A Phase 1/1b dose finding study to determine the OBD(s) and RP2D(s) of BMF-219, a covalent menin inhibitor small molecule, in subjects with KRAS mutated unresectable, locally advanced, or metastatic NSCLC (Cohort 1), PDAC (Cohort 2), and CRC (Cohort 3).
This is a dose finding study to determine the safety and tolerability, pharmacokinetics and pharmacodynamics, and clinical activity of escalating doses of BMF-219 administered orally (PO) either once daily (QD) or twice daily (BID) in 28-day cycles. After observing acceptable safety performance in these dosing regimens, additional subjects will be enrolled to assess efficacy in the determination of the OBD for use as a RP2D.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
13
BMF-219 is an orally bioavailable, covalent small-molecule menin inhibitor.
Cancer Treatment Centers of America - Phoenix
Goodyear, Arizona, United States
California Cancer Associates for Research and Excellence (cCARE)
Encinitas, California, United States
University of California, San Diego
La Jolla, California, United States
Sarah Cannon Research Institute at HealthONE
Denver, Colorado, United States
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, United States
Cancer Treatment Centers of America - Atlanta
Atlanta, Georgia, United States
Robert H. Lurie Comprehensive Cancer Center of Northwestern Univeristy
Chicago, Illinois, United States
Cancer Treatment Centers of America - Chicago
Zion, Illinois, United States
Mayo Clinic
Rochester, Minnesota, United States
Washington University School of Medicine - Siteman Cancer Center
St Louis, Missouri, United States
...and 13 more locations
To determine the OBDs/RP2Ds of BMF-219 monotherapy in subjects with KRAS-driven unresectable, locally advanced, or metastatic NSCLC, PDAC and CRC.
OBD/RP2D as determined by the number of subjects receiving BMF-219 monotherapy who experience Dose-Limiting Toxicities (DLTs) within each dose level. A DLT is defined as any clinically significant Adverse Event within 28 days of starting BMF-219 treatment and considered to be related to the IMP. Adverse Events will be assessed per CTCAE v5.0.
Time frame: 30 months
To determine the OBDs/RP2Ds of BMF-219 monotherapy in subjects with KRAS-driven unresectable, locally advanced, or metastatic NSCLC, PDAC and CRC.
OBD/RP2D as measured by objective response rate (ORR). ORR will be assessed using RECIST 1.1 per investigator assessment.
Time frame: 30 months
To evaluate the safety and tolerability of BMF-219 monotherapy.
Safety and tolerability will be determined using treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) as outcomes.
Time frame: 46 months
To evaluate the pharmacokinetics of BMF-219.
Pharmacokinetics will be determined using maximum observed plasma concentration (Cmax ).
Time frame: 46 months
To evaluate the pharmacokinetics of BMF-219.
Pharmacokinetics will be determined time to maximum plasma concentration (tmax).
Time frame: 46 months
To evaluate the pharmacokinetics of BMF-219.
Pharmacokinetics will be determined using the AUC from time 0 to last quantifiable concentration (AUClast ).
Time frame: 46 months
To evaluate the efficacy of BMF-219 monotherapy in subjects with unresectable, locally advanced, or metastatic NSCLC, PDAC and CRC.
Efficacy will be determined using duration of response (DOR), defined by the duration of time from the date of initial response of PR or better to the date of disease progression or death due to any cause, whichever occurs first. DOR will be assessed using RECIST 1.1 per investigator assessment.
Time frame: 46 months
To evaluate the efficacy of BMF-219 monotherapy in subjects with unresectable, locally advanced, or metastatic NSCLC, PDAC and CRC.
Efficacy determined by disease control rate (DCR), defined as the proportion of response-evaluable subjects who maintain disease control (Complete Response, Partial Response or SD as per RECIST 1.1) from first dose through Week 6.
Time frame: 46 months
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