This is a subprotocol of Master Protocol DAY101-102 and is a Phase 1b/2, multi-center, open label subprotocol of participants ≥12 years of age, with recurrent or progressive solid tumors with alterations in the key proteins of the MAPK pathway, such as tumors that harbor RAS or RAF alterations. \*Note: Study concluded as Phase 1b only.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
44
Tovorafenib tablet for oral use.
Tovorafenib tablet for oral use. Pimasertib capsule for oral use
The Angeles Clinic
Los Angeles, California, United States
Hoag Health
Newport Beach, California, United States
University of Colorado Hospital
Aurora, Colorado, United States
Cancer Specialists of North Florida
Jacksonville, Florida, United States
Community North Cancer Center
Indianapolis, Indiana, United States
OHSU Knight Cancer Institute
Portland, Oregon, United States
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States
vanderbilt-Ingram Cancer Center
Nashville, Tennessee, United States
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
The Hospital for Sick Children
Toronto, Ontario, Canada
Number of participants who will report Treatment emergent adverse events (TEAEs) and serious TEAEs
Time frame: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in vital signs
Time frame: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in clinical chemistry parameters
Time frame: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in hematology parameters
Time frame: Up to 30 days after the last dose of any study drug
Number of participants with Dose limiting toxicities (DLTs)
Time frame: Up to 30 days after the last dose of any study drug
Percentage of participants with complete overall response rate (ORR)
ORR as assessed by the proportion of participants with the best overall confirmed response of complete response (CR) or partial response (PR) according to the appropriate tumor response criteria as assessed by Investigator
Time frame: Up to 30 months
Duration of response (DOR)
The interval from the date of the first documentation of tumor response (CR or PR) that was subsequently confirmed by investigator assessment to the date of first occurrence of radiographic disease progression based on appropriate tumor response criteria as assessed by investigator or death due to any cause, whichever occurs earlier.
Time frame: Up to 30 months
Progression Free Survival (PFS)
The interval from the date of the first dose to the first occurrence of radiographic disease progression based on appropriate tumor response criteria as assessed by investigator or death due to any cause, whichever occurs earlier.
Time frame: Up to 30 months
Overall Survival (OS)
The interval from the date of the first dose until the recorded date of death due to any cause.
Time frame: Up to 30 months
Time to Response
Defined in participants with best overall response of CR or PR as determined by Investigator, time to response is defined as the interval from the date of the first dose to date of first documentation of tumor response (CR or PR) that was subsequently confirmed by investigator assessment.
Time frame: Up to 30 months
Plasma concentration of DAY101
Time frame: Cycles 1 through Cycle 11 (each cycle is 28 days)
Maximum drug concentration (Cmax) of DAY101
Time frame: Cycle 1, Day 1 through Cycle 1, Day 22
Area Under the Curve from Time Zero to Last Measurable Concentration (AUC 0-last)
Time frame: Cycle 1, Day 1 through Cycle 1, Day 22
Change in gene expression levels in pre and post treatment samples using RNA sequencing (RNA seq) analysis.
Time frame: Up to 30 months
Change in expression levels of phosphorylated ERK (pERK) and Ki67 in pre and post treatment samples using immunohistochemistry methodology.
Time frame: Up to 30 months
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