A Study to Evaluate ARV-806 in Adults With Advanced Cancer That Has the KRAS G12D Mutation

Study Purpose

This is a study to evaluate the safety and potential anti-tumor activity of an investigational agent called ARV-806 in Adults with Advanced Cancer having a specific KRAS mutation. This is an open-label study which means that participants and study staff will know that all participants will receive ARV-806. Researchers think that ARV-806 can work by breaking down a specific protein with a mutation that is present in some tumors, which might help prevent or slow tumors from growing. This will be the first time ARV-806 will be used in people. The investigational drug will be given through a vein. This is called intravenous (IV) infusion. This study will include 2 parts. In Part A (Phase 1), different small groups of participants will receive lower to higher doses of ARV-806. Adults with advanced cancers having a specific KRAS mutation will be included. In Part B (Phase 2), participants will be assigned to receive one of up to 2 dose levels decided by the information from Part A. Part B will include participants with advanced pancreatic ductal cancer having a specific KRAS mutation.

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:

Part A:
  • - Histological or cytological diagnosis of unresectable or metastatic solid tumor malignancy, AND.
  • - Must have evidence of KRAS G12D mutation in tumor tissue or blood (circulating tumor deoxyribonucleic acid [ctDNA]), AND.
  • - Must have received prior standard-of-care (SOC) therapy appropriate for their type and stage of disease and have no other available treatment options with curative intent, or, in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate SOC therapy, AND.
  • - Must have at least 1 measurable lesion.
Part B:
  • - Histological or cytological diagnosis of unresectable or metastatic pancreatic ductal adenocarcinoma (PDAC) with KRAS G12D mutation status confirmed by local testing of tumor tissue using a validated molecular or next-generation sequencing (NGS) testing, AND.
  • - Must be willing to provide archival tumor tissue or willing to undergo pretreatment biopsy, AND.
  • - Must have received at least one prior standard of care systemic therapy for PDAC (systemic therapy received in the neoadjuvant or adjuvant setting is allowed), AND.
  • - Participants must have at least 1 measurable lesion.
Part A / Part B:
  • - Eastern Cooperative Oncology Group performance status of 0 or 1, - Participants with adequate organ function, - Participants must accept and follow pregnancy prevention guidance.

Exclusion Criteria:

Part A / Part B:
  • - Active brain metastases.
  • - Carcinomatous meningitis.
  • - Uncontrolled hypertension despite optimal medical therapy.
  • - Prior treatment with a KRAS G12D or a KRAS G12C targeting therapy (pan-KRAS inhibitor/degrader included) - Participants with an inability to comply with listed prohibited treatments.
  • - Systemic anticancer therapy within 2 weeks or 5 half-lives (whichever is shorter) or radiation therapy (excluding palliative radiation) within 2 weeks prior to the study intervention treatment.
If the last immediate anticancer treatment contained an antibody-based agent(s), then an interval of 28 days or 5 half-lives (whichever is shorter) of the agent(s) is required prior to receiving the study intervention treatment. - Standard 12-lead electrocardiogram that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results

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.

NCT07023731
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.

Arvinas 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 United States
Conditions

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

KRAS G12D Mutation, Advanced Solid Cancer
Arms & Interventions

Arms

Experimental: Phase 1/Part A (Dose Escalation)

Participants will receive ARV-806 at the assigned doses and regimen (weekly or every 2 weeks).

Experimental: Phase 2/Part B (Dose Expansion)

Participants will receive ARV-806 at one of up to 2 dose levels/regimens selected from Part A)

Interventions

Drug: - ARV-806

Intravenous infusion at assigned dose and dosing schedule

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.

Clinical Trial Site, Grand Rapids 4994358, Michigan 5001836

Status

Recruiting

Address

Clinical Trial Site

Grand Rapids 4994358, Michigan 5001836, 49546

Clinical Trial Site, Huntersville 4472370, North Carolina 4482348

Status

Recruiting

Address

Clinical Trial Site

Huntersville 4472370, North Carolina 4482348, 28078

Clinical Trial Site, San Antonio 4726206, Texas 4736286

Status

Recruiting

Address

Clinical Trial Site

San Antonio 4726206, Texas 4736286, 78229

Clinical Trial Site, Fairfax 4758023, Virginia 6254928

Status

Recruiting

Address

Clinical Trial Site

Fairfax 4758023, Virginia 6254928, 22031

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