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This is a first-in-human, Phase 1/1b, open-label, multicenter clinical study of ERAS-601 as a monotherapy and in combination with other cancer therapies. The study will commence with dose escalation of ERAS-601 monotherapy, followed by dose escalation of ERAS-601 in combination with other cancer therapies. Once the monotherapy MTD and/or RD has been determined, then dose expansion of ERAS-601 monotherapy may commence with enrollment of study participants with advanced or metastatic solid tumors harboring specific molecular alterations. Once the combination therapy MTD and/or RD has been determined, then dose expansion of that combination may commence with enrollment of study participants with advanced or metastatic solid tumors harboring specific molecular alterations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation (Part A): ERAS-601 monotherapy | Experimental | ERAS-601 monotherapy will be administered in sequential ascending doses to study participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression, or withdrawal of consent. |
|
| Dose Escalation (Part B): ERAS-601 monotherapy | Experimental | ERAS-601 monotherapy will be administered in sequential ascending doses to study participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression, or withdrawal of consent. |
|
| Dose Escalation (Part C): ERAS-601 monotherapy | Experimental | ERAS-601 will be administered in sequential ascending doses to study participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression or withdrawal of consent. |
|
| Dose Escalation and Dose Expansion (Part D): ERAS-601 in combination with cetuximab | Experimental | ERAS-601 will be administered in sequential ascending doses with cetuximab to study participants with advanced metastatic solid tumors until unacceptable toxicity, disease progression or withdrawal of consent. Once the combination therapy recommended dose has been determined, this will be administered to study participants with HPV negative advanced or metastatic head and neck squamous cell carcinoma (HNSCC) or colorectal cancer (CRC). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS-601 | Drug | Administered orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (DLT) | Based on toxicities observed | Study Day 1 up to Day 29 |
| Maximum tolerated dose (MTD) | Based on toxicities observed | Study Day 1 up to Day 29 |
| Recommended dose (RD) | Based on toxicities observed | Study Day 1 up to Day 29 |
| Adverse Events | Incidence and severity of treatment-emergent AEs and serious AEs | Assessed up to 24 months from time of first dose |
| Plasma concentration (Cmax) | Maximum plasma concentration of ERAS-601 and cetuximab or pembrolizumab (if applicable) | Study Day 1 up to Day 29 |
| Time to achieve Cmax (Tmax) | Time to achieve maximum plasma concentration of ERAS-601 and cetuximab or pembrolizumab (if applicable) | Study Day 1 up to Day 29 |
| Area under the curve | Area under the plasma concentration-time curve of ERAS-601 and cetuximab or pembrolizumab (if applicable) | Study Day 1 up to Day 29 |
| Half-life | Half-life of ERAS-601 and cetuximab or pembrolizumab (if applicable) |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Based on assessment of radiographic imaging per RECIST version 1.1 | Assessed up to 24 months from time of first dose |
| Duration of Response (DOR) | Based on assessment of radiographic imaging per RECIST version 1.1 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamic assessment | Assessment of phosphorylated ERK (pERK) inhibition in PBMCs or tumor tissue by IHC or immunofluorescence. | Assessed up to 24 months from time of first dose |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Les Brail, PhD | Clinical Development | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35294 | United States | ||
| Sarah Cannon Research Institute (Florida Cancer Specialists) |
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| Dose Escalation and Dose Expansion (Part E): ERAS-601 in combination with pembrolizumab | Experimental | ERAS-601 will be administered in sequential ascending doses with pembrolizumab to study participants with advanced metastatic solid tumors until unacceptable toxicity, disease progression or withdrawal of consent. Once the combination therapy recommended dose has been determined, this will be administered to study participants with HPV negative advanced or metastatic head and neck squamous cell carcinoma (HNSCC) or non small cell lung cancer (NSCLC). |
|
| Cetuximab | Drug | Administered via intravenous infusion |
|
|
| Pembrolizumab | Drug | Administered via intravenous infusion |
|
|
| Study Day 1 up to Day 29 |
| Assessed up to 24 months from time of first dose |
| Time to Response (TTR) | Based on assessment of radiographic imaging per RECIST version 1.1 | Assessed up to 24 months from time of first dose |
| Sarasota |
| Florida |
| 34232 |
| United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02215 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Comprehensive Cancer Centers of Nevada | Henderson | Nevada | 89014 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| University of North Carolina | Chapel Hill | North Carolina | 27599 | United States |
| University of Cincinnati | Cincinnati | Ohio | 45267 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Sarah Cannon Research Institute (Tennessee Oncology) | Nashville | Tennessee | 37203 | United States |
| Mary Crowley Cancer Research | Dallas | Texas | 75251 | United States |
| The University of Texas MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Peter MacCallum Cancer Centre | Melbourne | Victoria | Australia |
| Linear Clinical Research | Perth | Western Australia | Australia |
| ID | Term |
|---|---|
| D009634 | Noonan Syndrome |
| D009362 | Neoplasm Metastasis |
| D009369 | Neoplasms |
| D015179 | Colorectal Neoplasms |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D002817 | Chordoma |
| ID | Term |
|---|---|
| D019465 | Craniofacial Abnormalities |
| D009139 | Musculoskeletal Abnormalities |
| D009140 | Musculoskeletal Diseases |
| D006330 | Heart Defects, Congenital |
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
| D009373 | Neoplasms, Germ Cell and Embryonal |
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| ID | Term |
|---|---|
| D000068818 | Cetuximab |
| C582435 | pembrolizumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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