This is a Phase I, First-In-Human, open label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-cancer activity of ABM-1310 in adult patients with locally advanced or metastatic solid tumors who have no effective standard treatment options available, as monotherapy in patients with documented BRAF V600 mutation, or in combination with cobimetinib (Cotellic®) in adult patients who have documented BRAF mutation and progressive disease or intolerance to at least one prior line of systemic therapy.
This is a Phase I, First-In-Human, open label, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-cancer activity of ABM-1310 in adult patients with locally advanced or metastatic solid tumors who have no effective standard treatment options available, as monotherapy in patients with documented BRAF V600 mutation, or in combination with cobimetinib (Cotellic®) in adult patients who have documented BRAF mutation and progressive disease or intolerance to at least one prior line of systemic therapy. The primary objectives of this study are to determine the Maximum Tolerated Dose (MTD) and/or the Recommended Phase II Dose (RP2D) of both single agent and combination treatment and to assess the safety and tolerability of ABM-1310 as a monotherapy and in combination. Study consists of three Parts: Part A: The starting dose of ABM-1310 is 25 mg po bid, and dose escalation will be guided by a "3+3" design. ABM-1310 will be administered twice daily on a continuous schedule. Each treatment cycle consists of 28 days. Part B: The starting dose of ABM-1310 will be a dose below the MTD that has been demonstrated to be safe in Part A Monotherapy. A classic "3+3" design will guide the dose escalation. At each dose level, ABM-1310 will be administered in combination with 60 mg cobimetinib (Cotellic ®) once daily (qd) for the first 21 days of each 28-day treatment cycle. Part C: * In C-1 (Monotherapy - Primary CNS Tumors) and C-2 (Monotherapy - Advanced or Metastatic solid tumors excluding Primary CNS tumors with or without Brain Metastasis), continuous twice daily oral doses of ABM-1310 at the recommended phase 2 dose (RP2D) from Part A until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion is met. * In C-3 (Combination therapy - Advanced/Metastatic Solid Tumors including Primary CNS Tumors but excluding Melanoma with Brain Metastsis) and C-4 (Combination therapy - Melanoma with Brain Metastasis), continuous twice daily oral doses of ABM-1310 at the recommended phase 2 dose (RP2D) from Part B, in combination with cobimetinib (Cotellic®) 60 mg administered the first 21 days of each 28-day treatment cycle until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion is met. Dose limiting toxicity (DLT) will be evaluated and managed per the pre-defined DLT criteria and rules specified in the protocol. MTD and/or RP2D will be confirmed in a dose confirmation cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
53
Part A: Starting dose at 25 mg by mouth twice daily. Part B: Starting dose at a dose below the MTD( Maximum Tolerated Dose) that has been demonstrated to be safe in Part A. Part C-1 and C-2: Continuous twice daily oral doses of ABM-1310 at the recommended phase 2 dose (RP2D) from Part A until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion is met. Part C-3 and C-4: Continuous twice daily oral doses of ABM-1310 at the recommended phase 2 dose (RP2D) from Part B until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion is met.
Part B: orally administered once daily. Part C-3 and C-4: Continuous once daily oral dose from Part B, administered the first 21 days of each 28-day treatment cycle until disease progression, unacceptable toxicity, or a clinical observation satisfying another withdrawal criterion is met. Dose formulation is 60 mg capsules.
University of California- San Francisco
San Francisco, California, United States
Stanford University School of Medicine
Stanford, California, United States
University of Miami Hospital Sylvester Comprehensive Cancer Center
Miami, Florida, United States
Robert H. Lurie Comprehensive Cancer Center (Northwestern University)
Chicago, Illinois, United States
Henry Ford Cancer Institute
Detroit, Michigan, United States
Columbia University Medical Center
New York, New York, United States
MD Anderson Cancer Center
Houston, Texas, United States
UTHealth Science Center Houston Department of Neurosurgery
Houston, Texas, United States
Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D)
Determine Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) as a monotherapy and in combination therapy in Part A and Part B
Time frame: End of Cycle 1 (each cycle is 28 days) or up to treatment discontinuation (an average of 6 months)
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Safety and tolerability of ABM-1310 as a monotherapy and in combination therapy at Part A and Part B's Recommended Phase 2 dose (RP2D) in Part C
Time frame: Up to study discontinuation (an average of 1 year)
Number of participants with abnormal laboratory values
Safety and tolerability of ABM-1310 as a monotherapy and in combination therapy at Part A and Part B's Recommended Phase 2 Dose (RP2D) in Part C
Time frame: Up to study discontinuation (an average of 1 year)
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Safety and tolerability of ABM-1310 as a single agent and in combination therapy in Part A and Part B
Time frame: Up to 30 days from treatment discontinuation
Number of participants with abnormal laboratory values
Safety and tolerability of ABM-1310 as a single agent and in combination therapy in Part A and Part B
Time frame: Up to 30 days from treatment discontinuation
Area under the concentration time curve (AUC)
Pharmacokinetic (PK) profile of ABM-1310 as a single agent and in combination therapy
Time frame: Up to Day 1 of Cycle 2 (each cycle is 28 days)
Maximum plasma concentration (Cmax)
Pharmacokinetic (PK) profile of ABM-1310 as a single agent and in combination therapy
Time frame: Up to Day 1 of Cycle 2 (each cycle is 28 days)
Steady-state concentration (Css)
Pharmacokinetic (PK) profile of ABM-1310 as a single agent and in combination therapy
Time frame: Up to Day 1 of Cycle 2 (each cycle is 28 days)
Time to maximum plasma concentration (Tmax)
Pharmacokinetic (PK) profile of ABM-1310 as a single agent and in combination therapy
Time frame: Up to Day 1 of Cycle 2 (each cycle is 28 days)
Half-life (T1/2)
Pharmacokinetic (PK) profile of ABM-1310 as a single agent and in combination therapy
Time frame: Up to Day 1 of Cycle 2 (each cycle is 28 days)
Objective Response Rate (ORR)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
Disease Control Rate (DCR)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
Duration of Response (DOR)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
Progression free survival (PFS)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
Overall Survival (OS)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
Time to Response (TTR)
Preliminary efficacy of ABM-1310 as a single agent and in combination therapy
Time frame: Up to study discontinuation (an average of 1 year)
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