ASTX029 for Solid Tumors

No longer recruiting at 55 trial locations
GI
TC
Overseen ByTOI Call Center
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Taiho Oncology, Inc.
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 ASTX029, a new drug, to determine its safety and effectiveness for individuals with advanced solid tumors, such as certain lung cancers and melanoma, who lack other treatment options. The trial will explore various doses to identify the optimal one and examine its effects on specific gene mutations. It suits those with difficult-to-treat cancers who have exhausted other treatments. As a Phase 1 trial, this research aims to understand how the treatment works in people, providing participants the opportunity to be among the first to receive this new drug.

Will I have to stop taking my current medications?

The trial requires that you stop certain prior anticancer treatments before starting the study drug. Specifically, you must stop cytotoxic chemotherapy or radiotherapy 3 weeks before, monoclonal antibodies 4 weeks before, and molecularly targeted or investigational drugs 4 weeks before or 5 half-lives, whichever is shorter. Other medications are not specified, so it's best to discuss with the trial team.

Is there any evidence suggesting that ASTX029 is likely to be safe for humans?

Research shows that ASTX029 is undergoing its first human trials to assess safety. This treatment targets individuals with advanced solid tumors who lack other treatment options. In these early studies, researchers aim to identify a safe, tolerable dose and understand how the treatment functions in the body.

Because ASTX029 is in the early testing phase, information on tolerance is limited. These studies are essential to determine if the treatment causes any side effects. Participants receive varying doses to identify the safest option, helping to ensure that potential risks are understood and managed.

It is important to note that ASTX029 has not been tested in humans before these trials. Therefore, all safety information derives from these new studies. Participants should be aware that they are part of the initial safety testing.12345

Why do researchers think this study treatment might be promising for solid tumors?

Researchers are excited about ASTX029 because it targets the MAPK signaling pathway, which is often altered in various cancers, like BRAF and RAS mutations. Unlike traditional chemotherapy, which non-specifically attacks rapidly dividing cells, ASTX029 specifically inhibits key proteins in this pathway, potentially leading to more precise cancer targeting with fewer side effects. This strategic approach could offer a groundbreaking alternative for patients with tumors that are resistant to existing treatments, making it a promising development in cancer therapy.

What evidence suggests that ASTX029 might be an effective treatment for solid tumors?

Research has shown that ASTX029 is a promising treatment for some advanced solid tumors. This drug blocks ERK1/2, proteins that aid cancer cell growth and survival, which are often overactive in cancer cells. Early studies indicate that ASTX029 effectively controls these proteins, potentially slowing or stopping tumor growth. In this trial, researchers are studying participants with changes in the RAS or BRAF genes in specific cohorts. Initial findings suggest that these patients have responded well. Although more information is needed, these early results are encouraging for those with these specific gene changes in their cancers.12567

Who Is on the Research Team?

KD

Kim-Hien Dao, DO, PhD

Principal Investigator

Astex Pharmaceuticals, Inc.

Are You a Good Fit for This Trial?

Adults with advanced solid tumors that can't be removed or have spread, and who've tried all other treatments without success. They must be over 18, not pregnant or breastfeeding, willing to use contraception, and able to follow study procedures. Their cancer should have specific gene changes in the MAPK pathway and measurable by certain medical criteria.

Inclusion Criteria

My cancer is advanced, cannot be surgically removed, and has not responded to treatment. I also have specific gene changes.
Women of child-bearing potential must meet specific requirements for pregnancy prevention
My cancer can be biopsied.
See 5 more

Exclusion Criteria

I have a history of heart problems or am at risk for them.
I do not have any severe illnesses or conditions that could risk my safety or affect the study's results.
I have not had cancer treatments within the restricted time frame.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1 Treatment

Dose escalation and expansion to determine the maximum tolerated dose and recommended Phase 2 dose of ASTX029

21-day cycles
Visits on Day 1 and 2 of each cycle

Phase 2 Treatment

Assessment of preliminary clinical activity in tumors with gene aberrations in the MAPK signal pathway

6 months to 1 year

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months to 1 year

What Are the Treatments Tested in This Trial?

Interventions

  • ASTX029
Trial Overview ASTX029 is an oral drug being tested for safety and effectiveness in treating advanced solid tumors. This trial includes multiple phases where researchers will look at how the body processes the drug (pharmacokinetics), its effects on the body (pharmacodynamics), and any signs of tumor shrinkage.
How Is the Trial Designed?
19Treatment groups
Experimental Treatment
Group I: Phase 2: Cohort FExperimental Treatment1 Intervention
Group II: Phase 2: Cohort EExperimental Treatment1 Intervention
Group III: Phase 2: Cohort DExperimental Treatment1 Intervention
Group IV: Phase 2: Cohort CExperimental Treatment1 Intervention
Group V: Phase 2: Cohort BExperimental Treatment1 Intervention
Group VI: Phase 2: Cohort AExperimental Treatment1 Intervention
Group VII: Phase 1B Dose ExpansionExperimental Treatment1 Intervention
Group VIII: Phase 1A: Cohort 9 Dose EscalationExperimental Treatment1 Intervention
Group IX: Phase 1A: Cohort 8 Dose EscalationExperimental Treatment1 Intervention
Group X: Phase 1A: Cohort 7 Dose EscalationExperimental Treatment1 Intervention
Group XI: Phase 1A: Cohort 6 Dose EscalationExperimental Treatment1 Intervention
Group XII: Phase 1A: Cohort 5 Dose EscalationExperimental Treatment1 Intervention
Group XIII: Phase 1A: Cohort 4 Dose EscalationExperimental Treatment1 Intervention
Group XIV: Phase 1A: Cohort 3 Dose EscalationExperimental Treatment1 Intervention
Group XV: Phase 1A: Cohort 2 Dose EscalationExperimental Treatment1 Intervention
Group XVI: Phase 1A: Cohort 12 Dose EscalationExperimental Treatment1 Intervention
Group XVII: Phase 1A: Cohort 11 Dose EscalationExperimental Treatment1 Intervention
Group XVIII: Phase 1A: Cohort 10 Dose EscalationExperimental Treatment1 Intervention
Group XIX: Phase 1A: Cohort 1 Dose EscalationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Taiho Oncology, Inc.

Lead Sponsor

Trials
79
Recruited
12,700+

Tim Whitten

Taiho Oncology, Inc.

Chief Executive Officer since 2018

MBA and Pharmacy degree

Harold Keer

Taiho Oncology, Inc.

Chief Medical Officer

MD, PhD

Astex Pharmaceuticals, Inc.

Lead Sponsor

Trials
97
Recruited
7,400+

Dr. Harren Jhoti

Astex Pharmaceuticals, Inc.

Chief Executive Officer since 2007

PhD in Biochemistry from Birkbeck College, London

Dr. Harold N. Keer

Astex Pharmaceuticals, Inc.

Chief Medical Officer since 2020

MD

Citations

A first-in-human, phase 1 study of ASTX029, a dual- ...This is an open-label Phase 1 study of ASTX029, a dual-mechanism extracellular signal-regulated kinase 1/2 (ERK1/2) inhibitor, in subjects with relapsed/ ...
A First-in-Human, Phase 1 Study of ASTX029, a Dual- ...solid tumors, with RAS or BRAF mutations. ASTX029 200 mg orally daily, 21- day cycles selected for Phase 1B: dose expansion. • Pharmacodynamic ...
ASTX029, a Novel Dual-mechanism ERK Inhibitor, Modulates ...ASTX029 is currently being evaluated in a first in human phase I–II clinical trial in patients with advanced solid tumors (NCT03520075).
Official TitleASTX029 is a synthetic small molecule inhibitor of extracellular signal-regulated kinases. (ERKs) 1/2 that has been shown to have potent tumor ...
Study of ASTX029 in Subjects With Advanced Solid TumorsThis study is a first-in-human, open-label, multicenter, Phase 1-2 study to assess the safety, pharmacokinetics, pharmacodynamics, and preliminary clinical ...
A first-in-human, Phase 1 study of ASTX029, a dual- ...The clinical candidate, ASTX029, is a novel, dual-mechanism. ERK1/2 inhibitor and has potent activity in MAPK-activated cancer cell lines and in ...
Clinical Trial: NCT03520075 - Solid TumorASTX029 has not been previously evaluated in human subjects. The Phase 1 portion of this study will assess safety and determine the maximum ...
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