About this trial
This study will assess the safety and efficacy of avutometinib (VS-6766) in combination with defactinib versus Investigator's choice of treatments (ICT) in subjects with recurrent LGSOC who have progressed on a prior platinum-based therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically proven LGSOC (ovarian, fallopian, peritoneal)
Documented mutational status of KRAS by a validated tumor-tissue based diagnostic test.
Suitable for treatment with at least one of the Investigator's Choice of Treatments:pegylated liposomal doxorubicin, paclitaxel, letrozole, anastrozole.
Progression or recurrence of LGSOC after at least one prior systemic therapy for metastatic disease.
Disqualifiers
Systemic anti-cancer therapy within 4 weeks of the first dose of study therapy.
Co-existing high-grade serous ovarian cancer or mixed histology.
Prior treatment with avutometinib, defactinib, or other FAK inhibitors.
History of prior malignancy with recurrence <3 years from the time of enrollment.
Trial design
Crossover
Treatments tested in this trial
avutometinib
DrugAvutometinib: administered orally
Defactinib
DrugDefactinib: administered orally
Pegylated liposomal doxorubicin
Drugadministered intravenously
Paclitaxel
Drugadministered intravenously
Letrozole
Drugadministered orally
Anastrozole
Drugadministered orally
Treatment groups
Trial outcomes
Primary outcomes
Progression Free Survival (PFS) per blinded independent central review (BICR)
Progression-free survival (PFS) according to RECIST version 1.1, per blinded independent central review (BICR)
Secondary outcomes
Overall Survival (OS)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
Progression Free Survival (PFS) per investigator assessment
Progression-free survival (PFS) according to RECIST version 1.1, per blinded independent central review (BICR)
Objective response rate (ORR)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 by Investigator or death from any cause
Duration of Response (DOR)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 by Investigator or death from any cause
Sponsors and contacts
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Verastem, Inc.
Lead sponsor
GOG Foundation
Collaborator
European Network of Gynaecological Oncological Trial Groups (ENGOT)
Collaborator
Australia New Zealand Gynaecological Oncology Group
Collaborator
Korean Gynecologic Oncology Group
Collaborator