Trial Outcomes & Findings for Phase 2 Study of TVB-2640 in KRAS Non-Small Cell Lung Carcinomas (NCT NCT03808558)

NCT ID: NCT03808558

Last Updated: 2026-05-22

Results Overview

Determine Disease control rate of TVB-2640 in KRAS mutant NSCLC patients through RECIST and toxicity profile. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), \>=20% increase in the sum of diameters of target lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

every 8 weeks through study completion, an average of 1 year

Results posted on

2026-05-22

Participant Flow

Participant milestones

Participant milestones
Measure
TVB-2640
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Overall Study
STARTED
18
Overall Study
COMPLETED
18
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase 2 Study of TVB-2640 in KRAS Non-Small Cell Lung Carcinomas

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TVB-2640
n=18 Participants
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Age, Categorical
<=18 years
0 Participants
n=2 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=2 Participants
Age, Categorical
>=65 years
12 Participants
n=2 Participants
Age, Continuous
67 years
n=2 Participants
Sex: Female, Male
Female
6 Participants
n=2 Participants
Sex: Female, Male
Male
12 Participants
n=2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=2 Participants
Race (NIH/OMB)
Asian
2 Participants
n=2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=2 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=2 Participants
Race (NIH/OMB)
White
14 Participants
n=2 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=2 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=2 Participants
Region of Enrollment
United States
18 participants
n=2 Participants
Smoking History
Former smoker
13 Participants
n=2 Participants
Smoking History
Never smoker
5 Participants
n=2 Participants

PRIMARY outcome

Timeframe: every 8 weeks through study completion, an average of 1 year

Determine Disease control rate of TVB-2640 in KRAS mutant NSCLC patients through RECIST and toxicity profile. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), \>=20% increase in the sum of diameters of target lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Outcome measures

Outcome measures
Measure
TVB-2640
n=18 Participants
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Disease Control Rate of TVB-2640
16 Participants

PRIMARY outcome

Timeframe: every 8 weeks through study completion, an average of 1 year

Determine response rate of TVB-2640 in KRAS mutant NSCLC patients through RECIST and toxicity profile. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD), \>=20% increase in the sum of diameters of target lesions; Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Outcome measures

Outcome measures
Measure
TVB-2640
n=18 Participants
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Response Rate of TVB-2640
Partial Disease
9 Participants
Response Rate of TVB-2640
Stable Disease
7 Participants
Response Rate of TVB-2640
Unknown Outcome
2 Participants

SECONDARY outcome

Timeframe: Pretreatment and four weeks of treatment.

Secondary endpoints are 11C-acetate tumor uptake pretreatment and at four weeks of treatment and plasma lipidomics pretreatment and at four weeks of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Pretreatment and four weeks of treatment.

To establish the predictive value of 11C-acetate PET pretreatment and post-treatment tumor uptake for disease control rate and response rate

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Pretreatment and four weeks of treatment.

Blood samples for fasting plasma lipidomics will be collected at baseline and four weeks of treatment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Pretreatment and four weeks of treatment.

Sebutabe collection of sebaceous secretion of fatty acids will be performed at baseline and four weeks of treatment

Outcome measures

Outcome data not reported

Adverse Events

TVB-2640

Serious events: 18 serious events
Other events: 18 other events
Deaths: 17 deaths

Serious adverse events

Serious adverse events
Measure
TVB-2640
n=18 participants at risk
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Nervous system disorders
Transient Ischemic Attack
5.6%
1/18 • Number of events 2 • 4 years, 6 months
Musculoskeletal and connective tissue disorders
Pain (Hip and Pelvic)
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Musculoskeletal and connective tissue disorders
Pain (back)
5.6%
1/18 • Number of events 2 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Psychiatric disorders
Altered Mental Status
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Blood and lymphatic system disorders
Anemia
5.6%
1/18 • Number of events 2 • 4 years, 6 months
Injury, poisoning and procedural complications
Concussion
5.6%
1/18 • Number of events 2 • 4 years, 6 months
Infections and infestations
COVID-19 Infection
5.6%
1/18 • Number of events 1 • 4 years, 6 months
General disorders
Disease progression
27.8%
5/18 • Number of events 5 • 4 years, 6 months
Eye disorders
Dry eye
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Gastrointestinal disorders
Dysphagia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Metabolism and nutrition disorders
Hypercalcemia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Infections and infestations
Lung infection
5.6%
1/18 • Number of events 2 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
11.1%
2/18 • Number of events 3 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Eye disorders
Retinal Tear
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
5.6%
1/18 • Number of events 1 • 4 years, 6 months

Other adverse events

Other adverse events
Measure
TVB-2640
n=18 participants at risk
Patients will be administered TVB-2640 100mg/m2 orally once a day for 8 weeks. TVB-2640: TVB-2640 will be administered 100mg/m2 orally once a day for 8 weeks.
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Gastrointestinal disorders
Mucositis / Aphthous ulcer
22.2%
4/18 • Number of events 4 • 4 years, 6 months
Gastrointestinal disorders
Nausea
22.2%
4/18 • Number of events 4 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
22.2%
4/18 • Number of events 4 • 4 years, 6 months
Nervous system disorders
Peripheral neuropathy
22.2%
4/18 • Number of events 4 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Rash
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Skin desquamation / peeling
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Slow wound healing
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Respiratory, thoracic and mediastinal disorders
Sore throat
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Nervous system disorders
Tremor
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Cardiac disorders
Ventricular arrhythmia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Gastrointestinal disorders
Vomiting
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Eye disorders
Watering eyes
16.7%
3/18 • Number of events 3 • 4 years, 6 months
Gastrointestinal disorders
Xerostomia
50.0%
9/18 • Number of events 9 • 4 years, 6 months
General disorders
Fatigue
38.9%
7/18 • Number of events 7 • 4 years, 6 months
Nervous system disorders
Headache
16.7%
3/18 • Number of events 3 • 4 years, 6 months
Metabolism and nutrition disorders
Hypercalcemia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Metabolism and nutrition disorders
Hypokalemia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Metabolism and nutrition disorders
Hypomagnesemia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Alopecia
27.8%
5/18 • Number of events 5 • 4 years, 6 months
Blood and lymphatic system disorders
Anemia
11.1%
2/18 • Number of events 2 • 4 years, 6 months
Musculoskeletal and connective tissue disorders
Arthralgia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Cardiac disorders
Atrial fibrillation
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Eye disorders
Blurred vision / vision changes
22.2%
4/18 • Number of events 4 • 4 years, 6 months
Infections and infestations
Conjunctivitis
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Gastrointestinal disorders
Constipation
16.7%
3/18 • Number of events 3 • 4 years, 6 months
Eye disorders
Corneal abrasion / epithelial erosion
11.1%
2/18 • Number of events 2 • 4 years, 6 months
Metabolism and nutrition disorders
Decreased appetite / Anorexia
16.7%
3/18 • Number of events 3 • 4 years, 6 months
Gastrointestinal disorders
Diarrhea
16.7%
3/18 • Number of events 3 • 4 years, 6 months
Nervous system disorders
Dizziness
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Eye disorders
Dry eye
27.8%
5/18 • Number of events 5 • 4 years, 6 months
Skin and subcutaneous tissue disorders
Dry skin
44.4%
8/18 • Number of events 8 • 4 years, 6 months
Gastrointestinal disorders
Dyspepsia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Gastrointestinal disorders
Dysphagia
5.6%
1/18 • Number of events 1 • 4 years, 6 months
Eye disorders
Eye pain
5.6%
1/18 • Number of events 1 • 4 years, 6 months

Additional Information

Dr. David Gerber

University of Texas Southwestern Medical Center

Phone: 214-648-4180

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place