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Trial Title: A Study of REC-4881 in Participants with Cancers Which Have an AXIN1 or APC Mutation

NCT ID: NCT06005974

Condition: AXIN1 Gene Mutation
APC Gene Mutation
Solid Tumor

Conditions: Official terms:
Adenomatous Polyposis Coli

Conditions: Keywords:
AXIN1
APC
Locally advanced or metastatic
Solid tumor

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: Participants are allocated to two groups, AXIN1 mutation or APC mutation, in parallel for the duration of the study.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: REC-4881
Description: REC-4881 4mg capsules
Arm group label: APC Cohort
Arm group label: AXIN1 Cohort

Summary: This is a multi-center, open-label study to investigate the safety, efficacy and pharmacokinetics of REC-4881 (12 mg PO daily doses) for the treatment of participants with unresectable locally advanced or metastatic solid tumors with AXIN1 or APC mutation.

Detailed description: Approximately 60 individuals will be enrolled in this open-label Phase 2 study, allocated 1:1 between the 2 cohorts - AXIN1 mutation or APC mutation. The purpose of the study is to investigate the safety, efficacy, and pharmacokinetics of REC-4881 for the treatment of participants with unresectable locally advanced or metastatic solid tumors with either mutation. Participants will receive treatment with REC-4881 (12mg PO daily) for up to 2 years.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. 55 years of age or older with histologically-confirmed unresectable, locally advanced, or metastatic solid tumor with AXIN1 or APC mutation. If a participant has colorectal cancer, then they must be RAS / RAF wild type to enroll into the APC mutant cohort 2. Have experienced progressive disease, relapsed disease, or be intolerant to at least one established standard systemic anti-cancer treatment, or in the opinion of the Investigator have been considered ineligible for standard therapy 3. Measurable disease at baseline per RECIST 1.1 criteria 4. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 Exclusion Criteria: 1. Received treatment with another mitogen-activated protein kinase (MEK) inhibitor within two months of first dose of REC-4881 2. Left ventricular ejection fraction (LVEF) <50% as measured by echocardiogram (ECHO) or multigated acquisition (MUGA) scan

Gender: All

Minimum age: 55 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Eastern Connecticut Hematology & Oncology Associates

Address:
City: Norwich
Zip: 06360
Country: United States

Status: Recruiting

Contact:
Email: trials@tempus.com

Facility:
Name: Cancer Specialists of North Florida

Address:
City: Jacksonville
Zip: 32256
Country: United States

Status: Recruiting

Contact:
Email: trials@tempus.com

Facility:
Name: Avera Cancer Institute

Address:
City: Sioux Falls
Zip: 57105
Country: United States

Status: Recruiting

Contact:
Email: trials@tempus.com

Start date: January 15, 2024

Completion date: January 2027

Lead sponsor:
Agency: Recursion Pharmaceuticals Inc.
Agency class: Industry

Source: Recursion Pharmaceuticals Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06005974

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