The purpose of this clinical trial is to learn the safety and effects of the study medicine (PF-07799544) alone or in combination as a potential cancer treatment for adults with advanced solid tumors. The study will be conducted in two parts: PF-07799544 as a single agent (Phase 1a) and PF-07799544 in combination with another study medicine called PF-07799933 (Phase 1b). Phase 1a is no longer open for enrollment. In Phase1b (noted as "this study"), we are seeking participants who have: * a solid tumor which is metastatic or recurrent (excluding colorectal cancer) * tumor with the mutation (abnormal gene) called "BRAF V600" * received required prior treatment for cancer per cohort assigned. All participants in this study will receive both study medicines. Both study medicines are tablets that are taken by mouth at home twice a day. Participants will receive study medicines until their cancer is no longer responding, unacceptable side effects, or 2 years. Participants may continue to receive study therapy beyond 2 years. We will examine the experiences of people receiving the study medicines. This will help us determine if the study medicines are safe and effective.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
124
Tablet
Tablet
The Kirklin Clinic of UAB Hospital
Birmingham, Alabama, United States
NOT_YET_RECRUITINGThe University of Alabama at Birmingham
Birmingham, Alabama, United States
NOT_YET_RECRUITINGUniversity of Alabama at Birmingham - Phase I Clinical Trials Unit
Birmingham, Alabama, United States
NOT_YET_RECRUITINGHighlands Oncology Group, PA
Fayetteville, Arkansas, United States
Phase 1a monotherapy and Phase 1b combination dose escalation: Number of participants with dose limiting toxicities (DLTs)
DLTs will be evaluated during the first cycle (21 days) as a single agent (phase 1a monotherapy) or in combination with other agents (phase 1b dose escalation)
Time frame: Cycle 1 (21 days)
Phase 1a monotherapy and Phase 1b combination dose escalation: Number of participants with treatment-emergent adverse events (AEs)
AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy
Time frame: Baseline to 28 days after last dose of study medication
Phase 1a monotherapy and Phase 1b combination dose escalation: Number of participants with clinically significant change from baseline in laboratory abnormalities
Laboratory abnormalities as characterized by type, frequency, severity, and timing.
Time frame: Baseline to 28 days after last dose of study treatment
Phase 1a monotherapy and Phase 1b combination dose escalation: Number of participants with clinically significant change from baseline in vital sign abnormalities
Vital sign abnormalities as characterized by type, frequency, severity, and timing.
Time frame: Baseline to 28 days after last dose of study treatment
Phase 1a monotherapy and Phase 1b combination dose escalation: Number of participants with clinically significant change from baseline in physical exam abnormalities
Physical exam abnormalities as as graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.
Time frame: Baseline to 28 days after last dose of study treatment
Phase 1b Dose Expansion: Overall response rate (ORR)
Response will be evaluated via radiographical tumor assessments by RECIST v1.1 for solid tumors or RANO for primary brain tumors
Time frame: Baseline to 2 years
Phase 1a monotherapy and Phase 1b combination dose escalation: ORR
ORR as assessed using the RECIST version 1.1.
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Number of participants with treatment-emergent adverse events (AEs)
AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Number of participants with clinically significant change from baseline in vital sign abnormalities
Vital sign abnormalities as characterized by type, frequency, severity, and timing.
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Number of participants with clinically significant change from baseline in laboratory abnormalities
Laboratory abnormalities as characterized by type, frequency, severity, and timing.
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Duration of Response (Overall and in CNS)
Response will be evaluated via radiographical tumor assessments by RECIST v1.1 for solid tumors or RANO for primary brain tumors
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Intracranial response
Intracranial response by RECIST version 1.1 (for brain metastases)
Time frame: Baseline to 2 years
Phase 1b Dose Expansion: Progression Free Survival (PFS)
Response will be evaluated via radiographical tumor assessments by RECIST v1.1 for solid tumors or RANO for primary brain tumors
Time frame: Baseline to 2 years
PK Parameters: Maximum Observed Concentration (Cmax)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Highlands Oncology Group, PA
Rogers, Arkansas, United States
RECRUITINGHighlands Oncology Group, PA
Springdale, Arkansas, United States
RECRUITINGThe Angeles Clinic and Research Institute- A Cedars-Sinai Affiliate
Los Angeles, California, United States
RECRUITINGKeck Hospital of USC
Los Angeles, California, United States
NOT_YET_RECRUITINGLos Angeles General Medical Center
Los Angeles, California, United States
NOT_YET_RECRUITINGUSC/Norris Comprehensive Cancer Center
Los Angeles, California, United States
NOT_YET_RECRUITING...and 65 more locations
Single dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years
PK Parameters: Maximum Plasma Concentration (Tmax)
Single dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years
PK Parameters: Area Under Curve (AUC)
Single dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years
PK Parameters: terminal elimination half-life (t½)
Singe dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years
PK Parameters: Apparent Oral Clearance (CL/F)
Singe dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years
PK Parameters: Apparent Volume of Distribution (Vz/F)
Singe dose and multiple dose PK will be calculated as data permits
Time frame: Baseline to 2 years