RET-altered Non Small Cell Lung CancerRET-altered Solid Tumors
Investigational drug(s) / intervention(s)
TAS0953/HM06TAS0953/HM06
TAS0953/HM06: Phase 1: oral, starting dose 20mg twice a day, until recommended phase 2 dose, continuous daily dosing, cycles lasting 21 days
TAS0953/HM06: Phase 2: oral, recommended dose twice a day, continuous daily dosing, cycles lasting 21 days
Study summary
Phase 1 and 2 trial to study the safety, pharmacokinetics, and efficacy of TAS0953/HM06 in patients with advanced solid tumors with RET gene abnormalities. Phase 1 aims to determine the Maximum Tolerated Dose (MTD) and identify the Recommended Phase 2 Dose (RP2D) to be used in phase 2.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Ages Eligible for Study:
\- Adult patient (The definition of adulthood shall comply with the regulatory requirements of each region)
Inclusion Criteria:
Phase I - Common inclusion criteria for Dose-Escalation / Dose-Expansion:
* Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1
* Available RET-gene abnormalities determined on tissue biopsy or liquid biopsy. If deemed appropriate by the investigator, determination on a pleural cell block or cell pellet is also acceptable.
* Adequate hematopoietic, hepatic and renal function
Phase I Dose-Escalation - Specific inclusion criteria:
* Advanced solid tumors
* Measurable and/or non-measurable disease as determined by RECIST 1.1
* If patient has brain and/or leptomeningeal metastases, (s)he should be asymptomatic.
Phase I Dose-Expansion - Specific inclusion criteria:
* Patient with RET gene fusion :
* Cohort 1, 3: locally advanced or metastatic NSCLC patients naïve to RET selective inhibitors and no prior systemic anti-cancer treatment. Patients who have been treated with neo-adjuvant or adjuvant chemotherapy may be included if it has been completed at least 6 months prior to the first dose of the study.
* Cohort 2, 4: locally advanced or metastatic NSCLC patients with RET gene fusion and prior exposure to RET selective inhibitors.
* Measurable disease as determined by RECIST 1.1
* If patient has brain and/or leptomeningeal metastases,(s)he should have:
* asymptomatic untreated brain/leptomeningeal metastases off steroids and anticonvulsant for at least 7 days or
* asymptomatic brain metastases already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration.
Phase II :
* Available RET-gene abnormalities determined on tissue or liquid biopsy
* Locally advanced or metastatic:
* NSCLC patients with primary RET gene fusion and prior exposure to RET selective inhibitors;
* NSCLC patients with RET gene fusion and without prior exposure to RET selective inhibitors
* patients with advanced solid tumors that harbour RET gene abnormalities (other than NSCLC patients with primary RET gene fusions) and has failed all the available therapeutic options
* Eastern Cooperative Oncology Group (ECOG) performance score of 0-2
* Measurable disease as determined by RECIST 1.1
* If patient has brain and/or leptomeningeal metastases,(s)he should have:
* asymptomatic untreated brain/leptomeningeal metastases off steroids and anticonvulsant for at least 7 days or
* asymptomatic brain metastases already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration.
* Adequate hematopoietic, hepatic and renal function
Exclusion Criteria:
Common exclusion criteria for Phase 1 and Phase 2
* Investigational agents or anticancer therapy within 5 half-lives prior to the first dose of study drug
* Major surgery (excluding placement of vascular access) within 4 weeks prior to the first dose of study drug or planned major surgery during the course of study treatment.
* Whole Brain Radiotherapy within 14 days or other palliative radiotherapy within 7 days prior to the first dose of study drug, or persisting side effects of such therapy, in the opinion of the Investigator.
* Clinically significant, uncontrolled, cardiovascular disease including myocardial infarction within 3 months prior to Day 1 of Cycle 1, unstable angina pectoris, significant valvular or pericardial disease, history of ventricular tachycardia, symptomatic Congestive Heart Failure (CHF) New York Heart Association (NYHA) class III-IV, and severe uncontrolled arterial hypertension, according to the Investigator's opinion.
* QT interval corrected using Fridericia's formula (QTcF) \>470 msec; personal or family history of prolonged QT syndrome or history of Torsades de pointes (TdP). History of risk factors for TdP
* Treatment with strong CYP3A4 inhibitors within 1 week prior to the first dose of study drug or strong CYP3A4 inducers within 3 weeks prior to the first dose of study drug.
Phase I Dose-Expansion - and Phase II specific exclusion criteria:
* Presence of known EGFR, KRAS, ALK, HER2, ROS1, BRAF and METex14 activating mutations.
Primary outcome measure(s)
Phase 1 (dose-escalation): Maximum Tolerated Dose (MTD) — At the end of Cycle 1 (each cycle is 21 days) Incidence rate and category of dose limiting toxicities (DLTs)
Phase 1 (dose-expansion): Recommended Phase 2 dose (RP2D) — At the end of Cycle 1 (each cycle is 21 days), and at the end of every subsequent cycle (each cycle is 21 days) for approximately 10 months (or earlier if patient discontinues the study)
Phase 2: Objective Response Rate (ORR) by independent central review — Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease. Proportion of patients with confirmed complete response (CR) and or partial response (PR) according to RECIST 1.1 as assessed by independent central review
Trial sites (29)
Facility
City
Region
Status
Chao Family Comprehensive Cancer Center
Orange
California
Terminated
Stanford Cancer Center
Stanford
California
Terminated
Massachusetts General Hospital
Boston
Massachusetts
Terminated
Henry Ford Hospital
Detroit
Michigan
Terminated
START Midwest - Cancer & Hematology Centers of Western Michigan
Grand Rapids
Michigan
Terminated
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health
New York
New York
Terminated
Memorial Sloan Kettering Cancer Center
New York
New York
Terminated
The Sarah Cannon Research Institute/Tennessee Oncology
Nashville
Tennessee
Terminated
The University of Texas M. D. Anderson Cancer Center
Houston
Texas
Terminated
Cabrini Hospital
Malvern
Australia
Recruiting
Linear Clinical Research
Nedlands
Australia
Recruiting
GenesisCare North Shore
Saint Leonards
Australia
Recruiting
National Cancer Center Hospital East
Kashiwa-shi
Chiba
Recruiting
Tohoku University Hospital
Sendai
Miyagi
Recruiting
Okayama University Hospital
Okayama
Okayama-ken
Recruiting
Kansai Medical University Hospital
Hirakata-shi
Osaka
Recruiting
Osaka International Cancer Institute
Osaka
Osaka
Recruiting
Shizuoka Cancer Center
Shizuoka
Shizuoka
Recruiting
National Cancer Center Hospital
Chuo-ku
Tokyo
Recruiting
The Cancer Institute Hospital of JFCR
Koto-ku
Tokyo
Recruiting
Aichi Cancer Center
Aichi
Japan
Recruiting
National Hospital Organization Kyushu Cancer Center
Fukuoka
Japan
Recruiting
Kanagawa Cancer Center
Kanagawa
Japan
Recruiting
Kurashiki Central Hospital
Okayama
Japan
Recruiting
Kindai University Hospital
Osaka
Japan
Recruiting
Seoul National University Bundang Hospital
Seongnam
South Korea
Recruiting
Samsung Medical Center
Seoul
South Korea
Recruiting
Seoul National University Hospital
Seoul
South Korea
Recruiting
Severance Hospital
Seoul
South Korea
Recruiting
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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