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

NCT06253871 · Iambic Therapeutics, Inc
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Official title
A Phase 1/1b Study of IAM1363 in Participants With Advanced Cancers Harboring HER2 Alterations
About this study
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
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
Study design
Enrollment target: 383 participants
Allocation: na
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-03-25
Estimated completion: 2028-12
Last updated: 2026-06-04
Interventions
Drug: IAM1363
Primary outcomes
  • Incidence and severity of dose limiting toxicities (DLTs) (Part 1 only) (21 days)
  • Incidence and severity of adverse events (AEs) (Through 30 days after the last dose of study drug)
  • Pharmacokinetic (PK) parameters (Up to 42 days)
Sponsor
Iambic Therapeutics, Inc · industry
Contacts & investigators
ContactIambic Therapeutics, Inc., Senior Medical Director · contact · ClinicalTrials@Iambic.ai · 619-330-5499
InvestigatorIambic Therapeutics, Inc., Senior Medical Director · study_director, Iambic Therapeutics, Inc
All locations (53)
UCSD Moores Cancer CenterRecruiting
La Jolla, California, United States
USC Norris Comprehensive Cancer CenterRecruiting
Los Angeles, California, United States
University of Colorado Cancer CenterRecruiting
Aurora, Colorado, United States
University of MiamiRecruiting
Miami, Florida, United States
Comprehensive Hematology OncologyRecruiting
St. Petersburg, Florida, United States
University of ChicagoRecruiting
Chicago, Illinois, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
Dana Farber Cancer InstituteRecruiting
Boston, Massachusetts, United States
University of MichiganRecruiting
Ann Arbor, Michigan, United States
Henry Ford Cancer InstituteRecruiting
Detroit, Michigan, United States
START - Midwest Cancer Research CenterRecruiting
Grand Rapids, Michigan, United States
Saint Luke's Cancer InstituteRecruiting
Kansas City, Missouri, United States
Washington University School of MedicineRecruiting
St Louis, Missouri, United States
Dartmouth Hitchcock MedicalRecruiting
Lebanon, New Hampshire, United States
Rutgers Cancer InstituteRecruiting
New Brunswick, New Jersey, United States
Icahn School of Medicine at Mount SinaiRecruiting
New York, New York, United States
Duke Cancer InstituteRecruiting
Durham, North Carolina, United States
University Hospital Cleveland Medical CenterRecruiting
Cleveland, Ohio, United States
Cleveland ClinicRecruiting
Cleveland, Ohio, United States
OU Health Stephenson Cancer CenterRecruiting
Oklahoma City, Oklahoma, United States
Providence Cancer InstituteRecruiting
Portland, Oregon, United States
SCRI Oncology PartnersRecruiting
Nashville, Tennessee, United States
Vanderbilt Ingram Cancer CenterRecruiting
Nashville, Tennessee, United States
NEXT Oncology - AustinRecruiting
Austin, Texas, United States
Mary Crowley Cancer ResearchRecruiting
Dallas, Texas, United States
MD Anderson Cancer Center - University of TexasRecruiting
Houston, Texas, United States
START Mountain RegionRecruiting
West Valley City, Utah, United States
NEXT Oncology - Virginia Cancer SpecialistsRecruiting
Fairfax, Virginia, United States
Fred Hutchinson Cancer CenterRecruiting
Seattle, Washington, United States
Centre Georges François LeclercRecruiting
Dijon, France
Institut de Cancerologie de l'OuestRecruiting
Saint-Herblain, France
Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole Institut Claudius Regaud "Recruiting
Toulouse, France
The START center DublinRecruiting
Dublin, Dublin, Ireland
Cork University Hospital, WiltonRecruiting
Cork, Ireland
St. Vincent's University HospitalRecruiting
Dublin, Ireland
Azienda Ospedaliero Universitaria Careggi - Largo Giovanni Alessandro Brambilla 3Recruiting
Florence, Italy
Istituto Europeo di Oncologia (IEO)Recruiting
Milan, Italy
Grande Ospedale Metropolitano NiguardaRecruiting
Milan, Italy
Azienda Ospedaliera Universitaria Luigi VanvitelliRecruiting
Naples, Italy
Netherlands Cancer Institute-Antoni van LeeuwenhoekRecruiting
Amsterdam, Netherlands
Seoul National University HospitalRecruiting
Seoul, South Korea
Severance Hospital - Yonsei Cancer CenterRecruiting
Seoul, South Korea
Asan Medical CenterRecruiting
Seoul, South Korea
Samsung Medical CenterRecruiting
Seoul, South Korea
Hospital Universitario Vall dHebronRecruiting
Barcelona, Spain
Hospital Universitario 12 de OctubreRecruiting
Madrid, Spain
START Madrid CIOCC, Hospital Universitario HM SanchinarroRecruiting
Madrid, Spain
Hospital Universitario Regional MálagaRecruiting
Málaga, Spain
Hospital Universitario Virgen del RocioRecruiting
Seville, Spain
Hospital Clinico Universitario de Valencia (INCLIVA)Recruiting
Valencia, Spain
Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Chelsea)Recruiting
Chelsea, United Kingdom
Oxford University Hospitals NHS Foundation Trust Churchill HospitalRecruiting
Oxford, United Kingdom
Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/SuttonRecruiting
Sutton, United Kingdom
A Phase 1/1b Study of IAM1363 in HER2 Cancers · TrialPath