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RECRUITINGPhase 1 / Phase 2INTERVENTIONAL

Clinical Trial of YH32364 in Patients With Locally Advanced or Metastatic EGFR Overexpressing Solid Tumors

A Phase 1/2, Open-label, Multicenter, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Anti-tumor Activity of YH32364 in Patients With Locally Advanced or Metastatic Solid Tumors

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a study for people with locally advanced or metastatic cancer for whom previous treatment was not successful. Adults aged 18 and over with advanced cancer with Epidermal Growth Factor Receptor (EGFR) overexpressing can join the study. The purpose of this study is to find out whether a medicine called YH32364 helps people with locally advanced or metastatic cancers with EGFR overexpression.

Who May Be Eligible (Plain English)

Who May Qualify: - Must sign an willing to sign a consent form form (ICF) prior to any study specific procedures - You should be able to carry out daily activities with 0 level of ability (ECOG 0) or 1 - Estimated expected to live at least 3 months - A woman must not be breastfeeding - Have at least one measurable lesion, not previously irradiated and not chosen for biopsy during the study screening period, that can be accurately measured at baseline ≥10 mm in the longest diameter (except lymph nodes which must have a short axis of ≥15 mm) with computerized tomography (CT) or magnetic resonance imaging (MRI), are suitable for accurate repeated measurements. \[Dose Escalation Only\] Locally advanced or metastatic EGFR overexpressing solid tumor\* that is refractory or intolerable on all available standard therapy and that is considered uncurable by local therapy \* One of the following pathologically confirmed EGFR overexpressing (IHC3+ or IHC2+) tumors. - Head and neck squamous cell carcinoma (HNSCC) - Non-small cell lung cancer (NSCLC): squamous cell carcinoma (SqCC) - Esophageal squamous cell carcinoma (ESCC) - Biliary tract cancer (BTC) - Uterine cervical cancer - Vulvar cancer - Urothelial cancer - Squamous cell carcinoma of other origin of tumor (e.g., skin squamous cell tumor) \[Dose Expansion Only\] Cohort 1: Pathologically confirmed EGFR overexpressing (IHC3+ or IHC2+), locally advanced or metastatic HNSCC other than nasopharyngeal carcinoma (NPC)\* that is refractory or intolerable on all available standard therapy and that is considered uncurable by local therapy. Who Should NOT Join This Trial: - Known uncontrolled central nervous system (CNS) metastases, spinal cord compression, and/or carcinomatous meningitis - Have history of a second primary cancer with the exception of - curatively treated non-melanomatous skin cancer - curatively treated cervical or breast carcinoma in situ, or ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Must sign an informed consent form (ICF) prior to any study specific procedures * ECOG performance status 0 or 1 * Estimated life expectancy of at least 3 months * A woman must not be breastfeeding * Have at least one measurable lesion, not previously irradiated and not chosen for biopsy during the study screening period, that can be accurately measured at baseline ≥10 mm in the longest diameter (except lymph nodes which must have a short axis of ≥15 mm) with computerized tomography (CT) or magnetic resonance imaging (MRI), are suitable for accurate repeated measurements. \[Dose Escalation Only\] Locally advanced or metastatic EGFR overexpressing solid tumor\* that is refractory or intolerable on all available standard therapy and that is considered uncurable by local therapy \* One of the following pathologically confirmed EGFR overexpressing (IHC3+ or IHC2+) tumors. * Head and neck squamous cell carcinoma (HNSCC) * Non-small cell lung cancer (NSCLC): squamous cell carcinoma (SqCC) * Esophageal squamous cell carcinoma (ESCC) * Biliary tract cancer (BTC) * Uterine cervical cancer * Vulvar cancer * Urothelial cancer * Squamous cell carcinoma of other origin of tumor (e.g., skin squamous cell tumor) \[Dose Expansion Only\] Cohort 1: Pathologically confirmed EGFR overexpressing (IHC3+ or IHC2+), locally advanced or metastatic HNSCC other than nasopharyngeal carcinoma (NPC)\* that is refractory or intolerable on all available standard therapy and that is considered uncurable by local therapy. Exclusion Criteria: * Known uncontrolled central nervous system (CNS) metastases, spinal cord compression, and/or carcinomatous meningitis * Have history of a second primary cancer with the exception of * curatively treated non-melanomatous skin cancer * curatively treated cervical or breast carcinoma in situ, or * other malignancy with no known active disease present and no treatment administered during the last 2 years * Have history of or current Class II, III or IV heart failure as defined by the New York Heart Association (NYHA) * Have history of acute coronary syndromes, including myocardial infarction, coronary artery bypass graft, unstable angina, coronary angioplasty or stenting within past 24 weeks * Have history of (non-infectious) interstitial lung disease (ILD) or pneumonitis that required steroids, or any evidence of current ILD or pneumonitis * Have autoimmune disease that has required systemic treatment * Infection with human immunodeficiency virus (HIV) * Active chronic hepatitis B or chronic hepatitis C \[Prior/Concomitant Therapy\] * Have received systemic steroid therapy * Previous treatment with a 4-1BB/CD137-modulating agent * Have used a live vaccine within 4 weeks * Have received treatment with immunotherapy, biological therapies, targeted small molecules, or hormonal therapies * Have received radiation therapy * Have received cytotoxic chemotherapy

Treatments Being Tested

DRUG

YH32364

Dose Escalation Part: In this part, 6 dose levels are planned and approximately 30 patients will be enrolled. After each dose level, Safety Review Committee (SRC) will evaluate the available safety, tolerability, PK of YH32364 to decide the next dose. Dose Expansion Part: 50 participants with previously treated locally advanced or metastatic EGFR overexpressing HNSCC other than NPC will be randomized 1:1 ratio to each dose. (Cohort 1: Participants with locally advanced or metastatic EGFR overexpressing HNSCC other than NPC, whose disease progressed after or who are intolerable to all the available standard treatment)

Locations (4)

Korea University Anam Hospital
Seoul, South Korea
Seoul National University Hospital
Seoul, South Korea
Severance Hospital
Seoul, South Korea
Samsung Medical Center
Seoul, South Korea