This is a study evaluating the safety, pharmacokinetics, and efficacy of calderasib alone, and calderasib plus other combination therapies in participants with advanced solid tumors with identified kirsten rat sarcoma viral oncogene homolog G12C (KRAS G12C) mutation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
830
Oral dose
Intravenous infusion of 200 mg
Per label
Number of Participants Who Experience a Dose-Limiting Toxicity (DLT)
A DLT is defined as an event with toxicity including the type, severity, time of onset, time of resolution, and the probable association with study treatment that are not due to pre-existing conditions as defined by the Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE 5.0). Number of participants who experience a DLT will be reported.
Time frame: Up to ~21 days
Number of Participants Who Experience an Adverse Event (AE)
An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The number of participants who experience an AE will be reported.
Time frame: Up to ~56 months
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The number of participants who discontinue study treatment due to an AE will be reported.
Time frame: Up to ~56 months
Objective Response Rate (ORR)
ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1). The percentage of participants who experience a CR or PR as assessed by the investigator based on RECIST 1.1 will be reported.
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Per label
Per label
Per label
Per label
Per label
Moffitt Cancer Center ( Site 0261)
Tampa, Florida, United States
RECRUITINGSTART Midwest ( Site 0267)
Grand Rapids, Michigan, United States
RECRUITINGJohn Theurer Cancer Center at Hackensack University Medical Center ( Site 0260)
Hackensack, New Jersey, United States
RECRUITINGLaura and Isaac Perlmutter Cancer Center ( Site 0270)
New York, New York, United States
COMPLETEDNEXT Virginia ( Site 0271)
Fairfax, Virginia, United States
RECRUITINGMEDICAL COLLEGE OF WISCONSIN-Cancer Center Clinical Trials Office ( Site 0262)
Milwaukee, Wisconsin, United States
RECRUITINGFundación CORI para la Investigación y Prevención del Cáncer ( Site 0438)
La Rioja, Argentina
RECRUITINGChris O'Brien Lifehouse ( Site 0002)
Camperdown, New South Wales, Australia
RECRUITINGLiverpool Hospital-Medical Oncology ( Site 0001)
Liverpool, New South Wales, Australia
RECRUITINGWestmead Hospital ( Site 0006)
Westmead, New South Wales, Australia
RECRUITING...and 63 more locations
Time frame: Up to ~56 months
Duration of Response (DOR)
DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. The DOR as assessed by the investigator will be reported.
Time frame: Up to ~56 months
Mean Plasma Concentration of calderasib
Mean Plasma Concentration of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoints during the study in Cycles 1, 2, 3, 5, 9, 13, 17, 21, 25, and every 6 weeks thereafter up to 56 months. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)
Maximum Concentration (Cmax) of calderasib
Cmax of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoints during the study in Cycles 1, 2, 3, 5, 9, 13, 17, 21, 25, and every 6 weeks thereafter up to 56 months. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6).
Time to Maximum Concentration (Tmax) of calderasib
Tmax of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoints during the study in Cycles 1, 2, 3, 5, 9, 13, 17, 21, 25, and every 6 weeks thereafter up to 56 months. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)
Minimum Concentration (Cmin) of calderasib
Cmin of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoints during the study in Cycles 1, 2, 3, 5, 9, 13, 17, 21, 25, and every 6 weeks thereafter up to 56 months. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)
Area Under the Concentration Time-Curve 0-12 Hours (AUC 0-12) of calderasib
AUC 0-12 of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoint during the study in Cycle 1 Day 1: Predose and up to 12 hours postdose. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)
Area Under the Concentration Time-Curve 0-24 Hours (AUC 0-24) of calderasib
AUC 0-24 of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoint during the study in Cycle 1 Day 1: Predose and up to 24 hours postdose. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)
Half-Life (t1/2) of calderasib
Half-Life (t1/2) of calderasib determined by blood samples collected pre-dose and at designated timepoints post-dose will be reported.
Time frame: At designated timepoint during the study in Cycle 1 Day 1: Predose and up to 24 hours postdose. Cycle=3 weeks (Arms 1-4) and 4 weeks (Arms 5-6)