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NCT Number: NCT06655246

A Study of Ziftomenib in Combination With Imatinib in Patients With Advanced Gastrointestinal Stromal Tumors (GIST)

In this clinical trial, the safety, tolerability, and preliminary antitumor activity of ziftomenib in combination with imatinib will be evaluated in adults with gastrointestinal stromal tumors (GIST) who have been treated previously with imatinib.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

University of Alabama at Birmingham, Birmingham, Alabama, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Documented diagnosis of advanced/metastatic KIT-mutant GIST.
  • Documented disease progression on imatinib as current or prior therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤2 at screening.
  • At least 1 measurable lesion per RECIST v1.1 modified for GIST.
  • Negative pregnancy test for participants of childbearing potential.
  • Adequate organ function per protocol requirements.
  • Resolution of all clinically significant toxicities from prior therapy to <Grade 1 (or participant baseline) within 1 week before the first dose of study intervention.
  • Participant, or legally authorized representative, must be able to understand and provide written informed consent before the first screening procedure.

Key Exclusion Criteria:

  • Diagnosis of GIST without a KIT mutation or with a T670X KIT mutation.
  • History of prior or current cancer that has potential to interfere with obtaining study results.
  • Received a prohibited medication, including investigational therapy, less than 14 days or within 5 drug half-lives before the first dose of study intervention.
  • Active central nervous system metastases.
  • Uncontrolled intercurrent illness, including, but not limited to protocol defined cardiac disease.
  • Mean corrected QT interval (QTcF) greater than 470ms.
  • Left ventricular ejection fraction (LVEF) <50%.
  • Major surgery within 2 weeks before the first dose of study intervention.
  • Is pregnant or breastfeeding.
  • Gastrointestinal abnormalities that may impact taking study intervention by mouth.
  • Actively bleeding, excluding hemorrhoidal or gum bleeding.

Treatment and study plan

Ziftomenib

Drug

menin inhibitor

imatinib mesylate

Drug

kinase inhibitor

Other names: Gleevec

Primary outcomes

  1. Dose Escalation: Dose Limiting Toxicity (DLT)

    Time frame: Cycle 1 (first 28 day cycle)

    Rate of DLTs per dose level

  2. Descriptive statistics of Adverse Events (AEs)

    Time frame: First dose of ziftomenib up to and including 28 days after last dose of ziftomenib, or if the participant is lost to follow-up, whichever comes first

    Per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0

  3. Dose Expansion: Clinical benefit rate (CBR)

    Time frame: Up to 2 years following start of treatment with ziftomenib

    CBR is the rate of participants achieving complete response (CR), partial response (PR), or stable disease (SD), assessed per Response Criteria in Solid Tumors (RECIST) v1.1 modified for GIST

Secondary outcomes

  1. Recommended Phase 2 Dose Determination and Dose Expansion: CBR

    Time frame: Up to 2 years following start of treatment with ziftomenib

    CBR is CR + PR + SD assessed per RECIST v1.1 modified for GIST

  2. Overall Response Rate (ORR)

    Time frame: Up to 2 years following start of treatment with ziftomenib

    ORR is CR + PR assessed per RECIST v1.1 modified for GIST

  3. Progression Free Survival (PFS)

    Time frame: Up to 2 years following start of treatment with ziftomenib

    Assessed per RECIST v1.1 modified for GIST

  4. Duration of Response (DoR)

    Time frame: Up to 2 years following start of treatment with ziftomenib

    Defined as the time from the first response (CR or PR assessed per RECIST v1.1 modified for GIST) to disease progression or death from any cause

  5. Overall Survival (OS)

    Time frame: Up to 2 years following start of treatment with ziftomenib

    Defined as the time from first dose of ziftomenib or imatinib (whichever is dosed first) until death from any cause

  6. Maximum plasma concentration (Cmax)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    Cmax of ziftomenib

  7. Time to maximum plasma concentration (Tmax)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    Tmax of ziftomenib

  8. Area under the concentration-time curve from time zero to the time of the last quantifiable concentration (AUC 0-last)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    AUC 0-last of ziftomenib

  9. Area under the concentration-time curve over a dosing interval (AUC tau)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    AUC tau of ziftomenib

  10. Maximum plasma concentration (Cmax)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    Cmax of imatinib

  11. Time to maximum plasma concentration (Tmax)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    Tmax of imatinib

  12. Area under the concentration-time curve from time zero to the time of the last quantifiable concentration (AUC 0-last)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    AUC 0-last of imatinib

  13. Area under the concentration-time curve over a dosing interval (AUC tau)

    Time frame: Day 1 of each cycle; each cycle is 28 days

    AUC tau of imatinib

Study contacts

Contact information is provided by the study sponsor or research team.

Kura Medical Information 844-KURAONC

CONTACT

[email protected]

844-587-2662

Sponsors and collaborators

Lead sponsor

Kura Oncology, Inc.

Industry

Registry information

Official study title

A Phase 1a/1b Study of the Safety, Pharmacokinetics, and Antitumor Activity of the Oral Menin Inhibitor Ziftomenib in Combination With Imatinib in Patients With Advanced Gastrointestinal Stromal Tumors (GIST) After Imatinib Failure

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Oct 23, 2024
Registry last updated
Feb 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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