Clinical trial · Interventional
A Study of Avelumab, Binimetinib and Talazoparib in Patients With Locally Advanced or Metastatic RAS-mutant Solid Tumors
A PHASE 1B/2 STUDY TO EVALUATE SAFETY AND CLINICAL ACTIVITY OF COMBINATIONS OF AVELUMAB, BINIMETINIB AND TALAZOPARIB IN PATIENTS WITH LOCALLY ADVANCED OR METASTATIC RAS-MUTANT SOLID TUMORS
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): Available clinical data has shown limited anti-tumor activity and reaching target study drug dose levels may not be feasible.
Summary
Brief summary (as posted)
This Phase 1b/2 study will examine the effects of the study drugs, avelumab, binimetinib and talazoparib when given in a 2 (doublet) or 3 (triplet) drug combination, in patients with locally advanced or metastatic RAS-mutant solid tumors. The Phase 1b part of the study will assess if the different study drugs can be given together safely and which doses to use for further research. Phase 2 will test if the study treatments have an effect on tumor size and growth, and gather more information about potential side effects.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Pancreatic Cancer | Malignant Pancreatic Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Avelumab | Drug | Avelumab | ALIAS |
| Binimetinib | Drug | Binimetinib | ALIAS |
| Talazoparib | Drug | Talazoparib | ALIAS |
Design
Arms and outcomes
Arms (3)
- type
- EXPERIMENTAL
- label
- Avelumab and binimetinib
- description
- Open label
- interventionNames
- Drug: Avelumab
- Drug: Binimetinib
- type
- EXPERIMENTAL
- label
- Avelumab, binimetinib and talazoparib
- description
- Open label
- interventionNames
- Drug: Avelumab
- Drug: Binimetinib
- Drug: Talazoparib
- type
- EXPERIMENTAL
- label
- Binimetinib and talazoparib.
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid tumors that are not amenable for treatment with curative intent as follows: 1. Metastatic pancreatic ductal adenocarcinoma; or 2. Phase 2 only: Stage IIIb/IV NSCLC or other advanced solid tumors with documented positive KRAS or NRAS mutation as determined using a validated test performed in a CAP/CLIA-certified laboratory (or other comparable local or regional certification). * Have had disease progression during or following at least 1 and not more than 2 prior lines of treatment for advanced or metastatic disease. * Patients with NSCLC must have previously received treatment with an anti-PD-1 or anti-PD-L1 agent for advanced disease. * Measurable disease as per RECIST v1.1 criteria. * Provision of a baseline tumor sample. * Age ≥18 years (Japanese patients must be ≥20 years old) * Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1. * Adequate bone marrow, renal and liver functions. * Adequate cardiac function. * Informed consent provided. Exclusion Criteria: * Prior treatment with avelumab, a PARP inhibitor or MEK inhibitor. * Prior systemic anti-cancer therapy within 2 weeks prior to study enrollment. * Persisting toxicity related to prior therapy. * Current use of immunosuppressive medication. * Known history of immune-mediated colitis, inflammatory bowel disease, pneumonitis, pulmonary fibrosis, uveitis or iritis. * Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent. * Diagnosis of myelodysplastic syndrome (MDS). * Known symptomatic brain metastases requiring steroids. * Known history of testing positive for HIV or hepatitis. * Clinically significant (ie, active) cardiovascular disease. * History of thromboembolic or cerebrovascular events. * Current or anticipated use of a P-gp inhibitor, inducer, or inhibitor of breast cancer resistance protein (BCRP) * Uncontrolled hypertension. * Concurrent neuromuscular disorder that is associated with the potential of elevated creatinine kinase. * Known history of Gilbert's syndrome. * History or current evidence of retinal degenerative disease, retinal vein occlusion (RVO) or current risk factors for RVO. * Other acute or chronic medical or psychiatric condition.
References
Publications (2)
- DERIVEDRodon Ahnert J, Tan DS, Garrido-Laguna I, Harb W, Bessudo A, Beck JT, Rottey S, Bahary N, Kotecki N, Zhu Z, Deng S, Kowalski K, Wei C, Pathan N, Laliberte RJ, Messersmith WA. Avelumab or talazoparib in combination with binimetinib in metastatic pancreatic ductal adenocarcinoma: dose-finding results from phase Ib of the JAVELIN PARP MEKi trial. ESMO Open. 2023 Aug;8(4):101584. doi: 10.1016/j.esmoop.2023.101584. Epub 2023 Jun 26. PMID 37379764
- DERIVEDSun C, Fang Y, Labrie M, Li X, Mills GB. Systems approach to rational combination therapy: PARP inhibitors. Biochem Soc Trans. 2020 Jun 30;48(3):1101-1108. doi: 10.1042/BST20191092. PMID 32379297