australia
GSK Investigational Site
Nedlands, Western Australia, Australia
PK data, AEs, changes in laboratory values and vital signs, physical exam, clinical testing and PD data
Time frame: 21 days
GSK2118436 and its metabolite, PK parameters per protocol following single- and repeat-dose administration of GSK2118436
Time frame: 15 days
Change in PD markers including IL-8 in blood, pERK and other markers in tumor biopsies.
Time frame: 15 days
Correlation between PK, PD, and clinical endpoints.
Time frame: 15 days
Tumor response as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.0)
Time frame: approximately once every 2 months until the end of participation
Urinary ratio of 6-beta-hydroxycortisol to cortisol ratio
Time frame: 15 days
GSK2118436 PK parameters per protocol with and without food
Time frame: 15 days
Metabolic profiling in plasma and urine
Time frame: 15 days
Midazolam PK parameters per protocol
Time frame: 15 days
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