This is a Phase 1/1b, open-label, multicenter, dose-escalation and dose expansion trial to evaluate the safety, efficacy, PK and PD of defactinib (VS-6063) in combination with avelumab in epithelial ovarian cancer.
The study is comprised of 2 sequential parts: Part A (Dose Escalation of VS-6063) and Part B (Expansion). In Part A (Dose Escalation), approximately 18 subjects will receive avelumab IV treatment in 28-day cycles (10 mg/kg over approximately 1 hour on Days 1 and 15) and oral defactinib twice-daily (BID) continuously starting on Day 1 of Cycle 1. Subject enrollment will proceed according to a standard 3+3 design. In the absence of dose-limiting toxicity (DLT), each subject will receive the study drug regimen for a minimum of 28 days (Cycle 1) and may continue to receive additional cycles of study treatment until disease progression has been documented or unacceptable toxicity or other treatment discontinuation criteria have been met. All subjects in a cohort must have completed at least 1 cycle of dosing before dose escalation involving new subjects entered into the next dose cohort can occur. Based on the safety and PK data obtained in the dose escalation portion of the study, the RP2D of the combination will be determined. In Part B (Expansion), approximately 80 subjects will be enrolled and will receive avelumab IV treatment in 28-day cycles (10 mg/kg over approximately 1 hour on Days 1 and 15) and oral defactinib at the RP2D dose continuously starting on Day 1 of Cycle 1.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
98
Part A - Oral VS-6063 (defactinib) twice-daily (BID) continuously starting on Day 1 of Cycle 1.
Part A - avelumab IV treatment in 28-day cycles (10 mg/kg over approximately 1 hour on Days 1 and 15).
Florida Cancer Specialists & Research Institute (FCS)
Sarasota, Florida, United States
Dana Farber Cancer Instiyute
Boston, Massachusetts, United States
Stephenson Cancer Center (University of Oklahoma)
Oklahoma City, Oklahoma, United States
Sarah Cannon Research Institute at Tennessee Oncology
Nashville, Tennessee, United States
Number of Participants taking defactinib in combination with avelumab with Adverse Events as a Measure of Safety and Tolerability
Time frame: Up to 90 days after last dose
maximum tolerated dose (MTD) of defactinib in combination with avelumab (Part A)
Time frame: From start of treatment to end of Cycle 1 (28 days)
best overall response according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (Part B)
Time frame: From start of treatment, assessed up to 52 weeks
time to treatment response disease control
Time frame: 12, 24, 36, and 52 weeks
best overall response according to immune-related response evaluation criteria in solid tumors (irRECIST)
Time frame: From start of treatment, assessed up to 52 weeks
immune related progression-free survival (irPFS) time according to irRECIST and RECIST v1.1
Time frame: From start of treatment until first documented progression or death, whichever comes first, assessed up to 52 weeks
progression-free survival (PFS) time according to irRECIST and RECIST v1.1
Time frame: From start of treatment until first documented progression or death, whichever comes first, assessed up to 52 weeks
overall Survival (OS)
Time frame: From start of treatment until death, assessed up to 52 weeks
duration of response (DOR) according to irRECIST and RECIST v1.1
Time frame: From start of treatment until first documented progression, assessed up to 52 weeks
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Mary Crowley Cancer Research Centers
Dallas, Texas, United States
plasma concentration of avelumab and defactinib
Time frame: 15 days