KRAS Activating MutationMetastatic CancerPancreas CancerNeoplasms PancreaticMalignant Neoplasm of Pancreas
Investigational drug(s) / intervention(s)
avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel
avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel: The RP2D of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel determined in Part A will be used in Part B dose expansion.
Study summary
This study will assess the safety and efficacy of avutometinib (VS-6766) and defactinib in combination with gemcitabine and nab-paclitaxel in patients with Pancreatic Ductal Adenocarcinoma (PDAC) who have been previously untreated.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Male or female subjects ≥ 18 years of age
* Histologic or cytologic evidence of metastatic pancreatic ductal adenocarcinoma.
* An Eastern Cooperative Group (ECOG) performance status ≤ 1
* Measurable disease according to RECIST 1.1
* Adequate organ function
* Adequate cardiac function
* Agreement to use highly effective method of contraceptive
Exclusion Criteria:
* Patients with pancreatic neuroendocrine tumors
* Prior or concomitant treatment for metastatic pancreatic ductal adenocarcinoma
* Prior treatment with inhibitors of the RAS /MAPK pathway \[e.g. MEK inhibitors\] or inhibitors of FAK
* History of prior malignancy, with the exception of curatively treated malignancies
* Major surgery within 4 weeks (excluding placement of vascular access)
* Concurrent heart disease or severe obstructive pulmonary disease
* Concurrent ocular disorders
* Active skin disorder that has required systemic therapy within the past 1 year
* Patients with interstitial lung disease or pulmonary fibrosis or severe lung disease, pulmonary edema, and adult respiratory distress syndrome
* Known SARS-Cov2 infection ≤28 days prior to first dose of study therapy
Primary outcome measure(s)
Part A: To determine RP2D for avutometinib (VS-6766) and defactinib in combination gemcitabine and nab-paclitaxel — 28 days Assessment of Dose-limiting toxicities (DLTs)
To determine the efficacy of the RP2D identified in Part A — 6 months Confirmed overall response rate (ORR) (partial response \[PR\] + complete response \[CR\] defined according to Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST 1.1\])
Trial sites (12)
Facility
City
Region
Status
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco
California
University of Chicago
Chicago
Illinois
Dana Farber Cancer Institute
Boston
Massachusetts
University of Michigan Cancer Center
Ann Arbor
Michigan
Washington University School of Medicine
St Louis
Missouri
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York
New York
New York Presbyterian/Weill-Cornell Medical Center
New York
New York
Memorial Sloan Kettering Cancer Center
New York
New York
University of Pennsylvania
Philadelphia
Pennsylvania
University of Utah Huntsman Cancer Institute
Salt Lake City
Utah
Virginia Mason Medical Center
Seattle
Washington
Fred Hutchinson Cancer Center
Seattle
Washington
Official registry record
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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