Researchers are looking for a better way to treat people who have advanced solid cancers with a KRASG12C mutation. Sotorasib is a drug that targets cancer cells which contain mutated KRASG12C protein; it can stop the cancer cells from growing and can lead to their death. Sotorasib is already approved to be used by doctors. However, when sotorasib works, it normally only works for a period of time, after which the cancer starts to grow again, and the patient may need a different treatment. BAY3498264 is a drug that is currently under development. It is expected to prevent the activity of a protein called son of sevenless 1 (SOS1). The SOS1 protein works together with KRAS; by blocking the activity of SOS1 with BAY3498264, it is hoped that the benefit offered by treatment with sotorasib may be increased - for example, resulting in a longer or deeper response. The main purpose of this first-in-human study is to learn how safe BAY3498264 is when given together with sotorasib and what is the maximum dose of BAY3498264 that can be safely given to participants together with sotorasib. During the study, participants will receive the following treatments: * BAY3498264: participants will first receive BAY3498264 alone for seven days and then BAY3498264 in combination with sotorasib. These combination treatments will be given in cycles, each lasting 21 days. * Sotorasib: participants will receive a standard, approved dose of Sotorasib once every day with BAY3498264. The treatment will continue for as long as participants benefit from it without any severe medical problems or until they or their doctor decide to stop the treatment, or until their cancer starts to grow again despite the treatment (also called 'progression'). This study has 3 parts, the dose escalation part, the backfill part and the expansion part. During the study, researchers will collect blood, urine, and take imaging scans like CT, PET, MRI, and X-rays, and examine the participants' heart health using an electrocardiogram (ECG). Participants' health is monitored throughout the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
104
Oral
Border Medical oncology - Albury Wodonga Regional Cancer Centre
Albury, New South Wales, Australia
RECRUITINGMacquarie University Hospital - Oncology Department
Macquarie Park, New South Wales, Australia
RECRUITINGPeninsula and Southeast Oncology
Frankston, Victoria, Australia
RECRUITINGRigshospitalet - Kræftbehandling
Copenhagen OE, Denmark
RECRUITINGFondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Oncologia Medica
Rome, Lazio, Italy
RECRUITINGGruppo Humanitas - Humanitas Research Hospital - Cancer Center
Rozzano, Italy
RECRUITINGInstitut Catala D'oncologia | Oncologia
L'Hospitalet de Llobregat, Barcelona, Spain
RECRUITINGHospital Universitari Vall D Hebron | Oncologia
Barcelona, Spain
NOT_YET_RECRUITINGThe Christie NHS Foundation Trust - Christie Hospital
Manchester, Greater Manchester, United Kingdom
RECRUITINGThe Royal Marsden NHS Foundation Trust - Royal Marsden Hospital (RMH) - Sutton
Sutton, Surrey, United Kingdom
RECRUITINGNumber of participants with treatment-emergent adverse events (TEAEs) and treatment-emergent serious adverse events (TESAEs) categorized by severity.
Time frame: 30-35 days after the last dose
Maximum tolerated dose (MTD) or Maximum administered dose (MAD) of BAY 3498264 in combination with sotorasib.
Time frame: Approximate 3 years
Number of participants with Dose-limiting toxicity (DLTs) during the DLT observation period categorized by severity.
Time frame: DLT evaluation period (Cycle 1) includes 28 days
Maximum observed drug concentration in plasma (Cmax) of the respective dosing interval of BAY3498264 after single dose and multiple dose administrations.
Time frame: Multiple time points: Cycle 1 28-day cycle followed by 21-day treatment cycles
Area under the concentration vs. time curve (AUC) of the respective dosing interval of BAY3498264 after single dose and multiple dose administrations.
Time frame: Multiple time points: Cycle 1 28-day cycle followed by 21-day treatment cycles
Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) by investigator assessment.
Time frame: Every 6 weeks (±7 days) for the first 36 weeks and every 9 weeks (± 7 days) thereafter until radiological disease progression (PD) occurs
Recommended dose(s) and schedule(s) of BAY 3498264 to be used in combination with sotorasib for further development stages.
Time frame: Approximate 3 years
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