Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at San Francisco 5391959, California 5332921 and other locations
Dates
study started
study ends around
Principal Investigator
by Pamela Munster, MD
Headshot of Pamela Munster
Pamela Munster

Description

Summary

Phase 1/2, open-label study of ETX-636 in participants with advanced solid tumors

Official Title

A Phase 1/2, Open-label, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ETX-636, a Pan-mutant-selective PI3Kα Inhibitor, as Monotherapy and in Combination With Other Anticancer Therapies in Participants With Advanced Solid Tumors

Details

Brief Summary: This is a Phase 1/2, open-label, multicenter, 3-part study to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of ETX-636 in participants with advanced solid tumors harboring a PIK3CA mutation.

Part A will evaluate escalating doses of ETX-636 as monotherapy in participants with advanced solid tumors. Part B will evaluate escalating doses of ETX-636 as combination therapy with fixed dose fulvestrant in participants with hormone receptor positive (HR+), HER2 negative (HER2-) locally advanced or metastatic breast cancer. Part C will be a combination therapy expansion in participants with HR+, HER2- locally advanced or metastatic breast cancer.

Each study part will include a 28-day screening period, followed by treatment with ETX-636 monotherapy or combination therapy.

Keywords

Advanced Solid Tumors, Advanced Breast Cancer, cancer, breast cancer, solid tumors, PIK3CA, PI3Kα inhibitor, Breast Neoplasms, Neoplasms by Site, Neoplasms, Breast Diseases, HER2-negative breast cancer, HR-positive breast cancer, Gynecologic cancer, Endometrial cancer, Ovarian cancer, Cervical cancer, Head and neck cancer, Head and neck squamous cell carcinoma, Fulvestrant, Antineoplastic Agents, PI3Kα, PI3K alpha, PI3Kα mutation, Alpelisib, Estrogen Receptor Antagonists, Estrogen Antagonists, Hormone Receptor Antagonists, Hormone Antagonists, Hormones, Hormone Substitutes, and Hormone Antagonists, Physiological Effects of Drugs, PIK3CA mutation, Hereditary Sensory and Autonomic Neuropathies, Endometrial Neoplasms, Ovarian Neoplasms, Uterine Cervical Neoplasms, Head and Neck Neoplasms, Squamous Cell Carcinoma of Head and Neck, ETX-636 dose escalation, ETX-636 dose escalation in combination with fulvestrant, ETX-636 dose expansion in combination with fulvestrant

Eligibility

You can join if…

Open to people ages 18 years and up

  • Metastatic or locally advanced and unresectable solid tumor that has progressed on or after at least one available therapy.
  • Tumor harboring an activating PIK3CA mutation detected in either tumor tissue or ctDNA.
  • At least 1 measurable lesion or evaluable disease per RECIST v1.1.
  • An ECOG performance status score of 0 or 1.
  • Adequate organ function.

Additional key inclusion criterion for Parts B and C:

  • Confirmed metastatic or locally advanced HR+/HER2- breast cancer not amenable to surgical resection with curative intent and must have received at least 1 prior CDK4/6 inhibitor and at least 1 prior anti-estrogen therapy.

You CAN'T join if...

  • Has history (within ≤2 years before screening) of a solid tumor or hematological malignancy that is histologically distinct from the cancers being studied.
  • Has symptomatic brain or spinal metastases or a known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement.
  • Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2.
  • Has received treatment with any local or systemic anticancer therapy or investigational anticancer agent within 14 days prior to start of treatment.
  • Has toxicities from previous anticancer therapies that have not resolved to baseline levels with the exception of alopecia and peripheral neuropathy.
  • Has had radiotherapy outside the target tumor lesions within 14 days prior to start of treatment.

Locations

  • UCSF Helen Diller Family Comprehensive Cancer Center accepting new patients
    San Francisco 5391959 California 5332921 94158 United States
  • Hoag Memorial Hospital Presbyterian accepting new patients
    Newport Beach 5376890 California 5332921 92663 United States

Lead Scientist at UCSF

  • Pamela Munster, MD
    Professor, Medicine, School of Medicine. Authored (or co-authored) 162 research publications

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Ensem Therapeutics
ID
NCT06993844
Phase
Phase 1/2 research study
Study Type
Interventional
Participants
Expecting 233 study participants
Last Updated