This research study is done to test the safety of the new drug selitrectinib in children and adults with cancer having a change in a particular gene (NTRK1, NTRK2 or NTRK3). The drug may treat cancer by interfering with the effect of the NTRK genes on cancer growth. The study also investigates how the drug is absorbed and processed in the human body, and how well and for how long the cancer responds to the drug. This is the first study to test selitrectinib in humans with cancer, for whom no other effective therapy exists.
The primary objective is to determine the recommended dose for further study of oral selitrectinib with previously treated neurotrophic tyrosine kinase (NTRK) cancers in 2 patient groups: a) aged 12 years and older and b) younger than 12 years. Secondary objectives of Phase I are to characterize the pharmakokinetic properties of the test drug, its safety and tolerability, and to assess the objective response rate (ORR) of NTRK-tumors.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
81
Selitrectinib is administered as capsules or liquid formulation.
Maximum tolerated dose (MTD)
Time frame: Up to 42 days
Recommended dose
Time frame: Up to 12 months
Incidence of adverse events
Time frame: Up to 56 months
Severity of adverse events
Severity is assessed using CTCAE version 4.03
Time frame: Up to 56 months
Duration of adverse events
Time frame: Up to 56 months
Number of subjects with safety-relevant changes in clinical parameters or vital signs after drug administration
Time frame: Up to 56 months
Severity of safety-relevant changes in clinical parameters or vital signs after drug administration
Time frame: Up to 56 months
Overall response rate (ORR) in subjects with NTRK fusion cancer previously treated with TRK inhibitor determined by investigator
ORR is determined by the investigator using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time frame: Up to 56 months
Overall response rate (ORR) in subjects with primary central nervous system (CNS) malignancies determined by investigator
ORR is determined by the treating investigator using the Response Assessment in Neuro-Oncology (RANO) criteria.
Time frame: Up to 56 months
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Univ.of California-San Diego Moores Cancer Center
La Jolla, California, United States
UCLA Jonsson Comprehensive Cancer Center
Los Angeles, California, United States
Stanford Cancer Center
Palo Alto, California, United States
Children's Healthcare of Atlanta
Atlanta, Georgia, United States
Midwestern Regional Medical Center
Zion, Illinois, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
University of Michigan
Ann Arbor, Michigan, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
Oregon Health and Science University
Portland, Oregon, United States
...and 19 more locations
Maximum concentration (Cmax) of BAY2731954 in plasma
Time frame: Predose, 0.25, 0.5, 1, 2, 4, 6, 8 hours post-dose on Day 1, predose, 0.5, 1, 2, 4 post-dose on Day 8 of Cycle 1 (cycle length 28 days)
Area under the concentration versus time curve of BAY2731954 in plasma (AUC (0-10), AUC(0-12) for BID dosing and AUC(0-24) for QD dosing)
Time frame: At defined time points for different cohort, up to 10 hours post-dose