Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06487221

Avutometinib and Defactinib in Diffuse Gastric Cancer

Led by Ryan H. Moy, MD, PhD · Updated on 2025-11-04

27

Participants Needed

1

Research Sites

239 weeks

Total Duration

On this page

Sponsors

R

Ryan H. Moy, MD, PhD

Lead Sponsor

V

Verastem, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to determine if the combination study treatment with avutometinib and defactinib will prolong life in participants, is effective in decreasing the size of the tumor(s), and if it is safe in subjects with diffuse-type stomach cancer.

CONDITIONS

Official Title

Avutometinib and Defactinib in Diffuse Gastric Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of gastric or gastroesophageal junction carcinoma classified as diffuse type, poorly cohesive, signet ring cell, or mixed type, or with CDH1 and/or RHOA mutations
  • Prior treatment with at least one line of therapy for unresectable or metastatic disease including platinum and fluoropyrimidine
  • ECOG performance status of 0 or 1
  • Age 18 years or older
  • Adequate organ function as defined by specific blood counts, liver, kidney, heart function, and coagulation parameters
  • Disease that can be evaluated radiographically within 28 days prior to treatment
  • Tumor accessible for fresh biopsy or malignant ascites suitable for paracentesis
  • Baseline QTc interval less than 460 ms for females and 450 ms for males
  • Recovery to grade 1 or better from prior treatment toxicities except for alopecia and stable peripheral neuropathy
  • Agreement to use adequate contraception if of child-bearing potential
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • Systemic anti-cancer therapy within 3 weeks or 5 half-lives of prior drug
  • Current use of other investigational agents
  • History of other malignancies within 2 years except for certain low-risk cancers
  • Major surgery within 4 weeks or radiotherapy within 1 week prior to treatment
  • Treatment with warfarin unless switched to low-molecular-weight heparin
  • Previous treatment with specific inhibitors of FAK, MEK, or KRAS
  • Use of medications affecting metabolism of study drugs within 14 days
  • Symptomatic brain metastases requiring steroids or interventions
  • Active hepatitis B, hepatitis C, or HIV infection requiring therapy
  • Active skin disorders requiring systemic therapy in the past year
  • History of rhabdomyolysis
  • Certain ocular disorders including glaucoma, retinal vein occlusion risk, or significant corneal disease
  • Severe cardiac disease or congestive heart failure
  • Inability to swallow oral medication
  • Hypersensitivity to inactive ingredients of study drugs
  • Pregnancy or breastfeeding
  • Any other medical condition that poses high risk for toxicity as judged by investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Trial Site Locations

Total: 1 location

1

Columbia University Irving Medical Center

New York, New York, United States, 10032

Actively Recruiting

Loading map...

Research Team

R

Research Nurse Navigator

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here