Clinical trial · Interventional
Mirdametinib + BGB-3245 in Advanced Solid Tumors
A Phase 1/2a Open-Label, Dose Escalation and Expansion Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Efficacy of Mirdametinib in Combination With BGB-3245 in Patients With Advanced 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): Lack of tolerability of BGB-3245 (Brimarafenib) when given in combination with Mirdametinib
Summary
Brief summary (as posted)
A Phase 1/2a open-label, multicenter, dose escalation and expansion study of mirdametinib in combination with BGB-3245 in adult participants with histologically confirmed, advanced (American Joint Committee on Cancer (AJCC) Stage III or IV) metastatic or unresectable solid cancer that is refractory to or has progressed during or after at least 1 line of appropriate prior systemic anti-cancer therapy including chemotherapy, immunotherapy, or appropriate targeted therapy, or for which there is no treatment available, or prior standard of care therapy was not tolerated.
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 |
|---|---|---|---|
| Advanced Solid Tumor | Solid Neoplasm | CURATED_BROADER | 0.80 |
Interventions
Interventions (6)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| BGB-3245 10mg | Drug | — | UNRESOLVED |
| BGB-3245 20mg | Drug | — | UNRESOLVED |
| BGB-3245 5mg | Drug | — | UNRESOLVED |
| Mirdametinib 2mg | Drug | Mirdametinib | ALIAS |
| Mirdametinib 3mg | Drug | Mirdametinib | ALIAS |
| Mirdametinib 4mg | Drug | Mirdametinib | ALIAS |
Design
Arms and outcomes
Arms (5)
- type
- EXPERIMENTAL
- label
- Phase 1 Dose Escalation, Cohort 1
- description
- Participants with an oncogenic mutation or other genomic aberration of the MAPK pathway
- interventionNames
- Drug: Mirdametinib 2mg
- Drug: BGB-3245 5mg
- type
- EXPERIMENTAL
- label
- Phase 1 Dose Escalation, Cohort 2
- description
- Participants with an oncogenic mutation or other genomic aberration of the MAPK pathway
- interventionNames
- Drug: Mirdametinib 2mg
- Drug: BGB-3245 10mg
- type
- EXPERIMENTAL
- label
- Phase 1 Dose Escalation, Cohort 3
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Key Inclusion Criteria: * Able to provide informed consent * At least 18 years of age on day of signing ICF * Advanced, metastatic or unresectable solid cancer that has not responded to or progressed during or after at least 1 line of appropriate therapy or for which there is no treatment available or prior therapy was not tolerated. * Part 1: oncogenic mutation or other genomic aberration of the MAPK pathway * Part 2: oncogenic mutation or genomic aberration defined below: * Cohort A: cutaneous melanoma harboring NRAS mutations. * Cohort B: non-small cell lung cancer (NSCLC) harboring a KRAS mutation. * Cohort C: NSCLC or cutaneous melanoma harboring BRAF Class II or Class III mutations or BRAF Fusion mutation. * Must have archival tumor tissue or agree to a fresh tumor biopsy at screening * Measurable disease per RECIST 1.1 * Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 * Adequate organ function and no transfusion within 14 days of first dose Key Exclusion Criteria: * Central Nervous System metastases, leptomeningeal carcinomatosis or untreated spinal cord compression * History of glaucoma * Active parathyroid disorder or history of malignancy associated hypercalcemia * Clinically significant cardiac disease within the past 6 months of signing ICF * History of toxicity from another RAF, MEK, ERK inhibitor requiring discontinuation of treatment from these agents * Severe or uncontrolled systemic disease * Inability to swallow oral medications * Clinically significant active infection (HIV, Hepatitis B or Hepatitis C) * History of or ongoing Immune Thrombocytopenia (ITP), Von Willebrand disease and/or other past or present bleeding disorders * Underlying medical conditions in investigator's opinion to be unfavorable to be a part of the study * Major surgical procedure or significant traumatic injury within 4 weeks prior to first dose or anticipates need for major surgery while on study * Systemic anti-cancer therapy within 2 weeks or 5 half-lives before first dose * Concomitant systemic or glucocorticoid therapy within 2 weeks before first dose * Concomitant medicines that are strong CYP3A4 inhibitors or inducers within 2 weeks or 5 half-lives before first dose * Live vaccine within 4 weeks before first dose
References
Publications (0)
Data not yet available