A Study of RLY-4008 in Patients with Intrahepatic Cholangiocarcinoma and Other Advanced Solid Tumors

Overview

About this study

The purpose of this study is to define the maximum tolerated dose (MTD)/recommended phase 2 dose (RP2D), safety profile, pharmacokinetics (PK), pharmacodynamics and preliminary anti-tumor activity of RLY-4008 in patients with ICC and other advanced solid tumors. 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Key Inclusion Criteria

- Histologically or cytologically confirmed unresectable or metastatic solid tumor

- Documented FGFR2 gene fusion, mutation, or amplification per local testing of blood
and/or tumor

- Patient must have measurable disease per RECIST v1.1

- Patient has ECOG performance status of 0-1

- Patient must have disease that is refractory to standard therapy, disease that has not
adequately responded to standard therapy, disease for which standard or curative
therapy does not exist, or the patient must be intolerant to or have declined standard
therapy

- Part 2 dose expansion patients with Cholangiocarcinoma:

- Group 1: CCA patients with an FGFR2 fusion previously treated with an FGFRi

- Group 2: CCA patients with an FGFR2 fusion with prior chemotherapy but not
previously treated with an FGFRi

- Group 6: CCA patients with an FGFR2 fusion with no prior chemotherapy and not
previously treated with an FGFRi. Prior adjuvant/neo-adjuvant treatment completed
>6 months before enrollment is acceptable. Up to 2 cycles of palliative
chemotherapy are allowed during screening

- Group 7: CCA patients with an FGFR2 mutation or amplification and not previously
treated with an FGFRi

- Part 2 dose expansion patients with other solid tumors (NOT Cholangiocarcinoma):

- Group 3: Non-CCA patients with an FGFR2 fusion and not previously treated with an
FGFRi

- Group 4: Non-CCA patients with an FGFR2 amplification and not previously treated
with an FGFRi

- Group 5: Non-CCA patients with an FGFR2 mutation and not previously treated with
an FGFRi

- Part 3 extension:

- CCA patients with an FGFR2 fusion with prior chemotherapy but not previously
treated with an FGFRi

Key Exclusion Criteria

- Ongoing, clinically significant FGFRi-induced retinal detachment or an ongoing
clinically significant corneal or retinal disorder

- Patient does not have adequate organ function (defined in protocol)

- Patient has active infection, including human immunodeficiency virus (HIV), hepatitis
B virus (HBV), and/or hepatitis C virus (HCV) (defined in protocol). Patients with
well-controlled HBV are eligible (defined in protocol).

- QT interval corrected using Fridericia's formula (QTcF) > 480 msec or history of
prolonged QT syndrome, Torsades de pointes or familial history of prolonged QT
syndrome

- Clinically significant, uncontrolled cardiovascular disease

- CNS metastases or primary CNS tumor that is associated with progressive neurologic
symptoms

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated 6/27/23. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Zhaohui Jin, M.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Jacksonville, Fla.

Mayo Clinic principal investigator

Hani Babiker, M.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Mitesh Borad, M.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions