RMC-5552 Monotherapy in Adult Subjects With Recurrent Glioblastoma

Stopped early · Phase 1

Conditions studied: Glioblastoma, Recurrent Glioblastoma

In brief

This phase I/Ib trial tests the side effects, best dose, tolerability, and effectiveness of RMC-5552 in treating patients with glioblastoma that has come back (recurrent). RMC-5552 is a type of medicine called an mechanistic target of rapamycin (mTOR) inhibitor. These types of drugs prevent the formation of a specific group of proteins called mTOR. This protein controls cancer cell growth, and the study doctors believe stopping mTOR from forming may help to kill tumor cells.

Key facts

Study ID

NCT05557292

Run by

Nicholas Butowski

People needed

7

Starts

2023-04-03

Expected to finish

2025-12-31

Last updated by the study team

2026-05-06

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• For Cohort A and C (non-surgical):
• Participants must have histologically or cytologically confirmed 1st, 2nd or 3rd recurrence GBM that has recurred or progressed (per standard RANO criteria) after standard treatment regimen (surgery and radiotherapy with or without chemotherapy or +/- Tumor treating fields therapy (TTF), +/- concordant investigational agent).
• Participants have confirmed measurable disease per RANO criteria. Participants are eligible after surgery for recurrent disease so long as there is residual enhancing disease and they are deemed medically able to start study treatment within 28 days of the surgical procedure.
• For Cohort B (surgical):
• Participants must have 1st, 2nd or 3rd recurrence of GBM that has recurred or progressed (per standard RANO criteria) after standard treatment regimen (surgery and radiotherapy with or without chemotherapy) or +/- Tumor treating fields therapy (TTF), +/- concordant investigational agent) and be a candidate for repeat resection per standard of care); that is participants are planning to have routine surgery for resection of recurrent disease.
• Confirmed measurable disease per RANO prior to surgical resection.
• Archival tissue available in the form of a formalin-fixed paraffin-embedded block (sample derived from the diagnostic tumor). If this is not possible, 20 slides of freshly prepared unstained 4-5 μm sections from the archival tumor block.
• For all Cohorts (A, B, and C):
• Participants must have completed radiation therapy at least 12 weeks before starting treatment with RMC-5552.
• Participants must have completed treatment with chemotherapy or tyrosine kinase/serine/threonine inhibitors at least 2 weeks or 5 half-lives (whichever is longer) before starting treatment with RMC-5552.
• a. For nitrosourea and mitomycin C, Participants must have completed treatment at least 6 weeks before first dose of RMC-5552.
• Participants must have completed treatment with biologics/monoclonal antibodies, hormonal therapy, and immunotherapy at least 4 weeks before starting treatment with RMC-5552.
• Participants must be age >=18 years.
• Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status =< 2 or Karnofsky Performance >=70.
• Participants must have a life expectancy > 12 weeks.
• Participants must demonstrate adequate organ function 14 days before starting treatment with RMC-5552 as defined below:
• Adequate bone marrow function:
• Absolute neutrophil count >=1,500/microliter (mcL).
• Platelets >=100,000/mcL.
• Adequate hepatic function:
• Total bilirubin within normal institutional limits, unless elevated due to Gilbert's syndrome and direct bilirubin is within normal limits.
• Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase (SGOT)) <=3 X institutional upper limit of normal.
• Alanine aminotransferase (ALT) (serum glutamic-pyruvic transaminase (SGPT)) <=3 X institutional upper limit of normal.
• Adequate renal function:
• Creatinine <= 1.5 x within institutional upper limit of normal. OR

You may not qualify if…

• Participants has had any prior treatment with anMechanistic target of rapamycin (mTOR) or phosphatidylinositol 3-kinase (PI3K) inhibitor.
• Participants with any contraindication to MRI examinations.
• Participants with any of the following cardiovascular abnormalities:
• Medically uncontrolled hypertension (eg, >=160 mmHg systolic or >= 100 mmHg diastolic).
• Acute coronary syndrome (eg, unstable angina, coronary artery stenting or angioplasty, bypass grafting) within the previous 6 months.
• History of or current uncontrolled clinically significant unstable arrhythmias. Note: Participants who have pacemakers to control atrial arrhythmias are candidates for the study. Participants with medically controlled atrial fibrillation > 1 month prior to first dose of RMC-5552 are eligible.
• History of congenital long QT syndrome or prolonged QT interval corrected with Fridericia's method (QTcF) > 480 ms (unless a pacemaker is in place)
• Left ventricular ejection fraction (LVEF) below the institutional lower limit of normal or < 50%, whichever is lower
• Symptomatic congestive heart failure, New York Heart Association Class II or higher.
• Participants with active, clinically significant interstitial lung disease or pneumonitis.
• Participants with abnormal fasting glucose (a fasting blood glucose level greater than or equal to 125 mg/dL), type 1 diabetes, or uncontrolled type 2 diabetes are excluded. Note: Participants with type 2 diabetes with Hemoglobin A1c (HbA1c) < 8%, fasting blood glucose <=130 mg/dL, and fasting triglycerides <=300 mg/dL with no modifications in hormonal or pharmacologic management may be eligible after discussion with the Sponsor-Investigator.
• Participants with an active infection requiring systemic therapy within 72 hours of the first dose of RMC-5552.
• Participants with known active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
• Participants with active, untreated human immunodeficiency virus (HIV) infection (CD4+ T-cell counts ≤350 cells/μL and presence of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections in the past 12 months. Note: Antiretroviral therapy is permitted but must not conflict with other study restrictions and subject must be on an established treatment for at least 28 days and have an HIV viral load less than 400 copies/mL prior to enrollment).
• Participants with active or chronic hepatitis B (positive for hepatitis B surface antigen with detected hepatitis B virus) or C (positive for hepatitis C ribonucleic acid (RNA)).
• Participants with a history of severe allergic reaction to any of the study intervention components.
• Participant has had major surgery (any surgery requiring systemic general anesthesia) within 2 weeks prior to their first dose of RMC-5552. Participants on Cohort B who are having Standard of Care (SOC) tumor resection as a part of regular treatment on this trial are allowed. In all cases, the participant must be sufficiently recovered and stable before study intervention administration.
• Participants with stomatitis or mucositis of any grade.
• Participants with any known unstable or clinically significant concurrent medical condition (e.g., substance abuse, uncontrolled intercurrent illness including active infection, symptomatic arterial thrombosis, and pulmonary embolism, etc.) that would, in the opinion of the investigator, jeopardize the safety of a subject, have an impact on their expected survival through the end of the study participation, and/or affect their ability to comply with the protocol.
• Participants receiving specific oncologic therapies list below are excluded:
• History of treatment with approved or experimental mTOR and/or PI3K inhibitors.
• Treatment with chemotherapy or tyrosine kinase inhibitor within 2 weeks, or 5 half-lives (for nitrosourea and mitomycin C within 6 weeks) of RMC-5552, whichever is longer.
• Treatment with biologics/monoclonal antibodies or hormonal therapy within 4 weeks of C1D1. Participants must have completed treatment with biologics/monoclonal antibodies, hormonal therapy, and immunotherapy at least 4 weeks prior to first dose of RMC-5552.
• Treatment with any other anti-cancer treatment within 28 days of starting treatment with RMC-5552.
• Treatment with radiation therapy within 12 weeks of starting treatment with RMC-5552.

Where it is running

• University of California, San Francisco — San Francisco, California, United States

Full record on ClinicalTrials.gov

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