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A Study of TAS0728 in Patients With Solid Tumors With HER2 or HER3 Abnormalities

Primary Purpose

Advanced Solid Tumors With HER2 Abnormalities, Advanced Solid Tumors With HER3 Abnormalities

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
TAS0728
Sponsored by
Taiho Oncology, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors With HER2 Abnormalities focused on measuring Phase I, solid tumors, pharmacokinetics, pharmacodynamics, MTD, TAS0728, HER2, HER3 mutation, amplification or overexpression, Urothelial cancer with HER2 or HER3 mutation, Biliary tract cancer with HER2 or HER3 mutation, MBC with HER2 amplification or overexpression or HER3 mutation, NSCLC with HER2 or HER3 mutation, CRC with HER2 or HER3 mutation, amplification

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or females with an age ≥ 18 years.
  2. Subjects with histological- or cytological-confirmed, advanced cancer, who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists

    1. For Phase 1, only subjects HER2 or HER3 molecular/genetic alterations will be enrolled.
    2. For Phase 2a, subjects with one of the following tumor types will be enrolled:

    i. Urothelial cancer with HER2 or HER3 mutation ii. Biliary tract cancer with HER2 or HER3 mutation iii. Breast cancer with HER2 or HER3 mutation iv. Breast cancer with HER2 amplification or overexpression v. NSCLC with HER2 or HER3 mutation vi. CRC with HER2 mutation or amplification vii. Other tumors with HER2 mutation/amplification/overexpression or HER3 mutation (gastric/GEJ, endometrial).

  3. At least 1 measurable lesion for solid tumor
  4. Is able to take medications orally (e.g., no feeding tube).
  5. Able to agree to and sign informed consent and to comply with the protocol
  6. Has adequate organ function

Exclusion Criteria:

  1. Has a serious illness or medical condition(s)
  2. Has received treatment with any proscribed treatments within specified time frames prior to study drug administration
  3. Impaired cardiac function or clinically significant cardiac disease

Sites / Locations

  • City of Hope Comprehensive Cancer Center
  • Winship Cancer Institute
  • Icahn School of Medicine at Mount Sinai
  • Sarah Cannon
  • University of Texas - MD Anderson
  • Institut de Cancerologie Gustavo Roussy
  • Hospital Vall D'hebron
  • Sarah Cannon Research Institute - UK

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TAS0728

Arm Description

Group 1: Urothelial cancer with HER2 or HER3 mutation Group 2: Biliary tract cancer with HER2 or HER3 mutation Group 3: Breast cancer with HER2 or HER3 mutation Group 4: Breast cancer with HER2 amplification or overexpression as per American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) 2013 guidelines Group 5: Non-small cell lung cancer (NSCLC) with HER2 or HER3 mutation Group 6: Colorectal cancer (CRC) with HER2 mutation or amplification Group 7: Other tumors with HER2 or HER3 mutation, amplification, or overexpression (eg, gastric or gastroesophageal junction (GEJ), endometrial)

Outcomes

Primary Outcome Measures

Number of patients experiencing Dose Limiting Toxicity graded according to CTCAE Version 4.03, observed in the Cycle 1 in order to meet the objective of assessment of the MTD of TAS0728.
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (Phase 1 and 2)
Objective Response Rate using Response Evaluation Criteria in Solid Tumors 1.1 (RECIST) (Phase2)

Secondary Outcome Measures

Maximum Plasma Concentration (Cmax) after administration of TAS0728 (Phase 1)
Area under the plasma drug concentration-time curve (AUC) after administration of TAS0728 (Phase 1)
Disease Control Rate using RECIST 1.1 (phase 1 and 2)
Progression free survival (phase 1 and 2)
Duration of response (phase 1 and 2)
Overall survival (phase 1 and 2)

Full Information

First Posted
January 19, 2018
Last Updated
March 16, 2023
Sponsor
Taiho Oncology, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03410927
Brief Title
A Study of TAS0728 in Patients With Solid Tumors With HER2 or HER3 Abnormalities
Official Title
A Phase 1/2, Open Label, Multicenter Study to Investigate the Safety, Pharmacokinetics, and Efficacy of TAS0728, an Oral Covalent Binding Inhibitor of HER2, in Subjects With Advanced Solid Tumors With HER2 or HER3 Abnormalities
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Terminated
Why Stopped
The study was stopped due to unacceptable toxicity during the dose-escalation portion (Phase 1) of the study and did not progress to Phase 2
Study Start Date
April 6, 2018 (Actual)
Primary Completion Date
June 9, 2022 (Actual)
Study Completion Date
June 9, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Taiho Oncology, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a First-in-Human (FIH), 2-part, Phase 1/2, open-label, multicenter study design to evaluate the safety, tolerability, PK, pharmacodynamics, PGx, and efficacy of TAS0728. This study consists of Phase 1 and Phase 2 components in subjects with advanced solid tumors with HER2 or HER3 overexpression, amplification, or mutation who have progressed despite standard therapy or for which no standard therapy exists, particularly urothelial cancer, biliary tract cancer, metastatic breast cancer, non-small cell lung cancer and colorectal cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors With HER2 Abnormalities, Advanced Solid Tumors With HER3 Abnormalities
Keywords
Phase I, solid tumors, pharmacokinetics, pharmacodynamics, MTD, TAS0728, HER2, HER3 mutation, amplification or overexpression, Urothelial cancer with HER2 or HER3 mutation, Biliary tract cancer with HER2 or HER3 mutation, MBC with HER2 amplification or overexpression or HER3 mutation, NSCLC with HER2 or HER3 mutation, CRC with HER2 or HER3 mutation, amplification

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
In Phase 1, TAS0728 will be evaluated for safety and tolerability, and in phase 2 will be evaluated preliminary efficacy.
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TAS0728
Arm Type
Experimental
Arm Description
Group 1: Urothelial cancer with HER2 or HER3 mutation Group 2: Biliary tract cancer with HER2 or HER3 mutation Group 3: Breast cancer with HER2 or HER3 mutation Group 4: Breast cancer with HER2 amplification or overexpression as per American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) 2013 guidelines Group 5: Non-small cell lung cancer (NSCLC) with HER2 or HER3 mutation Group 6: Colorectal cancer (CRC) with HER2 mutation or amplification Group 7: Other tumors with HER2 or HER3 mutation, amplification, or overexpression (eg, gastric or gastroesophageal junction (GEJ), endometrial)
Intervention Type
Drug
Intervention Name(s)
TAS0728
Intervention Description
TAS0728 is an oral HER2 covalent inhibitor investigated in patients with advanced solid tumor harboring HER2 or HER3 abnormalities. It will be administered orally at a starting dose of 50 mg BID each morning and evening and escalated to the DLT. The MTD will be used for the phase 2 arms of the study.
Primary Outcome Measure Information:
Title
Number of patients experiencing Dose Limiting Toxicity graded according to CTCAE Version 4.03, observed in the Cycle 1 in order to meet the objective of assessment of the MTD of TAS0728.
Time Frame
21-day cycles
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (Phase 1 and 2)
Time Frame
Safety monitoring will begin at the informed consent obtained and continue up to 30 days after the last dose of TAS0728 or until new antitumor therapy, whichever is earlier.
Title
Objective Response Rate using Response Evaluation Criteria in Solid Tumors 1.1 (RECIST) (Phase2)
Time Frame
3 years
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) after administration of TAS0728 (Phase 1)
Time Frame
21 days in Cycle 1
Title
Area under the plasma drug concentration-time curve (AUC) after administration of TAS0728 (Phase 1)
Time Frame
21 days in Cycle 1
Title
Disease Control Rate using RECIST 1.1 (phase 1 and 2)
Time Frame
3 years
Title
Progression free survival (phase 1 and 2)
Time Frame
3 years
Title
Duration of response (phase 1 and 2)
Time Frame
3 years
Title
Overall survival (phase 1 and 2)
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or females with an age ≥ 18 years. Subjects with histological- or cytological-confirmed, advanced cancer, who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists For Phase 1, only subjects HER2 or HER3 molecular/genetic alterations will be enrolled. For Phase 2a, subjects with one of the following tumor types will be enrolled: i. Urothelial cancer with HER2 or HER3 mutation ii. Biliary tract cancer with HER2 or HER3 mutation iii. Breast cancer with HER2 or HER3 mutation iv. Breast cancer with HER2 amplification or overexpression v. NSCLC with HER2 or HER3 mutation vi. CRC with HER2 mutation or amplification vii. Other tumors with HER2 mutation/amplification/overexpression or HER3 mutation (gastric/GEJ, endometrial). At least 1 measurable lesion for solid tumor Is able to take medications orally (e.g., no feeding tube). Able to agree to and sign informed consent and to comply with the protocol Has adequate organ function Exclusion Criteria: Has a serious illness or medical condition(s) Has received treatment with any proscribed treatments within specified time frames prior to study drug administration Impaired cardiac function or clinically significant cardiac disease
Facility Information:
Facility Name
City of Hope Comprehensive Cancer Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Winship Cancer Institute
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029-6504
Country
United States
Facility Name
Sarah Cannon
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
University of Texas - MD Anderson
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Institut de Cancerologie Gustavo Roussy
City
Paris
ZIP/Postal Code
94800
Country
France
Facility Name
Hospital Vall D'hebron
City
Barcelona
ZIP/Postal Code
8035
Country
Spain
Facility Name
Sarah Cannon Research Institute - UK
City
London
ZIP/Postal Code
W1G 6AD
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
33774767
Citation
Piha-Paul SA, Azaro A, Arkenau HT, Oh DY, Galsky MD, Pal SK, Hamada K, He Y, Yamamiya I, Benhadji KA, Hollebecque A. A first-in-human phase I study of TAS0728, an oral covalent binding inhibitor of HER2, in patients with advanced solid tumors with HER2 or HER3 aberrations. Invest New Drugs. 2021 Oct;39(5):1324-1334. doi: 10.1007/s10637-021-01104-7. Epub 2021 Mar 27.
Results Reference
derived
PubMed Identifier
30787176
Citation
Irie H, Ito K, Fujioka Y, Oguchi K, Fujioka A, Hashimoto A, Ohsawa H, Tanaka K, Funabashi K, Araki H, Kawai Y, Shimamura T, Wadhwa R, Ohkubo S, Matsuo K. TAS0728, A Covalent-binding, HER2-selective Kinase Inhibitor Shows Potent Antitumor Activity in Preclinical Models. Mol Cancer Ther. 2019 Apr;18(4):733-742. doi: 10.1158/1535-7163.MCT-18-1085. Epub 2019 Feb 20.
Results Reference
derived

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A Study of TAS0728 in Patients With Solid Tumors With HER2 or HER3 Abnormalities

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