A Phase 1/1b, Open-label, Multicenter, Dose Escalation and Dose Optimization Study Evaluating the Safety, Tolerability, Pharmacokinetics and Efficacy of KQB365 as Monotherapy and in Combination with Anti-cancer Agents in Participants with Advanced Solid Malignancies with KRAS G12S or G12C mutations

ENROLLING
Protocol # :
25-112
Conditions
KRAS G12C Mutation
KRAS G12S Mutation
Solid Tumor Malignancies
CRC (Colorectal Cancer)
Phase
I
Disease Sites
Neuroendocrine/Carcinoid
Gastroesophageal Junction
Gallbladder/Biliary
Other specified personal risk factors, not elsewhere classified
Lip, Oral Cavity and Pharynx
Esophagus
Stomach
Small Intestine
Colon
Rectum
Anus
Liver
Pancreas
Other Digestive Organ
Larynx
Lung
Other Respiratory and Intrathoracic Organs
Bones and Joints
Soft Tissue
Other Skin
Breast
Cervix
Corpus Uteri
Ovary
Other Female Genital
Prostate
Other Male Genital
Urinary Bladder
Kidney
Other Urinary
Eye and Orbit
Brain and Nervous System
Thyroid
Unknown Sites
Ill-Defined Sites
Other Endocrine System
Kaposi's Sarcoma
Melanoma, Skin
Principal Investigator
Ng, Kimmie
Site Research Nurses
Giannandrea, Gianna
Graham, Christopher
Lawson, Susan
Ritterband, Lauren
Sawin, Mark
Vanasse, Katherine

Trial Description

The goal of this clinical trial is to learn if KQB365 works to treat advanced solid tumor
cancer in adults. It will also learn about the safety of KQB365. The main questions it
aims to answer are:

- What is the safe dose of KQB365 by itself, in combination with cetuximab, or in
combination with KQB198?

- Does KQB365 alone, in combination with cetuximab, or in combination with KQB198
decrease the size of the tumor?

- What happens to KQB365 in the body?

Participants will:

- Receive KQB365 infusion weekly alone, in combination with cetuximab, or in
combination with oral KQB198.

- Visit the clinic about 9 times in the first 6 weeks, and then once every week after
that.

Eligibility Requirements

Inclusion Criteria:

- PART 1 (monotherapy and combo therapy with KQB198): Histologically confirmed
diagnosis of a solid tumor malignancy with either a KRAS G12C or KRAS G12S mutation.

- PART 1 (combo therapy with Cetuximab) & PART 2: Histologically confirmed diagnosis
of adenocarcinoma of the colon or rectum with either a KRAS G12C or KRAS G12S
mutation.

- Unresectable or metastatic disease

- No available treatment with curative intent

- Adequate organ function

- Measurable disease per RECIST v1.1

Exclusion Criteria:

- Active primary central nervous system tumors

- Cardiac abnormalities

- Active interstitial lung disease

- Unable to swallow or GI condition that prevents absorption for patients in KQB198
combination cohorts

25-112