A Study of ERAS-007 as Monotherapy or in Combination With ERAS-601 in Patients With Advanced or Metastatic Solid Tumors (HERKULES-1)

Erasca

Status and phase: Active, not recruiting; Phase 2; Phase 1

Conditions: Advanced or Metastatic Solid Tumors

Treatments: Drug: ERAS-601; Drug: ERAS-007

Study type: Interventional

Funder types: Industry

Identifiers

NCT04866134

ERAS-007-01

Details and patient eligibility

About

• To evaluate the safety and tolerability of ERAS-007 monotherapy administered once weekly (QW) and twice daily-once weekly (BID-QW).
• To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 monotherapy administered BID-QW.
• To characterize the pharmacokinetic (PK) profile of ERAS-007 monotherapy.
• To determine the optimal dose and schedule of ERAS-007 monotherapy.
• To evaluate antitumor activity of ERAS-007 in various solid tumors.
• To evaluate the safety and tolerability of ERAS-007 (BID-QW) and ERAS-601 (twice daily for three weeks on and 1 week off (BID 3/1)) when administered in combination.
• To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 administered in combination with ERAS-601.
• To characterize the pharmacokinetic (PK) profile of ERAS-007 and ERAS-601 when administered in combination.
• To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors
• To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors

Full description

This is a Phase 1b/2, open-label, multicenter clinical study of ERAS-007 monotherapy (QW or BID-QW) administered either QW or BID-QWand ERAS-007 (BID-QW) in combination with ERAS-601 (BID 3/1). The monotherapy RD on a weekly schedule has been determined to be 250 mg QW in a previous study. The dose escalation phases of this study will test ERAS-007 monotherapy administered BID-QW as a monotherapy or in combination with ERAS-601 in participants with any solid tumor. The monotherapy RD on a weekly schedule has been determined to be 250 mg QW in a previous study. In parallel, the dose expansion phase of this study will test ERAS-007 monotherapy administered at the RD of 250 mg QW in participants with advanced or metastatic solid tumors harboring specific molecular alterations. Once sufficient safety and PK data are available from the BID-QW dose escalation phase, the Sponsor will then determine the optimal dose and schedule of ERAS-007 administered as a monotherapy.

Enrollment: 200 estimated patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years.
• Willing and able to give written informed consent.
• Have histologically or cytologically confirmed advanced or metastatic solid tumor with a relevant molecular alteration (as applicable).
• There is no available standard systemic therapy available for the patient's tumor histology and/or molecular biomarker profile; or standard therapy is intolerable, not effective, or not accessible; or patient has refused standard therapy.
• Recovered from all toxicities associated with prior treatment to acceptable baseline status.
• Have ECOG performance status of 0 or 1 with an anticipated life expectancy of > 12 weeks.
• Willing to comply with all protocol-required visits, assessments, and procedures.
• Able to swallow oral medication.

Exclusion criteria

• Currently receiving another study therapy or has participated in a study of an investigational agent and received study therapy within 4 weeks of the first dose of ERAS-007.
• Received previous treatment with an ERK inhibitor.
• For participants being considered for ERAS-007 + ERAS-601 (Part D): prior treatment with SHP2 inhibitor.
• For participants being considered for ERAS-007 + ERAS-601 (Part D): documented PTPN11 mutations
• Received prior antineoplastic therapy within < 21 days or 5 half-lives, whichever is shorter.
• Received prior palliative radiation within 7 days of first dose of ERAS 007 or ERAS-601,
• Received previous treatment with a MAPK inhibitor that resulted in discontinuation due to unacceptable toxicity.
• Prior surgery (e.g., gastric bypass surgery, gastrectomy) or gastrointestinal dysfunction (e.g., Crohn's disease, ulcerative colitis, short gut syndrome) that may affect drug absorption.
• Have any underlying medical condition, psychiatric condition, or social situation that, in the opinion of the Investigator, would compromise study administration as per protocol or compromise the assessment of AEs.
• Are pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

200 participants in 4 patient groups

Dose Escalation (Part A): ERAS-007 Monotherapy, BID-QW dosing

Experimental group

Description:

ERAS-007 monotherapy will be administered BID-QW in sequential ascending doses to participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression, or withdrawal of consent.

Treatment:

Drug: ERAS-007

Dose Expansion (Part B): ERAS-007 Monotherapy, QW dosing

Experimental group

Description:

ERAS-007 monotherapy will be administered at 250 mg QW to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.

Treatment:

Drug: ERAS-007

Dose Expansion (Part C): ERAS-007 Monotherapy, BID-QW dosing (if necessary)

Experimental group

Description:

Depending on data generated from Part A, ERAS-007 monotherapy may be administered at the BID-QW RD to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.

Treatment:

Drug: ERAS-007

Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601

Experimental group

Description:

Experimental: Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601 ERAS-007 will be administered BID-QW in combination with ERAS-601 administered BID 3/1 to study participants with advanced or metastatic solid tumors that harbor specific molecular targets in sequential ascending doses until unacceptable toxicity, disease progression, or withdrawal of consent.

Treatment:

Drug: ERAS-007

Drug: ERAS-601