Targeted Therapy for Solid Tumors
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores new treatments for patients with advanced solid tumors by using genetic testing to match them with therapies targeting specific genetic mutations in their cancer. The researchers aim to find treatments that can control tumors and improve treatment planning. Participants may receive one of several medications, such as olaparib (a PARP inhibitor) or binimetinib (a MEK inhibitor), based on their genetic profile. Ideal candidates have solid tumors that have spread and have either not responded to standard treatments or have no other options known to improve survival. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people, offering a chance to access potentially effective therapies early.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research shows that the treatments in this trial have varying levels of available safety information. Here's a simple overview:
**Olaparib**: Studies indicate that olaparib is usually well-tolerated by patients with advanced solid tumors. Common side effects include nausea, fatigue, and anemia.
**Binimetinib**: Approved for use with another medication for certain types of skin cancer (melanoma), binimetinib has limited safety information when used alone for other conditions. Reported side effects include skin rash and diarrhea.
**Fulvestrant**: Approved for treating certain breast cancers, fulvestrant has a known safety profile. Common side effects include pain at the injection site and hot flashes.
**Ipatasertib**: Early studies suggest that ipatasertib is generally safe, but more information is needed. Reported side effects include diarrhea and fatigue.
**Leucovorin**: Often used to lessen the side effects of some chemotherapy drugs, leucovorin is considered safe with few side effects when used this way.
**Nilotinib**: Approved for certain blood cancers, nilotinib has a well-understood safety profile. Some patients experience mild side effects like rash and mild headaches.
**Palbociclib**: Widely used and approved for breast cancer, palbociclib is generally safe but can cause neutropenia, increasing the risk of infection.
**Selumetinib**: Approved for certain conditions, selumetinib has a known safety profile. Side effects can include vision problems and heart issues.
**Sotorasib**: Approved for certain lung cancers, sotorasib is generally well-tolerated. Some patients report mild side effects like diarrhea and fatigue.
Overall, while most of these drugs have been approved for other uses, side effects can vary, especially when used in new combinations or for different conditions. This Phase 2 trial aims to further study how well these treatments are tolerated in patients with specific genetic mutations in their tumors.12345Why are researchers excited about this trial's treatments?
Researchers are excited about these treatments because they target specific pathways in solid tumors that current treatments might not effectively address. Unlike standard chemotherapy that targets all rapidly dividing cells, drugs like olaparib focus on exploiting DNA repair weaknesses in cancer cells by inhibiting the enzyme PARP, offering a more targeted approach. Sotorasib, on the other hand, is groundbreaking as it specifically targets KRAS G12C mutations, which have long been considered "undruggable." This precision in targeting mutations makes these treatments potentially more effective and less toxic compared to traditional options, paving the way for more personalized cancer therapies.
What evidence suggests that this trial's treatments could be effective for solid tumors?
Research shows that olaparib, which participants in this trial may receive, can help treat certain cancers, such as ovarian cancer, by extending the time patients live without their cancer worsening. In this trial, some participants will receive olaparib combined with alpelisib, which has shown promise for individuals with specific genetic mutations, though the overall benefits remain unclear. Binimetinib is another treatment option in this trial; when used with other drugs, it may help treat certain mutations, but its effectiveness alone is still under study. Sotorasib, especially when combined with panitumumab, is also being tested in this trial and has shown encouraging results in controlling tumors with KRAS mutations, demonstrating good response rates. These treatments target specific genetic mutations, offering new options for patients whose tumors have these characteristics.678910
Who Is on the Research Team?
James M Ford
Principal Investigator
ECOG-ACRIN Cancer Research Group
Are You a Good Fit for This Trial?
This trial is for adults with advanced solid tumors that have spread and are not responding to standard treatments or lack treatment options proven to extend life. Participants need available tumor tissue samples, must be in fair health (ECOG 0-2), and willing to undergo genetic testing of their tumors. It's not suitable for those who've had a good response to recent therapies.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Registration
Patients undergo tumor mutational screening of previously-collected tumor samples for specific, pre-defined mutations, amplifications, or translocations of interest via tumor sequencing.
Treatment
Patients with mutations targeted to investigational combination therapies are assigned to 1 of 20 treatment subprotocols. Treatment includes various drug administrations and monitoring procedures.
Follow-up
Participants are monitored for safety and effectiveness after treatment. Follow-up includes CT or MRI scans and blood sample collections.
What Are the Treatments Tested in This Trial?
Interventions
- Binimetinib
- Biopsy
- Biospecimen Collection
- Bone Marrow Aspiration
- Bone Scan
- Computed Tomography
- Echocardiography
- Fluorouracil
- Fulvestrant
- Ipatasertib
- Leucovorin
- Magnetic Resonance Imaging
- Multigated Acquisition Scan
- Mutation Carrier Screening
- Nilotinib Hydrochloride Monohydrate
- Olaparib
- Oxaliplatin
- Paclitaxel
- Palbociclib
- Positron Emission Tomography
- Selumetinib Sulfate
- Sotorasib
Binimetinib is already approved in United States, European Union, Canada, Japan for the following indications:
- Unresectable or metastatic melanoma with a BRAF V600E or V600K mutation
- Unresectable or metastatic melanoma with a BRAF V600 mutation
- Unresectable or metastatic melanoma with a BRAF V600E or V600K mutation
- Unresectable or metastatic melanoma with a BRAF V600 mutation
Find a Clinic Near You
Who Is Running the Clinical Trial?
National Cancer Institute (NCI)
Lead Sponsor