PIKture-01: First-in-Human Study of the PI3KαH1047R Mutant-Selective Inhibitor OKI-219 as Monotherapy in Participants With Advanced Solid Tumors and as Part of Combination Therapy in Participants With Advanced Breast Cancer
OnKure, Inc.
Summary
OKI-219-101 is a Phase 1a/1b, open-label, multicenter, dose-escalation study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PDx), and efficacy of OKI-219 as monotherapy and in combination with other anti-cancer drugs. Phase 1a (Part A) will investigate escalating doses of OKI-219 monotherapy, and Phase 1b will investigate OKI-219 (at a tolerated dose determined in Part A) in combination with fulvestrant (Part B), trastuzumab and tucatinib (Part C), atirmociclib (Part D), and ribociclib and fulvestrant (Part E). Participants will continue to receive study treatment until disease progression, intolerable toxicity, or other study treatment withdrawal criteria are met.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Key Inclusion Criteria: * Participants with advanced solid tumors with documented evidence of a PI3KαH1047R mutation in tumor tissue and/or blood (ie, ctDNA). * Eastern Cooperative Oncology Group (ECOG) Performance status score of to 1. * Life expectancy \> 12 weeks for Part A and \> 6 months for Parts B, C, D, and E in the opinion of the Investigator. * Adequate organ and bone marrow function * Have adequate archival tumor tissue sample available or be approved by the Sponsor for enrollment if no tumor sample is available. * At least 1 measurable lesion based on RECIST version 1.1. Addition…
Interventions
- DrugOKI-219
Oral twice daily
- DrugFulvestrant
Intramuscular injection
- DrugTrastuzumab
Intravenous (IV)
- DrugTucatinib
Oral twice daily
- DrugAtirmociclib
Oral twice daily
- DrugRibociclib
Oral once daily continuous for 21-days followed by 7 days off
Locations (34)
- California Cancer Associates for Research and ExcellenceEncinitas, California
- University of California San Diego UCSDLa Jolla, California
- UCLA Jonsson Comprehensive Cancer CenterLos Angeles, California
- Hoag - Huntington BeachNewport Beach, California
- Regents of the University of ColoradoAurora, Colorado
- Sarah Cannon Research Institute at HealthONEDenver, Colorado