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MYELOMA: Relapsed/Refractory: 1-3 prior therapies: SUCCESSOR-1

A Phase 3, Two-Stage, Randomized, Multicenter, Open-Label Study Comparing CC-92480, Bortezomib and Dexamethasone (480Vd) Versus Pomalidomide, Bortezomib and Dexamethasone (PVd) in Subjects With Relapsed or Refractory Multiple Myeloma (RRMM)

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Malignancy

Multiple myeloma

Stage

Stage 4

Phase

Phase 3

Status

Open to Enrollment

Line Of Therapy

2nd line through 4th line

Investigational Agent

CC-92480, bortezomib, dexamethadose (480Vd)

Drug Class

CRBN-E3 ligase modulating drug

PI

Jason Chandler, MD

Sponsor

Bristol Myers Squibb

Path

Multiple myeloma

Key Eligibility Criteria Details
  • Subject has documented diagnosis of MM and measurable disease, defined as any of the following:
    • M-protein ≥ 0.5 g/dL by serum protein electrophoresis (sPEP) or 
    • M-protein ≥ 200 mg/24-hour urine collection by urine protein electrophoresis (uPEP) or
    • For subjects without measurable disease in sPEP or uPEP: serum free light chain (sFLC) levels > 100 mg/L (10 mg/dL) involved light chain and an abnormal kappa/lambda FLC ratio.
  • Subject has received 1 to 3 prior lines of antimyeloma therapy. (Note: One line can contain several phases [eg, induction, (with or without) hematopoietic stem cell transplant, (with or without) consolidation, and/or (with or without) maintenance therapy
  • Must have received prior treatment with a lenalidomide-containing regimen
  • Must have achieved minimal response or better to at least 1 prior antimyeloma therapy
  • Must have documented disease progression during or after their last antimyeloma therapy
  • ECOG PS 0-2
  • May not have had progression during treatment or within 60 days of the last dose of a proteasome inhibitor
  • If prior treatment with a bortezomib containing regimen, must have had a best response of minimal response or better and the subject could not have discontinued bortezomib due to toxicity
  • No prior allo transplant
  • No plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome or clinically significant light-chain amyloidosis
  • No known CNS involvement of myeloma
  • No grade 2 or higher peripheral neuropathy
  • No other malignancy within 5 years
  •  
ADVANCED HEMATOLOGIC CANCERS: Phase I: ≥2nd line:“BBI608-103HEM”
A phase 1b clinical study of BBI608 for adult patients with advanced, refractory hematologic malignancies VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

z- Myelodysplastic syndrome (MDS), Chronic Myeloid Leukemia (CML), Chronic lymphocytic leukemia (CLL), Acute myeloid leukemia (AML), multiple myeloma (MM), Lymphoma, SLL, DLBCL, FL, MCL, MZL, Burkitt lymphoma, Hodgkins lymphoma, NHL, HL

Stage

Stage 4

Phase

Phase 1

Status

Closed to Accrual

Line Of Therapy

2nd line or greater

Investigational Agent

BBI-608 (alone or in combination)

Drug Class

Stem cell targeting small molecule inhibitor

PI

Jason Chandler, MD

Sponsor

Boston Biomedical, Inc

Path

Any

Key Eligibility Criteria Details
  • Histologically confirmed advanced, relapsed, or refractory hematologic malignancies
  • Have already received currently available standard of care therapies
  • No know CNS involvement
  • ECOG PS 0-2 (0-1 for dose escalation phase)
  • May have received auto or allo SCT
  • Not currently candidate for auto or allo SCT
  • No acute GVHD, but chronic GVHD allowed if not requiring steroids and GI tract not affected such that absorption of oral drugs are impared.
  • Must be able to take oral medication
  • For Multiple Myeloma
    • Measurable disease with either serum M-protein ≥1 g/dl, urine M-protein ≥200mg/24h, or abnormal serum free light-chain ratio and abnormal light chain values
    • Must have received prior tx with both immunomodulatory agent and a proteasome inhibitor
  • For Lymphoma
    • HL or NHL (B-cell or T-cell) relapsed or refractory to at least 1 line of prior therapy
  • For AML/MDS
    • Relapsed or refractory disease after at least one prior line of standard therapy
    • M3 (APL) is allowed if potentially curative therapies are no longer an option
  • For CML
    • Must have received at least 2 lines of prior therapy, and each line must have used a standard TKI alone or in combination
    • If T315I mutation is present must have received ponatinib if a candidate
  • For CLL
    • Must have received at least 1 line of prior therapy
MULTIPLE MYELOMA: 3rd line or higher: combo immunotherapy: "Checkmate 602"

An open label, randomized phase 3 trial of combinations of nivolumab, elotuzumab, pomalidomide and dexamethasone in relapsed and refractory multiple myeloma

VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Multiple Myeloma

Stage

Phase

Phase 3

Status

Closed to Accrual

Line Of Therapy

3rd line or greater

Investigational Agent

Nivolumab, elotuzumab

Drug Class

PD-1 inhibitor, SLAMF7 mAb

PI

Jason Chandler, MD

Sponsor

Bristol-Myers Squibb

Path

Any

Key Eligibility Criteria Details
  • Multiple myeloma
  • Refractory (progressed on or within 60 days) to most recent treatment
  • Must have received >2 lines of prior therapy which must have included at least 2 consecutive cycles of each immune modulatory drug (IMiD) and a proteasome inhibitor alone or in combination
  • Measurable disease at screening defined as one or more of the following:
    • Serum IgG, IgA, or IgM M-protein >0.5 g/dL
    • Urine M-protein >200 mg excreted in 24-hour collection sample
    • Involved serum free light chain >100 mg/L provided the FLC ratio is abnormal
  • ECOG PS <2
  • No prior treatment with pomalidomide, elotuzumab, or any PD-1/PD-L1 inhibitor
  • No MGUS, Smoldering myeloma, Waldenstrom’s, amyloidosis, POEMS syndrome, or active plasma cell leukemia (20% peripheral blood of plasma cells or absolute plasma cell count of 2 x10^9/L)
  • No active autoimmune disease
  • No active infection or uncontrolled severe CV or pulmonary disease
  • No chronic steroid use within 14 days of enrollment
  • No known HBV/HCV/HIV
  • No Grade >2 peripheral neuropathy
  • Auto transplant allowed as long as at least 12 weeks prior
  • Allo transplant allowed as long as at least 1 year prior
ADVANCED TUMORS: Metastatic; PD-1 monotherapy; “Checkmate 627”

An open label phase 2 multi-cohort trial of nivolumab in advanced or metastatic malignancies

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Malignancy

Histiocytosis, Lynch Syndrome Cancer (non-CRC), Medullary Thyroid, Merkel Cell, Abdominal Mesothelioma, Nasopharyngeal, Small cell (non-lung), Penile, Testicular, Thyroid (papillary or follicular), Thyroid (anaplastic-1st line), Uterine Sarcoma, Vulvar Cancer, Small bowel, Adrenocortical, Appendix, endocervical, adenoid-cystic like (HPV+), Cutaneous Adenocarcinoma, Schwannoma

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

2nd line or later (unless no primary therapy standard)

Investigational Agent

Nivolumab

Drug Class

PD-1 inhibitor

PI

Lee Schwartzberg, MD

Sponsor

Bristol-Myers Squibb

Path

tumor type specific

Key Eligibility Criteria Details
  • Measurable disease required
  • ECOG PS <1
  • Brain mets allowed but must not be active, cannot require steroids, have at least one measurable lesion outside of brain
  • Excluded tumors:
    • No Pancreatic
    • No endometrial with ER>10%
    • No ovarian
    • No breast
    • No esophageal
    • No gastric
    • No glioma
    • No hepatocellular carcinoma
    • No lymphoma (except primary CNS lymphoma)
    • No leukemia
    • No melanoma
    • No MDS
    • No lung cancer
    • No renal cell
    • No bladder
  • Must not have had other cancer within 2 years
  • No prior PD-1/L-1 or CTLA-4 therapy
  • No autoimmune disease
  • No active steroids
  • No known HIV, HBV, or HCV
  • See "malignancy" list for accepted tumor types
MULTIPLE MYELOMA: Late-line: CAR-T cel study: BMT unit: DESCARTES-08

Phase I Safety and Feasibility Study of Autologous CD8+ T-cells Transiently Expressing a Chimeric Antigen Receptor Directed to B-Cell Maturation Antigen in Patients With Multiple Myeloma

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Malignancy

Multiple Myeloma

Stage

Stage 4

Phase

Phase 1

Status

Closed to Accrual

Line Of Therapy

3rd or 4th

Investigational Agent

Descartes-08

Drug Class

CAR-T cell therapy (chimeric antigen receptor)

PI

Jason Chandler, MD

Sponsor

Cartesian Therapeutics

Path

Multple myloma

Key Eligibility Criteria Details
  • Multiple myeloma either
    • 3rd line after failure of BOTH proteasome inhibitor and IMiD OR
    • 4th line regardless of prior therapies
  • Measurable disease activity as indicated by serum or urine M-protein, serum free light chain, biopsy-proven plasmacytoma, >5% bone marrow plasma cells.
  • No plasma cell leukemia
  • No CNS disease
  • No severe autoimmune diseas
  • No chronic pulmonary disease
  • ANC (>1000/uL), Pplatelet count (>50,000/uL), hemoglobin (>8 g/dL),
  • ALT and AST (each <3.0 x upper limit of normal), total bilirubin (<2 mg/dL), creatinine clearance (>30 mL/min),
  • Cardiac ejection fraction >45%
LEUKEMIA: CLL; High-risk or Relapsed/Refractory; “CLL-001”

Phase 1/2 study to determine the safety, pharmacokinetics, and efficacy of single agent CC-122 and the combinations of CC-122 and ibrutinib and CC-122 and obinutuzumab in subjects with chronic lymphocytic leukemia/small lymphocytic lymphoma

VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Leukemia, CLL, Chronic lymphocytic leukemia, SLL, small lymphocytic lymphoma

Stage

Phase

Phase 1

Status

Closed to Accrual

Line Of Therapy

1st line or later for high-risk disease; 2nd line or later for relapsed/refractory disease

Investigational Agent

CC-122

Drug Class

Thalidomide analog/immune effect modulator

PI

Jason Chandler, MD

Sponsor

Celgene

Path

High-risk or relapsed/refractory

Key Eligibility Criteria Details
  • ECOG PS 0-1

  • Age 18-80 years old

  • Must have CLL/SLL requiring treatment per Hallek, 2008

  • Must have at least one clinically measurable lesions defined as

    • Nodal lesion measuring >1.5cm in longest diameter and >1.0cm in longest perpendicular diameter OR

    • Spleen measuring >14cm in longest vertical dimension with a minimum of 2 cm enlargement OR

    • Liver measuring >20 cm in longest vertical dimenstion with a minimum of 2 cm of enlargement OR

    • Peripheral blood B lymphocyte count >5000/uL

  • For single agent and obinutuzumab combo must have relapsed refractory disease as follows:

    • Must have received either prior chemoimmunotherapy or therapy with an approved BTK inhibitor unless significant co-morbidities or contraindications

  • For ibrutinib combo arm, must have not received prior treatment with ibrutinib or BTK inhibitors and must have high-risk disease defined as follows:

    • 17p- and/or TP53 mutation positive in treatment naïve CLL OR

    • 17p- and/or TP53 mutation positive, and/or complex karyotype and/or progression <24 months after completion of 1st line chemoimmunotherapy in relapsed/refractory CLL

  • Subjects with R/R SLL or CLL with bulky disease (LN>5.0cm) may only be enrolled after discussion with sponsor medical monitor

  • Must have adequate lab values

  • No prior allo or auto SCT within 12 months

  • No known HIV/HBV/HCV

  • No significant peripheral neuropathy

  • No impaired cardiac function

MOLECULARLY TARGETED: ROS1 fusion: myTACTIC Arm A

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression pattersn predictive of response: Arm A: Entrectinib in patients with ROS1 fusion-positive tumors

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Malignancy

Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Ideally 1st line, but can be later line as well

Investigational Agent

Entrectinib

Drug Class

TKI against NTRK, ROS, and ALK

PI

Sponsor

Genentech, Inc.

Path

ROS1 fusion. Any cancer type except not NSCLC

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • ROS1 gene fusion positivity
  • No non-small lung cancer (NSCLC)
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
MOLECULARLY TARGETED: PIK3CA Mutations: myTACTIC Arm B

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression pattersn predictive of response: ArmB: GDC-0077 in patients with PI3K activating mutation-positive tumors

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Malignancy

Breast, Lung (NSCLC), Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line

Investigational Agent

GDC-0077

Drug Class

PI3K p110 alpha inhibitor

PI

Sponsor

Genentech, Inc.

Path

PIK3CA mutation positive. Any malignancy except NOT CNS tumors

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • No primary CNS malignancy
  • One of the following PIK3CA mutations:
    • R88Q
    • ​G106A/D/R/S/V
    • K111N/R/E
    • G118D
    • N345D/H/I/K/S/T/Y
    • C420R
    • E453A/D/G/K/Q/R/V
    • E542A/D/G/K/Q/R/V
    • E545A/D/G/K/L/Q/R/V
    • Q546E/H/L/P/R
    • M1043I/T/V
    • H1047D/I/L/M/P/Q/R/T/Y
    • G1049A/C/D/R/S
    • Others only with study medical monitor approval
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No anti-hyperglycemic medication (no treated T2DM or T1DM)
MOLECULARLY TARGETED: HER2/ERBB2 amplification or mutation: myTACTIC Arms F/G/H/I

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genomic alterations or protein expression patterns predictive of response: Arm F: Trastuzumab emtansine plus atezolizumab   Arm G: PH FDC SC  Arm H: PH FDC SC plus chemotherapy Arm I: trastuzumab emtansine plus tucatinib, in patients with ERBB2 gene amplification- or mutation-positive tumors.

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Malignancy

Lung, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any, but cannot have had prior

Investigational Agent

TDM-1 with atezolizumab, or PH FDC SC with or without chemotherapy, or TDM-1 with tucatinib

Drug Class

Anti-HER2 agents

PI

Sponsor

Genentech, Inc.

Path

ERBB2 amplification or specific mutation

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • No breast cancer (breast cancer is excluded)
  • Either ERBB2 (HER2) amplification defined as a copy number of 6 or higher via FISH, CISH or DNA NGS assay OR
  • Any of the following ERBB2 mutations:
    • 222C; R226S; E265K; D277H; G292R; G309A/E; S310F/Y; C311R/S; E321G; C334S; S418T; A440T; P551L; R552S; S653C; V659E; G660D; R678Q; T733I; L755P/S_T759del; I767M; L768S; D769H/N/Y; Y772_A775dup; A775_G776ins(SVMA/VVMA/YAMA/YVMA/YVMD); G776delins(VC/VV/LC); V777L; G778_P780dup; V779A/L; T798M; L841V; V842I; N857S; T862A; L869R; H878Y; R896C​​G
  • ​TMB must be <10 mutations/megabase
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No active autoimmune disease
MOLECULARLY TARGETED: HER2/ERBB2 amp or mut; TMB-h: myTACTIC Arm J

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genomic alterations or protein expression patterns predictive of response: Arm J: Trastuzumab emtansine plus atezolizumab in patients with ERBB2 amplification or mutation plus TMB-H/MSI-H/dMMR-positive tumors

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Malignancy

Lung, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line

Investigational Agent

TD-M1 + atezolizumab

Drug Class

anti-HER2 agent and anti-PD-L1 agent

PI

Sponsor

Genentech, Inc.

Path

ERBB amplificaiton or mutation AND TMB-h or MSI-h or dMMR

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • No breast cancer (breast cancer is excluded)
  • Either ERBB2 (HER2) amplification defined as a copy number of 6 or higher via FISH, CISH or DNA NGS assay OR
  • Any of the following ERBB2 mutations:
    • 222C; R226S; E265K; D277H; G292R; G309A/E; S310F/Y; C311R/S; E321G; C334S; S418T; A440T; P551L; R552S; S653C; V659E; G660D; R678Q; T733I; L755P/S_T759del; I767M; L768S; D769H/N/Y; Y772_A775dup; A775_G776ins(SVMA/VVMA/YAMA/YVMA/YVMD); G776delins(VC/VV/LC); V777L; G778_P780dup; V779A/L; T798M; L841V; V842I; N857S; T862A; L869R; H878Y; R896C​​G
  • Must ALSO have one of the following alterations
    • ​TMB > or =10 mutations/megabase
    • MSI-h
    • dMMR (negative IHC for MLH1, MSH2, MSH6, or PMS2_
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No active autoimmune disease
MOLECULARLY TARGETED: ALK Rearrangement: myTACTIC Arm C

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression pattersn predictive of response: ArmC: Alectinib in patients with ALK rearrangement-positive tumors

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Malignancy

Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line

Investigational Agent

Alectinib

Drug Class

ALK and RET inhibitor

PI

Sponsor

Genentech, Inc.

Path

ALK rearrangement/fusion in any malignancy except not NSCLC

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • Not Non-small cell lung cancer (NO NSCLC)
  • ALK gene fusion positivety defined as a 3' AALK fusion with a protein coding 5' gene fusion partner, predicted to be in frame with an intact kinase domain
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
MOLECULARLY TARGETED: PTEN loss/LOF: myTACTIC Arm D(1)

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression pattersn predictive of response: Arm D: Ipatasertib in patients with PTEN Loss/Loss-of-function or AKT activating mutation-positive tumors

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Malignancy

Any: Lung, Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line

Investigational Agent

Ipatasertib

Drug Class

AKT inhibitor

PI

Sponsor

Genentech, Inc.

Path

PTEN loss or loss of function

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • Either PTEN protein loss as determined by a CLIA or equivalently certified immunohistochemistry assay OR
  • PTEN loss of function defined as PTEN dominant negative missense mutations or deleterious in-frame and missense mutations affecting protein function
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No insuline dependent diabetes
MOLECULARLY TARGETED: AKT mutation: myTACTIC Arm D(2)

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression pattersn predictive of response: Arm D: Ipatasertib in patients with PTEN Loss/Loss-of-function or AKT activating mutation-positive tumors

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Malignancy

Any: Lung, Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line

Investigational Agent

Ipatasertib

Drug Class

AKT inhibitor

PI

Sponsor

Genentech, Inc.

Path

select AKT mutations

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • One of the following mutations in AKT:
    • ​AKT 1 : E17K, L52R, or Q79K
    • AKT 2 : E17K
    • AKT 3: E17K, L51R, or Q78K
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No insulin dependent diabetes
MOLECULARLY TARGETED: TMB high: myTACTIC Arm E(1)

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression patterns predictive of response: Atezolizumab plus chemotherapy in patients with TMB-H/MSI-H/dMMR-positive tumors

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Malignancy

Any: Lung, Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any line but cannot have previously had PD-1

Investigational Agent

Atezoliumab + chemotherapy (investigators choice- capecitabine, paclitaxel, or docetaxel)

Drug Class

PD-L1 inhibitor + chemotherapy

PI

Sponsor

Genentech, Inc.

Path

TMB high, defined as > or = 10 mutations/megabase

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • Tumor mutational burden-high (TMB-H) determined by CLIA opr quivalently certified assay, via tissue or blood
  • No prior treatment with anti-PD1 or anti-PD-L1 agents
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No active autoimmune disease
MOLECULARLY TARGETED: MSI-h/dMMR: myTACTIC Arm E(2)

myTACTIC: An open-label Phase II study evaluating targeted therapies in patients who have advanced solid tumors with genoic alterations or protein expression patterns predictive of response: Atezolizumab plus chemotherapy in patients with TMB-H/MSI-H/dMMR-positive tumors

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Malignancy

Any: Lung, Breast, Colon, Prostate, Small Cell lung, thyroid, head and neck, HNSCC, liver, pancreas, endometrial, cervical, ovarian, skin, melanoma, leukemia, lymphoma, urothelial (bladder), kidney (RCC), myeloma, gastric, small bowel,

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

Any, but cannot have had prior anti-PD-1 or anti-PD-L1

Investigational Agent

Atezoliumab + chemotherapy (investigators choice- capecitabine, paclitaxel, or docetaxel)

Drug Class

PD-L1 inhibitor + chemotherapy

PI

Sponsor

Genentech, Inc.

Path

MSI-h or dMMR

Key Eligibility Criteria Details
  • Histologically or cytologically confirmed advanced unresectable or metastatic solid malignancy
  • Positive biomarker results from a CLIA certified lab, either tissue or blood sample
  • Microsatellite instability high (MSI-h) or deficient mismatch repair dMMR
  • No prior treatment with anti-PD1 or anti-PD-L1 agents
  • ECOG PS 0-2
  • No symptomatic CNS metastases
  • No known HIV/HBV/HCV
  • No other malignancy within 3 years of study
  • No prior treatment with crizotinib
  • No active autoimmune disease
LEUKEMIA: CLL; Maintenance; "PROLONG"
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Malignancy

Leukemia, Lymphoma, CLL, Chronic Lymphocytic Leukemia

Stage

N/A

Phase

Phase 3

Status

Closed to Accrual

Line Of Therapy

Post 2nd line or Post 3rd line

Investigational Agent

Ofatumumab

Drug Class

Anti-CD20 antibody

PI

Brad Somer, MD

Sponsor

GlaxoSmithKline

Path

CLL

Key Eligibility Criteria Details
At least 3 months/3 cycles of anti-leukemic tx immediatelyprior to trial
At least PR according to NCI-WG criteria after last dose of 2nd/3rd line treatment
ECOG PS 0-2
No fludarabine-refractory subjects
No prior maintencance therapy
No known transformation to acute leukemia
No prior BMT
No active AIHA
SUPPORTIVE CARE: CINV: HEC: 1st Line: "NEPA-15-18"
A phase 3 multicenter, randomized, double-blind, active control study to evaluate the safety and efficacy of IV pro-netupitant/palonosetron (260mg/0.25mg) combination for the prevention of chemotherapy-induced nausea and vomiting in repeated chemotherapy cycles in patients receiving highly emetogenic chemotherapy VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

x- HEC for breast cancer, head and neck cancer, hematologic malignancies, leukemia, lymphoma, lung cancer, bladder cancer

Stage

N/A

Phase

Phase 3

Status

Closed to Accrual

Line Of Therapy

1st Line (Prior targeted or endocrine therapy allowed)

Investigational Agent

IV Pro-Netupitant/Palonosetron Fixed Dose Combination

Drug Class

Fixed dose combination NK1 antagonist + 5-HT3 antagonist

PI

Lee Schwartzberg, MD

Sponsor

Helsinn Healthcare SA

Path

Any

Key Eligibility Criteria Details
  • Naïve to cytotoxic chemotherapy (endocrine or targeted therapy allowed)
  • Scheduled to receive at least 4 repeated consecutive cycles with one of the following reference HEC (alone or in combination with other chemo agents) on Day 1
    • Cisplatin as single IV dose >70mg/m2
    • Cyclophosphamide >1500mg/m2
    • Carmustine (BCNU) >250 mg/m2
    • Dacarbazine (DTIC)
    • Mechloretamine (nitrogen mustard)
  • ECOG PS 0-2
  • Adequate laboratory values
  • Cannot be scheduled to receive MEC or HEC on Day 2-5 of a cycle
  • No active nausea of vomiting in 24 hours prior to chemo
  • No symptomatic CNS disease
  • No systemic steroids within 3 days of HEC
  • No anti-emetic medicine within 24 hours of HEC
ALLO-HCT: Supportive Care: GVHD tx: GRAVITAS-301

GRAVITAS-301: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study of Itacitinib or Placebo in Combination With Corticosteroids for the Treatment of First-Line Acute Graft-Versus-Host Disease

VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Leukemia, Lymphoma, Sickle-cell disease, aplastic anemia

Stage

Stage 4

Phase

Phase 3

Status

Closed to Accrual

Line Of Therapy

First line GVHD

Investigational Agent

Itacitinib

Drug Class

JAK-1 inhibitor

PI

Yasir Khaled, MD

Sponsor

Incyte Corporation

Path

N/A

Key Eligibility Criteria Details
  • Has undergone 1 allogeneic stem cell transplant from any type of donor and any donor source for hematologic disorder. Recipients of myeloablative and reduced-intesity conditioning regimens are eligible
  • Clinically suspected Grade II to IV aGVHD per MAGIC criteria
  • Evidence of myeloid engraftment
  • Creatinine <2
  • No more than 1 prior aHCT
  • No more than 2 days of steroids for GVHD
  • No presence of GVHD overlap syndrome
  • No active HBV or HCV
  • No known HIV
  • No relapse of underlying malignancy post aHCT
MOLECULARLY TARGETED: Metastatic; >/= 2nd line; FGFR mutation; "SIGNATURE CBGJ398XUS04"
Modular phase II study to link targeted therapy to patients with pathway activated tumors: Module 6- BGJ398 for patients with tumors with FGFR genetic abnormalities VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

y- breast, lung, melanoma, prostate, colorectal, head and neck, gastric, renal, leukemia, lymphoma, sarcoma, ovarian

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

>/= 2nd line

Investigational Agent

BGJ398

Drug Class

FGFR inhibitor

PI

Daruka Mahadevan, MD, PhD

Sponsor

Novartis Pharmaceuticals

Path

FGFR genetic alteration

Key Eligibility Criteria Details

Must have FGFR gene alteration as measured in CLIA-certified lab
None of the following malignancies:
Bladder cancer (urothelial)
Cholangiocarcinoma
Endometrial cancer
Glioblastoma multiforme (GBM)
Received at least 1 prior line of therapy
No standard therapy expected to result in durable remission
ECOG PS 0-1
No CNS disease
No acute/chronic pancreatitis
No impared cardiac function
No corneal or retinal disorder
No other cancer within 3 years
_

MOLECULARLY TARGETED: Metastatic; >/= 2nd line; ALK/ROS1+; "SIGNATURE CLDK378AUS23"
Modular phase II study to link targeted therapy to patients with pathway activated tumors: Module-7; ceritinib (LDK378) for patients whose tumors have aberrations in ALK or ROS1 VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

y- breast, colon, prostate, colorectal, sarcoma, melanoma, bladder, renal, head and neck, leukemia, lymphoma, gastric, esophageal, ROS1 positive lung

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

>/= 2nd line

Investigational Agent

Ceritinib

Drug Class

ALK inhibitor

PI

Daruka Mahadevan, MD, PhD

Sponsor

Novartis Pharmaceuticals

Path

ALK or ROS1 mutation, translocation, rearrangement, or amplification

Key Eligibility Criteria Details

ALK or ROS1 mutation, trnaslocation, rearrangement, or amplification by CLIA-certified laboratory (IHC or FISH allowed)

May not have ALK+ lung cancer (butROS1 positive lung CA allowed)
Relapsed or progressive disease
ECOG PS 0-1
2nd line or higher
No standard therapy withdurable remission expected
No CNS disease

MOLECULARLY TARGETED: Metastatic; >/= 2nd line; CDK4/6 pathway activation: "SIGNATURE CLEE011XUS03"
Modular phase II study to link targeted therapy to patients with pathway activated tumors: Module 8- LEE011 for patients with CDK4/6 pathway activated tumors VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

y- Colorectal, Ovarian, Gastric, Kidney, Leukemia, Lymphoma, Head and Neck, Breast Cancer, Esophagus, Liver, Bladder

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

No further standard therapies

Investigational Agent

LEE011

Drug Class

CDK4/6 Inhibitor

PI

Lee Schwartzberg, MD

Sponsor

Novartis Pharmaceuticals

Path

CDK4/6, cyclin D1/3, or p16 aberrations

Key Eligibility Criteria Details

Any of the following molecular alterations
CDK4 amplification or mutation
CDK6 amplification or mutation
Cyclin D1 (CCND1) amplification
Cyclin D2 (CCND3) amplifcation
p16 (CDKN2A) mutationNone of the following malignancies:
ER/PR or HER2 positive breast cancer (TNBC only allowed)
Sarcoma (Eligible but cohort on hold)
Lung Cancer (Eligible but cohort on hold)
liposarcoma
prostate cancer
melanoma
teratoma
mantle cell lymphoma_
ECOG PS 0-1
No CNS involvement
At least one prior metastatic therapy
No expectation that further therapy will result in durable remission
MOLECULARLY TARGETED; Metastatic; >/=2nd line; P2P: "SIGNATURE CMEK162AUS11"
Modular phase II study to link targeted therapy to patients with pathway activated tumors: Module 3- MEK162 for patients with RAS/RAF/MEK activated tumors VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

y- Advanced Cancer; Bladder, Esophagus, AML (acute myeloid leukemia), small intestine, papillary thyroid

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

>/=2nd line

Investigational Agent

MEK162

Drug Class

MEK 1/2 inhibitor

PI

Lee Schwartzberg, MD

Sponsor

Novartis Pharmaceuticals

Path

Any of following:RAS mutation RAF mutation NF1 mutation MEK mutation

Key Eligibility Criteria Details
None of the following malignancies:
NSCLC (non-small cell lung cancer)
CRC (colorectal cancer)
Melanoma
Pancreatic
Biliary
Low-grade serous ovarian
Mutation in any of the following:
RAF, RAS, NF1, MEK
MOLECULARLY TARGETED: Metastatic; >/=2nd line; P2P; "SIGNATURE CTKI258AUS26"
Molecular phase II study to link targeted therapy to patients with pathway activated tumors: Module 2 - Dovitinib for patients with tumor pathway activations inhibited by dovitinib including tumors with mutations or translocations of FGFR, PDGFR, VEGF, cKIT, FLT3, CSFR1, Trk, and RET VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

y- Advanced Cancer; non-squamous NSCLC (non-small cell lung), Melanoma, Ovarian, Thyroid, Multiple Myeloma, GIST (gastrointestinal stromal tumor), AML (acute myeloid leukemia)

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

>/=2nd line

Investigational Agent

Dovitinib (TKI258)

Drug Class

Angiogenesis inhibitor

PI

Daruka Mahadevan, MD, PhD

Sponsor

Novartis Pharmaceuticals

Path

Mutations or transolocations in: FGFR PDGFR VEGF cKIT FLT3 CSFR1 Trk RET

Key Eligibility Criteria Details
Mutation or translocation of at least one of following genes:


FGFR 1/2/3, FLT3, cKIT,VEGFR 1/2, RET,
TrkA (NTRK1),PDGFRa/b,CSF-1R_
None of the following tumors:
Breast
RCC (kidney/renal)
Bladder
HCC (hepatocellular)
Endometrial
Squamous NSCLC
Heme malignancies (exceptFLT3 AML and MM)
At least one prior therapy for disease
ECOG 0-1
No brain mets
No anticoagulation
MULTIPLE MYELOMA; Any line; Phase 1; "CFZ013"
Phase 1b study of carfilzomib administered once weekly in combination with lenalidomide and dexamethasone in subjects with multiple myeloma. VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Multiple Myeloma, MM

Stage

Stage 4

Phase

Phase 1

Status

Closed to Accrual

Line Of Therapy

1st or later line

Investigational Agent

carfilzomib

Drug Class

selective proteosome inhibitor

PI

Jason Chandler, MD

Sponsor

Onyx Therapeutics

Path

No IgM subtype for those with newly diagnosed disease

Key Eligibility Criteria Details

Newly diagnosed or refractory multiple myeloma
Measurable disease by either:
� Serum M protein
� Urine M protein
� qIgA (in IgA myeloma that can only be reliably measured this way)
ECOG PS 0-1
LVEF >40%
If prior tx with lenalidomide/dexamethasone must not have progressed within 3 months of starting therapy.
No Waldenstrom's macroglobulinemia or POEMS syndrome
No plasma cell leukemia, MDS, or amyloidosis
No prior tx with carfilzomib or oprozomib

LEUKEMIA/LYMPHOMA: CLL/SLL: Relapsed/Refractory: TL-895

Phase I/II, First in Human, Dose Escalation Trial of TL 895 in Subjects With Relapsed/Refractory B-Cell Malignancies and Expansion in Subjects With Relapsed/Refractory Chronic Lymphocytic Leukemia or Relapsed/Refractory Small Lymphocytic Lymphoma

VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Chronic Lymphocytic Leukemia (CLL), Small Lymphblastic Lymphoma (SLL)

Stage

Stage 4

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

2nd or greater

Investigational Agent

TL-895

Drug Class

BTK inhibitor

PI

Jason Chandler, MD

Sponsor

Telios Pharma, Inc.

Path

CLL/SLL

Key Eligibility Criteria Details
  • Relapsed/Refractory CLL or relapsed/refractory SLL with confirmed diagnosis per iwCLL 2008
  • Active disease meeting at least 1 of the iwCLL 2008 criteria for requiring treatment
  • Must have been previously treated for CLL or SLL with at least one prior regimen according to current guidelines
  • Must have measurable nodal lesion(s) by CT
  • ECOG PS
  • ANC>or=1.0
  • Plt>or=50
  • AST/ALT
  • No prior treatment with BTK or PI3K directed therapy
  • No history of CNS lymphoma/leukemia
  • No history of Richter's transformation or prolymphocytic leukemia
  • No allo trx within 6 months, no auto trx within 3 months
  • No malabsorption syndromes or other chronic GI disease
  • No active HBV/HCV. No known HIV
  • No other cancer within the lat 3 years (with few exceptions)
  • No need for PPI therapy (must be stopped prior to study)
LEUKEMIA: CLL; Phase 1; PI3K inhibitor; "TGR-GA-106"
A multi-center phase I/Ib study evaluating the efficacy and safety of TGR-1202, a novel PI3K delta inhibitor, in combination with obinutuzumab and chlorambucil in patients with chronic lymphocytic leukemia VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Leukemia, CLL, SLL, chronic lymphocytic leukemia, small lymphocytic lymphoma

Stage

N/A

Phase

Phase 1

Status

Closed to Accrual

Line Of Therapy

Any

Investigational Agent

TGR-1202

Drug Class

PI3K inhibitor

PI

Daruka Mahadevan, MD, PhD

Sponsor

TG Therapeutics

Path

CLL

Key Eligibility Criteria Details

Confirmed CLL
ECOG 0-2
No intracranial involvement orprimary CNS lymphoma
No auto HCT within 3 months of entry
No allo HCT within 12 months

LEUKEMIA: CLL; High-risk; >/=2nd line; "UTX-IB-301"
A phase 3, randomized, study to assess the efficacy and safety of ublituximab in combination with ibrutinib compared to ibrutinib alone, in patients with previously treated high-risk chronic lymphocytic leukemia (CLL). VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Leukemia, CLL, Chronic lymphocytic leukemia, SLL, small lymphocytic lymphoma

Stage

N/A

Phase

Phase 3

Status

Closed to Accrual

Line Of Therapy

>2nd line

Investigational Agent

Ublituximab

Drug Class

3rd gen anti-CD20 monoclonal antibody

PI

Jason Chandler, MD

Sponsor

TG Therapeutics

Path

Either:17p deletion11q deletionand/or p53 mutation

Key Eligibility Criteria Details

Previously treated ( at least 2 cycles)CLL/SLL
One or more high-risk cytogenetic features (del 17p, del 11q, p53 mutation)
Has at least one of following clinical criteria:
1.Progressive marrow failure (anemia or thrombocytopenia)
2.Massive, progressive, or symptomatic splenomegaly
3.Massive, progressive, or symptomatic lymphadenopathy
4.Progressive lymphocytosis as follows:
Either increase in ALC>50% over 2 months
or lymphocyte doubling time 30K)
5.Autoimmune anemia or thrombocytopenia
6.B-symptoms or unintentional weight loss
At least1 nodal lesion measuring>2 by>1 cm

ECOG PS 0-2
No prior allo HCT. Auto HCT only if at least 3 months prior.
No prior ibrutinib or other BTK inhibitor

MULTIPLE MYELOMA: Relapsed/Refractory: >/=3rd line: "TH-CR-408"
A phase 1/2 open-label study to assess the safety, tolerability and preliminary efficacy of TH-302, a hypoxia-activated pro-drug, and dexamethasone with or without bortezomib in subjects with relapsed/refractory multiple myeloma VIEW TRIAL ON CLINICALTRIALS.GOV
Malignancy

Multiple Myeloma, Plasma Cell Myeloma

Stage

N/A

Phase

Phase 2

Status

Closed to Accrual

Line Of Therapy

>/=3rd

Investigational Agent

TH-302

Drug Class

hypoxia activated pro-drug

PI

Michael Martin, MD

Sponsor

Threshold Pharmaceuticals

Path

_

Key Eligibility Criteria Details

Relapsed/refractory myeloma with at least 2 prior therapies
Measurable disease by M-protein, FLC, or plasmacytoma
ECOG PS 0-2
Acceptable renal, marrow, hepatic, cardiac fxn
No non-secretory disease
No POEMS syndrome or amyloidosis
No plasma cell leukemia or Waldenstroms
No symptomatic CNS disease
No recent high dose steroid use_

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