This is a two-stage dose-escalation study to assess the safety, tolerability and effects of oral dosing of cobimetinib and GDC-0994 administered in combination in patients with histologically confirmed, locally advanced, or metastatic solid tumors for which standard therapies either do not exist or have proven ineffective or intolerable.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Cobimetinib given concurrently or intermittently with GDC-0994 for 21 consecutive days followed by 7 days off.
GDC-0994 given for 21 consecutive days followed by 7 days off, along with concurrent or intermittent dosing of cobimetinib.
University of Colorado
Aurora, Colorado, United States
Yale Cancer Center
New Haven, Connecticut, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Washington University School of Medicine
St Louis, Missouri, United States
Number of Participants With Dose-Limiting Toxicities (DLTs)
DLTs include symptoms considered by the investigator to be possibly related to study drug.
Time frame: 28 days (Cycle 1)
Percentage of Participants With at Least One Adverse Event
An adverse event is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution.
Time frame: Up to 15 months
Percentage of Participants With at Least One Adverse Event of Special Interest
AESIs were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.0. AESIs included the following: Grade ≥ 1 retinal vein occlusion; Grade ≥ 2 visual disturbances (including events suggestive of serous retinopathy); Grade ≥ 3 rash for \> 7 days; Grade ≥ 3 diarrhea for \> 3 days; Grade ≥ 2 left ventricular ejection fraction (LVEF) decrease; Grade 3 hepatotoxicity; any dose-limiting toxicity (DLT); cases of potential drug-induced liver injury that include an elevated alanine aminotransferase (ALT) or aspartate aminotransferase (AST) (AST \> 3 × baseline value \[and above the upper limit of normal, ULN\]) in combination with either an elevated bilirubin ( \> 2 × ULN) or clinical jaundice; or suspected transmission of an infectious agent by either study drug.
Time frame: Up to 15 months
Percentage of Participants With at Least One Serious Adverse Event (SAE)
A SAE is any experience that: results in death, is life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is medically significant.
Time frame: Up to 15 months
Percentage of Participants With Laboratory Abnormalities
Laboratory abnormalities were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.0. SGPT/ALT - serum glutamic-pyruvic transaminase/alanine aminotransferase; SGOT/AST - serum glutamic oxaloacetic transaminase/aspartate aminotransferase
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Sarah Cannon Research Institute
Nashville, Tennessee, United States
Time frame: Up to 15 months
Mean Change From Baseline in Diastolic Blood Pressure
Time frame: Baseline, up to 15 months
Mean Change From Baseline in Lean Body Mass
Time frame: Baseline, Day 15
Mean Change From Baseline in Pulse Rate
Time frame: Baseline, up to 15 months
Mean Change From Baseline in Respiratory Rate
Time frame: Baseline, up to 15 months
Mean Change From Baseline in Systolic Blood Pressure
Time frame: Baseline, up to 15 months
Mean Change From Baseline in Temperature
Time frame: Baseline, up to 15 months
Mean Change From Baseline in Weight
Time frame: Baseline, up to 15 months
Maximum Serum Concentration (Cmax) for GDC-0994
Time frame: Up to Day 22
Median Time to Maximum Serum Concentration (Tmax) for GDC-0994
Time frame: Up to Day 22
Maximum Serum Concentration (Cmax) for Cobimetinib
Time frame: Up to Day 22
Median Time to Maximum Serum Concentration (Tmax) for Cobimetinib
Time frame: Up to Day 22
Total Exposure (AUC From Time 0 to 24 Hour After Dose) for GDC-0994
Data are reported for evaluable participants.
Time frame: 0 to 24 hours post-dose (Up to Day 22)
Total Exposure (AUC From Time 0 to 24 Hour After Dose) for Cobimetinib
Time frame: 0 to 24 hours post-dose (Up to Day 22)
Mean Accumulation Ratio
Time frame: Pre-dose Day 1 Cycle 1, 2, 3, Day 18, 21 Cycle 1; post-dose 0.5, 1, 2, 3, 4, 6 hours Day 1, 18, 21 Cycle 1; Day 2, 15, 19, 22, Cycle 1
Mean Terminal Half-life (t1/2)
Time frame: Up to day 22 of study
Change From Baseline in Fluorodeoxyglucose Positron Emission Tomography (FDG-PET)
Time frame: Baseline, Day 15
Change From Baseline in Tumor Tissue Biomarkers
Time frame: Up to 15 months