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A Study of BMS-986466 With Adagrasib With or Without Cetuximab in Participants With Kirsten Rat Sarcoma Virus Glycine 12 to Cysteine (KRAS G12C)-Mutant Solid Tumors


2023-11-09


2024-05-13


2024-05-13


5

Study Overview

A Study of BMS-986466 With Adagrasib With or Without Cetuximab in Participants With Kirsten Rat Sarcoma Virus Glycine 12 to Cysteine (KRAS G12C)-Mutant Solid Tumors

The purpose of this study is to find a safe, tolerable, and efficacious dose of BMS-986466 when given orally, in combination with adagrasib with or without cetuximab in participants with advanced KRAS G12C-mutant non-small cell lung cancer (NSCLC), pancreatic duct adenocarcinoma (PDAC), biliary tract cancer (BTC), or colorectal cancer (CRC).

N/A

  • Advanced Solid Tumors
  • DRUG: BMS-986466
  • DRUG: Adagrasib
  • DRUG: Cetuximab
  • CA126-0015
  • 2023-505070-15 (EUDRACT_NUMBER Identifier) (EUDRACT_NUMBER: )

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2023-08-29  

N/A  

2024-06-07  

2023-08-29  

N/A  

2024-06-10  

2023-09-06  

N/A  

2024-05  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Part 1: DDI Cohort

DRUG: BMS-986466

  • Specified dose on specified days

DRUG: Adagrasib

  • Specified dose on specified days
EXPERIMENTAL: Part 1: Dose Escalation

DRUG: BMS-986466

  • Specified dose on specified days

DRUG: Adagrasib

  • Specified dose on specified days

DRUG: Cetuximab

  • Specified dose on specified days
EXPERIMENTAL: Part 2: Dose Expansion

DRUG: BMS-986466

  • Specified dose on specified days

DRUG: Adagrasib

  • Specified dose on specified days

DRUG: Cetuximab

  • Specified dose on specified days
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants with dose limiting toxicity (DLTs)Up to 28 days
Number of participants with adverse events (AEs)Up to approximately 2 years
Number of participants with serious adverse events (SAEs)Up to approximately 2 years
Number of participants with AEs leading to discontinuationUp to approximately 2 years
Number of participants with deathsUp to approximately 2 years
Overall response rate (ORR) assessed by Blinded Independent Central Review (BICR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to approximately 4 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Maximum observed plasma concentration (Cmax)Up to approximately 60 days
Time to maximum concentration (Tmax)Up to approximately 60 days
Area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration (AUC[0-T])Up to approximately 60 days
Progression-free survival (PFS) assessed by BICR as per RECIST v1.1Up to approximately 4 years
Disease Control Rate (DCR) assessed by BICR as per RECIST v1.1Up to approximately 4 years
Duration of Response (DOR) assessed by BICR as per RECIST v1.1Up to approximately 4 years
Time to response (TTR)Up to approximately 4 years
Number of participants with adverse events (AEs)Part 2 onlyUp to approximately 2 years
Number of participants with serious adverse events (SAEs)Part 2 onlyUp to approximately 2 years
Number of participants with AEs leading to discontinuationPart 2 onlyUp to approximately 2 years
Number of participants with deathsPart 2 onlyUp to approximately 2 years
Pharmacodynamic (PD) profile as measured by phosphorylation of extracellular signal-regulated kinase (pERK) levels in bloodUp to approximately 30 days

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    Key Inclusion Criteria:
    Part 1:

  • Individuals with a confirmed diagnosis of advanced KRAS G12C mutant NSCLC, CRC, PDAC and BTC that has spread to other parts of the body and cannot be removed surgically, may or may not have received previous treatment with KRAS G12C inhibitors.
  • For NSCLC and CRC: Individuals must have a documented KRAS G12C mutation status from NYS or FDA approved/cleared or CE marked test or, when such result is not available, positive KRAS G12C mutation status should be confirmed by a central laboratory in blood sample collected at the time of screening.
  • For PDAC and BTC: Participants must have a documented KRAS G12Cmutation from NYS or FDA-approved/cleared, or CE-marked test and blood samples will be collected only for retrospective testing.
  • Are relapsed or refractory to available standard of care treatments.

  • Part 2:

  • Individuals with a confirmed diagnosis of advanced KRAS G12C-mutant NSCLC (Part 2A) or CRC (Part 2B) that has spread to other parts of the body and cannot be removed surgically and have not received previous treatment with KRAS inhibitors.
  • Individuals must have a documented KRAS G12C mutation from FDA or NYS approved/ cleared or CE marked test or, when such result is not available, positive KRAS G12C mutation status should be confirmed by a central laboratory in blood sample and /or tumor samples collected at the time of screening or from archival biopsies (less than 1 year old).
  • Have failed or disease recurrence or are not able to tolerate after at least 1 pervious line of therapy.

  • Key Exclusion Criteria:

  • Have tumors with known BARF V600X, PTPN11 or KRASQ61X mutations.
  • Have or any significant heart disease or condition.
  • Receiving any medications that are substrate of CYP3A4 or inducers and/ or inhibitors

  • Note: Other protocol-defined inclusion/exclusion criteria apply.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_DIRECTOR: Bristol-Myers Squibb, Bristol-Myers Squibb

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available