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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-004415-39 | EudraCT Number |
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The study was stopped due to unacceptable toxicity during the dose-escalation portion (Phase 1) of the study and did not progress to Phase 2
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This is a First-in-Human (FIH), 2-part, Phase 1/2, open-label, multicenter study design to evaluate the safety, tolerability, PK, pharmacodynamics, PGx, and efficacy of TAS0728. This study consists of Phase 1 and Phase 2 components in subjects with advanced solid tumors with HER2 or HER3 overexpression, amplification, or mutation who have progressed despite standard therapy or for which no standard therapy exists, particularly urothelial cancer, biliary tract cancer, metastatic breast cancer, non-small cell lung cancer and colorectal cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAS0728 | Experimental | Group 1: Urothelial cancer with HER2 or HER3 mutation Group 2: Biliary tract cancer with HER2 or HER3 mutation Group 3: Breast cancer with HER2 or HER3 mutation Group 4: Breast cancer with HER2 amplification or overexpression as per American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) 2013 guidelines Group 5: Non-small cell lung cancer (NSCLC) with HER2 or HER3 mutation Group 6: Colorectal cancer (CRC) with HER2 mutation or amplification Group 7: Other tumors with HER2 or HER3 mutation, amplification, or overexpression (eg, gastric or gastroesophageal junction (GEJ), endometrial) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAS0728 | Drug | TAS0728 is an oral HER2 covalent inhibitor investigated in patients with advanced solid tumor harboring HER2 or HER3 abnormalities. It will be administered orally at a starting dose of 50 mg BID each morning and evening and escalated to the DLT. The MTD will be used for the phase 2 arms of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients experiencing Dose Limiting Toxicity graded according to CTCAE Version 4.03, observed in the Cycle 1 in order to meet the objective of assessment of the MTD of TAS0728. | 21-day cycles | |
| Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (Phase 1 and 2) | Safety monitoring will begin at the informed consent obtained and continue up to 30 days after the last dose of TAS0728 or until new antitumor therapy, whichever is earlier. | |
| Objective Response Rate using Response Evaluation Criteria in Solid Tumors 1.1 (RECIST) (Phase2) | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Concentration (Cmax) after administration of TAS0728 (Phase 1) | 21 days in Cycle 1 | |
| Area under the plasma drug concentration-time curve (AUC) after administration of TAS0728 (Phase 1) | 21 days in Cycle 1 |
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Inclusion Criteria:
Male or females with an age ≥ 18 years.
Subjects with histological- or cytological-confirmed, advanced cancer, who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists
i. Urothelial cancer with HER2 or HER3 mutation ii. Biliary tract cancer with HER2 or HER3 mutation iii. Breast cancer with HER2 or HER3 mutation iv. Breast cancer with HER2 amplification or overexpression v. NSCLC with HER2 or HER3 mutation vi. CRC with HER2 mutation or amplification vii. Other tumors with HER2 mutation/amplification/overexpression or HER3 mutation (gastric/GEJ, endometrial).
At least 1 measurable lesion for solid tumor
Is able to take medications orally (e.g., no feeding tube).
Able to agree to and sign informed consent and to comply with the protocol
Has adequate organ function
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Comprehensive Cancer Center | Duarte | California | 91010 | United States | ||
| Winship Cancer Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33774767 | Derived | Piha-Paul SA, Azaro A, Arkenau HT, Oh DY, Galsky MD, Pal SK, Hamada K, He Y, Yamamiya I, Benhadji KA, Hollebecque A. A first-in-human phase I study of TAS0728, an oral covalent binding inhibitor of HER2, in patients with advanced solid tumors with HER2 or HER3 aberrations. Invest New Drugs. 2021 Oct;39(5):1324-1334. doi: 10.1007/s10637-021-01104-7. Epub 2021 Mar 27. | |
| 30787176 |
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In Phase 1, TAS0728 will be evaluated for safety and tolerability, and in phase 2 will be evaluated preliminary efficacy.
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|
| Disease Control Rate using RECIST 1.1 (phase 1 and 2) | 3 years |
| Progression free survival (phase 1 and 2) | 3 years |
| Duration of response (phase 1 and 2) | 3 years |
| Overall survival (phase 1 and 2) | 3 years |
| Atlanta |
| Georgia |
| 30322 |
| United States |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029-6504 | United States |
| Sarah Cannon | Nashville | Tennessee | 37203 | United States |
| University of Texas - MD Anderson | Houston | Texas | 77030 | United States |
| Institut de Cancerologie Gustavo Roussy | Paris | 94800 | France |
| Hospital Vall D'hebron | Barcelona | 8035 | Spain |
| Sarah Cannon Research Institute - UK | London | W1G 6AD | United Kingdom |
| Irie H, Ito K, Fujioka Y, Oguchi K, Fujioka A, Hashimoto A, Ohsawa H, Tanaka K, Funabashi K, Araki H, Kawai Y, Shimamura T, Wadhwa R, Ohkubo S, Matsuo K. TAS0728, A Covalent-binding, HER2-selective Kinase Inhibitor Shows Potent Antitumor Activity in Preclinical Models. Mol Cancer Ther. 2019 Apr;18(4):733-742. doi: 10.1158/1535-7163.MCT-18-1085. Epub 2019 Feb 20. |
| ID | Term |
|---|---|
| C000722212 | TAS0728 |
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