A Study to Characterize the Safety, Tolerability, and Preliminary Efficacy of CFT1946 As Monotherapy and Combination Therapy in Subjects with BRAF V600 Mutant Solid Tumors

Last updated: March 7, 2025
Sponsor: C4 Therapeutics, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Melanoma

Non-small Cell Lung Cancer

Treatment

Cetuximab

CFT1946

Trametinib

Clinical Study ID

NCT05668585
CFT1946-1101
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety and tolerability of CFT1946 as well as to determine the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of CFT1946 as monotherapy (Arm A) and in combination with trametinib (CFT1946 + trametinib; Arm B) or Cetuximab (CFT1946 + cetuximab; Arm C).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subject (or legally authorized representative, where applicable) is willing and ableto provide signed informed consent and can follow protocol requirements

  2. Subject is ≥18 years of age at time of informed consent

  3. Eastern Cooperative Oncology Group performance status of 0 or 1

  4. Subject has documented evidence of a BRAF V600 mutation obtained from tumor tissueor liquid biopsy: (other protocol conditions may apply)

  5. Subject must have received ≥1 prior line of SoC therapy for their unresectablelocally advanced or metastatic disease with disease progression on or after lastprior treatment. Prior regimens for these subjects vary by indication andinvestigational arm, but must have included the following:

  6. Melanoma or NSCLC (Phase 1 and Phase 2 Arms A1 and B1): Prior receipt of a BRAFinhibitor and an immune checkpoint inhibitor (any sequence or combination).Prior (neo)adjuvant immunotherapy may be acceptable.

  7. CRC: Subjects must have received no more than 4 lines of prior therapy whichincludes systemic chemotherapy-based regimen per SoC for unresectable locallyadvanced or metastatic disease, and previous treatment with BRAF inhibitor incombination with an EGFR monoclonal antibody. Subjects with documented MSI-H ordMMR CRC must have received prior immunotherapy. Subjects with MSS disease musthave received at least 2 prior treatments. Subjects who received neo(adjuvant)chemotherapy regimens may be eligible.

  8. ATC: Subjects must have received SoC therapy options including BRAF inhibitorif available and of benefit to the subject

  9. Other BRAF V600 mutant solid tumors (non-CNS): Subjects must have received SoCtherapy options per their Investigator's best judgment, including BRAFinhibitor if available and of benefit to the subject

  10. Subject has measurable disease per RECIST v1.1

  11. Adequate bone marrow, liver, renal, and cardiac function

  12. A female subject may be eligible if not pregnant, planning a pregnancy, not breastfeeding, a women of non-child bearing potential or a WOCBP willing to comply withprotocol conditions relating to the use contraception, ova or blood donation andpregnancy testing prior to the first dose

  13. A male subject must agree to comply with protocol conditions relating to the use ofcontraception, sperm and blood donation

  14. Subject can safely swallow a tablet or pill

Other protocol defined exclusion criteria may apply

Exclusion

Exclusion Criteria:

  1. Subject has had major surgery within 21 days prior to the planned first dose. Minorsurgery is permitted within 21 days prior to enrollment

  2. Subject with CNS involvement (primary tumor or metastatic disease), except ifclinically stable, have no evidence of new or enlarging brain metastases and are onstable or tapering doses of steroids for at least 7 days prior to first dose.Subjects with untreated brain metastases may be eligible to enter without priorradiation therapy.

  3. Subject with known malignancy other than trial indication that is progressing or hasrequired treatment within the past 3 years, except for conditions that haveundergone potentially curative therapy

  4. Subject with history of thromboembolic or cerebrovascular events ≤6 months asdefined in the protocol

  5. Subject with impaired cardiac function or clinically significant cardiac disease, asdefined in the protocol

  6. Subject with history of uncontrolled diabetes mellitus (only for subjects who willreceive CFT1946 + trametinib)

  7. Subject with history or current evidence of retinal vein occlusion (RVO),chorioretinopathy, or current risk factors for RVO (only for subjects who willreceive CFT1946 + trametinib)

  8. Subject has received live, attenuated vaccine within 28 days prior to first doseadministration

  9. Subject has history of pneumonitis or interstitial lung disease

  10. Subject has history of uveitis

  11. Subject has clinically significant gastrointestinal abnormalities.

  12. Subject has known human immunodeficiency virus (HIV) infection (with exceptions)

  13. Subject has history of or known HBV or active HCV infection

  14. Subject has concurrent administration of strong CYP3A4/5 inhibitors and inducers,including any herbal medications/supplements

  15. Subject has presence of Grade ≥2 toxicity due to prior cancer therapy, exceptingalopecia and hypothyroidism requiring thyroid replacement therapy

  16. Subject has initiation or receipt of the following ≤7 days prior to first doseadministration: Hematopoietic colony-stimulating growth factors, transfusion ofpacked red blood cells (pRBC), and transfusion of platelets

  17. Subject is pregnant, breastfeeding, or expecting to conceive or father children anytime during the study

Other protocol defined exclusion criteria may apply

Study Design

Total Participants: 206
Treatment Group(s): 3
Primary Treatment: Cetuximab
Phase: 1/2
Study Start date:
December 08, 2022
Estimated Completion Date:
April 11, 2027

Connect with a study center

  • Institut Bergonie

    Bordeaux Cedex, 33076
    France

    Active - Recruiting

  • Chu de Lille

    Lille, 59037
    France

    Active - Recruiting

  • Centre Leon Berard

    Lyon, 69008
    France

    Active - Recruiting

  • IUCT Oncopole

    Toulouse, 31059
    France

    Active - Recruiting

  • KEM | Evang. Kliniken Essen-Mitte gGmbH

    Essen, 45136
    Germany

    Active - Recruiting

  • Universitaetsklinikum Essen

    Essen, 45147
    Germany

    Active - Recruiting

  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • NEXT Oncology Barcelona

    Barcelona, 08023
    Spain

    Active - Recruiting

  • Complejo Hospitalario de Jaen

    Jaén, 23007
    Spain

    Active - Recruiting

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28007
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jiminez Diaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010
    Spain

    Active - Recruiting

  • Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX
    United Kingdom

    Active - Recruiting

  • University of Arizona - Cancer Center

    Tucson, Arizona 85719
    United States

    Active - Recruiting

  • Florida Cancer Specialists

    Sarasota, Florida 34232
    United States

    Active - Recruiting

  • Community Health Network

    Indianapolis, Indiana 46250
    United States

    Active - Recruiting

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Allina Health System DBA Virginia Piper Cancer Institute

    Minneapolis, Minnesota 55407
    United States

    Active - Recruiting

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine

    St. Louis, Missouri 63110
    United States

    Active - Recruiting

  • David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

    New York, New York 10021
    United States

    Active - Recruiting

  • Sarah Cannon and HCA Research Institute

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Virginia Cancer Specialists (NEXT Oncology Virginia)

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • University of Wisconsin

    Madison, Wisconsin 53792
    United States

    Active - Recruiting

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