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

NCT04683250 · Taiho Pharmaceutical Co., Ltd.
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Official title
Phase I/II Study of the Selective RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities
About this study
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
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.
Study design
Enrollment target: 244 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2020-12-16
Estimated completion: 2031-03
Last updated: 2026-03-03
Interventions
Drug: TAS0953/HM06Drug: TAS0953/HM06
Primary outcomes
  • Phase 1 (dose-escalation): Maximum Tolerated Dose (MTD) (At the end of Cycle 1 (each cycle is 21 days))
  • Phase 1 (dose-expansion): Recommended Phase 2 dose (RP2D) (At the end of Cycle 1 (each cycle is 21 days), and at the end of every subsequent cycle (each cycle is 21 days) for approximately 10 months (or earlier if patient discontinues the study))
  • Phase 2: Objective Response Rate (ORR) by independent central review (Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease.)
Sponsor
Taiho Pharmaceutical Co., Ltd. · industry
With: Linical Co., Ltd.
Contacts & investigators
ContactKazuo Koba · contact · k-koba@taiho.co.jp · +08 8010113399
All locations (21)
Chao Family Comprehensive Cancer CenterTerminated
Orange, California, United States
Stanford Cancer CenterTerminated
Stanford, California, United States
Massachusetts General HospitalTerminated
Boston, Massachusetts, United States
Henry Ford HospitalTerminated
Detroit, Michigan, United States
START Midwest - Cancer & Hematology Centers of Western MichiganTerminated
Grand Rapids, Michigan, United States
Laura and Isaac Perlmutter Cancer Center at NYU Langone HealthTerminated
New York, New York, United States
Memorial Sloan Kettering Cancer CenterTerminated
New York, New York, United States
The Sarah Cannon Research Institute/Tennessee OncologyTerminated
Nashville, Tennessee, United States
The University of Texas M. D. Anderson Cancer CenterTerminated
Houston, Texas, United States
National Cancer Center Hospital EastRecruiting
Kashiwa-shi, Chiba, Japan
Tohoku University HospitalRecruiting
Sendai, Miyagi, Japan
Okayama University HospitalRecruiting
Okayama, Okayama-ken, Japan
Kansai Medical University HospitalRecruiting
Hirakata-shi, Osaka, Japan
Osaka International Cancer InstituteRecruiting
Osaka, Osaka, Japan
Shizuoka Cancer CenterRecruiting
Shizuoka, Shizuoka, Japan
National Cancer Center HospitalRecruiting
Chuo-ku, Tokyo, Japan
The Cancer Institute Hospital of JFCRRecruiting
Koto-ku, Tokyo, Japan
National Hospital Organization Kyushu Cancer CenterRecruiting
Fukuoka, Japan
Kanagawa Cancer CenterRecruiting
Kanagawa, Japan
Kurashiki Central HospitalRecruiting
Okayama, Japan
Samsung Medical CenterRecruiting
Seoul, South Korea
Study of RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities · TrialPath