Clinical trial

An Open-Label, Multi-Center Phase 1/1b Dose Escalation and Expansion Study of ERAS-601 SHP2 Inhibitor as a Monotherapy and in Combination With Other Anti-Cancer Therapies in Patients With Advanced or Metastatic Solid Tumors

Name
ERAS-601-01
Description
* To evaluate the safety and tolerability of escalating doses of ERAS-601 when administered as a monotherapy and in combination with other cancer therapies in study participants with advanced or metastatic solid tumors. * To determine the Maximum Tolerated Dose (MTD) and/or recommended dose (RD) of ERAS-601 when administered as a monotherapy and in combination with other cancer therapies. * To characterize the pharmacokinetic (PK) profile of ERAS-601 when administered as a monotherapy and in combination with other cancer therapies. * To evaluate the antitumor activity of ERAS-601 when administered as a monotherapy and in combination with other cancer therapies.
Trial arms
Trial start
2020-12-15
Estimated PCD
2024-05-01
Trial end
2024-05-01
Status
Active (not recruiting)
Phase
Early phase I
Treatment
ERAS-601
Administered orally
Arms:
Dose Escalation (Part A): ERAS-601 monotherapy, Dose Escalation (Part B): ERAS-601 monotherapy, Dose Escalation (Part C): ERAS-601 monotherapy, Dose Escalation and Dose Expansion (Part D): ERAS-601 in combination with cetuximab, Dose Escalation and Dose Expansion (Part E): ERAS-601 in combination with pembrolizumab
Cetuximab
Administered via intravenous infusion
Arms:
Dose Escalation and Dose Expansion (Part D): ERAS-601 in combination with cetuximab
Other names:
Erbitux
Pembrolizumab
Administered via intravenous infusion
Arms:
Dose Escalation and Dose Expansion (Part E): ERAS-601 in combination with pembrolizumab
Other names:
Keytruda
Size
200
Primary endpoint
Dose Limiting Toxicities (DLT)
Study Day 1 up to Day 29
Maximum tolerated dose (MTD)
Study Day 1 up to Day 29
Recommended dose (RD)
Study Day 1 up to Day 29
Adverse Events
Assessed up to 24 months from time of first dose
Plasma concentration (Cmax)
Study Day 1 up to Day 29
Time to achieve Cmax (Tmax)
Study Day 1 up to Day 29
Area under the curve
Study Day 1 up to Day 29
Half-life
Study Day 1 up to Day 29
Eligibility criteria
Inclusion Criteria: * Age ≥ 18 years * Willing and able to give written informed consent * Have histologically or cytologically confirmed advanced or metastatic solid tumor * There is no available standard systemic therapy available for the patient's tumor histology and/or molecular biomarker profile; or standard therapy is intolerable, not effective, or not accessible; or patient has refused standard therapy * Able to swallow oral medication * Have Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 * Adequate cardiovascular, hematological, liver, and renal function * Willing to comply with all protocol-required visits, assessments, and procedures Exclusion Criteria: * Previous treatment with a SHP2 inhibitor * Documented PTPN11 mutations * Is currently receiving another study therapy or has participated in a study of an investigational agent and received study therapy within 4 weeks of the first dose of ERAS-601 * Received prior palliative radiation within 7 days of Cycle 1, Day 1 * Have primary central nervous system (CNS) disease or known active CNS metastases and/or carcinomatous meningitis * Prior surgery (e.g., gastric bypass surgery, gastrectomy) or gastrointestinal dysfunction (e.g., Crohn's disease, ulcerative colitis, short gut syndrome) that may affect drug absorption * Active, clinically significant interstitial lung disease or pneumonitis * History of thromboembolic or cerebrovascular events ≤ 12 weeks prior to the first dose of study treatment * History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO * Have any underlying medical condition, psychiatric condition, or social situation that, in the opinion of the Investigator, would compromise study administration as per protocol or compromise the assessment of AEs * Are pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 200, 'type': 'ESTIMATED'}}
Updated at
2023-11-28

1 organization

3 products

1 abstract

1 indication

Organization
Erasca
Product
ERAS-601
Product
Cetuximab
Abstract
Preliminary results from FLAGSHP-1: A phase 1 study of ERAS-601 as a monotherapy or in combination with cetuximab in patients (pts) previously treated for advanced chordoma.
Org: Memorial Sloan Kettering Cancer Center, Department of Medicine, Icahn School of Medicine at Mount Sinai, Division of Hematology & Oncology, Massachusetts General Hospital, Harvard Medical School,