This is a Phase I, open-label, multicenter, dose-escalation trial of VS-4718, a focal adhesion kinase inhibitor, in subjects with metastatic non-hematologic malignancies. This clinical study is comprised of 2 parts: Part 1 (Dose Escalation) and Part 2 (Expansion). The purpose of this study is to evaluate the safety (including the recommended Phase II dose), pharmacokinetics (the amount of VS-4718 in your blood) and the anti-cancer activity of VS-4718. The pharmacodynamic effects (genes or proteins that may predict or show how your body may respond to VS-4718) will also be examined in tumor biopsies and blood samples.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
48
HonorHealth Research Institute
Scottsdale, Arizona, United States
Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center
Los Angeles, California, United States
Florida Cancer Specialists
Sarasota, Florida, United States
Washington University School of Medicine, Division of Oncology
St Louis, Missouri, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Assess the safety and tolerability of VS-4718 in subjects with metastatic non-hematologic malignancies
Serious Adverse events, Adverse events and their frequency, duration and severity, physical examination, laboratory parameters, vital signs and ECGs as determined based on CTCAE (Common Toxicity Criteria for Adverse Effects) V4.03. A Safety monitoring committee will review safety information.
Time frame: Expected average of 12 weeks from start of treatment to end of treatment
Establish the maximum tolerated dose (MTD) and the recommended phase 2 dose (RP2D) of VS-4718 in subjects with metastatic non-hematologic malignancies
The RP2D will be determined based on the maximum tolerated dose (MTD) of VS-4718 as determined by number of participants with dose limiting toxicities related to VS-4718. Observations related to pharmacokinetics, pharmacodynamics, and any VS-4718 related toxicities may be included in the rationale supporting the RP2D and will not exceed the MTD.
Time frame: From start of treatment to end of cycle 1 (4 week cycles)
Evaluate the efficacy of VS-4718
Response rate and progression-free survival as determined by Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1
Time frame: Every 8 weeks to end of treatment, expected average of 16 weeks
Evaluate duration of response to VS-4718 compared with duration of response to prior therapy.
Time frame: Expected average of 16 weeks from start of treatment to end of treatment
Assess the pharmacokinetics of VS-4718
PK (pharmacokinetics) parameters, including but not limited to clearance, plasma concentration, AUC (Area Under Curve, 0-24 and 0-t), Cmax, Tmax, and T1/2
Time frame: Time points on Day 1, 2, 8, 15, 16, and 29
Evaluate biomarkers of VS-4718 activity
Pre and post dose biomarker analysis in serum and tumor samples to identify possible prognostic factors to VS-4718 response
Time frame: Day 1 and Day 15 of treatment
Examine if the tumor expression status of pFAK and other plasma biomarkers correlates with response to VS-4718 therapy
Tumor expression status (pFAK, cancer stem cells, CSC, and other biomarkers) compared with response to VS-4718, as determined by Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1
Time frame: From start of treatment to end of treatment, an expected average of 16 weeks
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