ERAS-601 for Advanced Solid Cancer

(FLAGSHP-1 Trial)

Not currently recruiting at 15 trial locations
EC
Overseen ByErasca Clinical Team
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called ERAS-601 for individuals with advanced or metastatic solid tumors. The main goal is to determine the safety of ERAS-601 and the optimal dose, whether administered alone or with other cancer treatments. The trial includes several parts, some focusing on ERAS-601 alone and others combining it with drugs like cetuximab or pembrolizumab. It seeks participants with advanced cancer who have no effective standard treatment options and can take oral medications. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive it.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, you cannot participate if you are currently receiving another study therapy or have taken an investigational agent within 4 weeks of starting this trial.

Is there any evidence suggesting that ERAS-601 is likely to be safe for humans?

In earlier studies, researchers tested ERAS-601 for safety as a treatment for advanced solid tumors. When used alone, the research has primarily focused on determining the right dose. Patients have experienced varied responses, but more information is still being gathered about specific side effects and tolerance.

In combination with cetuximab, another cancer treatment, ERAS-601 has shown promising results in the lab. Cetuximab is already used for certain cancers, such as colorectal cancer and head and neck cancer, suggesting that the combination might be safe. However, more real-world data is needed.

ERAS-601 is also being tested with pembrolizumab, a treatment effective for head and neck cancers. Pembrolizumab is approved for these cancers, indicating the mix could be safe, but further study results are needed to confirm this.

Since the current study is in an early phase, it focuses on understanding safety and determining a safe dose. This means some side effects may remain unknown, but the trial will provide more detailed information.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about ERAS-601 for advanced solid cancers because it introduces a novel mechanism of action targeting specific cancer pathways, which could potentially offer an advantage over current treatments like chemotherapy, radiation, and standard immunotherapies. Unlike traditional therapies that often have broad and aggressive effects, ERAS-601 is designed to precisely target and disrupt cancer cell growth, potentially leading to more effective results with fewer side effects. Additionally, the trial is exploring ERAS-601 in combination with cetuximab and pembrolizumab, which could enhance its efficacy by utilizing complementary mechanisms, opening up new possibilities for treating hard-to-treat cancers like head and neck squamous cell carcinoma and colorectal cancer.

What evidence suggests that ERAS-601 could be an effective treatment for advanced solid cancer?

Research has shown that ERAS-601 may help treat advanced or spreading solid tumors. In one study, 23% of patients with certain genetic changes saw their tumors shrink. Another study found that 7 out of 8 patients experienced some tumor reduction. In this trial, some participants will receive ERAS-601 with cetuximab, which early research found to be safe and effective. Others will receive ERAS-601 combined with pembrolizumab, a treatment for some lung cancers, which might enhance its effectiveness, especially for head and neck cancers. These results suggest ERAS-601 could be helpful, but more research is needed.12367

Who Is on the Research Team?

LB

Les Brail, PhD

Principal Investigator

Clinical Development

Are You a Good Fit for This Trial?

This trial is for adults (18+) with advanced or metastatic solid tumors who have no standard treatment options left, can't tolerate the usual treatments, or choose not to use them. Participants must be able to take oral medication and have a good performance status, meaning they're fully active or restricted in physically strenuous activity but can still carry out work of a light nature.

Inclusion Criteria

Willing to comply with all protocol-required visits, assessments, and procedures
I can't use standard cancer treatments due to side effects, ineffectiveness, or access issues.
I am fully active or can carry out light work.
See 4 more

Exclusion Criteria

I have been treated with a SHP2 inhibitor before.
Is currently receiving another study therapy or has participated in a study of an investigational agent and received study therapy within 4 weeks of the first dose of ERAS-601
I have brain cancer or cancer that has spread to my brain.
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

ERAS-601 monotherapy is administered in sequential ascending doses to determine the Maximum Tolerated Dose (MTD) and/or recommended dose (RD)

4 weeks
Weekly visits for dose escalation

Dose Expansion

Once the MTD/RD is determined, ERAS-601 monotherapy is expanded to more participants with specific molecular alterations

Variable, based on participant response

Combination Therapy Dose Escalation

ERAS-601 is administered with cetuximab or pembrolizumab in sequential ascending doses to determine the combination therapy MTD/RD

4 weeks
Weekly visits for combination therapy dose escalation

Combination Therapy Dose Expansion

Once the combination therapy MTD/RD is determined, the treatment is expanded to more participants with specific cancer types

Variable, based on participant response

Follow-up

Participants are monitored for safety and effectiveness after treatment

24 months
Regular follow-up visits as per study protocol

What Are the Treatments Tested in This Trial?

Interventions

  • ERAS-601
Trial Overview The study tests different doses of ERAS-601 alone and alongside cancer drugs Cetuximab and Pembrolizumab. It aims to find the highest dose patients can take without serious side effects (MTD), decide on a recommended dose (RD), understand how the body processes the drug (PK profile), and assess its effectiveness against tumors.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Group I: Dose Escalation and Dose Expansion (Part E): ERAS-601 in combination with pembrolizumabExperimental Treatment2 Interventions
Group II: Dose Escalation and Dose Expansion (Part D): ERAS-601 in combination with cetuximabExperimental Treatment2 Interventions
Group III: Dose Escalation (Part C): ERAS-601 monotherapyExperimental Treatment1 Intervention
Group IV: Dose Escalation (Part B): ERAS-601 monotherapyExperimental Treatment1 Intervention
Group V: Dose Escalation (Part A): ERAS-601 monotherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Erasca, Inc.

Lead Sponsor

Trials
8
Recruited
1,200+

Citations

ERAS-601 in combination with cetuximab in FLAGSHP-1Presented here are results from the combination dose escalation cohorts in which patients received ERAS-601 twice a day for 3 weeks followed by ...
ERASCA and Eli Lilly Collaborate to Investigate ERAS-601 ...Erasca has entered into a clinical trial collaboration and supply agreement with Eli Lilly and Company to evaluate the anti-EGFR antibody cetuximab.
Cetuximab therapy for head and neck squamous cell carcinomaThis review concluded that cetuximab was effective in the treatment of head and neck squamous cell carcinoma and should enhance, but not replace, standard ...
A Dose Escalation/Expansion Study of ERAS-601 in ...ERAS-601 will be administered in sequential ascending doses with cetuximab to study participants with advanced metastatic solid tumors until unacceptable ...
a phase I study of ERAS-601, a potent and selective SHP2 ...ERAS-601 in combination with cetuximab in patients with previously treated advanced or metastatic solid tumors shows promising preliminary safety and ...
Unlocking the Potential of the Anti-EGFR Antibody ...Cetuximab has an established role in the treatment of patients with recurrent/metastatic colorectal cancer and head and neck squamous cell cancer (HNSCC).
PD1/PD-L1 Axis Blockers in Head and Neck Squamous ...Recent studies have shown that anti-PD1/PDL1 inhibitors are highly efficacious in treating HNSCC, with significant efficacy and commendable ...
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