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Study of an Anti-HER3 Antibody, HMBD-001, With or Without Chemotherapy in Patients With Solid Tumors Harboring an NRG1 Fusion or HER3 Mutation

Primary Purpose

Non-Small Cell Lung Cancer, Pancreatic Cancer, Locally Advanced Solid Tumor

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
HMBD-001
Docetaxel
Nab-paclitaxel
Gemcitabine
Sponsored by
Hummingbird Bioscience
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer focused on measuring HMBD-001, NRG1 fusion, NRG1, Neuregulin 1, ErbB3, HER3

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Ability to understand and be willing to sign an informed consent form Males and females aged over 18 years Eastern Cooperative Oncology Group (ECOG) status of 0 to 1 Histologic or cytologic evidence of an advanced malignant solid that is resistant/refractory to standard systemic therapy, or for which there is no standard systemic therapy or reasonable therapy in the physician's judgment likely to result in clinical benefit, or the participant has demonstrated to be intolerable to such therapy, or if such therapy has been refused by the participant Arms A, B and C: Cancer harboring an NRG1 gene fusion with EGF-like domain; Arm A: Participants with locally advanced or metastatic pancreatic adenocarcinoma that have not received prior treatment with gemcitabine or nab-paclitaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm B: Participants with locally advanced or metastatic non-small cell lung cancer that have not received prior treatment with docetaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm C: Participants must not be eligible to participate in Arm A or B Arm D: Cancer harboring selected HER3 mutations limited to the extracellular domain. Have an estimated life expectancy of at least 3 months Have an archival tumour sample available or have a site of disease amenable to biopsy and be willing to undergo a biopsy prior to the receipt of the assigned study treatment Have adequate organ function Females must be non-pregnant and non-lactating, willing to use a highly effective method of contraception from screening until study completion or be either surgically sterile or post-menopausal Males must be surgically sterile, abstinent, or if engaged in sexual relations with a woman of child-bearing potential, the participant and his partner must be surgically sterile or using an acceptable, highly effective contraceptive method from screening until study completion Exclusion Criteria: Prior treatment with HMBD-001, pertuzumab, or an agent that specifically targets HER3, including pan-HER tyrosine kinase inhibitors Persistent clinically significant toxicities (Grade ≥2) from previous anti-cancer therapy except for Grade >2 toxicities that are considered unlikely to put the participant at an increased risk of treatment-related toxicity and/or impact the study results e.g., alopecia Most recent anti-cancer therapy including radiotherapy at least 4 weeks, or nitrosourea or mitomycin 3 at least 6 weeks, or 5 half-lives whichever is shorter prior to starting the assigned study treatment Symptomatic primary Central Nervous System (CNS) cancer or metastases unless the symptoms are stable for at least 28 days prior to the first dose of the study drug and any symptoms have returned to baseline Evidence of abnormal cardiac function History of uncontrolled allergic reactions and/or known expected hypersensitivity to the study drugs used in the treatment arm to which the participant is to be enrolled into Any other known active malignancy except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer Any uncontrolled illness or significant uncontrolled condition(s) requiring systemic treatment Known Human Immunodeficiency Virus (HIV) infection Active hepatitis B or hepatitis C infection Pregnant or breast feeding COVID 19 infection within 3 months prior to the first dose of the study drug COVID 19 vaccination within 14 days prior to the first dose of the study drug

Sites / Locations

  • GenesisCare North ShoreRecruiting
  • Cabrini HealthRecruiting
  • Linear Clinical ResearchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Arm A

Arm B

Arm C

Arm D

Arm Description

Participants with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) harboring NRG1 gene fusions

Participants with non-small cell lung cancer (NSCLC) harboring NRG1 gene fusions

Participants with other solid tumors harboring NRG1 gene fusions

Participants with solid tumors harboring selected HER3 extracellular mutations

Outcomes

Primary Outcome Measures

Incidence and Nature of Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered to be related to the study treatment.
Arm A and B only: Incidence and nature of dose-limiting toxicities (DLTs) during the first cycle of treatment
DLTs will be assessed during the safety run-in phase and are defined as toxicities that meet pre-defined severity criteria and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle (4 weeks for Arm A, 3 weeks for Arm B) of treatment
Objective Response Rate (ORR) by RECIST V1.1
The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on RECIST Version 1.1

Secondary Outcome Measures

Full Information

First Posted
June 1, 2023
Last Updated
October 13, 2023
Sponsor
Hummingbird Bioscience
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1. Study Identification

Unique Protocol Identification Number
NCT05919537
Brief Title
Study of an Anti-HER3 Antibody, HMBD-001, With or Without Chemotherapy in Patients With Solid Tumors Harboring an NRG1 Fusion or HER3 Mutation
Official Title
A Phase 1b Study to Evaluate HMBD-001 With or Without Chemotherapy in Participants With Advanced Solid Tumors Harboring NRG1 Gene Fusions or Selected HER3 Mutations
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 6, 2023 (Actual)
Primary Completion Date
March 1, 2031 (Anticipated)
Study Completion Date
March 1, 2031 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hummingbird Bioscience

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 1b multi-center, open-label study of HMBD-001 with or without chemotherapy in participants with advanced solid tumors harboring NRG1 gene fusions or selected HER3 mutations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Small Cell Lung Cancer, Pancreatic Cancer, Locally Advanced Solid Tumor, Metastatic Solid Tumor
Keywords
HMBD-001, NRG1 fusion, NRG1, Neuregulin 1, ErbB3, HER3

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
68 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Arm A
Arm Type
Experimental
Arm Description
Participants with locally advanced or metastatic pancreatic ductal adenocarcinoma (PDAC) harboring NRG1 gene fusions
Arm Title
Arm B
Arm Type
Experimental
Arm Description
Participants with non-small cell lung cancer (NSCLC) harboring NRG1 gene fusions
Arm Title
Arm C
Arm Type
Experimental
Arm Description
Participants with other solid tumors harboring NRG1 gene fusions
Arm Title
Arm D
Arm Type
Experimental
Arm Description
Participants with solid tumors harboring selected HER3 extracellular mutations
Intervention Type
Drug
Intervention Name(s)
HMBD-001
Intervention Description
HMBD-001 is a humanized IgG1 anti-HER3 monoclonal antibody (mAb). It is administered IV weekly
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Intervention Description
Docetaxel 75 mg/m^2 IV once every 3 weeks
Intervention Type
Drug
Intervention Name(s)
Nab-paclitaxel
Intervention Description
Nab-paclitaxel 125 mg/m^2 IV on days 1, 8, 15, every 4 weeks
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Intervention Description
Gemcitabine 1000 mg/m^2 IV on days 1, 8, 15, every 4 weeks
Primary Outcome Measure Information:
Title
Incidence and Nature of Adverse Events (AEs)
Description
An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered to be related to the study treatment.
Time Frame
From the time the ICF is signed until 30 days after last dose of study treatment
Title
Arm A and B only: Incidence and nature of dose-limiting toxicities (DLTs) during the first cycle of treatment
Description
DLTs will be assessed during the safety run-in phase and are defined as toxicities that meet pre-defined severity criteria and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle (4 weeks for Arm A, 3 weeks for Arm B) of treatment
Time Frame
Arm A: During the first four weeks of study treatment Arm B: During the first three weeks of study treatment
Title
Objective Response Rate (ORR) by RECIST V1.1
Description
The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on RECIST Version 1.1
Time Frame
Up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ability to understand and be willing to sign an informed consent form Males and females aged over 18 years Eastern Cooperative Oncology Group (ECOG) status of 0 to 1 Histologic or cytologic evidence of an advanced malignant solid that is resistant/refractory to standard systemic therapy, or for which there is no standard systemic therapy or reasonable therapy in the physician's judgment likely to result in clinical benefit, or the participant has demonstrated to be intolerable to such therapy, or if such therapy has been refused by the participant Arms A, B and C: Cancer harboring an NRG1 gene fusion with EGF-like domain; Arm A: Participants with locally advanced or metastatic pancreatic adenocarcinoma that have not received prior treatment with gemcitabine or nab-paclitaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm B: Participants with locally advanced or metastatic non-small cell lung cancer that have not received prior treatment with docetaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm C: Participants must not be eligible to participate in Arm A or B Arm D: Cancer harboring selected HER3 mutations limited to the extracellular domain. Have an estimated life expectancy of at least 3 months Have an archival tumour sample available or have a site of disease amenable to biopsy and be willing to undergo a biopsy prior to the receipt of the assigned study treatment Have adequate organ function Females must be non-pregnant and non-lactating, willing to use a highly effective method of contraception from screening until study completion or be either surgically sterile or post-menopausal Males must be surgically sterile, abstinent, or if engaged in sexual relations with a woman of child-bearing potential, the participant and his partner must be surgically sterile or using an acceptable, highly effective contraceptive method from screening until study completion Exclusion Criteria: Prior treatment with HMBD-001, pertuzumab, or an agent that specifically targets HER3, including pan-HER tyrosine kinase inhibitors Persistent clinically significant toxicities (Grade ≥2) from previous anti-cancer therapy except for Grade >2 toxicities that are considered unlikely to put the participant at an increased risk of treatment-related toxicity and/or impact the study results e.g., alopecia Most recent anti-cancer therapy including radiotherapy at least 4 weeks, or nitrosourea or mitomycin 3 at least 6 weeks, or 5 half-lives whichever is shorter prior to starting the assigned study treatment Symptomatic primary Central Nervous System (CNS) cancer or metastases unless the symptoms are stable for at least 28 days prior to the first dose of the study drug and any symptoms have returned to baseline Evidence of abnormal cardiac function History of uncontrolled allergic reactions and/or known expected hypersensitivity to the study drugs used in the treatment arm to which the participant is to be enrolled into Any other known active malignancy except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer Any uncontrolled illness or significant uncontrolled condition(s) requiring systemic treatment Known Human Immunodeficiency Virus (HIV) infection Active hepatitis B or hepatitis C infection Pregnant or breast feeding COVID 19 infection within 3 months prior to the first dose of the study drug COVID 19 vaccination within 14 days prior to the first dose of the study drug
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kon Yew Kwek, BMBCh, DPhil
Phone
+6569795574
Email
k.y.kwek@hummingbirdbio.com
Facility Information:
Facility Name
GenesisCare North Shore
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2065
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nick Pavlakis
First Name & Middle Initial & Last Name & Degree
Nick Pavlakis
Facility Name
Cabrini Health
City
Malvern
State/Province
Victoria
ZIP/Postal Code
3144
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gary Richardson
First Name & Middle Initial & Last Name & Degree
Gary Richardson
Facility Name
Linear Clinical Research
City
Perth
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Millward
First Name & Middle Initial & Last Name & Degree
Michael Millward

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of an Anti-HER3 Antibody, HMBD-001, With or Without Chemotherapy in Patients With Solid Tumors Harboring an NRG1 Fusion or HER3 Mutation

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