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History of Changes for Study: NCT04855656
Study of RP-6306 in Advanced Solid Tumors
Latest version (submitted April 10, 2024) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 April 19, 2021 None (earliest Version on record)
2 April 26, 2021 Contacts/Locations and Study Status
3 May 12, 2021 Recruitment Status, Study Status and Contacts/Locations
4 September 10, 2021 Contacts/Locations and Study Status
5 September 27, 2021 Study Status and Contacts/Locations
6 December 6, 2021 Study Status and Contacts/Locations
7 April 25, 2022 Study Status, Contacts/Locations, Outcome Measures, Arms and Interventions, Study Identification, Study Design and Study Description
8 May 4, 2023 Study Status, Contacts/Locations and Study Design
9 July 27, 2023 Contacts/Locations and Study Status
10 January 26, 2024 Study Status
11 April 10, 2024 Outcome Measures, Contacts/Locations, Arms and Interventions, Study Description, Study Status, Study Identification, Eligibility, Study Design and Sponsor/Collaborators
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Study NCT04855656
Submitted Date:  April 19, 2021 (v1)

Open or close this module Study Identification
Unique Protocol ID: RP-6306-01
Brief Title: Study of RP-6306 in Advanced Solid Tumors
Official Title: Phase 1 Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of RP-6306 in Patients With Advanced Solid Tumors (MYTHIC Study)
Secondary IDs:
Open or close this module Study Status
Record Verification: March 2021
Overall Status: Not yet recruiting
Study Start: April 2021
Primary Completion: April 2023 [Anticipated]
Study Completion: June 2023 [Anticipated]
First Submitted: April 9, 2021
First Submitted that
Met QC Criteria:
April 19, 2021
First Posted: April 22, 2021 [Actual]
Last Update Submitted that
Met QC Criteria:
April 19, 2021
Last Update Posted: April 22, 2021 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Repare Therapeutics
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring: No
Open or close this module Study Description
Brief Summary: The primary purpose of this study is to assess the safety and tolerability of RP-6306 in patients with eligible advanced solid tumors, determine the maximum tolerated dose (MTD) and assess preliminary anti-tumor activity.
Detailed Description:

Phase 1, multi-center, open-label, dose-escalation study to:

  • Evaluate the safety profile and MTD of RP-6306 when administered orally to establish the recommended Phase 2 dose and schedule
  • Characterize the PK and pharmacodynamics of RP-6306 monotherapy
  • Assess preliminary anti-tumor activity associated with RP-6306 monotherapy
Open or close this module Conditions
Conditions: Advanced Solid Tumor
Keywords:
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 1
Interventional Study Model: Single Group Assignment
Number of Arms: 1
Masking: None (Open Label)
Allocation: N/A
Enrollment: 60 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Phase 1: RP-6306 Single-Agent, Dose Escalation and Food-effect Study
Patients receive RP-6306 orally until disease progression, unacceptable toxicity, or investigator/patient decision. Dose escalation will proceed until a maximum tolerated dose is identified.
Drug: RP-6306
Oral PKMYT1 Inhibitor
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Safety and Tolerability of RP-6306 in patients with advanced solid tumors as assessed by NCI CTCAE v5.0
[ Time Frame: Up to 90 days after last administration of study intervention ]

2. To define the MTD of RP-6306 monotherapy, and determine a recommended Phase 2 dose (RP2D) and preferred schedule
[ Time Frame: Up to 90 days after last administration of study intervention ]

Secondary Outcome Measures:
1. To assess PK parameters of RP-6306 monotherapy in fasted and fed states
[ Time Frame: through study completion, an average of 1 year ]

2. To assess the relationship between pharmacodynamic biomarkers and PK of RP-6306 at different dose levels and/or schedules
[ Time Frame: for the first 3 months on treatment ]

3. To assess preliminary anti-tumor activity of RP-6306 monotherapy
[ Time Frame: Through Study Completion, an average of 1 year ]

Open or close this module Eligibility
Minimum Age: 12 Years
Maximum Age:
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Male or female and ≥12 years-of-age at the time of informed consent.
  • Lansky performance status ≥50% for patients ≤16 years of age, or ECOG score of 0, 1, or 2 for patients >16 years of age.
  • Locally advanced or metastatic resistant or refractory solid tumors.
  • Patients <18 years of age must weigh at least 40 kg.
  • Submission of available tumor tissue at screening or willingness to have a biopsy performed if safe and feasible
  • Next generation sequencing (NGS) report obtained in a CLIA-certified or equivalent laboratory demonstrating eligible tumor biomarker.
  • Measurable disease as per RECIST v1.1.
  • Ability to swallow and retain oral medications.
  • Acceptable hematologic and organ function at screening.
  • Negative pregnancy test (serum) for women of childbearing potential (WOCBP) at Screening.
  • Resolution of all toxicities of prior therapy or surgical procedures.
  • Any prior radiation must have been completed at least 7 days prior to the start of study drugs, and patients must have recovered from any acute adverse effects prior to the start of study treatment.

Exclusion Criteria:

  • Chemotherapy or small molecule antineoplastic agent given within 21 days or <5 half-lives, whichever is shorter, prior to first dose of study drug.
  • History or current condition, therapy, or laboratory abnormality that might confound the study results or interfere with the patient's participation for the full duration of the study treatment.
  • Patients who are pregnant or breastfeeding.
  • Life-threatening illness, medical condition, active uncontrolled infection, or organ system dysfunction or other reasons which, in the investigator's opinion, could compromise the participating patient's safety.
  • Major surgery within 4 weeks prior to first dose of RP-6306.
  • Uncontrolled, symptomatic brain metastases.
  • Uncontrolled hypertension.
  • Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol and/or follow-up procedures outlined in the protocol.
Open or close this module Contacts/Locations
Central Contact Person: Peter Manley, MD
Telephone: 857-322-5553
Email: pmanley@reparerx.com
Locations:
Open or close this module IPDSharing
Plan to Share IPD: No
Open or close this module References
Citations:
Links:
Available IPD/Information:

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