RecruitingPhase 1NCT05954312

A First-in-Human (FIH) Study to Evaluate the Safety and Tolerability of VVD-130037 in Participants With Advanced Solid Tumors

A Phase 1, Open-label, Multicenter, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Anti-tumor Activity of VVD-130037, a Kelch-like ECH Associated Protein 1 (KEAP1) Activator, in Participants With Advanced Solid Tumors


Sponsor

Vividion Therapeutics, Inc.

Enrollment

290 participants

Start Date

Jul 28, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

A FIH dose escalation and dose expansion study to evaluate VVD-130037 in participants with advanced solid tumors as a single agent, and in combination with docetaxel, paclitaxel, or pembrolizumab.


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • Histologically or cytologically confirmed metastatic or unresectable solid tumor.
  • Measurable disease by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as assessed by the Investigator.
  • Have progressed on or after all prior standard-of-care therapies for metastatic disease.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1.
  • Adequate organ and marrow function as defined in the protocol.
  • Participants with squamous non-small cell lung cancer (sqNSCLC) with or without nuclear factor erythroid 2-related factor 2 (NRF2 \[NFE2L2\]) and/or cullin 3 (CUL3) mutations.
  • Participants with advanced sqNSCLC must be refractory to or have progressed on or after a platinum-based doublet regimen and an immune checkpoint inhibitor.
  • Participants with advanced head and neck squamous cell carcinoma (HNSCC) must have received prior treatment with platinum-based chemotherapy, an immune checkpoint inhibitor (for tumors with known programmed death-ligand 1 \[PD-L1\] expression, microsatellite instability-high, or mismatch repair deficiency, and an anti-epidermal growth factor receptor agent) (Combination Expansion Cohort).
  • Participants with advanced esophageal squamous cell carcinoma (ESCC) must have received prior treatment with platinum-based chemotherapy, an immune checkpoint inhibitor (for tumors with known PD-L1 expression) (Combination Expansion Cohort).
  • Participants with a known driver mutation, including activating epidermal growth factor receptor mutations or anaplastic lymphoma kinase rearrangements, should have progressed after appropriate targeted treatment.
  • Participants with known human epidermal growth factor receptor 2 overexpression should have progressed after appropriate targeted treatment.

Exclusion Criteria13

  • Participant is known to have a mutation that has no expectation of benefit from VVD-130037. Current such mutations include the following:
  • KEAP1 nonsense mutation (any position)
  • KEAP1 frameshift mutation (any position)
  • Any unresolved toxicity Grade ≥2 per CTCAE version 5.0 from previous anticancer treatment.
  • Current or prior treatment with anti-epileptic medications for the treatment or prophylaxis of seizures.
  • History of seizure or condition that may predispose to seizure.
  • History or presence of central nervous system (CNS) metastases or spinal cord compression.
  • Uncontrolled arterial hypertension despite optimal medical management.
  • Risk factors for abnormal heart rhythm/QT prolongation as defined in the protocol.
  • History of the following cardiac diseases:
  • i) congestive heart failure (New York Heart Association \[NYHA\] Class \>II), ii) unstable angina, iii) new onset angina within past 6 months, iv) myocardial Infarction within the past 6 months, v) clinically significant arrhythmias within past 6 months.
  • Any prior toxicity (Grade 3 or 4) related to immunotherapy leading to treatment discontinuation (Combination Expansion Cohort)
  • Medical history of (noninfectious) pneumonitis/interstitial lung disease (ILD), drug induced ILD, radiation pneumonitis that required steroid treatment, or any evidence of clinically active pneumonitis/ILD (Combination Expansion Cohort)

Interventions

DRUGVVD-130037

Oral tablets

DRUGDocetaxel

IV infusion

DRUGPaclitaxel

IV infusion

DRUGPembrolizumab

IV infusion


Locations(25)

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Florida Cancer Specialists

Sarasota, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

Mayo Clinic Rochester

Rochester, Minnesota, United States

Sarah Cannon Research Institute

Nashville, Tennessee, United States

MDACC

Houston, Texas, United States

NEXT Dallas

Irving, Texas, United States

NEXT Virginia

Fairfax, Virginia, United States

National Cancer Center

Goyang, South Korea

Gachon University Gil Medical Center

Incheon, South Korea

Seoul National University; Bundang Hospital

Seongnam, South Korea

Asan Medical Center

Seoul, South Korea

Samsung Medical Center

Seoul, South Korea

Seoul National University Hospital

Seoul, South Korea

Severance Hospital; Yonsei University Health System

Seoul, South Korea

The Catholic University of Korea, St. Vincent's Hospital

Suwon, South Korea

Hospital Vall d'Hebron

Barcelona, Spain

START Barcelona Hospital HM Nou Delfos

Barcelona, Spain

Hospital Universitario 12 de Octubre

Madrid, Spain

Hospital Universitario Ramon y Cajal

Madrid, Spain

NEXT Madrid

Madrid, Spain

START Madrid CIOCC

Madrid, Spain

Start Madrid-FJD, Hospital Fundacion Jimenez Diaz

Madrid, Spain

Clinica Universitaria de Navarra

Pamplona, Spain

Hospital Clinico Universitario de Valencia

Valencia, Spain

View Full Details on ClinicalTrials.gov

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NCT05954312


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