E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
adult patients with advanced (metastatic or unresectable) KRAS G12C mutant solid tumors |
Pacientes adultos con tumores sólidos avanzados (metastásicos o irresecables) con mutación KRAS G12C |
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E.1.1.1 | Medical condition in easily understood language |
advanced cancer with a specific mutation (G12C) in the KRAS gene |
cáncer avanzado con una mutación específica (G12C) en el gen KRAS |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065147 |
E.1.2 | Term | Malignant solid tumor |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061873 |
E.1.2 | Term | Non-small cell lung cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061451 |
E.1.2 | Term | Colorectal cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 22.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10069759 |
E.1.2 | Term | KRAS mutation |
E.1.2 | System Organ Class | 100000004850 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Dose escalation To characterize safety and tolerability of each treatment arm tested and identify the recommended doses and regimens for future studies. Phase II To assess the anti-tumor activity of each treatment arm. |
Escalada de dosis Caracterizar la seguridad y tolerabilidad de cada brazo de tratamiento evaluado e identificar las dosis recomendadas y las pautas posológicas para estudios futuros. Fase II Evaluar la actividad antitumoral de cada brazo de tratamiento. |
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E.2.2 | Secondary objectives of the trial |
Dose escalation To assess the preliminary anti-tumor activity of each treatment arm To characterize the PK of JDQ443 and corresponding combination Phase II To assess the preliminary anti-tumor activity of each treatment arm To assess safety and tolerability of each treatment arm tested To characterize the PK of JDQ443 and corresponding combination partner(s), as applicable, for each treatment arm |
Escalada de dosis Evaluar la actividad antitumoral preliminar de cada brazo de tratamiento. Caracterizar la PK de JDQ443 y la combinación correspondiente. Fase II Evaluar la actividad antitumoral preliminar de cada brazo de tratamiento. Evaluar la seguridad y la tolerabilidad de cada brazo de tratamiento. Caracterizar la PK de JDQ443 y el (los) fármaco(s) correspondiente(s) con los que se combina, según proceda, para cada brazo de tratamiento |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Dose Escalation: -Patients with advanced (metastatic or unresectable) KRAS G12C mutant solid tumors who have received standard of care therapy or are ineligible to receive such therapy. Phase II: -Patients with advanced (metastatic or unresectable) KRAS G12C mutant non-small cell lung cancer who have received one platinum-based chemotherapy regimen and immune checkpoint inhibitor therapy, unless patient was ineligible to receive such therapy -Patients with advanced (metastatic or unresectable) KRAS G12C mutant colorectal cancer who have received fluropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy, unless patient was ineligible to such therapy. All patients: -ECOG performance status of 0 or 1. -Patients must have a site of disease amenable to biopsy and be a candidate for tumor biopsy according to the treating institution’s guidelines. |
Escalada de dosis: - Pacientes con tumores sólidos avanzados (metastásicos o irresecables) con mutación KRAS G12C que hayan recibido el tratamiento estándar o que no sean elegibles para recibirlo. Fase II: - Pacientes con cáncer de pulmón de células no pequeñas avanzado (metastásico o irresecable) con mutación KRAS G12C que hayan recibido una pauta posológica de quimioterapia basada en platino y terapia con un inhibidor de puntos de control inmunitario, a menos que no sean elegibles para recibir dicho tratamiento. - Pacientes con cáncer colorrectal avanzado (metastásico o irresecable) con mutación KRAS G12C que hayan recibido quimioterapia basada en fluropirimidina, oxaliplatino e irinotecán, a menos que no sean elegibles para recibir dicho tratamiento. Todos los pacientes: - Estado funcional del ECOG de 0 o 1. - Los pacientes deben tener un lugar de enfermedad en el que se pueda realizar una biopsia y ser candidatos para una biopsia del tumor según las pautas del centro encargado del tratamiento. |
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E.4 | Principal exclusion criteria |
Key exclusion applicable to all arms -Tumors harboring driver mutations that have approved targeted therapies, with the exception of KRAS G12C mutations. -Prior treatment with a KRAS G12C inhibitor is excluded for patients in a subset of groups in Phase II. -Active brain metastases, including symptomatic brain metastases or known leptomeningeal disease -Clinically significant cardiac disease or risk factors at screening -Insufficient bone marrow, hepatic or renal function at screening |
Criterios de exclusión principales que aplican a todos los brazos - Tumores con mutaciones conductoras que cuenten con tratamientos dirigidos aprobados, con la excepción de las mutaciones KRAS G12C. - Pacientes con tratamiento previo con un inhibidor de KRAS G12C en un subconjunto de los grupos de fase II. - Metástasis cerebrales activas, incluidas metástasis cerebrales sintomáticas o enfermedad leptomeníngea conocida. - Enfermedad cardíaca clínicamente significativa o factores de riesgo en la selección. - Función medular, hepática o renal insuficiente en la selección. |
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E.5 End points |
E.5.1 | Primary end point(s) |
1) Dose escalation: Incidence and severity of dose limiting toxicities (DLTs) of each combination treatment. 2) Dose escalation: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) by treatment 3) Dose escalation: Frequency of dose interruptions and reductions, by treatment 4) Dose Escalation: Dose intensity by treatment 5) Phase II: Overall Response Rate by Blinded Independent Review Committee (BIRC) per RECIST 1.1 |
1)Escalado de dosis: incidencia e intensidad de toxicidades limitantes de dosis (DLT) de cada tratamiento de combinación 2)Escalado de dosis: incidencia e intensidad de los acontecimientos adversos (AA) y los acontecimientos adversos graves (AAG) por tratamiento 3)Escalado de dosis: frecuencia de las interrupciones de dosis y reducciones de dosis por tratamiento 4)Escalado de dosis: intensidad de las dosis por tratamiento 5) Fase II: respuesta tumoral evaluada por el BIRC según RECIST 1.1 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1) 28 days 2) to 6) 24 months |
1) 28 días 2) a 6) 24 meses |
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E.5.2 | Secondary end point(s) |
1) Dose escalation and Phase II: ORR by local review per RECIST 1.1 2) Dose escalation and Phase II: Disease Control Rate (DCR) by local review per RECIST 1.1 3) Dose escalation and Phase II: Duration of Response (DoR) by local review per RECIST 1.1 4) Dose escalation and Phase II: Progression-Free Survival (PFS) by local review per RECIST 1.1 5) Phase II: DCR by BIRC per RECIST 1.1 6) Phase II: DoR by BIRC per RECIST 1.1 7) Phase II: PFS by BIRC per RECIST 1.1 8) Phase II: Overall survival (OS) 9) Dose escalation and Phase II: PK parameters - Maximum Concentration (Cmax), as applicable per arm 10) Dose escalation and Phase II: PK parameters - Minimum Concentration (Cmin), as applicable per arm 11) Dose escalation: Time to achieve Cmax - Tmax, as applicable per arm 12) Dose escalation and Phase II: Plasma or serum concentration vs time profiles - AUCtau, as applicable per arm 13) Dose escalation and Phase II: Plasma or serum concentration vs time profiles - AUCinf, as applicable per arm 14) Phase II: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) by treatment 15) Phase II: Frequency of dose interruptions and reductions, by treatment 16) Phase II: Dose intensity by treatment |
1)Escalado de dosis y Fase II: ORR determinada mediante revisión local según RECIST 1.1 2) Escalado de dosis y Fase II: Tasa de control de enfermedades (TCE) por revisión local según RECIST 1.1 3) Escalado de dosis y Fase II: Duración de la respuesta (DoR) por revisión local según RECIST 1.1 4) Escalado de dosis y Fase II: Supervivencia libre de progresión (PFS) por revisión local según RECIST 1.1 5)Fase II: DCR por BIRC según RECIST 1.1 6)Fase II: DoR por BIRC según RECIST 1.1 7)Fase II: PFS por BIRC según RECIST 1.1 8)Fase II: Supervivencia global (SG) 9)Escalado de dosis y Fase II: parámetros farmacocinéticos - Concentración máxima (Cmax), según corresponda por brazo 10) Escalado de dosis y Fase II: parámetros farmacocinéticos - Concentración mínima (Cmin), según corresponda por brazo 11) Escalado de dosis: tiempo para lograr Cmax - Tmax, según corresponda por brazo 12) Escalado de dosis y Fase II: Concentración plasmática o sérica frente a perfiles de tiempo - AUCtau, según corresponda por brazo 13) Escalado de dosis y Fase II: perfiles de concentración plasmática o sérica frente a tiempo - AUCinf, según corresponda por brazo 14)Fase II: incidencia e intensidad de los acontecimientos adversos (AA) y los acontecimientos adversos graves (AAG) por tratamiento 15)Fase II: frecuencia de las interrupciones de dosis y reducciones de dosis por tratamiento 16)Fase II: intensidad de las dosis por tratamiento |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) to 8) and 14) to 16) 24 months 9) to 13) 5 months |
1) a 8) y 14) a 16) 24 meses 9) a 13) 5 meses |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Dose escalation study |
Estudio escalada de dosis |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 6 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Japan |
Korea, Republic of |
Singapore |
United States |
France |
Spain |
Germany |
Italy |
Belgium |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 15 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 10 |