A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 as Monotherapy and Combination Therapy in Subjects With BRAF V600 Mutant Solid Tumors

Study Purpose

The purpose of this study is to evaluate the safety and tolerability of CFT1946 as well as to determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of CFT1946 as monotherapy (Arm A) and in combination with trametinib (CFT1946 + trametinib; Arm B) or Cetuximab (CFT1946 + cetuximab; Arm C).

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 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Subject (or legally authorized representative, where applicable) is willing and able to provide signed informed consent and can follow protocol requirements. 2. Subject is ≥18 years of age at time of informed consent. 3. Eastern Cooperative Oncology Group performance status of 0 or 1. 4. Subject has documented evidence of a BRAF V600 mutation obtained from tumor tissue or liquid biopsy: (other protocol conditions may apply) 5. Subject must have received ≥1 prior line of SoC therapy for their unresectable locally advanced or metastatic disease with disease progression on or after last prior treatment. Prior regimens for these subjects vary by indication and investigational arm, but must have included the following: 1. Melanoma or NSCLC (Phase 1 and Phase 2 Arms A1 and B1): Prior receipt of a BRAF inhibitor and an immune checkpoint inhibitor (any sequence or combination). Prior (neo)adjuvant immunotherapy may be acceptable. 2. CRC: Subjects must have received no more than 4 lines of prior therapy which includes systemic chemotherapy-based regimen per SoC for unresectable locally advanced or metastatic disease, and previous treatment with BRAF inhibitor in combination with an EGFR monoclonal antibody. Subjects with documented MSI-H or dMMR CRC must have received prior immunotherapy. Subjects with MSS disease must have received at least 2 prior treatments. Subjects who received neo(adjuvant) chemotherapy regimens may be eligible. 3. ATC: Subjects must have received SoC therapy options including BRAF inhibitor if available and of benefit to the subject. 4. Other BRAF V600 mutant solid tumors (non-CNS): Subjects must have received SoC therapy options per their Investigator's best judgment, including BRAF inhibitor if available and of benefit to the subject. 6. Subject has measurable disease per RECIST v1.1. 7. Adequate bone marrow, liver, renal, and cardiac function. 8. A female subject may be eligible if not pregnant, planning a pregnancy, not breast feeding, a women of non-child bearing potential or a WOCBP willing to comply with protocol conditions relating to the use contraception, ova or blood donation and pregnancy testing prior to the first dose. 9. A male subject must agree to comply with protocol conditions relating to the use of contraception, sperm and blood donation. 10. Subject can safely swallow a tablet or pill. Other protocol defined exclusion criteria may apply.

Exclusion Criteria:

1. Subject has had major surgery within 21 days prior to the planned first dose. Minor surgery is permitted within 21 days prior to enrollment. 2. Subject with CNS involvement (primary tumor or metastatic disease), except if clinically stable, have no evidence of new or enlarging brain metastases and are on stable or tapering doses of steroids for at least 7 days prior to first dose. Subjects with untreated brain metastases may be eligible to enter without prior radiation therapy. 3. Subject with known malignancy other than trial indication that is progressing or has required treatment within the past 3 years, except for conditions that have undergone potentially curative therapy. 4. Subject with history of thromboembolic or cerebrovascular events ≤6 months as defined in the protocol. 5. Subject with impaired cardiac function or clinically significant cardiac disease, as defined in the protocol. 6. Subject with history of uncontrolled diabetes mellitus (only for subjects who will receive CFT1946 + trametinib) 7. Subject with history or current evidence of retinal vein occlusion (RVO), chorioretinopathy, or current risk factors for RVO (only for subjects who will receive CFT1946 + trametinib) 8. Subject has received live, attenuated vaccine within 28 days prior to first dose administration. 9. Subject has history of pneumonitis or interstitial lung disease. 10. Subject has history of uveitis. 11. Subject has clinically significant gastrointestinal abnormalities. 12. Subject has known human immunodeficiency virus (HIV) infection (with exceptions) 13. Subject has history of or known HBV or active HCV infection. 14. Subject has concurrent administration of strong CYP3A4/5 inhibitors and inducers, including any herbal medications/supplements. 15. Subject has presence of Grade ≥2 toxicity due to prior cancer therapy, excepting alopecia and hypothyroidism requiring thyroid replacement therapy. 16. Subject has initiation or receipt of the following ≤7 days prior to first dose administration: Hematopoietic colony-stimulating growth factors, transfusion of packed red blood cells (pRBC), and transfusion of platelets. 17. Subject is pregnant, breastfeeding, or expecting to conceive or father children any time during the study. Other protocol defined exclusion criteria may apply

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.

NCT05668585
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.

C4 Therapeutics, 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 France, Spain, United States
Conditions

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

Solid Tumors, Melanoma, NSCLC, CRC, ATC
Arms & Interventions

Arms

Experimental: Phase 1: Arm A: CFT1946

Approximately 40 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma, ATC)

Experimental: Phase 1: Arm B: CFT1946 + trametinib

Approximately 28 subjects with V600 Solid Tumors (non-CNS) (post BRAF inhibitor for NSCLC, CRC, melanoma)

Experimental: Phase 2: Arm A1: CFT1946

Approximately 30 subjects with V600 melanoma or NSCLC (post BRAF inhibitor)

Experimental: Phase 2: Arm B1: CFT1946 + trametinib

Approximately 20 subjects with V600 melanoma or NSCLC (post BRAF Inhibitor)

Experimental: Phase 1: Arm C: CFT1946 + cetuximab

Approximately 30 subjects with CRC (post BRAF inhibitor)

Experimental: Phase 2: Arm C1: CFT1946 + cetuximab

Approximately 40 subjects with CRC (post BRAF inhibitor)

Interventions

Drug: - CFT1946

Specified oral dose on specified day

Drug: - Trametinib

Specified oral dose on specified day

Drug: - Cetuximab

Specified intravenous dose on specified day

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.

Florida Cancer Specialists, Sarasota, Florida

Status

Recruiting

Address

Florida Cancer Specialists

Sarasota, Florida, 34232

Dana-Farber Cancer Institute, Boston, Massachusetts

Status

Recruiting

Address

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215

Washington University School of Medicine, Saint Louis, Missouri

Status

Recruiting

Address

Washington University School of Medicine

Saint Louis, Missouri, 63110

New York, New York

Status

Recruiting

Address

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

New York, New York, 10021

Sarah Cannon and HCA Research Institute, Nashville, Tennessee

Status

Recruiting

Address

Sarah Cannon and HCA Research Institute

Nashville, Tennessee, 37203

MD Anderson Cancer Center, Houston, Texas

Status

Recruiting

Address

MD Anderson Cancer Center

Houston, Texas, 77030

Fairfax, Virginia

Status

Recruiting

Address

Virginia Cancer Specialists (NEXT Oncology Virginia)

Fairfax, Virginia, 22031

University of Wisconsin, Madison, Wisconsin

Status

Recruiting

Address

University of Wisconsin

Madison, Wisconsin, 53792

International Sites

Institut Bergonie, Bordeaux Cedex, France

Status

Recruiting

Address

Institut Bergonie

Bordeaux Cedex, , 33076

Chu de Lille, Lille, France

Status

Recruiting

Address

Chu de Lille

Lille, , 59037

Centre Leon Berard, Lyon, France

Status

Recruiting

Address

Centre Leon Berard

Lyon, , 69008

IUCT Oncopole, Toulouse, France

Status

Recruiting

Address

IUCT Oncopole

Toulouse, , 31059

NEXT Oncology Barcelona, Barcelona, Spain

Status

Recruiting

Address

NEXT Oncology Barcelona

Barcelona, , 08023

Hospital Universitario Vall d'Hebron, Barcelona, Spain

Status

Recruiting

Address

Hospital Universitario Vall d'Hebron

Barcelona, , 08035

Madrid, Spain

Status

Recruiting

Address

South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jiminez Diaz

Madrid, , 28040

Valencia, Spain

Status

Recruiting

Address

Hospital Clinico Universitario de Valencia

Valencia, , 46010

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