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This is a Phase 1b/2, open-label, multicenter clinical study evaluating ERAS-007 in combination with other cancer therapies in study participants with GI malignancies. This study will serve as a platform study, allowing for evaluation of safety/tolerability and efficacy of ERAS-007 in combination with other cancer therapies. The study will initially commence with dose escalation of ERAS-007 administered in combination with encorafenib and cetuximab in study participants with metastatic colorectal cancer (CRC) harboring B-Raf proto-oncogene, serine/threonine kinase (BRAF) V600E mutation; and dose escalation of ERAS-007 administered in combination with palbociclib in study participants with metastatic CRC harboring Kirsten rat sarcoma (KRAS) or neuroblastoma rat sarcoma (NRAS) mutations and metastatic pancreatic adenocarcinoma with (PDAC) KRAS mutation. Dose expansion will follow and will test ERAS-007 administered at the RD identified from each dose escalation arm in study participants with metastatic CRC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation (Parts A1a, A2a, or A3a): ERAS-007 in combination with encorafenib and cetuximab | Experimental | ERAS-007 will be orally administered in combination with encorafenib and cetuximab to study participants with BRAFm CRC in sequential ascending doses until unacceptable toxicity, disease progression, or withdrawal of consent. |
|
| Dose Escalation (Parts B1a, B2a, B3a or B4a): ERAS-007 in combination with palbociclib | Experimental | ERAS-007 will be orally administered in combination with palbociclib to study participants with KRASm or NRASm CRC and KRASm PDAC in sequential ascending doses until unacceptable toxicity, disease progression, or withdrawal of consent. |
|
| Dose Expan (Parts A1b, A1c, A2b, A2c, A3b, or A3c): ERAS-007 in combo with encorafenib & cetuximab | Experimental | ERAS-007 will be orally administered at the recommended dose (as determined from Parts A1a, A2a or A3a) in combination with encorafenib and cetuximab to study participants with BRAFm CRC. |
|
| Dose Expansion (Parts B1b, B2b, B3b, and B4b): ERAS-007 in combination with palbociclib | Experimental | ERAS-007 will be orally administered at the recommended dose (as determined from Parts B1a, B2a, B3a or B4a) in combination with palbociclib to study participants with KRASm or NRASm CRC. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS-007 | Drug | Administered orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (DLT) | Based on adverse events observed during dose escalation | Study Day 1 up to Day 29 |
| Maximum Tolerated Dose (MTD) | Based on adverse events observed during dose escalation | Study Day 1 up to Day 29 |
| Recommended Dose (RD) | Based on adverse events observed during dose escalation | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration (Cmax) | Maximum plasma or serum concentration of ERAS-007 and other cancer therapies | Study Day 1 up to Day 29 |
| Time to achieve Cmax (Tmax) | Time to achieve maximum plasma or serum concentration of ERAS-007 and other cancer therapies |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joyce Antal | Clinical Development | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham (O'Neal Comprehensive Cancer Center) | Birmingham | Alabama | 35233 | United States | ||
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| Encorafenib | Drug | Administered orally |
|
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| Cetuximab | Drug | Administered via intravenous infusion |
|
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| Palbociclib | Drug | Administered orally |
|
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| Study Day 1 up to Day 29 |
| Area under the curve | Area under the plasma concentration-time curve of ERAS-007 and other cancer therapies | Study Day 1 up to Day 29 |
| Half-life | Half-life of ERAS-007 and other cancer therapies | Study Day 1 up to Day 29 |
| 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 | Assessed up to 24 months from time of first dose |
| City of Hope |
| Duarte |
| California |
| 91010 |
| United States |
| University of California Irvine College of Medicine | Orange | California | 92868 | United States |
| UCSF Mount Zion Medical Ctr | San Francisco | California | 94158 | United States |
| The Johns Hopkins Hospital | Baltimore | Maryland | 21287 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02215 | United States |
| Henry Ford Cancer Institute | Detroit | Michigan | 48202 | United States |
| Washington University (Siteman Cancer Center) | St Louis | Missouri | 63110 | United States |
| Duke Cancer Institute | Durham | North Carolina | 27710 | United States |
| Stephenson Cancer Center | Oklahoma City | Oklahoma | 73104 | United States |
| Sarah Cannon Research Institute (Tennessee Oncology) | Nashville | Tennessee | 37203 | United States |
| The University of Texas MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Virginia Cancer Specialists | Fairfax | Virginia | 22031 | United States |
| University of Washington - Seattle Cancer Care Alliance | Seattle | Washington | 98109 | United States |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C000601108 | encorafenib |
| D000068818 | Cetuximab |
| C500026 | palbociclib |
| 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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