KIN-2787: KIN-2787 will be administered orally twice daily in 28-day cycles
KIN-2787 and binimetinib: Continuous and Ramp-Up cohorts: KIN-2787 (exarafenib) and binimetinib will be administered orally twice daily in 28-day cycles Intermittent Cohort: KIN-2787 will be administered orally twice daily and binimetinib will be administered twice daily for 5 days on, 2 days off for 28-day cycles
Study summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of KIN-2787 in adults with BRAF/NRAS-mutated advanced or metastatic solid tumors.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Provide written informed consent prior to initiation of any study-specific procedures.
* Metastatic or advanced stage solid tumor
* Known BRAF Class I, Class II, or Class III alteration or melanoma with an NRAS mutation as confirmed by previous genomic analysis of tumor tissue or ctDNA.
* Measurable (Part A and B) or evaluable (Part A only) disease by RECIST v1.1.
* ECOG performance status 0-1
* Adequate organ function, as measured by laboratory values (criteria listed in protocol).
* Able to swallow, retain, and absorb oral medications.
Exclusion Criteria:
* Known participants who have received local therapy with either surgery and/or radiation therapy (participants with asymptomatic untreated brain metastasis may be eligible if met with certain criteria)
* In Part B Dose Expansion, previous treatment with any approved or in-development small molecule BRAF-, MEK-, or MAPK-directed inhibitor therapy.
* GI tract disease causing an inability to take oral medication, malabsorption syndrome, requirement for intravenous alimentation, or uncontrolled inflammatory GI disease.
* Active, uncontrolled bacterial, fungal, or viral infection.
* Participant with a positive test result for SARS-CoV2 infection, is known to have asymptomatic infection or is suspected of having SARS-CoV2, is excluded
* Women who are lactating or breastfeeding, or pregnant.
* Participants with any other active treated malignancy within 3 years prior to enrollment
Complete inclusion and exclusion criteria are listed in the clinical study protocol.
Primary outcome measure(s)
Part A1 Dose escalation monotherapy: — Initiation of study drug through 28 days after last dose (up to approximately 18 months) To determine the safety and tolerability of oral administration of KIN-2787 including dose-limiting toxicities (DLTs), and to identify the maximum tolerated dose (MTD) and/or the appropriate dose for further clinical investigation in Part B Dose Expansion.
Part A2 Dose Escalation: KIN-2787 + Binimetinib Combination — Initiation of study drug through 28 days after last dose (up to approximately 18 months) To determine the safety and tolerability of oral administration of KIN-2787 + binimetinib including DLTs, and to identify the MTD and/or the appropriate dose for further clinical investigation.
In Part B (Dose Expansion) - objective response rate (ORR) using RECIST v1.1. — Initiation of study drug until disease progression (up to approximately 36 months) To assess preliminary evidence of the anti-cancer activity of KIN-2787 and for (B2) KIN-2787 + binimetinib
In Part B (Dose Expansion) - disease control rate (DCR). — Initiation of study drug until disease progression (up to approximately 36 months)
In Part B (Dose Expansion) - duration of overall response (DOR). — Initiation of study drug until disease progression (up to approximately 36 months) Measure of clinical benefit, defined as the time from initial tumor response to documented tumor progression
In Part B (Dose Expansion) - duration of stable disease. — Initiation of study drug until disease progression (up to approximately 36 months)
Trial sites (48)
Facility
City
Region
Status
The Angeles Clinic
Los Angeles
California
Recruiting
UCLA
Los Angeles
California
Recruiting
University of California San Diego, Moores Cancer Center
San Diego
California
Recruiting
University of California San Francisco
San Francisco
California
Recruiting
Sarah Cannon Research Institute Denver
Denver
Colorado
Recruiting
Mayo Clinic - Florida
Jacksonville
Florida
Recruiting
Sarah Cannon Research Institute - Florida Cancer Specialists
Orlando
Florida
Recruiting
Mayo Clinic - Rochester
Rochester
Minnesota
Recruiting
Atlantic Health
Morristown
New Jersey
Recruiting
Rutgers Cancer Institute of New Jersey
New Brunswick
New Jersey
Recruiting
NYU Langone
New York
New York
Recruiting
Cleveland Clinic
Cleveland
Ohio
Recruiting
Sarah Cannon Research Institute-Tennessee Oncology
Nashville
Tennessee
Recruiting
MD Anderson
Houston
Texas
Not Yet Recruiting
Virginia Cancer Specialists
Fairfax
Virginia
Recruiting
Calvary Mater Hospital Newcastle
Waratah
New South Wales
Recruiting
Melanoma Institute Australia
Wollstonecraft
New South Wales
Recruiting
Tasman Health Care
Southport
Queensland
Recruiting
Austin Health
Heidelberg
Victoria
Recruiting
Linear Clinical Research
Perth
Western Australia
Recruiting
Harbin Medical University Cancer Hospital
Haerbin
Heilongjiang
Recruiting
Linyi Cancer Hospital
Linyi
Shandong
Active Not Recruiting
Beijing University Cancer Hospital
Beijing
China
Active Not Recruiting
The Shanghai Pulmonary Hospital
Shanghai
China
Active Not Recruiting
Institut Bergonie
Bordeaux
France
Recruiting
Centre Francois Baclesse
Caen
France
Recruiting
CHU de Lille
Lille
France
Recruiting
Centre Leon Berard
Lyon
France
Recruiting
APHM-CHU La Timone
Marseille
France
Recruiting
CHU Nantes-Hotel Dieu
Nantes
France
Recruiting
CHU de Nice - Hôpital Archet 2
Nice
France
Recruiting
APHP - Hôpital St Louis
Paris
France
Recruiting
Hospices Civiles de Lyon - Hôpital Lyon Sud
Pierre-Bénite
France
Recruiting
CHU de Poitiers
Poitiers
France
Recruiting
Oncopole Claudius Regaud
Toulouse
France
Recruiting
Gustave Roussy
Villejuif
France
Recruiting
Istituto Nazionale dei Tumori Fondazione G. Pascale
Naples
Italy
Recruiting
Arance
Barcelona
Spain
Recruiting
NEXT Quirónsalud Madrid
Madrid
Spain
Recruiting
H. Regional de Málaga
Málaga
Spain
Recruiting
+ 8 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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