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Study of an Anti-HER3 Antibody, HMBD-001, With Docetaxel +/- Cetuximab in Advanced Squamous Non-small Cell Lung Cancers, and HMBD-001 + Cetuximab in Advanced Squamous Cell Cancers

Phase 1
Recruiting
Conditions
Advanced or Metastatic Squamous Non-Small Cell Lung Cancer
Advanced Head and Neck Squamous Cell Carcinoma
Advanced Esophageal Squamous Cell Carcinoma
Cervical Squamous Cell Carcinoma
Advanced Cutaneous Squamous Cell Carcinoma
Interventions
Registration Number
NCT05910827
Lead Sponsor
Hummingbird Bioscience
Brief Summary

This is a phase 1b multi-center, open-label study of HMBD-001 in combination with docetaxel with or without cetuximab in participants with locally advanced or metastatic squamous Non-Small Cell Lung Cancers, and HMBD-001 in combination with cetuximab in participants with advanced Squamous Cell Cancers

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
98
Inclusion Criteria
  • Ability to understand and be willing to sign an informed consent form

    • Males and females aged over 18 years (or having reached the age of majority according to local laws if the age of majority is > 18 years of age)
    • Eastern Cooperative Oncology Group (ECOG) status of 0 to 1
    • Arm B only: Locally advanced or metastatic squamous non-small cell lung cancer for which all available standard of care treatment options have been exhausted or refused and for which at least one lesion is measurable
    • Arm C only: Advanced or metastatic sqNSCLC, HNSCC, ESCC, CSCC or cervical SCC with at least one prior line of systemic therapy,
    • Have an estimated life expectancy of at least 3 months
    • Participants must be willing to provide a fresh tumor biopsy sample
    • 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, docetaxel, cetuximab or any other agent that targets Epidermal Growth Factor Receptor (EGFR) or HER3, including pan-HER inhibitors. Prior treatment with docetaxel is allowed for Arm C

    • Receipt of prior targeted therapy, including but not limited to those targeting EGFR activating mutations, ALK fusions, ROS rearrangements, RET fusions or mutations, BRAF V600E mutation, MET exon 14 skipping mutation, and/or KRAS G12C mutation
    • 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
    • Treatment with strong inhibitors or inducers of CYP3A4

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm CHMBD-001Participants receive HMBD-001 with cetuximab
Arm CCetuximabParticipants receive HMBD-001 with cetuximab
Arm AHMBD-001Participants receive HMBD-001 with docetaxel. This treatment arm is closed to recruitment.
Arm ADocetaxelParticipants receive HMBD-001 with docetaxel. This treatment arm is closed to recruitment.
Arm BHMBD-001Participants receive HMBD-001 with docetaxel plus cetuximab
Arm BDocetaxelParticipants receive HMBD-001 with docetaxel plus cetuximab
Arm BCetuximabParticipants receive HMBD-001 with docetaxel plus cetuximab
Primary Outcome Measures
NameTimeMethod
Incidence and Nature of Adverse Events (AEs)From the time the Informed Consent Form (ICF) is signed until 30 days after last dose of study treatment

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered to be related to the study treatment

Objective Response Rate (ORR) by Response Evaluation Criteria In Solid Tumors (RECIST) V1.1Up to 24 months

The ORR is defined as the proportion of subjects with confirmed Complete Response (CR) or confirmed Partial Response (PR), based on RECIST Version 1.1

Number of participants with dose-limiting toxicities (DLTs)During the first three weeks of study treatment

DLTs will be assessed in the dose escalation cohorts and are defined as toxicities that meet pre-defined severity criteria and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle (3 weeks) of treatment

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (20)

Chungbuk National University Hospital

🇰🇷

Cheongju-si, Korea, Republic of

CHA Bundang Medical Center, CHA University

🇰🇷

Seongnam-si, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea St. Vincent's Hospital

🇰🇷

Suwon-si, Korea, Republic of

Kaohsiung Medical University Chung-Ho Memorial Hospital

🇨🇳

Kaohsiung City, Taiwan

National Cheng Kung University Hospital

🇨🇳

Tainan City, Taiwan

Taipei Medical University - Shuang Ho Hospital

🇨🇳

Taipei, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

GenesisCare North Shore

🇦🇺

Sydney, New South Wales, Australia

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Chungbuk National University Hospital
🇰🇷Cheongju-si, Korea, Republic of
Ki Hyeong Lee
Principal Investigator

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