Tovorafenib (DAY101) Monotherapy or in Combination With Other Therapies for Patients With Melanoma and Other Solid Tumors

Study Purpose

This is a Phase 1b/2, multi-center, open label umbrella study of patients ≥12 years of age with recurrent, progressive, or refractory melanoma or other solid tumors with alterations in the key proteins of the RAS/RAF/MEK/ERK pathway, referred to as the MAPK pathway.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 12 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Signed informed consent by patients ≥ 18 years of age and, assent for patients ≥ 12 up to < 18 years of age.
  • - Patients must have radiographically-recurrent or radiographically-progressive disease that is measurable using the appropriate tumor response criteria (e.g. RECIST version 1.1) - Archival tumor tissue (preferably less than 3 years old) or fresh tumor tissue for correlative studies is required.
  • - If brain metastases are present, they must have been previously treated and be stable as assessed by radiographic imaging.
(Closed to Enrollment) Substudy A-specific inclusion criterion:
  • - Patients must have a report of histologically confirmed diagnosis of melanoma or other solid tumor and a concurrent BRAF fusion, CRAF/RAF1 fusion, or CRAF/RAF1 amplification through a tumor or liquid biopsy as assessed by genomic sequencing, polymerase chain reaction (PCR), fluorescence in situ hybridization (FISH), or another clinically accepted molecular diagnostic method recognized by local laboratory or agency.
Substudy B-specific inclusion criterion:
  • - Patients must have a report of histologically confirmed diagnosis of melanoma or other solid tumor and a concurrent MAPK pathway alteration (genomic alterations in RAS, RAF, MEK, or NF1) through a tumor or liquid biopsy as assessed by genomic sequencing, PCR, FISH, or another clinically accepted molecular diagnostic method recognized by local laboratory or agency.

Exclusion Criteria:

  • - Known presence of concurrent activating mutation.
- Patients with current evidence or a history of central serous retinopathy (CSR), retinal vein occlusion (RVO) (Closed to Enrollment) Substudy A-specific exclusion criterion: - Prior therapy of any RAS- RAF-, MEK-, or ERK-directed inhibitor therapy

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04985604
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Day One Biopharmaceuticals, Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Australia, Belgium, Canada, France, Korea, Republic of, Spain, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Melanoma, Solid Tumor, CRAF Gene Amplification, RAF1 Gene Amplification, BRAF Gene Fusion, BRAF Fusion, CRAF Gene Fusion, CRAF Fusion, RAF1 Gene Fusion, RAF1 Fusion, Thyroid Cancer, Papillary, Spitzoid Melanoma, Pilocytic Astrocytoma, Pilocytic Astrocytoma, Adult, Non Small Cell Lung Cancer, Non-Small Cell Adenocarcinoma, Colorectal Cancer, Pancreatic Acinar Carcinoma, Spitzoid Malignant Melanoma, Bladder Cancer, Bladder Urothelial Carcinoma, MAP Kinase Family Gene Mutation, RAS Mutation, RAF Mutation, MEK Mutation
Additional Details

Study DAY101-102 (master study) and sub-studies will consist of a screening period, a treatment period, a safety follow-up period, and a long-term follow-up period where survival, status and subsequent anticancer therapies are collected. Tovorafenib will be evaluated alone or combined with a different targeted therapy in each sub-study. The Phase 1b part of each applicable sub-study will evaluate the safety of the combination and select the dose for the Phase 2 part. The Phase 2 part of each sub-study will evaluate anti-tumor activity. (Closed to Enrollment) Substudy A will enroll patients with recurrent or progressive melanoma or other solid tumors with BRAF fusion or CRAF/RAF1 fusions or amplification. Substudy B will enroll patients with recurrent or progressive melanoma or other solid tumors with alterations in the key proteins of the MAPK pathway.

Arms & Interventions

Arms

Experimental: Arm #1 (Closed to Enrollment)

Tovorafenib monotherapy

Experimental: Arm #2

Tovorafenib plus pimasertib

Interventions

Drug: - Tovorafenib

Tovorafenib tablet for oral use.

Drug: - Pimasertib

Pimasertib capsule for oral use.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

The Angeles Clinic, Los Angeles, California

Status

Recruiting

Address

The Angeles Clinic

Los Angeles, California, 90025

Hoag Health, Newport Beach, California

Status

Recruiting

Address

Hoag Health

Newport Beach, California, 92663

University of Colorado Hospital, Aurora, Colorado

Status

Active, not recruiting

Address

University of Colorado Hospital

Aurora, Colorado, 80045

Cancer Specialists of North Florida, Jacksonville, Florida

Status

Recruiting

Address

Cancer Specialists of North Florida

Jacksonville, Florida, 32256

Sylvester Comprehensive Cancer Center, Miami, Florida

Status

Withdrawn

Address

Sylvester Comprehensive Cancer Center

Miami, Florida, 33136

Community North Cancer Center, Indianapolis, Indiana

Status

Recruiting

Address

Community North Cancer Center

Indianapolis, Indiana, 46250

OHSU Knight Cancer Institute, Portland, Oregon

Status

Recruiting

Address

OHSU Knight Cancer Institute

Portland, Oregon, 97239

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania

Status

Recruiting

Address

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15213

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee

Status

Recruiting

Address

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, 37232

International Sites

Monash Medical Centre, Clayton, Victoria, Australia

Status

Active, not recruiting

Address

Monash Medical Centre

Clayton, Victoria,

Antwerp University Hospital, Edegem, Belgium

Status

Active, not recruiting

Address

Antwerp University Hospital

Edegem, ,

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

Status

Recruiting

Address

Princess Margaret Cancer Centre

Toronto, Ontario,

The Hospital for Sick Children, Toronto, Ontario, Canada

Status

Recruiting

Address

The Hospital for Sick Children

Toronto, Ontario,

Hopital de La Timone - APHM, Marseille, Bouches-du-Rhône, France

Status

Active, not recruiting

Address

Hopital de La Timone - APHM

Marseille, Bouches-du-Rhône,

Dong-A University Hospital, Busan, Korea, Republic of

Status

Active, not recruiting

Address

Dong-A University Hospital

Busan, ,

Asan Medical Center, Seoul, Korea, Republic of

Status

Active, not recruiting

Address

Asan Medical Center

Seoul, ,

Samsung Medical Center, Seoul, Korea, Republic of

Status

Active, not recruiting

Address

Samsung Medical Center

Seoul, ,

Seoul, Korea, Republic of

Status

Active, not recruiting

Address

Severance Hospital, Yonsei University Health System

Seoul, ,

Hospital Clinic Barcelona, Barcelona, Spain

Status

Active, not recruiting

Address

Hospital Clinic Barcelona

Barcelona, ,

Hospital Universitari Vall d'Hebron, Barcelona, Spain

Status

Active, not recruiting

Address

Hospital Universitari Vall d'Hebron

Barcelona, ,

Hospital Universitario Ramón y Cajal, Madrid, Spain

Status

Active, not recruiting

Address

Hospital Universitario Ramón y Cajal

Madrid, ,

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