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Milademetan in Advanced/Metastatic Solid Tumors


2021-11-01


2023-10-15


2023-10-15


40

Study Overview

Milademetan in Advanced/Metastatic Solid Tumors

Phase 2, multicenter, single-arm, open-label basket study designed to evaluate the safety and efficacy of milademetan in patients with advanced or metastatic solid tumors refractory or intolerant to standard-of-care therapy that exhibit wild-type (WT) TP53 and MDM2 copy number (CN) ≥ 8 using prespecified biomarker criteria.

Approximately 65 patients will be enrolled to receive milademetan. Patients will receive the study drug until reaching unequivocal disease progression (per Response Evaluation Criteria in Solid Tumors [RECIST] version [v]1.1), as determined by the Investigator; experiencing unmanageable toxicity; or until other treatment discontinuation criteria are met. Patients may be treated beyond tumor progression if they are experiencing clinical benefit based on the assessment of the Investigator in discussion with the Medical Monitor. All patients will be followed for documentation of disease progression and survival information (i.e., date and cause of death). Long-term follow-up will continue every 12 weeks (± 7 days) until the endpoint of death, the patient is lost to follow-up, or for 24 months following the final dose of the study drug, whichever comes first.

  • Solid Tumors
  • Head and Neck Carcinoma
  • Cholangiocarcinoma
  • Sarcoma
  • Lung Adenocarcinoma
  • Bladder Urothelial Carcinoma
  • Stomach Adenocarcinoma
  • Breast Cancer Invasive
  • Ovarian Carcinoma
  • Cervical Cancer
  • Non Small Cell Lung Cancer
  • Gastric Cancer
  • Biliary Tract Cancer
  • Melanoma
  • Pancreas Cancer
  • MDM2 Gene Amplification
  • Testicular Germ Cell Tumor
  • Adrenocortical Carcinoma
  • DRUG: RAIN-32
  • RAIN-3202

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

2021-08-13  

2024-08-16  

2024-10-14  

2021-08-13  

2024-10-14  

2024-10-17  

2021-08-19  

2024-10-17  

2024-10  

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:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Milademetan (RAIN-32)

260 mg once dailly orally on Days 1 to 3 and Days 15 to 17 of each 28-day cycle

DRUG: RAIN-32

  • 260 mg once daily orally on Days 1 to 3 and Days 15 to 17 of each 28-day cycle
Primary Outcome MeasuresMeasure DescriptionTime Frame
To Determine the ORR of Treatment With Milademetan in Patients With Advanced/Metastatic Solid Tumors With MDM2 Gene Amplification.Overall Response Rate (ORR) of treatment with milademetan, as defined as the percentage of patients who have achieved confirmed complete response (CR) or Partial Response (PR) according to RECIST v1.1From first dose date to first confirmed complete or partial response or study completion date; up to 23.5 months.
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Duration of Response (DOR)DOR defined as the time from the date of first documentation of CR or PR according to RECIST v1.1 to the date of disease progression or death due to any cause according to Investigator assessmentFrom start date of response to first PD or study completion date; up to 23.5 months
Progression-free Survival (PFS)PFS defined as the time from the date of the first dose of the study drug to the earliest date of the first objective documentation of radiographic disease progression or death due to any cause according to Investigator assessmentFrom the first dose date to the earliest date of recurrence, progression, death, or study completion; up to 23.5 months
Growth Modulation Index (GMI)GMI defined as the ratio of Time to Progression (TTP) with the nth line of therapy (TTPn; here defined as milademetan) to the most recent prior line of therapy (TTPn-1)From the start date of the most recent prior line of therapy to the PD date on the study; up to 23.5 months
Disease Control Rate (DCR)DCR defined as the percentage of patients with confirmed CR, PR, or stable disease (SD) for ≥ 16 weeksFrom first dose date to first CR, PR, or stable disease (SD) >= 16 weeks, or study completion date; up to 23.5 months

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:

  • Histologically and/or cytologically confirmed diagnosis of a cancer that is a locally advanced or metastatic solid tumor
  • Measurable tumor lesion(s) in accordance with RECIST v1.1
  • Received all standard therapy appropriate for their tumor type and stage of disease or, in the opinion of the Investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard-of-care therapy
  • Resolution of any clinically relevant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy
  • Presence of WT TP53 and MDM2 gene amplification by tumor tissue/blood testing, defined as ≥ 8 copies in tumor tissue by central laboratory or ≥ 8 copies or 4-fold increase in tumor tissue or blood by local testing
  • Prescreening for TP53 and MDM2 at a Central Laboratory:


  • MDM2 amplification: CN unknown and where CN cannot be derived for documentation by interpretation of reported results
  • MDM2 amplification: CN 6 to 7.9
  • MDM2 amplification: 3-3.9-fold increase
  • MDM2 amplification with CN ≥ 8 and with equivocal TP53 mutation upon discussion with Sponsor's Medical Monitor
  • ECOG performance status of 0 or 1
  • Adequate bone marrow function:


  • Platelet count ≥ 100 × 10^9/L
  • Hemoglobin ≥ 9.0 g/dL
  • Absolute neutrophil count ≥ 1.5 × 10^9/L
  • Adequate renal function


  • Creatinine clearance ≥ 30mL/min, as calculated using the modified Cockcroft-Gault equation
  • Adequate hepatic function


  • Alanine aminotransferase and aspartate aminotransferase ≤ 3 × upper limit of normal (ULN) if no liver metastases are present; ≤ 5 × ULN if liver metastases are present
  • Total bilirubin ≤ 1.5 × ULN, or ≤ 3 x ULN in the presence of liver metastases

  • Exclusion Criteria:

  • Prior treatment with a murine double minute 2 (MDM2) inhibitor
  • Well-differentiated/dedifferentiated liposarcoma or intimal sarcoma/cardiac sarcoma
  • Primary malignancies that required systemic antineoplastic treatment within the previous 2 years, except for localized cancers that have apparently been cured
  • Has a primary malignant brain tumor of any grade or histology
  • Untreated brain metastases
  • Gastrointestinal conditions that could affect the absorption of milademetan, in the opinion of the Investigator
  • Known HIV infection or active hepatitis B or C infection
  • Major surgery ≤ 3 weeks of the first dose of milademetan
  • Curative-intent radiation therapy ≤ 4 weeks or palliative radiation therapy
  • Uncontrolled or significant cardiovascular disease

  • 1. QTcF at rest, where the mean QTcF interval is > 480 milliseconds 2. Myocardial infarction within 6 months 3. Uncontrolled angina pectoris within 6 months 4. New York Heart Association Class 3 or 4 congestive heart failure 5. Uncontrolled hypertension

Collaborators and Investigators

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

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

  • Gounder MM, Bauer TM, Schwartz GK, Weise AM, LoRusso P, Kumar P, Tao B, Hong Y, Patel P, Lu Y, Lesegretain A, Tirunagaru VG, Xu F, Doebele RC, Hong DS. A First-in-Human Phase I Study of Milademetan, an MDM2 Inhibitor, in Patients With Advanced Liposarcoma, Solid Tumors, or Lymphomas. J Clin Oncol. 2023 Mar 20;41(9):1714-1724. doi: 10.1200/JCO.22.01285. Epub 2023 Jan 20.