REC-7735 in Participants With Solid Tumors
ID: NCT07819136
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The study is designed to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary anti-tumor activity of REC-7735 in participants with unresectable, locally advanced, or metastatic PIK3CA-H1047R mutated solid tumors.
Oral
Treatment Arms Description
Participants will receive REC-7735 twice daily (BID).
Participants will receive REC-7735 BID.
- Participants have histologically-confirmed unresectable, locally advanced, or metastatic solid tumors which exhibit the PIK3CA H1047R mutation in tumor tissue and/or blood (circulating tumor deoxyribonucleic acid \[ctDNA\]).
- For Phase 1A and planned monotherapy cohorts in Phase 1B, participants have experienced progressive disease, relapsed disease, or be intolerant to at least one established standard systemic anti-cancer treatment for a given tumor type, or in the opinion of the Investigator have been considered ineligible for standard therapy.
- All toxicities from prior anti-cancer therapies have resolved to ≤ Grade 1 or the participant's previous baseline, with the exception of alopecia and peripheral neuropathy.
- Participants have experienced disease progression with a phosphoinositide 3-kinase (PI3Ka), protein kinase B (AKT) or mechanistic target of rapamycin (mTOR) inhibitor unless deemed suitable for REC-7735 treatment at the discretion of the Investigator and following discussion with the Sponsor.
- Known loss-of-function mutations in phosphatase and tensin homolog (PTEN), PTEN loss, or activating mutations in AKT, unless deemed suitable for REC-7735 treatment at the discretion of the Investigator and following discussion with the Sponsor.
- Major surgery within 6 weeks from treatment initiation.
- Any serious underlying medical or psychiatric condition that would preclude understanding and rendering of informed consent or impair the ability of the participant to receive or tolerate the planned treatment.
- Recent or ongoing serious infection.
- Recent prior systemic anti-cancer treatment.
- Known clinically significant UGT1A1 deficiency, including Gilbert's syndrome (for example, documented homozygous UGT1A1\*28)
- Has an established diagnosis of uncontrolled diabetes mellitus defined as meeting any one of the following:
- NOTE: This criterion is not applicable to those participants enrolling in the Phase 1B Dose Expansion cohort designated for hyperglycemia vulnerable participants
- Glycated hemoglobin (HbA1c) ≥8%
- Currently requiring insulin
- Fasting blood glucose (FBG) ≥140 milligrams (mg)/deciliter (dL) (7.8 millimoles \[mmol\]/liter \[L\]) in the past 30 days prior to dosing
- NOTE: Two FBG samples must be drawn at least seven days apart from each other.
Primary Outcome Measures
- Phase 1A: Number of Participants With Dose-limiting Toxicities (DLTs) — Time Frame: 28 days
- Number of Participants With Treatment-emergent Adverse Events (TEAEs) — Time Frame: Up to 2 years
- Phase 1B: Objective Response Rate (ORR) According to Standard Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 — Time Frame: Up to 2 years
View Secondary Outcome Measures (10)
- Maximum (Peak) Drug Concentration (Cmax) of REC-7735 — Time Frame: Up to 2 years
- Time to Reach Cmax following drug administration (Tmax) of REC-7735 — Time Frame: Up to 2 years
- Area Under the Concentration-time Curve During a Dosing Interval (AUCtau) of REC-7735 — Time Frame: Up to 2 years
- Phase 1A: ORR According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Clinical Benefit Rate (CBR) According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Duration of Response (DOR) According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Duration of Stable Disease (SD) According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Time to Response (TTR) According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Progression-free Survival (PFS) According to Standard RECIST 1.1 — Time Frame: Up to 2 years
- Phase 1B: Overall Survival — Time Frame: Up to 2 years
This trial is recruiting at 3 study facilities worldwide. Click below to see if there is a clinic or hospital in your area:
Show All 3 Facilities & Contact Sites
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View Official Medical/Scientific Title
A Phase 1 / 2, Open-Label Study of REC-7735 in Participants With Unresectable, Locally Advanced, or Metastatic PIK3CA-H1047R Mutated Solid Tumors