A Phase 1/2, Open-label, Multicenter, FIH Study to Evaluate Safety, Tolerability, PK and Anti-tumor Activity of YH42946

Last updated: March 25, 2025
Sponsor: Yuhan Corporation
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neuroblastoma

Treatment

YH42946

Clinical Study ID

NCT06616766
YH42946-101
  • Ages > 18
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • ECOG performance status 0 or 1

  • Estimated life expectancy of at least 3 months

  • Patients who have progressed on or after all available standard therapies or forwhom standard treatment is inappropriate

  • Mandatory provision of archived or fresh tumor tissue in quantity sufficient toallow for retrospective confirmation of HER2 or EGFR mutation

  • A patient with a history of brain metastases must have had all lesions treated

  • Adequate organ function defined as all of the following:

  • Adequate bone marrow function (within 1 week prior to first administration):Neutrophils≥1.5 x109 cells/L (Criteria must be met without the use ofGranulocyte-Colony Stimulating Factor (G-CSF) within last week prior totesting.); platelet count≥75 x109 cells/L; Hb ≥9g/dL (Criteria must be metwithout packed red blood cell (pRBC) transfusion within last week prior totesting.)

  • Adequate hepatic function: Serum bilirubin≤1.5 x upper limit of normal (ULN),and serum transaminase (either aspartate transaminase (AST) or alaninetransaminase (ALT)) ≤ 3 x ULN if no demonstrable liver metastases, or otherwise ≤ 5 x ULN if transaminase elevation is attributable to liver metastases (within 1 week prior to first administration)

  • Adequate renal function: Serum creatinine ≤ 1.5 x ULN or Estimated glomerularfiltration rate (eGFR) > 60 mL/min per 1.73 m*2 according to the site'scalculation method.

[Dose Escalation part only]

  • Histologically or cytologically confirmed diagnosis of advanced, and/or metastaticnon-hematologic malignancy

  • Documented HER2 or EGFR mutation (HER2 mutation or EGFR exon 20 insertion, HER2amplification or overexpression)

[Dose Expansion part only]

  • Patients with histologically or cytologically confirmed locally advanced ormetastatic NSCLC HER2 exon 20 insertion (Cohort 1)

Exclusion

Exclusion Criteria:

  • Patient with symptomatic or progressive brain metastases

  • Known or suspected leptomeningeal disease (LMD)

  • Uncontrolled spinal cord compression

  • History of acute coronary syndromes, including myocardial infarction, coronaryartery bypass graft, unstable angina, coronary angioplasty or stenting within past 24 weeks

  • History of or current Class II, III or IV heart failure as defined by the New YorkHeart Association (NYHA) functional classification system

  • Medical, psychiatric, cognitive or other conditions that compromise the patientsability to understand the patient information, to give informed consent, to complywith the study protocol or to complete the study

  • Any severe concurrent disease or condition (includes active infections, cardiacarrhythmia) that in the judgment of the Investigator would make study participationinappropriate for the patient

  • History of (non-infectious) interstitial lung disease (ILD) or pneumonitis thatrequired steroids, or any evidence of current ILD or pneumonitis

  • History of a second primary cancer with the exception of

  1. curatively treated non-melanomatous skin cancer,

  2. curatively treated cervical or breast carcinoma in situ, or

  3. other malignancy with no known active disease present and no treatmentadministered during the last 2 years

  • Infection with human immunodeficiency virus (HIV) or prior hepatitis B or activechronic hepatitis B or active hepatitis C

  • Major surgery within 4 weeks prior to the first dose of study treatment

Study Design

Total Participants: 161
Treatment Group(s): 1
Primary Treatment: YH42946
Phase: 1/2
Study Start date:
October 02, 2024
Estimated Completion Date:
July 29, 2028

Study Description

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.

Connect with a study center

  • Chungbuk National University Hospital

    Cheongju-si, Chungcheongbuk-do 28644
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do 13620
    Korea, Republic of

    Active - Recruiting

  • The Catholic Univ. of Korea St. Vincent's Hospital

    Suwon-si, Gyeonggi-do 16247
    Korea, Republic of

    Site Not Available

  • Asan Medical Center, University of Ulsan

    Seoul,
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul, 06351
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • Severance Hospital, Yonsei University

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Next Oncology Virginia

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

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