This study will assess the safety and efficacy of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel in patients with Pancreatic Ductal Adenocarcinoma (PDAC) who have been previously untreated.
This is a multicenter, non-randomized, open-label Phase 1/2 study designed to evaluate safety, tolerability and efficacy of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel in patients previously untreated metastatic Pancreatic Ductal Adenocarcinoma (PDAC).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
The RP2D of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel determined in Part A will be used in Part B dose expansion.
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States
University of Chicago
Chicago, Illinois, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Part A: To determine RP2D for avutometinib (VS-6766) and defactinib in combination gemcitabine and nab-paclitaxel
Assessment of Dose-limiting toxicities (DLTs)
Time frame: 28 days
To determine the efficacy of the RP2D identified in Part A
Confirmed overall response rate (ORR) (partial response \[PR\] + complete response \[CR\] defined according to Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST 1.1\])
Time frame: 6 months
Duration of Response (DOR)
Time of first response to PD as assessed per RECIST 1.1
Time frame: 24 months
Disease Control Rate (DCR)
CR + PR + SD as assessed per RECIST 1.1
Time frame: 24 months
Progression Free Survival (PFS)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
Time frame: 24 months
Overall Survival (OS)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
Time frame: Up to 5 years
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, Tmax
Time to Maximum concentration (Tmax)
Time frame: 10 weeks
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, AUC
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University of Michigan Cancer Center
Ann Arbor, Michigan, United States
Washington University School of Medicine
St Louis, Missouri, United States
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, United States
New York Presbyterian/Weill-Cornell Medical Center
New York, New York, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
University of Utah Huntsman Cancer Institute
Salt Lake City, Utah, United States
...and 2 more locations
Area under plasma Concentration (AUC) 0 to t
Time frame: 10 Weeks
Plasma Pharmacokinetics (PK) of avutometinib (VS-6766) and Defactinib and relevant metabolites, Half-life
concentration Half-life (T1/2)
Time frame: 10 weeks
Frequency and severity adverse events (AEs) and Serious Adverse Events (SAEs)
Count of AE and SAEs by grade, based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) grading scale
Time frame: 24 months
Number of abnormal laboratory values
Count of abnormal laboratory values by grade
Time frame: 24 months