A Phase 1/1b Study of IAM1363 in HER2 Cancers

Last updated: June 2, 2026
Sponsor: Iambic Therapeutics, Inc
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasm Metastasis

Gastric Cancer

Digestive System Neoplasms

Treatment

Trastuzumab

IAM1363

Clinical Study ID

NCT06253871
IAM1363-01
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/1b open-label, multi-center dose escalation and dose optimization study designed to evaluate the safety and preliminary efficacy of IAM1363 in participants with advanced cancers that harbor HER2 alterations.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Age ≥ 18 years

  • Have relapsed/refractory HER2-altered malignancy; for selected cohorts, prospectiveconfirmation of HER2 alteration by central testing is required

  • Have progression of disease after the last systemic therapy, or be intolerant oflast systemic therapy

  • Have radiographically measurable disease by RECIST v1.1 and/or RANO-BM

  • Eastern Cooperative Oncology Group (ECOG) performance score 0-1

  • Have adequate baseline hematologic, liver and renal function

  • Have left ventricular ejection fraction (LVEF) ≥ 50%

  • Able to swallow oral medication

Exclusion

Key Exclusion Criteria:

  • Clinically significant cardiac disease

  • Infection with human immunodeficiency virus (HIV)-1 or HIV-2. Exception:Participants with well-controlled HIV (e.g., CD4 >350/mm3 and undetectable viralload) are eligible

  • Current active liver disease including hepatitis A, hepatitis B , or hepatitis C

  • Refractory nausea and vomiting, malabsorption, external biliary shunt, orsignificant small bowel resection that would preclude adequate absorption

  • Uncontrolled diabetes

  • History of solid organ transplantation

  • History of Grade ≥2 CNS hemorrhage, or any CNS hemorrhage within 28 days before C1D1

  • Prior history of non-infectious interstitial lung disease (ILD). (Exceptions:participants with prior grade 1 ILD that has completely resolved are eligible)

  • Participants requiring immediate local therapy for brain metastases

Study Design

Total Participants: 383
Treatment Group(s): 2
Primary Treatment: Trastuzumab
Phase: 1
Study Start date:
March 25, 2024
Estimated Completion Date:
December 31, 2028

Study Description

This is a Phase 1/1b open-label, multi-center study, designed to evaluate IAM1363 in participants with advanced cancers that harbor HER2 alterations.

This study consists of the following 4 parts:

  • Part 1 (Monotherapy Dose Escalation)

  • Part 2 (Dose Optimization)

  • Part 3 (Dose Expansion)

  • Part 4 (Combination Cohorts)

Part 1 will enroll participants with a confirmed, relapsed/refractory malignancy with documented diagnosis of HER2 alterations including participants with brain metastases. Once a provisional maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) has been determined, Part 2 will enroll additional cohorts to optimize dose selection and to further evaluate the safety and preliminary efficacy of IAM1363. Following completion of Dose Optimization, Part 3 will be opened to enroll tumor-specific cohorts utilizing a Simon 2-Stage Minimax Design to evaluate IAM1363 at the selected dose(s).

Part 4 will enroll 4 cohorts of participants who will receive IAM1363 in combination with other anti-cancer agents.

Connect with a study center

  • Centre Georges François Leclerc

    Dijon, 21079
    France

    Active - Recruiting

  • Institut de Cancerologie de l'Ouest

    Saint-Herblain, 44805
    France

    Active - Recruiting

  • Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole Institut Claudius Regaud "

    Toulouse, 31059
    France

    Active - Recruiting

  • The START center Dublin

    Dublin, Dublin D07 R2WY
    Ireland

    Active - Recruiting

  • The START center Dublin

    Dublin 2964574, Dublin D07 R2WY
    Ireland

    Active - Recruiting

  • Cork University Hospital, Wilton

    Cork, T12DC4A
    Ireland

    Active - Recruiting

  • St. Vincent's University Hospital

    Dublin, D04 T6F4
    Ireland

    Active - Recruiting

  • Azienda Ospedaliero Universitaria Careggi - Largo Giovanni Alessandro Brambilla 3

    Florence, 50134
    Italy

    Active - Recruiting

  • Grande Ospedale Metropolitano Niguarda

    Milan, 20162
    Italy

    Active - Recruiting

  • Istituto Europeo di Oncologia (IEO)

    Milan, 20141
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Universitaria Luigi Vanvitelli

    Naples, 80131
    Italy

    Active - Recruiting

  • Netherlands Cancer Institute-Antoni van Leeuwenhoek

    Amsterdam, 1066CX
    Netherlands

    Active - Recruiting

  • Asan Medical Center

    Seoul, 05505
    South Korea

    Active - Recruiting

  • Samsung Medical Center

    Seoul, 06351
    South Korea

    Active - Recruiting

  • Seoul National University Hospital

    Seoul, 03080
    South Korea

    Active - Recruiting

  • Severance Hospital - Yonsei Cancer Center

    Seoul, 03722
    South Korea

    Active - Recruiting

  • Asan Medical Center

    Seoul 1835848, 05505
    South Korea

    Active - Recruiting

  • Samsung Medical Center

    Seoul 1835848, 06351
    South Korea

    Active - Recruiting

  • Seoul National University Hospital

    Seoul 1835848, 03080
    South Korea

    Active - Recruiting

  • Hospital Universitario Vall dHebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • START Madrid CIOCC, Hospital Universitario HM Sanchinarro

    Madrid, 28050
    Spain

    Active - Recruiting

  • START Madrid CIOCC, Hospital Universitario HM Sanchinarro

    Madrid 3117735, 28050
    Spain

    Active - Recruiting

  • Hospital Universitario Regional Málaga

    Málaga, 29011
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen del Rocio

    Seville, 41013
    Spain

    Active - Recruiting

  • Hospital Clinico Universitario de Valencia (INCLIVA)

    Valencia, 46010
    Spain

    Active - Recruiting

  • Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Chelsea)

    Chelsea, SW3 6JJ
    United Kingdom

    Active - Recruiting

  • Oxford University Hospitals NHS Foundation Trust Churchill Hospital

    Oxford, OX3 7LE
    United Kingdom

    Active - Recruiting

  • Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Sutton

    Sutton, SM2 5PT
    United Kingdom

    Active - Recruiting

  • UCSD Moores Cancer Center

    La Jolla, California 92093
    United States

    Active - Recruiting

  • USC Norris Comprehensive Cancer Center

    Los Angeles, California 90089
    United States

    Active - Recruiting

  • University of Colorado Cancer Center

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • University of Miami

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Comprehensive Hematology Oncology

    St. Petersburg, Florida 33709
    United States

    Active - Recruiting

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • University of Michigan

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • Henry Ford Cancer Institute

    Detroit, Michigan 48202
    United States

    Active - Recruiting

  • START - Midwest Cancer Research Center

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

  • Saint Luke's Cancer Institute

    Kansas City, Missouri 64111
    United States

    Active - Recruiting

  • Washington University School of Medicine

    St Louis, Missouri 63110
    United States

    Active - Recruiting

  • Dartmouth Hitchcock Medical

    Lebanon, New Hampshire 03756
    United States

    Active - Recruiting

  • Rutgers Cancer Institute

    New Brunswick, New Jersey 08901
    United States

    Active - Recruiting

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Active - Recruiting

  • Duke Cancer Institute

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • University Hospital Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Active - Recruiting

  • Cleveland Clinic

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Active - Recruiting

  • OU Health Stephenson Cancer Center

    Oklahoma City, Oklahoma 73104
    United States

    Active - Recruiting

  • Providence Cancer Institute

    Portland, Oregon 97213
    United States

    Active - Recruiting

  • SCRI Oncology Partners

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Vanderbilt Ingram Cancer Center

    Nashville, Tennessee 37232
    United States

    Active - Recruiting

  • SCRI Oncology Partners

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Active - Recruiting

  • Vanderbilt Ingram Cancer Center

    Nashville 4644585, Tennessee 4662168 37232
    United States

    Active - Recruiting

  • NEXT Austin

    Austin, Texas 78758
    United States

    Active - Recruiting

  • NEXT Oncology - Austin

    Austin, Texas 78758
    United States

    Active - Recruiting

  • Mary Crowley Cancer Research

    Dallas, Texas 75230
    United States

    Active - Recruiting

  • NEXT Oncology - Dallas

    Dallas, Texas 75039
    United States

    Active - Recruiting

  • MD Anderson Cancer Center - University of Texas

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Mary Crowley Cancer Research

    Dallas 4684888, Texas 4736286 75230
    United States

    Active - Recruiting

  • START Mountain Region

    West Valley City, Utah 84119
    United States

    Active - Recruiting

  • NEXT Oncology - Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • Fred Hutchinson Cancer Center

    Seattle, Washington 98109
    United States

    Active - Recruiting

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