A First-in-Human Trial of BLU-924 (SAR449336) in Advanced Solid Tumors Harboring KRAS Mutations

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorBlueprint Medicines Corporation

About this trial

A first in human study to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of BLU-924 / SAR449336, a pan-KRAS inhibitor, in participants with advanced Pancreatic Cancer, Non-Small Cell Lung Cancer, or Colorectal Cancer harboring KRAS mutations.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pathologically confirmed diagnosis of metastatic Kirsten rat sarcoma viral oncogene homolog (KRAS)-mutant pancreatic ductal adenocarcinoma (PDAC), non-small cell lung cancer (NSCLC), or colorectal cancer (CRC) with evidence of a single KRAS G12C, G12D, G12V, G12A, G12S, or G13D mutation in tumor tissue or circulating tumor deoxyribonucleic acid (ctDNA).

Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.

Patients must have received all standard therapies for their cancer type in the metastatic setting, unless they are unable to receive such therapies due to clinical characteristics, comorbidities, or other medically justified reasons.

Disqualifiers

History of additional malignancy within the last 2 years, with some exceptions as specified in the protocol.

Active brain metastases (participants with asymptomatic brain metastases may be eligible).

Have received prior targeted treatment(s) against KRAS, including pan-KRAS inhibitors, multi-RAS inhibitors, mutant-selective KRAS inhibitors, and RAS or KRAS degraders.

Active or uncontrolled systemic infection, such as tuberculosis, Hepatitis B virus (HBV), Hepatitis C virus (HCV), or Human immunodeficiency virus (HIV).

Trial design

Design model

Sequential

Treatments tested in this trial

  • BLU-924

    Drug

    Tablet

Treatment groups

265 Participants
are divided into 1 treatment group
Group A: Monotherapy Part: BLU-924 Dose Escalation, Dose Enrichment, and Dose ExpansionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Dose Escalation and Enrichment: Percentage of Participants with Dose-limiting Toxicity (DLTs)

Any of the prespecified AEs that are attributable to the study treatment, occurring in the DLT observation period are considered DLTs, excluding toxicities clearly due to underlying disease or extraneous causes.

Time frame
Up to 5 years
2

Dose Escalation, Enrichment and Expansion: Incidence and Severity of Treatment-emergent Adverse Events (TEAEs) and Serious AEs

An adverse event (AE) is any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship to it.

Time frame
Up to 5 years
3

Dose Escalation and Enrichment: Maximum Tolerated Dose (MTD) of BLU-924

Time frame
Up to 5 years
4

Dose Escalation and Enrichment: Recommended Dose for Expansion (RDFE) of BLU-924

Time frame
Up to 5 years

Secondary outcomes

1

Dose Escalation and Enrichment: Overall Response Rate (ORR)

Time frame
Up to 5 years
2

Dose Escalation, Enrichment, and Expansion: Duration of Response (DOR)

Time frame
Up to 5 years
3

Dose Escalation, Enrichment, and Expansion: Disease Control Rate (DCR)

Time frame
Up to 5 years
4

Dose Escalation, Enrichment and Expansion: Progression-free Survival (PFS)

Time frame
Up to 5 years

Other outcomes

Sponsors and contacts

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