A Phase 2 Study of Avutometinib (VS-6766) (Dual RAF/MEK Inhibitor) Alone and In Combination With Defactinib (FAK Inhibitor) in Recurrent Low-Grade Serous Ovarian Cancer (LGSOC)

Trial ID # NCT04625270: RAMP 201
Phase II
Drug Class Signaling Pathway Inhibitors: Integrins-FAK/FAK
Drug Name Defactinib
Alternate Drug Names VS-6063, PF-04554878
Drugs in Trial Avutometinib, Defactinib
Eligible Participant

Recurrent low grade serous ovarian cancer

Patients Enrolled

62 patients; Avu: 33, median 3 prior therapies (1-10); Avu+Def: 31, median 4 prior therapies (1-11)

Therapy Setting

Recurrence

Study Design

Open-Label, Randomized

Endpoints

ORR, DCR, evaluated per RECIST

Efficacy

Results from PART A:
Avu+Def (n=31) vs Avu (n=33):

ORR: 45 (13PR, n=29) vs 10% (1CR, 2PR, n=30)
DCR: 93 (13PR, 13SD) vs 90% (1CR, 2PR, 25SD)

KRAS MUT: Avu+Def (n=15) vs Avu (n=15):
ORR: 60 (9PR) vs 13% (1CR, 1PR)
DCR: 100 (9PR, 6SD) vs 93% (1CR, 2PR, 11SD)

KRAS WT: Avu+Def (n=14) vs Avu (n=16):
ORR: 29 (4PR) vs 6% (1PR)
DCR: 79 (4PR, 7SD) vs 88% (1PR, 13SD)

Clinically Significant Adverse Events

Serious AE:
Grade 3-4 AE: elevated CPK (19 vs 23%)

Conclusion

The combination of avutometinib with defactinib yields encouraging response rates with a well tolerated safety profile in women with heavily pretreated recurrent LGSOC regardless of KRAS status and with prior MEK inhibitor treatment

Reference

Banerjee SN et al. Initial efficacy and safety results from ENGOT-ov60/GOG-3052/RAMP 201: A phase 2 study of avutometinib (VS-6766) ± defactinib in recurrent low-grade serous ovarian cancer (LGSOC). J Clin Oncol 41, 2023 (suppl 16; abstr 5515)
https://ascopubs.org/doi/10.1200/JCO.2023.41.16_suppl.5515

Banerjee SN et al. Poster
https://www.clearityfoundation.org/wp-content/uploads/2023/06/RAMP-201-poster-ASCO-2023-scaled.jpeg

Banerjee S et al. Avutometinib plus defactinib in recurrent low-grade serous ovarian cancer: A subgroup analysis of ENGOT-OV60/GOG3052/RAMP 201 Part A. SGO (2024)
https://www.clearityfoundation.org/wp-content/uploads/2024/05/Banerjee-et-al.-RAMP201-SGO-2024.pdf

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