A Phase 1/1b Study of IAM1363 in Patients with Advanced Cancers Harboring HER2 Alterations

INTRODUCTION

  • Org Study ID: IAM1363-01
  • Secondary ID: N/A
  • NCT ID: NCT06253871
  • Sponsor: Iambic Therapeutics, Inc

BRIEF SUMMARY

This is a Phase 1/1b open-label, multi-center dose escalation and dose optimization study designed to evaluate the safety and preliminary efficacy of IAM1363 in participants with advanced cancers that harbor HER2 alterations.

DETAILED DESCRIPTION

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 3 parts, which are described in further detail below:

* Part 1 (Monotherapy Dose Escalation)
* Part 2 (Dose Optimization)
* Part 3 (Simon 2-Stage Evaluation)

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).

  • Overall Status
    Recruiting
  • Start Date
    March 25, 2024
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Incidence and severity of dose limiting toxicities (DLTs) (Part 1 only)

Primary Outcome 1 - Timeframe: 21 days

Primary Outcome 2 - Measure: Incidence and severity of adverse events (AEs) (Parts 1 and 2 only)

Primary Outcome 2 - Timeframe: Through 30 days after the last dose of study drug

Primary Outcome 3 - Measure: Pharmacokinetic (PK) parameters (Parts 1 and 2 only)

Primary Outcome 3 - Timeframe: Up to 42 days

Primary Outcome 4 - Measure: Pharmacokinetic (PK) parameters (Parts 1 and 2 only)

Primary Outcome 4 - Timeframe: Up to 42 days

Primary Outcome 5 - Measure: Pharmacokinetic (PK) parameters (Parts 1 and 2 only)

Primary Outcome 5 - Timeframe: Up to 42 days

Primary Outcome 6 - Measure: Confirmed objective response rate (cORR) (Part 3 only)

Primary Outcome 6 - Timeframe: Through study completion

Primary Outcome 7 - Measure: Confirmed central nervous system ORR (CNS-cORR) (Part 3 Only)

Primary Outcome 7 - Timeframe: estimated as 46 months

CONDITION

  • HER2 Mutation-Related Tumors
  • HER2
  • HER2-positive Breast Cancer
  • HER2 + Breast Cancer
  • Brain Metastases from Solid Tumors
  • Brain Metastases from HER2 and Breast Cancer
  • CNS Metastases
  • HER2-Positive Solid Tumors
  • NSCLC (non-small Cell Lung Cancer)
  • HER2-positive Bladder Cancer
  • HER2-positive Colorectal Cancer
  • HER2 + Gastric Cancer
  • HER2-positive Gastroesophageal Cancer

ELIGIBILITY

Key Inclusion Criteria:
* Age ≥ 18 years

- * Have relapsed/refractory HER2-altered malignancy

- * 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%
Key Exclusion Criteria:
* Clinically significant cardiac disease

- * Infection with human immunodeficiency virus (HIV)-1 or HIV-2. Exception: Patients 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

- * Patients requiring immediate local therapy for brain metastases

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Iambic Therapeutics, Inc., Senior Medical Director

Role: Study Director

Affiliation: Iambic Therapeutics, Inc

Overall Contact

Name: Iambic Therapeutics, Inc., Senior Medical Director

Phone: 619-330-5499

Email: [email protected]

LOCATION

Facility Status Contact
Facility: USC Norris Comprehensive Cancer Center
Los Angeles, California 90089
United States
Status: Recruiting Contact: N/A
Facility: Comprehensive Hematology Oncology
Saint Petersburg, Florida 33709
United States
Status: Recruiting Contact: N/A
Facility: University of Michigan
Ann Arbor, Michigan 48109
United States
Status: Recruiting Contact: N/A
Facility: START - Midwest Cancer Research Center
Grand Rapids, Michigan 49546
United States
Status: Recruiting Contact: N/A
Facility: Cleveland Clinic
Cleveland, Ohio 44195
United States
Status: Recruiting Contact: N/A
Facility: OU Health Stephenson Cancer Center
Oklahoma City, Oklahoma 73104
United States
Status: Recruiting Contact: N/A
Facility: SCRI Oncology Partners
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: N/A
Facility: NEXT Oncology - Austin
Austin, Texas 78758
United States
Status: Recruiting Contact: N/A
Facility: NEXT Oncology - Dallas
Dallas, Texas 75039
United States
Status: Recruiting Contact: N/A
Facility: Mary Crowley Cancer Research
Dallas, Texas 75230
United States
Status: Recruiting Contact: N/A
Facility: START Mountain Region
West Valley City, Utah 84119
United States
Status: Recruiting Contact: N/A
Facility: NEXT Oncology - Virginia Cancer Specialists
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: N/A