Back to Trials
NCT05208047PHASE3Recruiting

(Peak) A Phase 3 Randomized Trial of CGT9486+Sunitinib vs. Sunitinib in Subjects With Gastrointestinal Stromal Tumors

Cogent Biosciences, Inc.

Start Date

4/14/2022

Completion Date

1/1/2030

Summary

This is a Phase 3, open-label, international, multicenter study of CGT9486 in combination with sunitinib. This is a multi-part study that will enroll approximately 482 patients. Part 1 consists of two evaluations: 1) confirming the dose of an updated formulation of CGT9486 to be used in subsequent parts in approximately 20 patients who have received at least one prior line of therapy for Gastrointestinal Stromal Tumors (GIST) and 2) evaluating the potential for drug-drug interactions between CGT9486 and sunitinib in approximately 18 patients who have received at least two prior tyrosine kinase inhibitors (TKIs) for GISTs. The second part of the study will enroll approximately 388 patients who are intolerant to, or who failed prior treatment with imatinib only and will compare the efficacy of CGT9486 plus sunitinib to sunitinib alone with patients being randomized in a 1:1 manner. This study also contains two substudies: 1) a drug-drug interactions (DDI) substudy will investigate the potential for CGT9486 to be a Cytochrome P450 (CYP)3A4 inducer in approximately 16 patients who have received at least one prior line of therapy for GIST and 2) a substudy intended to test the efficacy of bezuclastinib and sunitinib as first-line (1L) treatment of GIST in approximately 40 participants with KIT exon 9 mutations and no prior systemic therapy (with the exception of up to 10 subjects with ongoing imatinib therapy of ≤4 weeks).

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: 1. Histologically confirmed locally advanced, metastatic, and/or unresectable GIST. Molecular pathology report must be available for Part 2; if molecular pathology report is unavailable or inadequate, an archival or fresh tumor tissue sample will be required to evaluate mutational status prior to randomization. (GIST 1L Substudy: must have documented mutation in KIT Exon 9 with an available molecular pathology report; archival or fresh tumor tissue sample will be required) 2. Documented disease progression on or intolerance to imatinib (Part 1a, Part 1b, Part 2, DDI Substudy) 3. Subjects must have received the following treatment: * DDI Substudy/Part 1a: Treatment with ≥1 prior lines of therapy for GIST * Part 1b: Treatment with ≥2 prior TKI for GISTs * Part 2: Prior treatment with imatinib only * GIST 1L Substudy: No prior systemic therapy for GIST including adjuvant therapy. Exception: up to 10 subjects with ongoing imatinib therapy of ≤4 weeks 4. Have at least 1 measurable lesion according to mRECIST v1.1 (Part1a, Part 1b, Part 2, GIST 1L Substudy) 5. Eastern Cooperative Oncology Group (ECOG) Status * 0 to 2 (Part 1a, Part 1b, Part 2, DDI Substudy) * 0 to 1 (GIST 1L Substudy) 6. Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits Key Exclusion Criteria: 1. Known Platelet-Derived Growth Factor Receptor (PDGFR) driving mutations or known succinate dehydrogenase deficiency (Part 1a, Part 1b, Part 2, DDI Substudy) 2. Clinically significant cardiac disease 3. Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug (Part 1a, Part 1b, Part 2, DDI Substudy) 4. Gastrointestinal abnormalities including, but not limited to, significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption 5. Any active bleeding excluding hemorrhoidal or gum bleeding 6. Seropositive for HIV 1 or 2, or positive for hepatitis B surface antigen or hepatitis C virus (HCV) antibody. 7. Active, uncontrolled, systemic bacterial, fungal, or viral infections at Screening 8. Received strong CYP3A4 inhibitors or inducers (Part 1a, Part 1b, Part 2, DDI Substudy) 9. Received sunitinib within 3 weeks (Part 1a, Part 1b, DDI Substudy)

Interventions

DRUG

CGT9486

DRUG

CGT9486

DRUG

Sunitinib

DRUG

Sunitinib

DRUG

Midazolam

DRUG

CGT9486

DRUG

Sunitinib

DRUG

CGT9486

DRUG

Sunitinib

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Advanced Gastrointestinal Stromal TumorsMetastatic Cancer

Locations

University of Alabama at Birmingham

Birmingham, Alabama 35249

United States

Mayo Clinic

Scottsdale, Arizona 85259

United States

University of Arizona- Cancer Center

Tucson, Arizona 85719

United States

City of Hope

Duarte, California 91010

United States

University of California, Los Angeles (UCLA)

Los Angeles, California 90404

United States

University of California, San Diego (UCSD)

San Diego, California 92093

United States

University of California, San Francisco

San Francisco, California 94158

United States

University of Colorado Denver

Denver, Colorado 80204

United States

MedStar Washington Hospital Center

Washington D.C., District of Columbia 20010

United States

Mayo Clinic Jacksonville

Jacksonville, Florida 32224

United States

University of Miami - Sylvester Comprehensive Cancer Center

Miami, Florida 33136

United States

Mid Florida Hematology and Oncology Center

Orange City, Florida 32763

United States

Orlando Health Cancer Institute

Orlando, Florida 32806

United States

Moffitt Cancer Center

Tampa, Florida 33612

United States

Northwestern University

Chicago, Illinois 60611

United States

University of Iowa Hospital and Clinics

Iowa City, Iowa 52242

United States

University of Kansas Cancer Center

Kansas City, Kansas 66160

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02115

United States

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan 48109

United States

Mayo Clinic

Rochester, Minnesota 55905

United States

Washington University

St Louis, Missouri 63130

United States

Nebraska Methodist Hospital

Omaha, Nebraska 68114

United States

Roswell Park Comprehensive Cancer Center

Buffalo, New York 14203

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10021

United States

Duke University

Durham, North Carolina 27705

United States

The Cleveland Clinic Foundation

Cleveland, Ohio 44195

United States

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio 43210

United States

University of Toledo Medical Center

Toledo, Ohio 43614

United States

Oregon Health & Science University (OHSU)

Portland, Oregon 97239

United States

Fox Chase Cancer Center

Philadelphia, Pennsylvania 19111

United States

University of Pittsburgh Medical Center - Hillman Cancer Center

Pittsburgh, Pennsylvania 15232

United States

University of Tennessee

Knoxville, Tennessee 37920

United States

Vanderbilt University Medical Center

Nashville, Tennessee 37232

United States

The University of Texas MD Anderson Cancer Center

Houston, Texas 77030-4009

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States

University of Wisconsin - Carbone Cancer Center

Madison, Wisconsin 53705

United States

Instituto Alexander Fleming

Buenos Aires, C1426ANZ

Argentina

Instituto Oncologico de Cordoba (IONC)

Córdoba, X5000HWE

Argentina

Sir Charles Gairdner Hospital

Nedlands, Western Australia 6009

Australia

Bankstown-Lidcombe Hospital

Bankstown, 2200

Australia

Hospital das Clinicas da Universidade Estadual de Campinas (UNICAMP)

Campinas, 130.83-888

Brazil

lnstituto Nacional de Cancer - INCA

Rio de Janeiro, 20.230-130

Brazil

CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia

São Paulo, 09060-650

Brazil

Alberta Health Services Cross Cancer Institute

Edmonton, Alberta T6G 1Z2

Canada

Princess Margaret Hospital

Toronto, Ontario M5G 2M9

Canada

Tom Baker Cancer Center

Calgary, T2N 4N2

Canada

Universite de Montreal - Hopital Maisonneuve-Rosemont (HMR)

Montreal, HIT 2M4

Canada

Instituto Oncologico FALP

Santiago, 7500921

Chile

Centro de Oncologia de Precision, Universidad Mayor

Santiago, 7560908

Chile

Masarykuv onkologicky ustav

Brno, 65653

Czechia

Fakultni nemocnice Hradec Kralove

Hradec Králové, 500 05

Czechia

Fakultni nemocnice Olomouc - Oncology clinic

Olomouc, 77900

Czechia

Aarhus University Hospital

Aarhus, 8200

Denmark

Institut Bergonie

Bordeaux, 33076

France

Centre Oscar Lambret

Lille, 59000

France

Centre Leon Berard

Lyon, 69008

France

AP-HM - Hôpital de la Timone

Marseille, 13005

France

Centre Eugene Marquis

Rennes, 35042

France

ICO St-Herblain

Saint-Herblain, 44800

France

CHU de Toulouse - Hospital Rangueil

Toulouse, 31400

France

Gustave Roussy

Villejuif, 94805

France

Helios Klinikum Bad Saarow

Bad Saarow, 15526

Germany

Helios Klinikum Berlin-Buch

Berlin, 13125

Germany

Universitaetsklinikum Essen

Essen, 45147

Germany

Universitaetsklinikum Hamburg-Eppendorf

Hamburg, 20246

Germany

Medizinische Hochschule Hannover- Urology Oncology

Hanover, 30625

Germany

Universitaetsmedizin Mannheim

Mannheim, 68167

Germany

Humanity & Health Clinical Trial Centre

Central,

Hong Kong

Hong Kong United Oncology Centre

Jordon,

Hong Kong

Prince of Wales Hospital

Shatin,

Hong Kong

Debreceni Egyetem, Klinikai Központ, Onkológiai Klinika

Debrecen, 4032

Hungary

Centro Riferimento Oncologico - Aviano

Aviano, 33081

Italy

IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola

Bologna, 40138

Italy

ASST degli Spedali Civili di Brescia

Brescia, 25123

Italy

IRCCS La Fondazione e l'Istituto di Candiolo

Candiolo, 10060

Italy

Azienda Ospedaliero-Universitaria Careggi

Florence, 50134

Italy

Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"

Meldola, 47014

Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, 20133

Italy

Istituto Europeo di Oncologia

Milan, 20141

Italy

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone

Palermo, 90127

Italy

Policlinico Universitario Campus Bio-Medico

Roma, 00128

Italy

Istituto Clinico Humanitas

Rozzano, 20089

Italy

Azienda Ospedaliera Universitaria Integrata Verona-Ospedale Borgo Trento

Verona, 31726

Italy

Centro de Investigacion Medica Aquascalientes (CIMA)

Aguascalientes, 20116

Mexico

I Can Oncology Center SA De CV

Monterrey, 64710

Mexico

Oaxaca Site Management Organization S.C.

Oaxaca City, 68000

Mexico

Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis (NKI-AVL)

Amsterdam, 1066 CX

Netherlands

UMC Groningen

Groningen, 9713 GZ

Netherlands

Stichting Radboud Universitair Medisch Centrum

Nijmegen, 6525 GA

Netherlands

Erasmus MC

Rotterdam, 3015 GD

Netherlands

Haukeland University Hospital - Bergen

Bergen, 5021

Norway

Oslo University Hospital

Oslo, 0310

Norway

Szpital Specjalistyczny w Brzozowie

Brzozów, 36-200

Poland

Centrum Onkologii im. Prof. Franciszka Lukaszczyka

Bydgoszcz, 85-796

Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial w Gliwicach, Oddzial Chemioterapii Dziennej

Gliwice, 44-102

Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Klinika Nowotworow Tkanek Miekkich, Kosci i Czerniakow

Warsaw, 02-781

Poland

National Cancer Center

Goyang-si, Gyeonggi-do 10408

South Korea

Seoul National University Hosptial

Seoul, 03080

South Korea

Asan Medical Center

Seoul, 05505

South Korea

Samsung Medical Center

Seoul, 06351

South Korea

Korea University Guro Hospital

Seoul, 08308

South Korea

Hospital Universitario Vall d'Hebron

Barcelona, 08035

Spain

Hospital de la Santa Creu i Sant Pau Barcelona

Barcelona, 08041

Spain

Institut Catala d'Oncologia - L'Hospitalet

Barcelona, 08908

Spain

Hospital Clinico Universitario Virgen de la Arrixaca

El Palmar, 30120

Spain

Hospital General Universitario Gregorio Maranon

Madrid, 28007

Spain

Hospital Clinico San Carlos

Madrid, 28040

Spain

Hospital Fundación Jiménez Díaz

Madrid, 28040

Spain

Hospital Universitario 12 de Octubre

Madrid, 28041

Spain

Hospital Clinico Universitario de Santiago de Compostela

Santiago de Compostela, 15706

Spain

Hospital Universitario Virgen del Rocio

Seville, 41013

Spain

Hospital Universitario Miguel Servet

Zaragoza, 50009

Spain

Skane University Hospital Lund

Lund, 22185

Sweden

Karolinska University Hospital

Solna, 171 76

Sweden

Chang Gung Memorial Hospital - Kaohsiung Branch

Kaohsiung City, 83301

Taiwan

National Taiwan University Hospital

New Taipei City, 10002

Taiwan

China Medical University Hospital

Taichung, 40447

Taiwan

Taipei Veterans General Hospital (VGHTP)

Taipei, 11217

Taiwan

Chang Gung Memorial Hospital - Linkou Branch (CGMHLK)

Taoyuan, 33305

Taiwan

Cambridge Addenbrooke's Hospital

Cambridge, CB2 0QQ

United Kingdom

Beatson, West of Scotland Cancer Centre

Glasgow, G12 0YN

United Kingdom

University College London Hospital

London, NW1 2PG

United Kingdom

Guy's Hospital

London, SE1 9RT

United Kingdom

Royal Marsden Hospital - Surrey

London, SW3 6JJ

United Kingdom

The Christie NHS Foundation Trust

Manchester, M20 4BX

United Kingdom

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield, S10 2SJ

United Kingdom