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Trial Title: Adagrasib in Combination With Nab-Sirolimus in Patients With Advanced Solid Tumors and Non-Small Cell Lung Cancer With a KRAS G12C Mutation (KRYSTAL -19)

NCT ID: NCT05840510

Condition: Solid Tumor, Adult
NSCLC
Advanced Cancer
Metastatic Cancer
Malignant Neoplastic Disease

Conditions: Official terms:
Neoplasms
Sirolimus
Adagrasib

Conditions: Keywords:
KRAS
NSCLC
Adagrasib
KRAS G12C
mTOR
nab-sirolimus
Fyarro
ABI-009

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Adagrasib
Description: KRAS G12C inhibitor
Arm group label: Dose Escalation and Clinical Efficacy

Other name: MRTX849

Other name: Krazati

Intervention type: Drug
Intervention name: nab-Sirolimus
Description: mTOR inhibitor
Arm group label: Dose Escalation and Clinical Efficacy

Other name: ABI -009

Other name: Fyarro

Summary: This study will evaluate the safety, MTD and/or RP2D, PK, and clinical activity of the combination of adagrasib with nab-sirolimus in patients with advanced solid tumors/NSCLC with a KRAS G12C mutation.

Detailed description: This study will evaluate the safety and tolerability and clinical activity of adagrasib in combination with nab-sirolimus in patients with advanced solid tumors harboring a KRAS G12C mutation. The Phase 1 portion will enroll advanced solid tumors to establish the maximum tolerated dose (MTD) and/or to identify recommended Phase 2 combinatorial doses. The Phase 2 portion will enroll patients with NSCLC to further evaluate the safety/tolerability and clinical activity. Adagrasib is an orally available small molecule inhibitor of KRAS G12C. nab-Sirolimus is a nanoparticle albumin-bound (nab) form of sirolimus, and sirolimus is an inhibitor of mechanistic target of rapamycin kinase (mTOR, previously known as mammalian target of rapamycin).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically confirmed diagnosis of solid tumor malignancy (Phase 1) or NSCLC (Phase 2) with KRAS G12C mutation - Unresectable or metastatic disease - No available treatment with curative intent - Adequate organ function - Measurable disease per RECIST 1.1. Exclusion Criteria: - History of intestinal disease, inflammatory bowel disease, major gastric surgery, or other gastrointestinal conditions likely to alter absorption of study treatment or result in inability to swallow - History of interstitial lung disease or radiation pneumonitis requiring steroid treatment, or any evidence of clinically active interstitial lung disease or pneumonitis - Cardiac abnormalities

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University Hospitals Cleveland Medical Center

Address:
City: Cleveland
Zip: 44121
Country: United States

Facility:
Name: SCRI Oncology Partners

Address:
City: Nashville
Zip: 37203
Country: United States

Facility:
Name: University of Texas MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030-4000
Country: United States

Start date: August 7, 2023

Completion date: June 30, 2026

Lead sponsor:
Agency: Mirati Therapeutics Inc.
Agency class: Industry

Collaborator:
Agency: Aadi Bioscience, Inc.
Agency class: Industry

Source: Mirati Therapeutics Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05840510
https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
https://www.BMSStudyConnect.com

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