Phase 1/2 Study of S241656 for Cancers with Specific RAS/MAPK Mutations

Sponsor: Institut de Recherches Internationales Servier

Sponsor score: 0

ClinicalTrials ID:NCT05786924

This clinical trial is testing a new drug, S241656, to see if it is safe and well-tolerated in adults with certain advanced cancers that have specific genetic mutations. The study will explore how the drug works alone and in combination with other cancer treatments.

Patient Parameters

Program Overview

The study is designed to evaluate the safety and tolerability of a new drug, S241656, in adults with advanced cancers that have specific genetic mutations in the RAS/MAPK pathway. The trial will be conducted in two parts: the first part will determine the best dose of the drug, and the second part will expand the study to include more patients. Participants will take the drug orally in 28-day cycles until their cancer progresses, they experience unacceptable side effects, they choose to stop, or the study ends.

Eligibility Criteria

Inclusion Criteria

  • Expected to live at least 12 more weeks according to the study doctor.
  • Have advanced or metastatic solid tumors with specific RAS or RAF genetic mutations.
  • Have good bone marrow and organ function.
  • Have recovered from side effects of previous cancer treatments.

For Part 1 (Dose Escalation):

  • Advanced/metastatic non-small cell lung cancer (NSCLC) with specific mutations.
  • Advanced/metastatic gastrointestinal (GI) tumors with specific mutations.
  • Advanced/metastatic pancreatic cancer with specific mutations.
  • Advanced/metastatic colorectal cancer with specific mutations.
  • Other advanced/metastatic solid tumors with specific mutations.

For Part 2 (Dose Optimization and Expansion):

  • Advanced/metastatic NSCLC with specific mutations.
  • Advanced/metastatic pancreatic cancer with specific mutations.
  • Advanced/metastatic colorectal cancer with specific mutations.
  • Advanced/metastatic biliary tract cancer with specific mutations.

Exclusion Criteria

  • Cancer with a known MEK1/2 mutation.
  • Allergy to the study drug or any combination treatments used in the trial.
  • Recent major surgery or planned surgery during the study.
  • Currently receiving other cancer treatments or radiation therapy.
  • Uncontrolled infections requiring treatment.
  • Significant heart disease.
  • Spinal cord compression causing symptoms.
  • Other active cancers needing treatment within the next 2 years.
  • History or risk of retinal vein occlusion.
  • Pregnant or breastfeeding women.
  • Participating in another clinical trial with treatment.
  • Previous use of experimental drugs targeting the KRAS/BRAF/MEK/ERK pathway.

Locations

FACILITYZIPCITYSTATE
Banner Health- MD Anderson Cancer Center85234GilbertArizona
University of Colorado - Aurora Cancer Center80045AuroraColorado
Georgetown University Lombardi Cancer Center20007Washington D.C.District of Columbia
Dana-Farber Cancer Institute02215BostonMassachusetts
South Texas Accelerated Research Therapeutics (START) Midwest49546Grand RapidsMichigan
Masonic Cancer Center University of Minnesota55455MinneapolisMinnesota
Washington University63130St LouisMissouri
Memorial Sloan Kettering Cancer Center10065New YorkNew York
NEXT Virginia22031FairfaxVirginia
Fred Hutchinson Cancer Research Center98109SeattleWashington

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