Status:

RECRUITING

A Study to Investigate the Safety and Efficacy of NST-628 Oral Tablets in Subjects With Solid Tumors

Lead Sponsor:

Nested Therapeutics, Inc

Conditions:

Oncology

MEK Mutation

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This is a two-part Phase 1, open label, multi-center, single arm, non-randomized, multiple dose, safety, pharmacokinetic (PK) and preliminary efficacy study of single agent NST-628 in adult patients w...

Detailed Description

The study includes two parts, a dose escalation part (Part A) followed by a dose expansion part (Part B). Part A will estimate the maximum tolerated dose (MTD) in dose escalation cohorts in patients w...

Eligibility Criteria

Inclusion Criteria:

Subjects are eligible to be included in the study only if all of the following criteria apply:

  1. Subjects must be ≥18 years old (or of legal age of consent in the country in which the study is taking place) at the time of signing the informed consent.

  2. Subjects who have a histologically or cytologically documented metastatic or locally advanced solid tumor, for which standard of care (SoC) therapy does not exist, no longer provides benefit, or is not tolerated by the subject, or the subject has been assessed by the Investigator as not being suitable for SoC therapy.

    1. Part A: Subjects with any solid tumor with genetic alteration of or evidence of tumor dependence upon the RAS/MAPK pathway (subject to additional restrictions specified in the study protocol)
    2. Part B: Subjects must be diagnosed with one of the following solid tumors harboring specified genetic alterations based on a validated local test:

    i. Melanoma Cohorts:

    1. Activating NRAS mutations
    2. Select BRAF alterations

    ii. Non-Melanoma Cohorts:

    1. Solid tumors with NRAS activating mutations
    2. Solid tumors with KRAS activating mutations
    3. Solid tumors with select BRAF alterations
    4. Glioma with BRAF alterations
  3. Newly obtained or archived tumor tissue is required

  4. Part B: measurable disease as defined by RECIST Version 1.1 or by other disease assessment tool standard for a given tumor type (if RECIST v. 1.1 is not standard)

  5. Performance status

    1. Solid tumors other than glioma: ECOG 0 or 1
    2. Glioma: Karnofsky ≥ 70 and ECOG 0 or 1
  6. Have adequate organ function

  7. Understand and voluntarily sign an Institutional Review Board/Independent Ethics Committee-approved informed consent form prior to any study-specific evaluation.

  8. Life expectancy ≥ 12 weeks

Exclusion Criteria:

Subjects are excluded from the study if any of the following criteria apply:

  1. Conditions interfering with oral intake of NST-628
  2. Conditions interfering with intestinal absorption of an orally administered drug
  3. A history or current evidence of significant retinal pathology leading to increased risk of RVO
  4. A history or evidence of cardiovascular risk
  5. Current or history within 6 months of planned Cycle 1 Day 1 of pneumonitis or interstitial lung disease (ILD)
  6. Part B: prior treatment with any MEK or BRAF inhibitor
  7. Untreated or symptomatic central nervous system (CNS) metastases
  8. Chemotherapy, radiation, gene therapy, vaccine therapy, or anti-cancer antibodies / ADCs within 28 days of Cycle 1 Day 1
  9. Targeted small molecule agents within 14 days or 5 half-lives of Cycle 1 Day 1
  10. Females who are pregnant or breastfeeding.
  11. For fertile patients (female able to become pregnant or male able to father a child), refusal to use effective contraception during the period of the trial and for 6 months after the last dose of NST-628
  12. Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study

Key Trial Info

Start Date :

April 9 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2029

Estimated Enrollment :

230 Patients enrolled

Trial Details

Trial ID

NCT06326411

Start Date

April 9 2024

End Date

November 1 2029

Last Update

November 10 2025

Active Locations (23)

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Page 1 of 6 (23 locations)

1

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States, 94158

2

UCLA Hematology/Oncology

Westwood, Los Angeles, California, United States, 90024

3

Sarah Cannon Research Institute at Health ONE

Denver, Colorado, United States, 80218

4

Yale Cancer Center

New Haven, Connecticut, United States, 06511