HER2 Mutation-Related TumorsHER2HER2-positive Breast CancerHER2 + Breast CancerBrain Metastases From Solid TumorsBrain Metastases From HER2 and Breast CancerCNS MetastasesHER2-Positive Solid TumorsNSCLC (Non-small Cell Lung Cancer)HER2-positive Bladder CancerHER2-positive Colorectal CancerHER2 + Gastric CancerHER2-positive Gastroesophageal Cancer
Investigational drug(s) / intervention(s)
IAM1363
IAM1363: IAM1363 monotherapy OR IAM1363 in combination with capecitabine + trastuzumab OR IAM1363 in combination with capecitabine + zanidatamab OR IAM1363 in combination with T-Dxd OR IAM1363 in combination with pembrolizumab +/- carboplatin and pemetrexed
Study 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.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
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
Primary outcome measure(s)
Incidence and severity of dose limiting toxicities (DLTs) (Part 1 only) — 21 days Incidence and severity of DLTs during the first cycle of treatment in participants in Part 1
Incidence and severity of adverse events (AEs) — Through 30 days after the last dose of study drug Incidence of treatment emergent AEs (TEAEs) and serious adverse events (SAEs)
Pharmacokinetic (PK) parameters — Up to 42 days PK parameters. Includes but is not limited to assessment of maximum concentration (Cmax).
Confirmed objective response rate (cORR) — Through study completion, estimated as 46 months Percentage of participants who achieve a confirmed objective response (complete response \[CR\] + partial response \[PR\]) per the Response Evaluation Criteria In Solid Tumors (RECIST) v1.1
Confirmed central nervous system ORR (CNS-cORR) — Through study completion, estimated as 46 months Percentage of participants who achieve a confirmed CNS-cORR (CNS-CR + CNS-PR) per the Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) Criteria
Frequency of IAM1363 dose modifications, including treatment discontinuations — Through 30 days after the last dose of study drug
Incidence and severity of clinical laboratory abnormalities — Through 30 days post last dose of study drug
Incidence of ECG abnormalities — Through 30 days after the last dose of study drug As measured using standard ECG parameters, including pulse rate, QT intervals, and QRS duration.
Trial sites (53)
Facility
City
Region
Status
UCSD Moores Cancer Center
La Jolla
California
Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles
California
Recruiting
University of Colorado Cancer Center
Aurora
Colorado
Recruiting
University of Miami
Miami
Florida
Recruiting
Comprehensive Hematology Oncology
St. Petersburg
Florida
Recruiting
University of Chicago
Chicago
Illinois
Recruiting
Massachusetts General Hospital
Boston
Massachusetts
Recruiting
Dana Farber Cancer Institute
Boston
Massachusetts
Recruiting
University of Michigan
Ann Arbor
Michigan
Recruiting
Henry Ford Cancer Institute
Detroit
Michigan
Recruiting
START - Midwest Cancer Research Center
Grand Rapids
Michigan
Recruiting
Saint Luke's Cancer Institute
Kansas City
Missouri
Recruiting
Washington University School of Medicine
St Louis
Missouri
Recruiting
Dartmouth Hitchcock Medical
Lebanon
New Hampshire
Recruiting
Rutgers Cancer Institute
New Brunswick
New Jersey
Recruiting
Icahn School of Medicine at Mount Sinai
New York
New York
Recruiting
Duke Cancer Institute
Durham
North Carolina
Recruiting
University Hospital Cleveland Medical Center
Cleveland
Ohio
Recruiting
Cleveland Clinic
Cleveland
Ohio
Recruiting
OU Health Stephenson Cancer Center
Oklahoma City
Oklahoma
Recruiting
Providence Cancer Institute
Portland
Oregon
Recruiting
SCRI Oncology Partners
Nashville
Tennessee
Recruiting
Vanderbilt Ingram Cancer Center
Nashville
Tennessee
Recruiting
NEXT Oncology - Austin
Austin
Texas
Recruiting
Mary Crowley Cancer Research
Dallas
Texas
Recruiting
MD Anderson Cancer Center - University of Texas
Houston
Texas
Recruiting
START Mountain Region
West Valley City
Utah
Recruiting
NEXT Oncology - Virginia Cancer Specialists
Fairfax
Virginia
Recruiting
Fred Hutchinson Cancer Center
Seattle
Washington
Recruiting
Centre Georges François Leclerc
Dijon
France
Recruiting
Institut de Cancerologie de l'Ouest
Saint-Herblain
France
Recruiting
Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole Institut Claudius Regaud "
Toulouse
France
Recruiting
The START center Dublin
Dublin
Dublin
Recruiting
Cork University Hospital, Wilton
Cork
Ireland
Recruiting
St. Vincent's University Hospital
Dublin
Ireland
Recruiting
Azienda Ospedaliero Universitaria Careggi - Largo Giovanni Alessandro Brambilla 3
Florence
Italy
Recruiting
Istituto Europeo di Oncologia (IEO)
Milan
Italy
Recruiting
Grande Ospedale Metropolitano Niguarda
Milan
Italy
Recruiting
Azienda Ospedaliera Universitaria Luigi Vanvitelli
Naples
Italy
Recruiting
Netherlands Cancer Institute-Antoni van Leeuwenhoek
Amsterdam
Netherlands
Recruiting
+ 13 more sites — see the full list on the official registry below.
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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