About this trial
This phase I study is designed to establish the safety, maximally tolerated dose (MTD) and recommended phase II dose (RP2D) of the ERK inhibitor ulixertinib (BVD-523) when combined with the CDK4/6 inhibitor palbociclib.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent and HIPAA authorization for release of personal health information. NOTE: HIPAA authorization may be included in the informed consent or obtained separately.
Age ≥ 18 years at the time of consent (no upper age limit)
Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2
Dose escalation cohorts: Histologically confirmed advanced solid tumor refractory to standard of care therapy, or for which there is no accepted standard of care
Disqualifiers
Pregnant or breastfeeding (NOTE: breast milk cannot be stored for future use while the mother is being treated on the study)
Treatment with any cancer-directed therapy (chemotherapy, hormonal therapy, biologic, radiation or immunotherapy, etc.) or investigational drug within 28 days or 5 half-lives (whichever is shorter) prior to day -6 of ulixertinib
A history or current evidence/risk of retinal vein occlusion (RVO) or central serous retinopathy (CSR).
Major surgery within 28 days prior to day -6 of ulixertinib
Trial design
Single group
Treatments tested in this trial
Ulixertinib
DrugUlixertinib 300mg, orally, twice a day concomitantly with palbociclib
Palbociclib
DrugDrug: Palbociclib 125mg, orally, once a day concomitantly with ulixertinib
Treatment groups
Trial outcomes
Primary outcomes
Maximum Tolerated Dose (MTD)
MTD of ulixertinib in combination with palbociclib in patients with advanced solid tumors of ulixertinib in combination with palbociclib in patients with advanced solid tumors
Overall Survival
For Expansion Cohort: To estimate overall survival (OS) after treatment with the recommended phase 2 dose of ulixertinib in combination with palbociclib in an expansion cohort of patients with metastatic pancreatic cancer
Secondary outcomes
Safety (number of patients with adverse events)
Number of patients with adverse events
Objective Response Rate
To estimate objective response rate (ORR) after treatment with ulixertinib in combination with palbociclib
Progression-free survival
To estimate progression-free survival (PFS) after treatment with ulixertinib in combination with palbociclib
Overall Survival
For Expansion Cohort: To estimate overall survival (OS) after treatment with the recommended phase 2 dose of ulixertinib in combination with palbociclib in an expansion cohort of patients with metastatic pancreatic cancer
Sponsors and contacts
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UNC Lineberger Comprehensive Cancer Center
Lead sponsor
BioMed Valley Discoveries, Inc
Collaborator
Pfizer
Collaborator