A Phase 1b/2 Study of Repotrectinib in Combination with Other Anticancer Therapies for the Treatment of Subjects with KRAS-Mutant Advanced Solid Tumors (TRIDENT-2)
Phase 1 Dose Escalation: To evaluate tolerability of repotrectinib at increasing dose levels in combination with other anticancer therapies for the treatment of subjects with locally advanced or metastatic KRAS-mutant solid tumors Phase 2 Efficacy Evaluation: Investigate the anti-tumor efficacy and safety of repotrectinib in combination with other anticancer therapies for the treatment of patients with locally advanced or metastatic KRAS-mutant solid tumors.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Oral TPX-0005 capsules
Oral trametinib tablets
Local Institution - 2101
California City, California, United States
Local Institution - 2109
California City, California, United States
Local Institution - 2106
Denver, Colorado, United States
Local Institution - 2108
Nashville, Tennessee, United States
Number of Participants With Dose Limiting Toxicities
Number of participants with first cycle DLTs to determine Mean Tolderable Dose (MTD) and/or RP2D. A DLT is defined as an adverse event (AE) or abnormal laboratory value assessed as unrelated to disease progression, intercurrent illness, or concomitant medications that meets the criteria defined in each subprotocol. The MTD is defined as the highest dose level of repotrectinib given in combination with other anticancer therapy observed to cause a DLT in fewer than 33% of the treated subjects in the first treatment cycle (i.e., Cycle 1).
Time frame: From initial dose to end of first cycle of treatment, approximately 28 days
Overall Response Rate (ORR) Assessed the Investigator Using RECIST v1.1.
The ORR will be defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR). A confirmed response is a response that persists on a repeat imaging performed at least 4 weeks after initial documentation of response. Participants with a confirmed objective response (CR or PR) will be referred to as responders. Radiographic confirmation of objective tumor response (CR or PR) or disease progression will be based on RECIST v1.1. The ORR will be reported as the percentage of responders by RECIST v1.1 along with the corresponding two-sided 95% Clopper-Pearson exact CI. Complete Response (CR) = Disappearance of all target lesions Partial Response (PR) = \>=30% decrease in the sum diameters of target lesions.
Time frame: From screening to end of treatment approximately 10 months
Cmax of Repotrectinib
Cmax is defined as maximum plasma concentration of the drug.
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22
Tmax of Repotrecitinib
Tmax is defined is the time to maximum plasma concentration
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Local Institution - 2107
Houston, Texas, United States
Local Institution - 2102
Virginia Beach, Virginia, United States
AUC 0-24 of Repotrecitinib
Area under the plasma concentration time-curve. AUC from time 0 to 24 hours after dose.
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22
Cmax of Trametinib
Cmax is defined as maximum plasma concentration of the drug.
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22
Tmax of Trametinib
Tmax is defined is the time to maximum plasma concentration
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22
AUC 0-24 of Trametinib
Area under the plasma concentration time-curve. AUC from time 0 to 24 hours after dose.
Time frame: At Cycle 1 Day 1 and Cycle 1 Day 22