NCT06343402

Brief Summary

A first in human study to evaluate the safety and preliminary antitumor activity of BBO-8520, a KRAS G12C (ON and OFF) inhibitor, as a single agent and in combination with pembrolizumab and BBO-10203 in subjects with locally advanced and unresectable or metastatic non-small cell lung cancer with a KRAS (Kirsten rat sarcoma) G12C mutation.

Trial Health

83
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
350

participants targeted

Target at P75+ for phase_1 nonsmall-cell-lung-cancer

Timeline
65mo left

Started May 2024

Longer than P75 for phase_1 nonsmall-cell-lung-cancer

Geographic Reach
5 countries

35 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress27%
May 2024Sep 2031

First Submitted

Initial submission to the registry

March 22, 2024

Completed
11 days until next milestone

First Posted

Study publicly available on registry

April 2, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

May 22, 2024

Completed
6.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2031

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2031

Last Updated

May 5, 2026

Status Verified

March 1, 2026

Enrollment Period

6.9 years

First QC Date

March 22, 2024

Last Update Submit

May 4, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Adverse Events

    Incidence and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)

    approximately 3 years

  • Dose-limiting toxicities (DLTs)

    Number of participants with dose limiting toxicities

    approximately 3 years

Secondary Outcomes (8)

  • To evaluate preliminary antitumor activity of BBO-8520

    approximately 3 years

  • To evaluate preliminary antitumor activity of BBO-8520

    approximately 3 years

  • To evaluate preliminary antitumor activity of BBO-8520

    approximately 3 years

  • Overall Survival (OS)

    approximately 3 years

  • To characterize the pharmacokinetics (PK) of BBO-8520

    approximately 3 years

  • +3 more secondary outcomes

Study Arms (8)

Cohort 1a - Dose Escalation/Dose Finding Monotherapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 (different dose levels will be evaluated) once a day (QD) as monotherapy

Drug: BBO-8520

Cohort 1b - Dose Escalation/Dose Finding Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 (different dose levels will be evaluated) once a day (QD) in combination with pembrolizumab infusion (IV)

Drug: BBO-8520Drug: Pembrolizumab

Cohort 2a - Dose Expansion Monotherapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) as monotherapy

Drug: BBO-8520

Cohort 2b - Dose Expansion Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) in combination with pembrolizumab infusion (IV)

Drug: BBO-8520Drug: Pembrolizumab

Cohort 1b Safety Lead-In - Dose Expansion Doublet Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) in combination with BBO-10203 once a day (QD)

Drug: BBO-8520Drug: BBO-10203

Cohort 1b - Dose Expansion Doublet Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) in combination with BBO-10203 once a day (QD)

Drug: BBO-8520Drug: BBO-10203

Cohort 1b Safety Lead-In - Dose Expansion Triplet Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) in combination with BBO-10203 once a day (QD) and pembrolizumab infusion (IV)

Drug: BBO-8520Drug: PembrolizumabDrug: BBO-10203

Cohort 1b - Dose Expansion Triplet Combination Therapy

EXPERIMENTAL

Participants enrolled in this cohort will receive BBO-8520 once a day (QD) in combination with BBO-10203 once a day (QD) and pembrolizumab infusion (IV)

Drug: BBO-8520Drug: PembrolizumabDrug: BBO-10203

Interventions

Patients will receive IV pembrolizumab

Cohort 1b - Dose Escalation/Dose Finding Combination TherapyCohort 1b - Dose Expansion Triplet Combination TherapyCohort 1b Safety Lead-In - Dose Expansion Triplet Combination TherapyCohort 2b - Dose Expansion Combination Therapy

Participants will receive assigned dose of BBO-8520 orally (PO), QD

Cohort 1a - Dose Escalation/Dose Finding MonotherapyCohort 1b - Dose Escalation/Dose Finding Combination TherapyCohort 1b - Dose Expansion Doublet Combination TherapyCohort 1b - Dose Expansion Triplet Combination TherapyCohort 1b Safety Lead-In - Dose Expansion Doublet Combination TherapyCohort 1b Safety Lead-In - Dose Expansion Triplet Combination TherapyCohort 2a - Dose Expansion MonotherapyCohort 2b - Dose Expansion Combination Therapy

Participants will receive assigned dose of BBO-8520 orally (PO), QD

Cohort 1b - Dose Expansion Doublet Combination TherapyCohort 1b - Dose Expansion Triplet Combination TherapyCohort 1b Safety Lead-In - Dose Expansion Doublet Combination TherapyCohort 1b Safety Lead-In - Dose Expansion Triplet Combination Therapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically documented locally advanced and unresectable or metastatic non-small cell lung cancer with a KRAS G12C mutation
  • Measurable disease by RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1

You may not qualify if:

  • Patients with malignancy within the last 2 years as specified in the protocol
  • Patients with untreated or unstable brain metastases
  • Patients with known hypersensitivity to BBO-8520 or its excipients
  • For Cohorts 1b and 2b:
  • Patients with a known hypersensitivity to pembrolizumab or its excipients
  • Patients with active autoimmune disease of history of autoimmune disease that might recur
  • Patients with a history of interstitial lung disease/pneumonitis that required steroids, or current interstitial lung disease/pneumonitis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

O'Neal Comprehensive Cancer Center at UAB

Birmingham, Alabama, 35233, United States

RECRUITING

University of California - San Diego Moores Cancer Center

La Jolla, California, 92093, United States

RECRUITING

University of California San Francisco

San Francisco, California, 94158, United States

RECRUITING

UCLA Health - Santa Monica Cancer Care

Santa Monica, California, 90404, United States

RECRUITING

University of Colorado Cancer Center

Aurora, Colorado, 80045, United States

RECRUITING

Yale Cancer Center

New Haven, Connecticut, 06510, United States

RECRUITING

Norwalk Hospital

Norwalk, Connecticut, 06850, United States

RECRUITING

OSF Saint Francis Medical Center

Peoria, Illinois, 61603, United States

RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, 66205, United States

RECRUITING

Henry Ford Cancer - Detroit

Detroit, Michigan, 48282, United States

RECRUITING

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

RECRUITING

Perlmutter Cancer Center - NYU Langone Health

New York, New York, 10016, United States

RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

RECRUITING

Cleveland Clinic

Cleveland, Ohio, 44195, United States

RECRUITING

USOR - Oncology Associates of Oregon, P.C

Eugene, Oregon, 97401, United States

RECRUITING

SCRI Oncology Partners

Nashville, Tennessee, 37203, United States

RECRUITING

Oncology Consultants Texas Medical Center

Houston, Texas, 77030, United States

RECRUITING

USOR - Texas Oncology - (DFW) Waco

Waco, Texas, 76710, United States

RECRUITING

Huntsman Cancer Institute

Salt Lake City, Utah, 84112, United States

RECRUITING

NEXT Oncology

Fairfax, Virginia, 22031, United States

RECRUITING

Fred Hutchinson Cancer Center

Seattle, Washington, 98109, United States

RECRUITING

Northwest Medical Specialties

Tacoma, Washington, 98405, United States

RECRUITING

Kinghorn Cancer Centre

Darlinghurst, New South Wales, 2010, Australia

RECRUITING

Flinders Medical Centre

Bedford Park, South Australia, 5042, Australia

RECRUITING

The Queen Elizabeth Hospital

Woodville South, South Australia, 5011, Australia

RECRUITING

Peninsula & South Eastern Hematology and Oncology Group (PAS)

Frankston, Victoria, 3199, Australia

RECRUITING

Peter MacCallum Cancer Centre

Melbourne, Victoria, 3051, Australia

RECRUITING

Linear Clinical Research

Nedlands, Western Australia, 6009, Australia

RECRUITING

Juravinski Cancer Centre

Hamilton, Ontario, L8V 5C2, Canada

RECRUITING

The Princess Margaret Cancer Centre

Toronto, Ontario, M5G 2C4, Canada

RECRUITING

Jewish General Hospital

Montreal, Quebec, H3T 1E2, Canada

RECRUITING

Rigshospitalet

Copenhagen, 2100, Denmark

RECRUITING

START Barcelona - Hospital HM Nou Delfos

Barcelona, 08023, Spain

RECRUITING

START Madrid - Hospital Universitario Fundación Jiménez Díaz

Madrid, 28040, Spain

RECRUITING

Hospital Universitario Quirónsalud Madrid

Madrid, 28223, Spain

RECRUITING

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Central Study Contacts

TheRas, Inc., d/b/a BBOT (BridgeBio Oncology Therapeutics)

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Phase 1a: sequential/parallel, Phase 1b: parallel
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 22, 2024

First Posted

April 2, 2024

Study Start

May 22, 2024

Primary Completion (Estimated)

April 1, 2031

Study Completion (Estimated)

September 1, 2031

Last Updated

May 5, 2026

Record last verified: 2026-03

Locations