CFT1946 + Trametinib for Solid Tumors

No longer recruiting at 28 trial locations
SM
Overseen ByStudy Medical Officer
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: C4 Therapeutics, Inc.
Must be taking: BRAF inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called CFT1946 to assess its safety and tolerability in people with certain solid tumors. Researchers aim to determine the best dose of CFT1946 alone and in combination with other drugs like trametinib or cetuximab. Suitable candidates for this trial have solid tumors with a specific BRAF V600 mutation and have previously tried treatments, including a BRAF inhibitor. The trial seeks to assist those whose cancer has not responded to standard treatments. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop taking your current medications, but it does exclude those taking strong CYP3A4/5 inhibitors and inducers, including herbal medications. It's best to discuss your current medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

A previous study found CFT1946 to be safe and generally well-tolerated by patients, with most experiencing no serious side effects. Some research suggests that combining CFT1946 with trametinib might enhance its effectiveness, though this combination can sometimes cause skin-related side effects. Overall, evidence so far suggests that CFT1946 is safe for humans, but further research is needed for confirmation.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about CFT1946 because it targets the V600 mutation seen in various solid tumors, offering a potentially more precise treatment approach. Unlike standard treatments like BRAF inhibitors, CFT1946 is designed to degrade mutant proteins that drive cancer growth, potentially overcoming resistance to existing therapies. When combined with trametinib, which inhibits a different part of the cancer cell growth pathway, CFT1946 might offer a more comprehensive attack on cancer cells, increasing effectiveness and reducing chances of recurrence. This combination could provide new hope for patients whose cancers have stopped responding to conventional treatments.

What evidence suggests that this trial's treatments could be effective for solid tumors?

Research has shown that CFT1946 has potential in early studies for treating certain tumors with a specific genetic change called BRAF V600. It generally tolerated well and could break down the BRAF V600E mutation, which often promotes cancer growth. Early evidence suggests that CFT1946 can shrink tumors, indicating possible effectiveness.

In this trial, some participants will receive CFT1946 alone, while others will receive a combination of CFT1946 and trametinib, a drug targeting a related cancer pathway. This combination is being tested to determine if it works better together than separately. The goal is to find a treatment that is both safe and effective at reducing tumors in patients with these specific genetic changes.12346

Are You a Good Fit for This Trial?

Adults with BRAF V600 mutant solid tumors who've had at least one prior treatment can join. They must be able to swallow pills, have good performance status and organ function, and agree to contraception rules. Excluded are those with certain other cancers, recent major surgery, CNS metastases unless stable, uncontrolled diabetes (for combination therapy), live vaccines recently, hepatitis B/C or HIV infections, recent serious cardiovascular events, eye disease risks (for combination therapy), lung conditions like pneumonitis or interstitial lung disease.

Inclusion Criteria

I agree to follow the study's rules about using contraception and not donating sperm or blood.
My heart, liver, kidneys, and bone marrow are functioning well.
I can safely swallow pills.
See 6 more

Exclusion Criteria

I am not taking strong CYP3A4/5 inhibitors or inducers, including herbal supplements.
I have side effects from cancer treatment, but not hair loss or treatable thyroid issues.
I have not had major surgery in the last 3 weeks.
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive CFT1946 as monotherapy or in combination with trametinib or cetuximab to determine the maximum tolerated dose and recommended Phase 2 dose

Up to 43 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 30 days after completion of study treatment

Pharmacokinetics Assessment

Plasma concentration of CFT1946 is measured to characterize pharmacokinetics parameters

Up to 20 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • CFT1946
  • Trametinib
Trial Overview The trial is testing CFT1946 alone (Arm A) and combined with trametinib (Arm B) in patients with specific types of cancer including melanoma and lung cancer. It aims to find the safest maximum dose for future phases of research by monitoring participants' reactions.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Group I: Phase 2: Arm C1: CFT1946 + cetuximabExperimental Treatment2 Interventions
Group II: Phase 2: Arm B1: CFT1946 + trametinibExperimental Treatment2 Interventions
Group III: Phase 2: Arm A1: CFT1946Experimental Treatment1 Intervention
Group IV: Phase 1: Arm C: CFT1946 + cetuximabExperimental Treatment2 Interventions
Group V: Phase 1: Arm B: CFT1946 + trametinibExperimental Treatment2 Interventions
Group VI: Phase 1: Arm A: CFT1946Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

C4 Therapeutics, Inc.

Lead Sponsor

Trials
3
Recruited
480+

Published Research Related to This Trial

In a phase 2 study with a minimum of 5-year follow-up, the combination of dabrafenib and trametinib showed a high overall response rate of 68.4% in pretreated patients and 63.9% in treatment-naive patients with BRAF V600E-mutant metastatic NSCLC, indicating strong efficacy.
The therapy demonstrated a manageable safety profile, with pyrexia being the most common side effect (56%), and provided substantial overall survival benefits, with median overall survival of 18.2 months for pretreated patients and 17.3 months for treatment-naive patients.
Phase 2 Study of Dabrafenib Plus Trametinib in Patients With BRAF V600E-Mutant Metastatic NSCLC: Updated 5-Year Survival Rates and Genomic Analysis.Planchard, D., Besse, B., Groen, HJM., et al.[2022]
The maximum tolerated dose (MTD) of trametinib, a MEK1/2 inhibitor, when combined with concurrent chemoradiotherapy (cCRT) for KRAS-mutated non-small cell lung cancer (NSCLC), was determined to be 1.5 mg, indicating a safe dosage for further studies.
Preliminary results showed a median progression-free survival (PFS) of 11 months and overall survival (OS) of 38 months, suggesting that this combination therapy could be effective for patients with this specific cancer type.
Phase I Trial of Definitive Concurrent Chemoradiotherapy and Trametinib for KRAS-Mutated Non-Small Cell Lung Cancer.Lin, SH., Lin, HY., Verma, V., et al.[2023]
Dabrafenib plus trametinib has been approved for treating non-small cell lung cancer (NSCLC) with the BRAF V600E mutation, showing a response rate of approximately 65% and a median progression-free survival of 10-11 months based on clinical trials.
While the combination therapy has a manageable safety profile, it presents unique toxicities such as pyrexia, fatigue, and nausea, which may be unfamiliar to oncologists treating lung cancer, but can be effectively managed using strategies developed from experience in melanoma treatment.
Adverse Event Management in Patients with BRAF V600E-Mutant Non-Small Cell Lung Cancer Treated with Dabrafenib plus Trametinib.Chalmers, A., Cannon, L., Akerley, W.[2020]

Citations

Release DetailsCFT1946 is an investigational, orally bioavailable small molecule degrader of BRAF V600 mutations in solid tumors currently being evaluated in a Phase 1/2 ...
612O Preliminary results from a phase I study of CFT1946, ...CFT1946 was well tolerated with evidence of BRAF V600E degradation and relevant pathway inhibition. Early evidence of monotherapy efficacy was observed; further ...
NCT05668585 | A Study to Characterize the Safety, ...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 1 CFT1946 Monotherapy Clinical DataOur actual results could vary significantly from those anticipated in this presentation, and our financial condition and results of operations ...
CFT1946-1101 / NCT05668585A study to characterize the safety, tolerability, and preliminary efficacy of CFT1946 as monotherapy and combination therapy in subjects with BRAF V600 mutant ...
A phase 1/2 study of CFT1946, a novel, bifunctional ...These preclinical data provide rationale for a first-in-human (FIH) study to evaluate CFT1946 in BRAF V600 mutant solid tumors. Methods ...
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