A Study of the Safety, Tolerability, and Effects of Cobimetinib and GDC-0994 in Patients With Locally Advanced or Metastatic Solid Tumors



Status:Completed
Conditions:Lung Cancer, Colorectal Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:11/22/2018
Start Date:June 16, 2015
End Date:December 5, 2016

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A Phase Ib, Open-Label, Dose-Escalation Study Of The Safety, Tolerability, and Pharmacokinetics of Cobimetinib and GDC-0994 In Patients With Locally Advanced or Metastatic Solid Tumors

This is a two-stage dose-escalation study to assess the safety, tolerability and effects of
oral dosing of cobimetinib and GDC-0994 administered in combination in patients with
histologically confirmed, locally advanced, or metastatic solid tumors for which standard
therapies either do not exist or have proven ineffective or intolerable.


Inclusion Criteria:

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

- Histologically or cytologically documented, locally advanced or metastatic solid
tumors for which standard therapy either does not exist or has proven ineffective or
intolerable

- Evaluable disease or disease measurable

- Life expectancy > or = 12 weeks

- Adequate hematologic and end organ function

- For female patients of childbearing potential and male patients with partners of
childbearing potential, use of an effective form of contraception with continued use
for study duration and up to 3 months or more following discontinuation of treatment
drug

- Fluorodeoxyglucose positron emission tomography (FDG-PET) avid disease on baseline
scan

For enrollment in part 2, patients must meet all of the following:

- Measurable disease

- No more than four prior systemic therapies for locally advanced or metastatic cancer

Exclusion Criteria:

- History of prior significant toxicity from another MEK inhibitor or ERK inhibitor
requiring discontinuation of treatment

- Evidence of visible retinal pathology as assessed by ophthalmologic examination that
is considered a risk factor for retinal vein thrombosis

- History of glaucoma

- Intraocular pressure > 21 mmHg as measured by tonometry

- Predisposing factors to retinal vein occlusion (RVO)

- History of RVO, neurosensory retinal detachment, or neovascular macular degeneration

- Allergy or hypersensitivity to components of the cobimetinib or GDC-0994 formulation

- Palliative radiotherapy within 2 weeks prior to first dose of study-drug treatment in
Cycle 1

- Experimental therapy within 4 weeks prior to first dose of study-drug treatment in
Cycle 1

- Major surgical procedure or significant traumatic injury within 4 weeks prior to the
first dose of study-drug treatment in Cycle 1, or anticipation of the need for major
surgery during the course of study treatment

- Anti-cancer therapy within 28 days prior to the first dose of study-drug treatment in
Cycle 1

- Current severe, uncontrolled systemic disease

- History of clinically significant cardiac dysfunction

- History of symptomatic congestive heart failure or serious cardiac arrhythmia
requiring treatment

- History of myocardial infarction within 6 months prior to the first dose of study-drug
treatment in Cycle 1

- History of congenital long QT syndrome or QTc > 470 msec

- LVEF

- History of malabsorption or other condition that would interfere with enteral
absorption

- Clinically significant history of liver disease, current alcohol abuse, or current
known active infection with HIV, hepatitis B virus, or hepatitis C virus

- Any condition requiring warfarin or thrombolytic anticoagulants

- Active autoimmune disease

- Uncontrolled ascites requiring weekly large volume paracentesis for 3 consecutive
weeks prior to enrollment

- Pregnancy, lactation, or breastfeeding

- Known brain metastases that are untreated, symptomatic, or require therapy to control
symptoms

- No other history of or ongoing malignancy that would potentially interfere with the
interpretation of the Pharmacodynamic (PD) or efficacy assays
We found this trial at
5
sites
450 Brookline Ave
Boston, Massachusetts 2215
617-632-3000
Dana-Farber Cancer Institute Since it’s founding in 1947, Dana-Farber has been committed to providing adults...
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Aurora, Colorado 80045
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3322 West End Avenue
Nashville, Tennessee 37203
(615)329-SCRI (7274)
Sarah Cannon Research Institute Sarah Cannon Research Institute (SCRI) is a global strategic research organization...
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Nashville, TN
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333 Cedar Street
New Haven, Connecticut 06520
(203) 785-4095
Yale Cancer Center Yale Cancer Center combines a tradition of innovative cancer treatment and quality...
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New Haven, CT
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660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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Saint Louis, MO
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