About this trial
The study is designed to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary anti-tumor activity of REC-7735 in participants with unresectable, locally advanced, or metastatic PIK3CA-H1047R mutated solid tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants have histologically-confirmed unresectable, locally advanced, or metastatic solid tumors which exhibit the PIK3CA H1047R mutation in tumor tissue and/or blood (circulating tumor deoxyribonucleic acid [ctDNA]).
For Phase 1A and planned monotherapy cohorts in Phase 1B, participants have experienced progressive disease, relapsed disease, or be intolerant to at least one established standard systemic anti-cancer treatment for a given tumor type, or in the opinion of the Investigator have been considered ineligible for standard therapy.
All toxicities from prior anti-cancer therapies have resolved to ≤ Grade 1 or the participant's previous baseline, with the exception of alopecia and peripheral neuropathy.
Disqualifiers
Participants have experienced disease progression with a phosphoinositide 3-kinase (PI3Ka), protein kinase B (AKT) or mechanistic target of rapamycin (mTOR) inhibitor unless deemed suitable for REC-7735 treatment at the discretion of the Investigator and following discussion with the Sponsor.
Known loss-of-function mutations in phosphatase and tensin homolog (PTEN), PTEN loss, or activating mutations in AKT, unless deemed suitable for REC-7735 treatment at the discretion of the Investigator and following discussion with the Sponsor.
Major surgery within 6 weeks from treatment initiation.
Any serious underlying medical or psychiatric condition that would preclude understanding and rendering of informed consent or impair the ability of the participant to receive or tolerate the planned treatment.
Trial design
Sequential
Treatments tested in this trial
REC-7735
DrugOral
Treatment groups
Trial outcomes
Primary outcomes
Phase 1A: Number of Participants With Dose-limiting Toxicities (DLTs)
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Phase 1B: Objective Response Rate (ORR) According to Standard Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Secondary outcomes
Maximum (Peak) Drug Concentration (Cmax) of REC-7735
Time to Reach Cmax following drug administration (Tmax) of REC-7735
Area Under the Concentration-time Curve During a Dosing Interval (AUCtau) of REC-7735
Phase 1A: ORR According to Standard RECIST 1.1
Sponsors and contacts
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