The goal of this YH42946-101 is to evaluate the safety, Tolerability, Pharmacokinetics and anti-tumor activity of YH42946 in patients with locally advanced of metastatic solid tumors with HER2 aberration and EGFR exon 20 insertions.
YH42946 is a novel, orally available tyrosine kinase inhibitor targeting HER2. YH42946 showed potency for diverse HER2 aberrations including HER2 overexpression, amplification, or mutation, as well as EGFR Ex20ins. This is a Phase 1/2, open-label, multicenter, first-in-human study of YH42946. The study has 2 parts. The first part is dose escalation part to identify the maximum tolerated dose. The second part is dose expansion part to select 2 doses for RD selection at the first cohort, after then RD will be determined to ensure its efficacy. Several independent cohorts are planned.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
161
YH42946
Next Oncology Virginia
Fairfax, Virginia, United States
RECRUITINGSeoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
RECRUITINGThe Catholic Univ. of Korea St. Vincent's Hospital
Treatment Emergent Adverse Events(TEAE)s
To assess the safety and tolerability of YH42946
Time frame: Through study completion, during the first 21 days of DLT evaluation period.
Objective Response Rate (ORR)
Anti-tumor activity according to RECIST v1.1
Time frame: Through dose expansion part completion, approximately 12 months
AUClast
To characterize the pharmacokinetics (PK) of YH42946
Time frame: Through study completion, approximately 12 months
AUCinf
To characterize the pharmacokinetics (PK) of YH42946
Time frame: Through study completion, approximately 12 months
Cmax
To characterize the pharmacokinetics (PK) of YH42946
Time frame: Through study completion, approximately 12 months
Tmax
To characterize the pharmacokinetics (PK) of YH42946
Time frame: Through study completion, approximately 12 months
Objective Response Rate (ORR)
To assess the anti-tumor activity according to RECIST v1.1
Time frame: Through study completion, approximately 12 months
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Suwon, Gyeonggi-do, South Korea
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, South Korea
RECRUITINGSeoul National University Hospital
Seoul, South Korea
RECRUITINGSeverance Hospital, Yonsei University
Seoul, South Korea
RECRUITINGSamsung Medical Center
Seoul, South Korea
RECRUITINGAsan Medical Center, University of Ulsan
Seoul, South Korea
RECRUITING