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Autophagy Inhibitor

Ulixertinib + Hydroxychloroquine for Gastrointestinal Cancer

Phase 2
Recruiting
Research Sponsored by BioMed Valley Discoveries, Inc
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Histologically confirmed esophageal adenocarcinoma, esophageal squamous cell carcinoma, GEJ adenocarcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma, intrahepatic cholangiocarcinoma, perihilar cholangiocarcinoma, extrahepatic cholangiocarcinoma, or colorectal adenocarcinoma harboring a MAPK-mutated GI malignancy: KRAS, NRAS, HRAS, BRAF non-V600, MEK 1/2 (MAP2K1/2), or ERK 1/2 (MAPK3/1)
Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 1
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline until safety follow-up visit (up to 30 months)
Awards & highlights

Study Summary

This trial is testing a combination of drugs to treat patients with advanced gastrointestinal cancers who have a mutation that activates a protein. The trial will have two stages, and enrollment in the second stage will depend on how well patients respond to the drugs in the first stage.

Who is the study for?
Adults with advanced gastrointestinal cancers harboring MAPK mutations, who have progressed after standard treatments. Eligible participants include those with specific types of esophageal, gastric, pancreatic, or colorectal cancer. They must not be pregnant, agree to use effective contraception and have adequate organ function. Excluded are individuals with recent antineoplastic therapy or surgery, other malignancies within 3 years (except adequately treated), uncontrolled illnesses or infections like hepatitis B/C.Check my eligibility
What is being tested?
The trial is testing the combination of Ulixertinib and Hydroxychloroquine in patients with certain gastrointestinal cancers that carry a MAPK mutation. It's an open-label phase two study where responses from an initial group determine if a second stage proceeds.See study design
What are the potential side effects?
Potential side effects may include vision problems like retinal issues, increased risk of infection due to immune system impact, digestive disturbances given the GI focus of treatment, and general reactions such as fatigue or skin sensitivity.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My cancer is one of the listed types and has a specific mutation.
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I can carry out all my self-care but might not be able to do heavy physical work.
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My condition worsened despite treatment.
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My cancer can be measured on scans.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline until safety follow-up visit (up to 30 months)
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline until safety follow-up visit (up to 30 months) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Overall response rate as defined by the proportion of patients achieving a confirmed partial response (PR) and complete response (CR) (defined by response evaluation criteria in solid tumors (RECIST 1.1) as evaluated by the local treating investigator.
The incidence and frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by type, severity (as defined by the NCI CTCAE, version 5.0), seriousness, duration, and relationship to study treatment.
Secondary outcome measures
Progression-free survival (PFS) as defined as the time from study drug initiation to the time of documented disease progression (as assessed by RECIST 1.1) or death from any cause.

Side effects data

From 2021 Phase 4 trial • 93 Patients • NCT03122431
60%
Only sensory peripheral neuropathy
100%
80%
60%
40%
20%
0%
Study treatment Arm
SLE/Cutaneous Lupus With Thalidomide
Inactive SLE With Standard Dose of HCQ
Inactive SLE With Reduced Dose of HCQ

Trial Design

2Treatment groups
Experimental Treatment
Group I: Stage 2 - basket expansion based on Stage 1Experimental Treatment2 Interventions
Ulixertinib: 450mg BID, orally, days 1-28 Hydroxychloroquine: 600mg BID, orally, days 1-28 Cycles repeat every 28 days in absence of disease progression or unacceptable toxicity
Group II: Stage 1 - 5 baskets included, based on primary diseaseExperimental Treatment2 Interventions
Ulixertinib: 450mg twice daily (BID), orally, days 1-28 Hydroxychloroquine: 600mg BID, orally, days 1-28 Cycles repeat every 28 days in absence of disease progression or unacceptable toxicity
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ulixertinib
2020
Completed Phase 1
~20
Hydroxychloroquine
2017
Completed Phase 4
~5360

Find a Location

Who is running the clinical trial?

BioMed Valley Discoveries, IncLead Sponsor
16 Previous Clinical Trials
523 Total Patients Enrolled

Media Library

Hydroxychloroquine (Autophagy Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05221320 — Phase 2
Gastrointestinal Cancer Research Study Groups: Stage 1 - 5 baskets included, based on primary disease, Stage 2 - basket expansion based on Stage 1
Gastrointestinal Cancer Clinical Trial 2023: Hydroxychloroquine Highlights & Side Effects. Trial Name: NCT05221320 — Phase 2
Hydroxychloroquine (Autophagy Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05221320 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is the enrollment period for this trial still open?

"This medical study is actively enrolling patients, and the clinicaltrials.gov page confirms this information was posted on May 26th 2022 and recently edited November 28th of that same year."

Answered by AI

What danger could patients potentially encounter when taking Ulixertinib?

"Our team at Power rated Ulixertinib's safety as a 2 due to the existing evidence of its security, but lack thereof in terms of efficacy. This is because it is currently undergoing Phase 2 medical trials."

Answered by AI

In how many sites is this clinical experiment being conducted?

"Mount Sinai in New york, Massey Cancer Center at Virginia Commonwealth University of Richmond, and the University of Arizona's Cancer Centre in Tucson are 3 primary locations seeking participants. Additionally, 6 other medical centres throughout North America have been assigned to this study."

Answered by AI

Approximately what number of participants is being recruited for this experiment?

"Affirmative. The information provided on clinicaltrials.gov confirms that this medical experiment has been made available to the public since May 26th 2022 and is presently searching for 215 participants across 6 research sites."

Answered by AI
~50 spots leftby Dec 2024