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Study of the CHK1 Inhibitor BBI-355, an ecDNA-directed Therapy (ecDTx), and the RNR Inhibitor BBI-825, in Subjects With Tumors With Oncogene Amplifications (POTENTIATE)

B

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Status and phase

Enrolling
Phase 1

Conditions

Anogenital Cancer
Triple Negative Breast Cancer (TNBC)
Small Cell Lung Cancer
Cutaneous Squamous Cell Carcinoma (CSCC)
Head and Neck (HNSCC)
Pancreatic Cancer Metastatic
Leiomyosarcoma (LMS)
Cervical Squamous Cell Carcinoma
Undifferentiated Pleomorphic Sarcoma (UPS)
ER+ Breast Cancer
High Grade Endometrial Carcinoma
High Grade Serous Ovarian Carcinoma

Treatments

Drug: Futibatinib
Drug: BBI-825
Drug: Erlotinib
Drug: BBI-355

Study type

Interventional

Funder types

Industry

Identifiers

NCT05827614
BBI-355-101

Details and patient eligibility

About

BBI-355 is an oral, potent, selective checkpoint kinase 1 (or CHK1) small molecule inhibitor in development as an ecDNA (extrachromosomal DNA) directed therapy (ecDTx). BBI-825 is an oral, potent, selective ribonucleotide reductase (or RNR) small molecule inhibitor. This is a first-in-human, open-label, 2-part, Phase 1/2 study to determine the safety profile and identify the maximum tolerated dose and recommended Phase 2 dose of BBI-355 administered as a single agent or in combination with BBI-825 or other select therapies.

Full description

BBI-355 and BBI-825 are administered orally in various dosing schedules to subjects with locally advanced or metastatic non-resectable solid tumors harboring oncogene amplifications, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists.

Enrollment

127 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

  • Locally advanced or metastatic non-resectable solid tumors, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists,
  • Evidence of oncogene amplification,
  • Availability of FFPE tumor tissue, archival or newly obtained,
  • Measurable disease as defined by RECIST Version 1.1,
  • Adequate hematologic function,
  • Adequate hepatic and renal function,
  • Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1,
  • Other inclusion criteria per study protocol.

Key Exclusion Criteria:

  • Single agent arm: Prior exposure to CHK1 or WEE1 inhibitors,
  • BBI-355 combination with BBI-825 arm: Prior exposure to combination therapy of any RNR inhibitor plus CHK1/2 inhibitor,
  • Hematologic malignancies,
  • Primary CNS malignancy, leptomeningeal disease, or symptomatic active CNS metastases, with exceptions per study protocol,
  • Prior or concurrent malignancies, with exceptions per study protocol,
  • History of HBV, HCV, or HIV infection,
  • Clinically significant cardiac condition,
  • Active or history of interstitial lung disease (ILD) or pneumonitis, or history of ILD or pneumonitis requiring steroids or other immunosuppressive medications,
  • QTcF > 470 msec,
  • Prior organ allograft transplantations or allogeneic peripheral blood stem cell/bone marrow transplantation,
  • Other exclusion criteria per study protocol.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

127 participants in 5 patient groups

Single Agent Dose Escalation
Experimental group
Description:
Single agent BBI-355, administered orally in 28-day cycles
Treatment:
Drug: BBI-355
Single Agent Dose Expansion
Experimental group
Description:
Single agent BBI-355, administered orally in 28-day cycles
Treatment:
Drug: BBI-355
Dose Escalation in Combination with EGFR Inhibitor
Experimental group
Description:
Combination therapy of BBI-355 and EGFR inhibitor erlotinib, administered orally in 28-day cycles.
Treatment:
Drug: BBI-355
Drug: Erlotinib
Dose Escalation in Combination with FGFR Inhibitor
Experimental group
Description:
Combination therapy of BBI-355 and FGFR1-4 inhibitor futibatinib, administered orally in 28-day cycles.
Treatment:
Drug: BBI-355
Drug: Futibatinib
Dose Escalation in Combination with RNR Inhibitor
Experimental group
Description:
Combination therapy of BBI-355 and RNR Inhibitor BBI-825, administered orally in 28-day cycles.
Treatment:
Drug: BBI-355
Drug: BBI-825

Trial contacts and locations

17

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Central trial contact

Angela Pietrofeso; Rebecca Reynolds

Data sourced from clinicaltrials.gov

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