This study will evaluate the safety, tolerability, and efficacy of valemetostat tosylate in combination with DXd ADC in patients with advanced solid tumors.
This is a 2-part study of valemetostat in combination with DXd ADCs in patients with HER2-positive gastric cancer, non-squamous NSCLC, or unresectable or metastatic HER2 low breast cancer. The study will begin with a Part 1 Dose-escalation Phase and will continue until the recommended dose for expansion "RDE" of valemetostat is determined and will then be followed by a Part 2 Dose-expansion Phase to further evaluate the safety and tolerability of the combination.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
210
Number of Participants Reporting Dose-limiting Toxicities (Part 1 Dose Escalation)
Time frame: Cycle 1 Day 1 up to Day 21 (each cycle is 21 days)
Number of Participants Reporting Treatment-emergent Adverse Events (Part 1 Dose Escalation)
Time frame: Screening up to 40 days after last dose
Objective Response Rate Based on Investigator Assessment (Part 2 Dose Expansion)
Objective response rate (ORR) is defined as the proportion of participants with a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v 1.1 criteria. CR is defined as a disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.
Time frame: Baseline (Screening), at every 6 weeks from Cycle 1 Day 1 in the first year, and every 12 weeks thereafter until disease progression or until the start of a new anticancer treatment, up to approximately 5 years
Overall Survival
Time frame: Date of enrollment up to date of death due to any cause, up to approximately 5 years
Progression-free Survival
Disease progression will be determined by investigator assessment of tumor scans and using RECIST v 1.1 criteria.
Time frame: Date of enrollment up to date of radiographic disease progression or death due to any cause (whichever occurs first), up to approximately 5 years
Duration of Response (DoR)
CR is defined as a disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.
Time frame: Date of first documentation of objective tumor response (CR or PR) that is subsequently confirmed to the first documentation of objective tumor progression or to death due to any cause (whichever occurs first), up to approximately 5 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
City of Hope At Orange County Lennar Foundation Cancer Center
Irvine, California, United States
RECRUITINGValkyrie Clinical Trials
Los Angeles, California, United States
WITHDRAWNSharp Memorial Hospital
San Diego, California, United States
RECRUITINGBrcr Medical Center, Inc Dba Boca Raton Clinical Research
Plantation, Florida, United States
RECRUITINGH. Lee Moffitt Cancer Center and Research Institute, Inc
Tampa, Florida, United States
WITHDRAWNUniversity of Hawaii At Manoa
Honolulu, Hawaii, United States
RECRUITINGUniversity of Chicago Medical Center
Chicago, Illinois, United States
RECRUITINGDana-Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGMemorial Sloan-Kettering Cancer Center (Mskcc) - New York
New York, New York, United States
RECRUITINGClinical Research Alliance
Westbury, New York, United States
RECRUITING...and 28 more locations
Objective Response Rate Based on Investigator Assessment (Part 1 Dose Escalation)
Objective response rate (ORR) is defined as the proportion of participants with a best overall response of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v 1.1 criteria. CR is defined as a disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of diameters of target lesions.
Time frame: Baseline (Screening), at every 6 weeks from Cycle 1 Day 1 in the first year, and every 12 weeks thereafter until disease progression or until the start of a new anticancer treatment, up to approximately 5 years
Number of Participants Reporting Treatment-emergent Adverse Events (Part 2 Dose Expansion)
Time frame: Screening up to 40 days after last dose
Total and Unbound Plasma Concentration of Valemetostat
Time frame: Cycle 1, Day 1: Predose, 1 hour (hr), 2 hr, 4 hr, and 5 hr postdose; Cycle 1, Day 8 and Day 15: Predose; Cycles 2, 3, 4, Day 1: Predose (each cycle is 21 days)
Plasma Concentration of DXd Antibody-Drug Conjugates
Time frame: Cycle 1, Day 1: Predose, 1 hour (hr), 2 hr, 4 hr, and 5 hr postdose; Cycle 1, Day 8 and Day 15: Predose; Cycles 2, 3, 4, Day 1: Predose (each cycle is 21 days)