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NCT04683250PHASE1, PHASE2Recruiting

Study of RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities

Taiho Pharmaceutical Co., Ltd.

Start Date

12/16/2020

Completion Date

3/1/2031

Summary

Phase 1 and 2 trial to study the safety, pharmacokinetics, and efficacy of TAS0953/HM06 in patients with advanced solid tumors with RET gene abnormalities. Phase 1 aims to determine the Maximum Tolerated Dose (MTD) and identify the Recommended Phase 2 Dose (RP2D) to be used in phase 2.

Eligibility Criteria

Age Range: 18 years to No maximum

Ages Eligible for Study: \- Adult patient (The definition of adulthood shall comply with the regulatory requirements of each region) Inclusion Criteria: Phase I - Common inclusion criteria for Dose-Escalation / Dose-Expansion: * Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1 * Available RET-gene abnormalities determined on tissue biopsy or liquid biopsy. If deemed appropriate by the investigator, determination on a pleural cell block or cell pellet is also acceptable. * Adequate hematopoietic, hepatic and renal function Phase I Dose-Escalation - Specific inclusion criteria: * Advanced solid tumors * Measurable and/or non-measurable disease as determined by RECIST 1.1 * If patient has brain and/or leptomeningeal metastases, (s)he should be asymptomatic. Phase I Dose-Expansion - Specific inclusion criteria: * Patient with RET gene fusion : * Cohort 1, 3: locally advanced or metastatic NSCLC patients naïve to RET selective inhibitors and no prior systemic anti-cancer treatment. Patients who have been treated with neo-adjuvant or adjuvant chemotherapy may be included if it has been completed at least 6 months prior to the first dose of the study. * Cohort 2, 4: locally advanced or metastatic NSCLC patients with RET gene fusion and prior exposure to RET selective inhibitors. * Measurable disease as determined by RECIST 1.1 * If patient has brain and/or leptomeningeal metastases,(s)he should have: * asymptomatic untreated brain/leptomeningeal metastases off steroids and anticonvulsant for at least 7 days or * asymptomatic brain metastases already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration. Phase II : * Available RET-gene abnormalities determined on tissue or liquid biopsy * Locally advanced or metastatic: * NSCLC patients with primary RET gene fusion and prior exposure to RET selective inhibitors; * NSCLC patients with RET gene fusion and without prior exposure to RET selective inhibitors * patients with advanced solid tumors that harbour RET gene abnormalities (other than NSCLC patients with primary RET gene fusions) and has failed all the available therapeutic options * Eastern Cooperative Oncology Group (ECOG) performance score of 0-2 * Measurable disease as determined by RECIST 1.1 * If patient has brain and/or leptomeningeal metastases,(s)he should have: * asymptomatic untreated brain/leptomeningeal metastases off steroids and anticonvulsant for at least 7 days or * asymptomatic brain metastases already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration. * Adequate hematopoietic, hepatic and renal function Exclusion Criteria: Common exclusion criteria for Phase 1 and Phase 2 * Investigational agents or anticancer therapy within 5 half-lives prior to the first dose of study drug * Major surgery (excluding placement of vascular access) within 4 weeks prior to the first dose of study drug or planned major surgery during the course of study treatment. * Whole Brain Radiotherapy within 14 days or other palliative radiotherapy within 7 days prior to the first dose of study drug, or persisting side effects of such therapy, in the opinion of the Investigator. * Clinically significant, uncontrolled, cardiovascular disease including myocardial infarction within 3 months prior to Day 1 of Cycle 1, unstable angina pectoris, significant valvular or pericardial disease, history of ventricular tachycardia, symptomatic Congestive Heart Failure (CHF) New York Heart Association (NYHA) class III-IV, and severe uncontrolled arterial hypertension, according to the Investigator's opinion. * QT interval corrected using Fridericia's formula (QTcF) \>470 msec; personal or family history of prolonged QT syndrome or history of Torsades de pointes (TdP). History of risk factors for TdP * Treatment with strong CYP3A4 inhibitors within 1 week prior to the first dose of study drug or strong CYP3A4 inducers within 3 weeks prior to the first dose of study drug. Phase I Dose-Expansion - and Phase II specific exclusion criteria: * Presence of known EGFR, KRAS, ALK, HER2, ROS1, BRAF and METex14 activating mutations.

Interventions

DRUG

TAS0953/HM06

DRUG

TAS0953/HM06

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Conditions

RET-altered Non Small Cell Lung CancerRET-altered Solid Tumors

Locations

Chao Family Comprehensive Cancer Center

Orange, California 92868-3298

United States

Stanford Cancer Center

Stanford, California 94305-5826

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Henry Ford Hospital

Detroit, Michigan 48202

United States

START Midwest - Cancer & Hematology Centers of Western Michigan

Grand Rapids, Michigan 49546

United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York 10016

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10065

United States

The Sarah Cannon Research Institute/Tennessee Oncology

Nashville, Tennessee 37203

United States

The University of Texas M. D. Anderson Cancer Center

Houston, Texas 77030-4009

United States

National Cancer Center Hospital East

Kashiwa-shi, Chiba

Japan

Tohoku University Hospital

Sendai, Miyagi

Japan

Okayama University Hospital

Okayama, Okayama-ken

Japan

Kansai Medical University Hospital

Hirakata-shi, Osaka

Japan

Osaka International Cancer Institute

Osaka, Osaka

Japan

Shizuoka Cancer Center

Shizuoka, Shizuoka

Japan

National Cancer Center Hospital

Chuo-ku, Tokyo 104-0045

Japan

The Cancer Institute Hospital of JFCR

Koto-ku, Tokyo 135-8550

Japan

National Hospital Organization Kyushu Cancer Center

Fukuoka,

Japan

Kanagawa Cancer Center

Kanagawa,

Japan

Kurashiki Central Hospital

Okayama,

Japan

Samsung Medical Center

Seoul,

South Korea