A Study of ERAS-007 as Monotherapy or in Combination With ERAS-601 in Patients With Advanced or Metastatic Solid Tumors (HERKULES-1)
A Phase 1b/2, Open-label, Multi-center Study of ERAS-007 (ERK Inhibitor) Administered as Monotherapy or in Combination With ERAS-601 (SHP2 Inhibitor) in Patients With Advanced or Metastatic Solid Tumors (HERKULES-1)
- To evaluate the safety and tolerability of ERAS-007 monotherapy administered once weekly (QW) and twice daily-once weekly (BID-QW).
- To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 monotherapy administered BID-QW.
- To characterize the pharmacokinetic (PK) profile of ERAS-007 monotherapy.
- To determine the optimal dose and schedule of ERAS-007 monotherapy.
- To evaluate antitumor activity of ERAS-007 in various solid tumors.
- To evaluate the safety and tolerability of ERAS-007 (BID-QW) and ERAS-601 (twice daily for three weeks on and 1 week off (BID 3/1)) when administered in combination.
- To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 administered in combination with ERAS-601.
- To characterize the pharmacokinetic (PK) profile of ERAS-007 and ERAS-601 when administered in combination.
- To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors
- To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Colorado
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Denver, Colorado, United States, 80218
- Sarah Cannon Research Institute (HealthONE)
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Florida
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Sarasota, Florida, United States, 34232
- Sarah Cannon Research Institute (Florida Cancer Specialists)
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Tennessee
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Nashville, Tennessee, United States, 37203
- Sarah Cannon Research Institute (Tennessee Oncology)
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Texas
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Dallas, Texas, United States, 75251
- Mary Crowley Cancer Research
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San Antonio, Texas, United States, 78229
- NEXT Oncology
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years.
- Willing and able to give written informed consent.
- Have histologically or cytologically confirmed advanced or metastatic solid tumor with a relevant molecular alteration (as applicable).
- 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.
- Recovered from all toxicities associated with prior treatment to acceptable baseline status.
- Have ECOG performance status of 0 or 1 with an anticipated life expectancy of > 12 weeks.
- Willing to comply with all protocol-required visits, assessments, and procedures.
- Able to swallow oral medication.
Exclusion Criteria:
- 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-007.
- Received previous treatment with an ERK inhibitor.
- For participants being considered for ERAS-007 + ERAS-601 (Part D): prior treatment with SHP2 inhibitor.
- For participants being considered for ERAS-007 + ERAS-601 (Part D): documented PTPN11 mutations
- Received prior antineoplastic therapy within < 21 days or 5 half-lives, whichever is shorter.
- Received prior palliative radiation within 7 days of first dose of ERAS 007 or ERAS-601,
- Received previous treatment with a MAPK inhibitor that resulted in discontinuation due to unacceptable toxicity.
- 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.
- 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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose Escalation (Part A): ERAS-007 Monotherapy, BID-QW dosing
ERAS-007 monotherapy will be administered BID-QW in sequential ascending doses to participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression, or withdrawal of consent.
|
ERAS-007 will be administered orally as specified in Arm description.
|
|
Experimental: Dose Expansion (Part B): ERAS-007 Monotherapy, QW dosing
ERAS-007 monotherapy will be administered at 250 mg QW to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.
|
ERAS-007 will be administered orally as specified in Arm description.
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Experimental: Dose Expansion (Part C): ERAS-007 Monotherapy, BID-QW dosing (if necessary)
Depending on data generated from Part A, ERAS-007 monotherapy may be administered at the BID-QW RD to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.
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ERAS-007 will be administered orally as specified in Arm description.
|
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Experimental: Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601
Experimental: Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601 ERAS-007 will be administered BID-QW in combination with ERAS-601 administered BID 3/1 to study participants with advanced or metastatic solid tumors that harbor specific molecular targets in sequential ascending doses until unacceptable toxicity, disease progression, or withdrawal of consent.
|
ERAS-007 will be administered orally as specified in Arm description.
ERAS-601 will be administered orally as specified in Arm description.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluate safety and tolerability of escalating doses of ERAS-007 BID-QW
Time Frame: Assessed up to 24 months from time of first dose
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Based on adverse events observed
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Assessed up to 24 months from time of first dose
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|
Dose Limiting Toxicities (DLT)
Time Frame: Study Day 1 up to Day 29
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Based on adverse events observed
|
Study Day 1 up to Day 29
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|
Maximum tolerated dose (MTD)
Time Frame: Study Day 1 up to Day 29
|
Based on adverse events observed
|
Study Day 1 up to Day 29
|
|
Recommended dose (RD)
Time Frame: Study Day 1 up to Day 29
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Based on adverse events observed
|
Study Day 1 up to Day 29
|
|
Adverse Events
Time Frame: Assessed up to 24 months from time of first dose
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Incidence and severity of treatment-emergent AEs and serious AEs
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Assessed up to 24 months from time of first dose
|
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Plasma concentration (Cmax)
Time Frame: Study Day 1 up to Day 29
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Maximum plasma concentration of ERAS-007
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Study Day 1 up to Day 29
|
|
Time to achieve Cmax (Tmax)
Time Frame: Study Day 1 up to Day 29
|
Time to achieve maximum plasma concentration of ERAS-007 and ERAS-601
|
Study Day 1 up to Day 29
|
|
Area under the curve
Time Frame: Study Day 1 up to Day 29
|
Area under the plasma concentration-time curve of ERAS-007 and ERAS-601
|
Study Day 1 up to Day 29
|
|
Half-life
Time Frame: Study Day 1 up to Day 29
|
Half-life of ERAS-007 and ERAS-601
|
Study Day 1 up to Day 29
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR)
Time Frame: Assessed up to 24 months from time of first dose
|
Based on assessment of radiographic imaging per RECIST version 1.1
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Assessed up to 24 months from time of first dose
|
|
Duration of Response (DOR)
Time Frame: Assessed up to 24 months from time of first dose
|
Based on assessment of radiographic imaging per RECIST version 1.1
|
Assessed up to 24 months from time of first dose
|
|
Time to Response (TTR)
Time Frame: Assessed up to 24 months from time of first dose
|
Based on assessment of radiographic imaging per RECIST version 1.1
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Assessed up to 24 months from time of first dose
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pharmacodynamic assessment
Time Frame: Assessed up to 24 months from time of first dose
|
Assessment of phosphorylated ERK (pERK) inhibition in isolated PBMCs or tumor tissue by immunoblot, IHC or immunofluorescence.
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Assessed up to 24 months from time of first dose
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Wei Lin, M.D., Chief Medical Officer
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ERAS-007-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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