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NCT06253871PHASE1Recruiting

A Phase 1/1b Study of IAM1363 in HER2 Cancers

Iambic Therapeutics, Inc

Start Date

3/25/2024

Completion Date

12/1/2028

Summary

This is a Phase 1/1b open-label, multi-center dose escalation and dose optimization study designed to evaluate the safety and preliminary efficacy of IAM1363 in participants with advanced cancers that harbor HER2 alterations.

Detailed Description

This is a Phase 1/1b open-label, multi-center study, designed to evaluate IAM1363 in participants with advanced cancers that harbor HER2 alterations. This study consists of the following 4 parts: * Part 1 (Monotherapy Dose Escalation) * Part 2 (Dose Optimization) * Part 3 (Dose Expansion) * Part 4 (Combination Cohorts) Part 1 will enroll participants with a confirmed, relapsed/refractory malignancy with documented diagnosis of HER2 alterations including participants with brain metastases. Once a provisional maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) has been determined, Part 2 will enroll additional cohorts to optimize dose selection and to further evaluate the safety and preliminary efficacy of IAM1363. Following completion of Dose Optimization, Part 3 will be opened to enroll tumor-specific cohorts utilizing a Simon 2-Stage Minimax Design to evaluate IAM1363 at the selected dose(s). Part 4 will enroll 4 cohorts of participants who will receive IAM1363 in combination with other anti-cancer agents.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * Age ≥ 18 years * Have relapsed/refractory HER2-altered malignancy; for selected cohorts, prospective confirmation of HER2 alteration by central testing is required * Have progression of disease after the last systemic therapy, or be intolerant of last systemic therapy * Have radiographically measurable disease by RECIST v1.1 and/or RANO-BM * Eastern Cooperative Oncology Group (ECOG) performance score 0-1 * Have adequate baseline hematologic, liver and renal function * Have left ventricular ejection fraction (LVEF) ≥ 50% * Able to swallow oral medication Key Exclusion Criteria: * Clinically significant cardiac disease * Infection with human immunodeficiency virus (HIV)-1 or HIV-2. Exception: Participants with well-controlled HIV (e.g., CD4 \>350/mm3 and undetectable viral load) are eligible * Current active liver disease including hepatitis A, hepatitis B , or hepatitis C * Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant small bowel resection that would preclude adequate absorption * Uncontrolled diabetes * History of solid organ transplantation * History of Grade ≥2 CNS hemorrhage, or any CNS hemorrhage within 28 days before C1D1 * Prior history of non-infectious interstitial lung disease (ILD). (Exceptions: participants with prior grade 1 ILD that has completely resolved are eligible) * Participants requiring immediate local therapy for brain metastases

Interventions

DRUG

IAM1363

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Conditions

HER2 Mutation-Related TumorsHER2HER2-positive Breast CancerHER2 + Breast CancerBrain Metastases From Solid TumorsBrain Metastases From HER2 and Breast CancerCNS MetastasesHER2-Positive Solid TumorsNSCLC (Non-small Cell Lung Cancer)HER2-positive Bladder CancerHER2-positive Colorectal CancerHER2 + Gastric CancerHER2-positive Gastroesophageal Cancer

Locations

UCSD Moores Cancer Center

La Jolla, California 92093

United States

USC Norris Comprehensive Cancer Center

Los Angeles, California 90089

United States

University of Colorado Cancer Center

Aurora, Colorado 80045

United States

University of Miami

Miami, Florida 33136

United States

Comprehensive Hematology Oncology

St. Petersburg, Florida 33709

United States

University of Chicago

Chicago, Illinois 60637

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Dana Farber Cancer Institute

Boston, Massachusetts 02215

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

Henry Ford Cancer Institute

Detroit, Michigan 48202

United States

START - Midwest Cancer Research Center

Grand Rapids, Michigan 49546

United States

Saint Luke's Cancer Institute

Kansas City, Missouri 64111

United States

Washington University School of Medicine

St Louis, Missouri 63110

United States

Dartmouth Hitchcock Medical

Lebanon, New Hampshire 03756

United States

Rutgers Cancer Institute

New Brunswick, New Jersey 08901

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10029

United States

Duke Cancer Institute

Durham, North Carolina 27710

United States

University Hospital Cleveland Medical Center

Cleveland, Ohio 44106

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

OU Health Stephenson Cancer Center

Oklahoma City, Oklahoma 73104

United States

Providence Cancer Institute

Portland, Oregon 97213

United States

SCRI Oncology Partners

Nashville, Tennessee 37203

United States

Vanderbilt Ingram Cancer Center

Nashville, Tennessee 37232

United States

NEXT Oncology - Austin

Austin, Texas 78758

United States

Mary Crowley Cancer Research

Dallas, Texas 75230

United States

MD Anderson Cancer Center - University of Texas

Houston, Texas 77030

United States

START Mountain Region

West Valley City, Utah 84119

United States

NEXT Oncology - Virginia Cancer Specialists

Fairfax, Virginia 22031

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States

Centre Georges François Leclerc

Dijon, 21079

France

Institut de Cancerologie de l'Ouest

Saint-Herblain, 44805

France

Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole Institut Claudius Regaud "

Toulouse, 31059

France

The START center Dublin

Dublin, Dublin D07 R2WY

Ireland

Cork University Hospital, Wilton

Cork, T12DC4A

Ireland

St. Vincent's University Hospital

Dublin, D04 T6F4

Ireland

Azienda Ospedaliero Universitaria Careggi - Largo Giovanni Alessandro Brambilla 3

Florence, 50134

Italy

Istituto Europeo di Oncologia (IEO)

Milan, 20141

Italy

Grande Ospedale Metropolitano Niguarda

Milan, 20162

Italy

Azienda Ospedaliera Universitaria Luigi Vanvitelli

Naples, 80131

Italy

Netherlands Cancer Institute-Antoni van Leeuwenhoek

Amsterdam, 1066CX

Netherlands

Seoul National University Hospital

Seoul, 03080

South Korea

Severance Hospital - Yonsei Cancer Center

Seoul, 03722

South Korea

Asan Medical Center

Seoul, 05505

South Korea

Samsung Medical Center

Seoul, 06351

South Korea

Hospital Universitario Vall dHebron

Barcelona, 08035

Spain

Hospital Universitario 12 de Octubre

Madrid, 28041

Spain

START Madrid CIOCC, Hospital Universitario HM Sanchinarro

Madrid, 28050

Spain

Hospital Universitario Regional Málaga

Málaga, 29011

Spain

Hospital Universitario Virgen del Rocio

Seville, 41013

Spain

Hospital Clinico Universitario de Valencia (INCLIVA)

Valencia, 46010

Spain

Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Chelsea)

Chelsea, SW3 6JJ

United Kingdom

Oxford University Hospitals NHS Foundation Trust Churchill Hospital

Oxford, OX3 7LE

United Kingdom

Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Sutton

Sutton, SM2 5PT

United Kingdom