2900 Participants Needed

Targeted Therapy for Solid Tumors

Recruiting at 506 trial locations
Age: Any Age
Sex: Any
Trial Phase: Phase 2
Sponsor: National Cancer Institute (NCI)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

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.12345

Why 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?

JM

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

My condition worsened after at least one standard treatment.
I am mostly active and can care for myself.
You need to have samples of your tumor preserved in a specific way.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Registration

Patients undergo tumor mutational screening of previously-collected tumor samples for specific, pre-defined mutations, amplifications, or translocations of interest via tumor sequencing.

2-4 weeks
1 visit (in-person)

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.

28 days per cycle, up to 5 years
Multiple visits per cycle (in-person and virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment. Follow-up includes CT or MRI scans and blood sample collections.

Up to 3 years
Every 3 months for 2 years, then every 6 months for 1 year

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
Trial Overview The ComboMATCH trial tests targeted therapies based on genetic mutations in patients' tumors. Various drugs like Oxaliplatin, Ipatasertib, and Olaparib are matched with specific genetic changes identified through testing. The study aims to control the tumor growth by personalizing treatment plans.
How Is the Trial Designed?
20Treatment groups
Experimental Treatment
Active Control
Group I: EAY191-S3 (activating AKT mutation)Experimental Treatment6 Interventions
Group II: EAY191-N5 Arm II (neratinib maleate,palbociclib)Experimental Treatment8 Interventions
Group III: EAY191-N4 Arm I (RAS pathway mutations)Experimental Treatment9 Interventions
Group IV: EAY191-N2 Cohort II (NF1 mutations)Experimental Treatment9 Interventions
Group V: EAY191-N2 Cohort I (Arm II) (NF1 mutations)Experimental Treatment8 Interventions
Group VI: EAY191-N2 Cohort I (Arm I) (NF1 mutations)Experimental Treatment9 Interventions
Group VII: EAY191-E5 Cohort II (sotorasib)Experimental Treatment6 Interventions
Group VIII: EAY191-E5 Cohort I Arm A (sotorasib, panitumumab)Experimental Treatment6 Interventions
Group IX: EAY191-E4 (taxane therapy)Experimental Treatment6 Interventions
Group X: EAY191-A6 Arm II (RAS/RAF/MEK/ERK mutations)Experimental Treatment11 Interventions
Group XI: EAY191-A6 Arm I (RAS/RAF/MEK/ERK mutations)Experimental Treatment11 Interventions
Group XII: EAY191-A3 Monotherapy Cohort 1 (binimetinib)Experimental Treatment6 Interventions
Group XIII: EAY191-A3 Combo Cohorts 1, 2, 3, 4 (palbociclib, binimetinib)Experimental Treatment6 Interventions
Group XIV: EAY191-A2 (Cohort 3, Arm D)Experimental Treatment7 Interventions
Group XV: EAY191-A2 (Cohort 2, Arm C)Experimental Treatment7 Interventions
Group XVI: EAY191-A2 (Cohort 2, Arm B)Experimental Treatment8 Interventions
Group XVII: EAY191-A2 (Cohort 1, Arm A)Experimental Treatment8 Interventions
Group XVIII: EAY191-N5 Arm I (neratinib maleate)Active Control7 Interventions
Group XIX: EAY191-E5 Cohort I Arm B (sotorasib)Active Control5 Interventions
Group XX: EAY191-N4 Arm II (RAS pathway mutations)Active Control8 Interventions

Binimetinib is already approved in United States, European Union, Canada, Japan for the following indications:

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Approved in United States as Mektovi for:
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Approved in European Union as Mektovi for:
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Approved in Canada as Mektovi for:
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Approved in Japan as Mektovi for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Cancer Institute (NCI)

Lead Sponsor

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

In a phase Ib study involving 89 patients with advanced solid tumors, the combination of binimetinib (a MEK inhibitor) and buparlisib (a PI3K inhibitor) showed some efficacy, particularly in RAS/BRAF-mutant ovarian cancer, where 12% of patients achieved a partial response.
However, the treatment was associated with significant toxicities, leading to a lower than expected dose intensity, suggesting that alternative dosing strategies, like pulsatile dosing, may be necessary to improve safety and tolerability in future trials.
Phase Ib Study of Combination Therapy with MEK Inhibitor Binimetinib and Phosphatidylinositol 3-Kinase Inhibitor Buparlisib in Patients with Advanced Solid Tumors with RAS/RAF Alterations.Bardia, A., Gounder, M., Rodon, J., et al.[2023]
Targeted and immunological therapies have significantly improved survival rates in patients with solid tumors, demonstrating the effectiveness of treatments that focus on specific genetic and immunological changes in tumors.
Current clinical trials are exploring the optimal timing and sequencing of these therapies, which include various approved agents for cancers like prostate, breast, lung, and melanoma, indicating a shift towards more personalized cancer treatment strategies.
[Pharmacotherapy of solid tumors. New hopes and frustrations].Grünwald, V., Rickmann, M.[2021]
A 67-year-old male patient with heavily pre-treated metastatic non-small cell lung carcinoma showed a major disease response after six months of treatment with sunitinib, a multitargeted tyrosine kinase inhibitor.
Sunitinib demonstrated a good safety profile with no high-grade toxicities, making it a promising option for patients with limited treatment choices in advanced lung cancer.
Response and safety of sunitinib in a heavily pre-treated metastatic non-small cell lung carcinoma patient.Tassi, R., Muto, A., Rangan, S., et al.[2018]

Citations

The safety and efficacy of binimetinib for lung cancerOnly a few studies have shown binimetinib to be effective, in terms of improving OS, PFS, and ORR, while most of the studies found nonsignificant efficacy with ...
Binimetinib and encorafenib for the treatment of advanced ...The BEAVER trial was designed to test the safety and efficacy of binimetinib and encorafenib (B+E) in patients (pts) with non-V600E BRAF mts.
Efficacy of encorafenib plus binimetinib in patients with ...The results of our study indicate a clinical benefit of encorafenib plus binimetinib combination therapy for patients with BRAF V600-mutated ...
A Phase Ia/b study of MEK1/2 inhibitor binimetinib with MET ...Patients with RAS mutant (MT) advanced colorectal cancer (CRC) exhibit poorer clinical outcomes, compared to their wild type (WT) counterparts, ...
621P Phase II trial of encorafenib and binimetinib (E+B) in ...This study showed the efficacy of matched drubs with an ORR of 32.7%, and other clinical outcomes also encouraged the efficacy of E+B in BRAF-altered solid ...
MEKTOVI (binimetinib) tablets - accessdata.fda.govThe safety of MEKTOVI has not been established in ... The pharmacokinetics of binimetinib was studied in healthy subjects and patients with solid tumors.
MEKTOVI® (binimetinib) tablets, for oral useThe data described in WARNINGS AND PRECAUTIONS reflect exposure of 192 patients with. BRAF V600 mutation-positive unresectable or metastatic melanoma to MEKTOVI ...
Mektovi, INN-binimetinib - EMA5.3 Preclinical safety data. Repeated oral administration of binimetinib in rats for up to 6 months was associated with soft tissue mineralisation, gastric ...
Binimetinib (MEKTOVI) National Drug Monograph Jun 2022No safety data on use of binimetinib with encorafenib in patients with a baseline ejection fraction below 50% or below the LLN for institution. o Venous ...
Trial Design | BRAFTOVI® (encorafenib) + MEKTOVI® ...Find PHAROS trial information about BRAFTOVI® (encorafenib) + MEKTOVI® (binimetinib) for the treatment of BRAF V600E metastatic non-small cell lung cancer.
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