Study of RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities
Phase I/II Study of the Selective RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests TAS0953/HM06 in adults with advanced solid tumors that have changes in the RET gene. It checks safety, how the body handles the drug, and how well it works against cancer. The first part also helps find a dose for the second part.
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.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- You must be an adult under the rules in your region.
- Tests on tumor tissue, blood, or certain other samples must show a change in the RET gene.
- You must have enough healthy blood cells, and your liver and kidneys must work well.
- In Phase 1, you must be fully active or able to do light work. In Phase 2, you may also qualify if you can care for yourself and are up for more than half the day.
- The first Phase 1 groups accept advanced solid tumors. Later Phase 1 groups require non-small cell lung cancer (NSCLC) that has grown nearby or spread and has a RET fusion, where RET joins another gene.
- Later Phase 1 groups accept people previously treated with RET-targeting drugs or people with no prior whole-body cancer treatment. Chemotherapy before or after surgery is allowed in the untreated groups if finished at least 6 months earlier.
- Phase 2 accepts advanced NSCLC with a RET fusion, with or without prior RET-targeting drugs. Other advanced solid tumors with RET changes may qualify if all available treatments have failed. Cancer must be measurable, except in the first Phase 1 groups.
- Cancer spread to the brain or its lining must cause no symptoms. In later Phase 1 groups and Phase 2, untreated spread requires at least 7 days off steroids and seizure drugs. Treated brain spread must be stable on these drugs for at least 7 days.
Who can't join
- Recent use of an experimental drug or cancer treatment. The required wait depends on how long the drug stays in your body.
- Major surgery within 4 weeks before the study drug, or planned during treatment. Surgery to place a tube for blood access does not count.
- Radiation to the whole brain within 14 days, other radiation to ease symptoms within 7 days, or lasting side effects that the study doctor finds concerning.
- Serious, uncontrolled heart or blood vessel disease, including a heart attack within 3 months, certain heart rhythm problems, severe heart failure, or very high uncontrolled blood pressure.
- Certain abnormal heart rhythm test results, a personal or family history of long QT syndrome, or a history of a dangerous rhythm called torsades de pointes or its risk factors.
- Certain drugs that strongly affect the liver enzyme CYP3A4: blockers within 1 week or boosters within 3 weeks before the study drug.
- For later Phase 1 groups and Phase 2: known cancer-driving changes in EGFR, KRAS, ALK, HER2, ROS1, BRAF, or METex14.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
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.
Study sites (9)
CA
- Chao Family Comprehensive Cancer Center · Orange, CA 92868-3298More trials in Orange
- Stanford Cancer Center · Stanford, CA 94305-5826More trials in Stanford
MA
- Massachusetts General Hospital · Boston, MA 02114More trials in Boston
MI
- Henry Ford Hospital · Detroit, MI 48202More trials in Detroit
- START Midwest - Cancer & Hematology Centers of Western Michigan · Grand Rapids, MI 49546More trials in Grand Rapids
NY
- Laura and Isaac Perlmutter Cancer Center at NYU Langone Health · New York, NY 10016More trials in New York
- Memorial Sloan Kettering Cancer Center · New York, NY 10065More trials in New York
TN
- The Sarah Cannon Research Institute/Tennessee Oncology · Nashville, TN 37203More trials in Nashville
TX
- The University of Texas M. D. Anderson Cancer Center · Houston, TX 77030-4009More trials in Houston