Purpose of this Study
We are doing this study to find the most effective, safe dose of an experimental drug called ziftomenib (the study drug) to be used in combination with an established dose of imatinib for people who have advanced gastrointestinal stromal tumors (GIST) and failed treatment with imatinib on its own.
Who Can Participate?
Eligibility
Adults ages 18+ who:
- Are diagnosed with advanced or metastatic KIT-mutant GIST
- Have experienced disease progression while on imatinib therapy
Age Range
18-110
Sex/Genders
Male (cisgender)
Female (cisgender)
Non-binary or gender fluid
Transgender male
Transgender female
Looking for Healthy Participants
No
What is Involved?
Description
This study will have 3 parts: Dose Escalation, recommended Phase 2 dose (RP2D), and Dose Expansion. If you choose to join this study, the part in which you participate will depend on when you join the study.
Dose Escalation: The main purpose of the Dose Escalation part is to determine 2 dose levels of the study drug to be further studied in combination with imatinib. Up to 4 different dose levels of the study drug are planned to be given to study participants in combination with imatinib.
RP2D Determination: The main purpose of the RP2D Determination part is to find the most appropriate dose of the study drug in combination with imatinib. If you are enrolled in this part of the study, you will be dosed with the study drug at 1 of the 2 doses chosen from the Dose Escalation part to help identify the most favorable dose of the study drug.
Dose Expansion: Participants will be enrolled in the Dose Expansion part of the study once the recommended combination dose level has been determined to be safe. If you are enrolled in this part of the study, you will get the study drug at the recommended dose level to further study how well it works with imatinib.
Your participation in the study may last for up to 2 years, but it will also depend on how you tolerate the study drug, how your cancer responds to the study drug, and your overall condition. If you are able to tolerate the study drug and it is treating your disease, you will remain in the study until the study drug is no longer working. Not all participants will stay in the study for the same amount of time.
Locations
Duke University Hospital
Visit Timing
Weekdays
Compensation
No
Spanish Materials Available
No
Study Details
Full Title
A Phase 1a/1b Study of the Safety, Pharmacokinetics, and Antitumor Activity of the Oral Menin Inhibitor Ziftomenib in Combination with Imatinib in Patients with Advanced Gastrointestinal Stromal Tumors (GIST) After Imatinib Failure
Principal Investigator
Richard
Riedel
Protocol Number
PRO00117363
NCT ID
NCT06655246
Phase
I
Enrollment Status
Pending Open to Enrollment