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Trial Title: Study of an Anti-HER3 Antibody, HMBD-001, With or Without Chemotherapy in Patients With Solid Tumors Harboring an NRG1 Fusion or HER3 Mutation

NCT ID: NCT05919537

Condition: Non-Small Cell Lung Cancer
Pancreatic Cancer
Locally Advanced Solid Tumor
Metastatic Solid Tumor

Conditions: Official terms:
Neoplasms
Paclitaxel
Docetaxel
Gemcitabine

Conditions: Keywords:
HMBD-001
NRG1 fusion
NRG1
Neuregulin 1
ErbB3
HER3

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: HMBD-001
Description: HMBD-001 is a humanized IgG1 anti-HER3 monoclonal antibody (mAb). It is administered IV weekly
Arm group label: Arm A
Arm group label: Arm B
Arm group label: Arm C
Arm group label: Arm D

Intervention type: Drug
Intervention name: Docetaxel
Description: Docetaxel 75 mg/m^2 IV once every 3 weeks
Arm group label: Arm B

Intervention type: Drug
Intervention name: Nab-paclitaxel
Description: Nab-paclitaxel 125 mg/m^2 IV on days 1, 8, 15, every 4 weeks
Arm group label: Arm A

Intervention type: Drug
Intervention name: Gemcitabine
Description: Gemcitabine 1000 mg/m^2 IV on days 1, 8, 15, every 4 weeks
Arm group label: Arm A

Summary: This is a phase 1b multi-center, open-label study of HMBD-001 with or without chemotherapy in participants with advanced solid tumors harboring NRG1 gene fusions or selected HER3 mutations.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Ability to understand and be willing to sign an informed consent form - Males and females aged over 18 years - Eastern Cooperative Oncology Group (ECOG) status of 0 to 1 - Histologic or cytologic evidence of an advanced malignant solid that is resistant/refractory to standard systemic therapy, or for which there is no standard systemic therapy or reasonable therapy in the physician's judgment likely to result in clinical benefit, or the participant has demonstrated to be intolerable to such therapy, or if such therapy has been refused by the participant - Arms A, B and C: Cancer harboring an NRG1 gene fusion with EGF-like domain; Arm A: Participants with locally advanced or metastatic pancreatic adenocarcinoma that have not received prior treatment with gemcitabine or nab-paclitaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm B: Participants with locally advanced or metastatic non-small cell lung cancer that have not received prior treatment with docetaxel and /or have not received more than 2 lines of systemic therapy for advanced disease; Arm C: Participants must not be eligible to participate in Arm A or B - Arm D: Cancer harboring selected HER3 mutations limited to the extracellular domain. - Have an estimated life expectancy of at least 3 months - Have an archival tumour sample available or have a site of disease amenable to biopsy and be willing to undergo a biopsy prior to the receipt of the assigned study treatment - Have adequate organ function - Females must be non-pregnant and non-lactating, willing to use a highly effective method of contraception from screening until study completion or be either surgically sterile or post-menopausal - Males must be surgically sterile, abstinent, or if engaged in sexual relations with a woman of child-bearing potential, the participant and his partner must be surgically sterile or using an acceptable, highly effective contraceptive method from screening until study completion Exclusion Criteria: - Prior treatment with HMBD-001, pertuzumab, or an agent that specifically targets HER3, including pan-HER tyrosine kinase inhibitors - Persistent clinically significant toxicities (Grade ≥2) from previous anti-cancer therapy except for Grade >2 toxicities that are considered unlikely to put the participant at an increased risk of treatment-related toxicity and/or impact the study results e.g., alopecia - Most recent anti-cancer therapy including radiotherapy at least 4 weeks, or nitrosourea or mitomycin 3 at least 6 weeks, or 5 half-lives whichever is shorter prior to starting the assigned study treatment - Symptomatic primary Central Nervous System (CNS) cancer or metastases unless the symptoms are stable for at least 28 days prior to the first dose of the study drug and any symptoms have returned to baseline - Evidence of abnormal cardiac function - History of uncontrolled allergic reactions and/or known expected hypersensitivity to the study drugs used in the treatment arm to which the participant is to be enrolled into - Any other known active malignancy except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer - Any uncontrolled illness or significant uncontrolled condition(s) requiring systemic treatment - Known Human Immunodeficiency Virus (HIV) infection - Active hepatitis B or hepatitis C infection - Pregnant or breast feeding - COVID 19 infection within 3 months prior to the first dose of the study drug - COVID 19 vaccination within 14 days prior to the first dose of the study drug

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: GenesisCare North Shore

Address:
City: Sydney
Zip: 2065
Country: Australia

Status: Recruiting

Contact:
Last name: Nick Pavlakis

Investigator:
Last name: Nick Pavlakis
Email: Principal Investigator

Facility:
Name: ICON Cancer Centre South Brisbane

Address:
City: Brisbane
Zip: 4101
Country: Australia

Status: Recruiting

Contact:
Last name: Vladimir Andelkovic

Investigator:
Last name: Vladimir Andelkovic
Email: Principal Investigator

Facility:
Name: Southern Oncology Clinical Research Unit

Address:
City: Adelaide
Zip: 5042
Country: Australia

Status: Recruiting

Contact:
Last name: Ganessan Kichenadasse

Investigator:
Last name: Ganessan Kichenadasse
Email: Principal Investigator

Facility:
Name: Cabrini Health

Address:
City: Malvern
Zip: 3144
Country: Australia

Status: Recruiting

Contact:
Last name: Gary Richardson

Investigator:
Last name: Gary Richardson
Email: Principal Investigator

Facility:
Name: Linear Clinical Research

Address:
City: Perth
Zip: 6009
Country: Australia

Status: Recruiting

Contact:
Last name: Michael Millward

Investigator:
Last name: Michael Millward
Email: Principal Investigator

Start date: September 6, 2023

Completion date: March 1, 2031

Lead sponsor:
Agency: Hummingbird Bioscience
Agency class: Industry

Source: Hummingbird Bioscience

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05919537

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