Solid TumorPhase 1NCT05382559
A Study of ASP3082 in Adults With Advanced Solid Tumors
A Phase 1 study testing Setidegrasib, Cetuximab and Leucovorin in people with Solid Tumor, run by Astellas Pharma Inc at 68 sites in 7 countries.
Trial summary
This is an open-label study. This means that people in this study and clinic staff will know that people will receive ASP3082. The study aims to check how safe and well-tolerated ASP3082 is for people with advanced solid tumors that have a specific mutation called KRAS G12D. This study will be in 2 parts. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor
- What is being tested?
- Setidegrasib, Cetuximab and Leucovorin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 681 participants
- Where
- 68 sitesin 7 countries
- Study dates
- 8 Jun 2022to 31 Dec 2028
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant has locally advanced (unresectable) or metastatic solid tumor malignancy with documented Kirsten rat sarcoma viral oncogene homolog [KRAS] G12D mutation and has received prior standard therapy and the investigator does not see any further clinical benefit from continuing such targeted therapy, or is ineligible to receive standard approved therapies (no limit to the number of prior treatment regimens).
- For the ASP3082 monotherapy escalation cohorts, participants with solid tumor malignancies are allowed to be enrolled. Participants with other known KRAS G12 mutations will not be eligible for the study
- For ASP3082 combination therapy with Nab-P+GEM or FOLFIRINOX or NALRIFOX: Participant must have mPDAC that has not been previously treated with chemotherapy. If a participant received (neo)adjuvant therapy, tumor recurrence or disease progression must have occurred at least 6 months after completing the last dose of the (neo)adjuvant therapy.
- Participant consents to provide tumor specimen in a tissue block or unstained serial slides or a tumor biopsy (core needle biopsy or excision) obtained after the last interventional treatment, but prior to start of study intervention. Participant also consents to provide a sample for tumor biopsy during the treatment period as indicated in the study protocol. If a participant cannot provide a fresh tissue biopsy sample, the site should consult with the sponsor/study medical monitor.
- Participant has at least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
- Participant has an ECOG performance status of 0, 1 or 2 for dose escalation, and 0 or 1 for dose expansion.
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- Participant's last dose of prior antineoplastic therapy, including any immunotherapy, was 21 days or 5 half-lives, whichever is shorter, prior to initiation of study intervention administration.
- Participant has completed any radiotherapy (including stereotactic radiosurgery) at least 14 days prior to the start of study intervention administration. Participants must have recovered from all radiation-related toxicities, not require corticosteroids (NOTE: Physiologic replacement dose of hydrocortisone or its equivalent [defined as up to 30 mg per day of hydrocortisone, 2 mg per day of dexamethasone, or up to 10 mg per day of prednisone] is permitted), and not have active radiation pneumonitis. A 1-week washout is permitted for palliative radiation (<= 2 weeks of radiotherapy) to non-central nervous system disease.
- Participant's adverse events [AEs] (excluding alopecia) from prior therapy have improved to grade 1 or baseline within 14 days prior to start of study intervention (or prior to staring SoC chemotherapy, for first line (1L) participants receiving Nab-P+GEM FOLFIRINOX or NALIRIFOX.
- Participant has adequate organ function as indicated by protocol laboratory value parameters (If a participant has received a recent blood transfusion, the laboratory tests must be obtained >= 14 days after any blood transfusion.).
- Female participant is not pregnant, confirmed by pregnancy test and medical evaluation by interview, and at least 1 of the following conditions apply:
- Not a woman of childbearing potential (WOCBP).
- WOCBP who agrees to follow the contraceptive guidance from the time of informed consent through at least 6 months after study intervention administration.
- EU only: For combination therapy with carboplatin, follow contraception guidelines from the time of informed consent through at least 7 months after the final dose of carboplatin.
- South Korea only: For combination therapy with oxaliplatin, follow contraception guidelines from the time of informed consent through at least 15 months after the final dose of oxaliplatin. For combination therapy with cisplatin, follow contraception guidelines from the time of informed consent through at least 14 months after the final dose of cisplatin.
- Female participant must agree not to breastfeed starting at screening and throughout the study period and for 6 months after study intervention administration.
- Female participant must not donate ova starting at first dose of study intervention and throughout the study period and for 6 months after study intervention administration.
- Male participant with female partner(s) of childbearing potential (including breastfeeding partner) must agree to use contraception throughout the treatment period and for 3 months after study intervention administration.
- Male participant must not donate sperm during the treatment period and for 3 months after study intervention administration.
- South Korea only: For combination therapy with oxaliplatin, follow contraception guidelines from the time of informed consent through at least 12 months after the final dose of oxaliplatin. For combination therapy with cisplatin, follow contraception guidelines from the time of informed consent through at least 11 months after the final dose of cisplatin.
- Male participant with pregnant partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy throughout the study period and for 3 months after study intervention administration.
- Participant agrees not to participate in another interventional study while receiving study intervention (Participants who are currently in the follow-up period of an interventional clinical trial are allowed).
- For ASP3082 Combination Therapy with Pembrolizumab (Cohort G), or Platinum-based Chemotherapy + Pemetrexed +/- Pembrolizumab (Cohort H): Participant must have pathologically documented locally advanced or metastatic (unresectable Stage IIIB-IV) non-small cell lung cancer (NSCLC) (Note: for Cohort H only, the tumor must be non-squamous NSCLC) with KRAS G12D mutation and
- have received prior platinum-containing chemotherapy (safety lead-in only) or
- have never received systemic therapy (up to 1 cycle of SoC pembrolizumab [defined as one 21-day cycle of 200 mg] in Cohort G and up to 1 cycle of SoC platinum-based chemotherapy ± pembrolizumab [defined as one 21-day cycle of 200 mg] or pembrolizumab [defined as one 21-day cycle of 200 mg] in Cohort H is permitted prior to Screening, provided a 21-day washout occurs before C1D1) for locally advanced or metastatic NSCLC with no oncogenic driver mutations. Participants who received adjuvant or neoadjuvant platinum-based chemotherapy and developed recurrent or metastatic disease more than 12 months after completing therapy may be enrolled.
Who cannot join
- Participant has received investigational therapy within 21 days or 5 half-lives, whichever is shorter, prior to start of study intervention.
- Participant has symptomatic or untreated central nervous system (CNS) metastases. Participants with asymptomatic, treated CNS metastases are eligible.
- Participant has leptomeningeal disease as a manifestation of the current malignancy.
- Participant has a prior malignancy active (i.e., requiring treatment or intervention) within the previous 2 years, except for local malignancies that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast, which are allowed.
- Participant has a known or suspected hypersensitivity to ASP3082 or any components of the formulation used.
- Participant with active hepatitis B (including acute hepatitis B virus [HBV] or chronic HBV) or hepatitis C virus [HCV] (ribonucleic acid [RNA] detected by qualitative assay). HCV RNA testing is not required in participants with negative HCV antibody testing.
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- Participant has a known history of human immunodeficiency virus [HIV] infection. No HIV testing is required unless mandated by a local health authority.
- Participant has had a myocardial infarction or unstable angina within 6 months prior to the start of study intervention, left ventricular ejection fraction (LVEF) < 50% as determined by multigated acquisition (MUGA) scan or echocardiogram (ECHO) or currently has an uncontrolled illness including, but not limited to symptomatic congestive heart failure, clinically significant cardiac disease, unstable angina pectoris, cardiac arrhythmia, obligate use of a cardiac pacemaker, or long QT syndrome.
- Participant has a corrected QT interval (single electrocardiogram [ECG]) using Fridericia's formula (QTcF) > 450 milliseconds (msec) (men) or >470 msec (women) during screening.
- Participant has received prior treatment with a specific KRAS G12D inhibitor/degrader or pan-RAS inhibitor/degrader targeting KRAS G12D. Participants who received prior treatment with a KRAS G12D inhibitor/degrader are eligible for the ASP3082 combination therapy cohort.
- Participant has an active infection requiring intravenous antibiotics within 14 days prior to study intervention.
- Participant is expected to require another form of antineoplastic therapy while on study treatment.
- Participant has any condition which makes the participant unsuitable for study participation (such as psychiatric illness/social situations that would limit compliance with study requirements).
- Participant has had major surgery within 4 weeks prior to first dose of study intervention.
- For ASP3082 Combination Therapy:
- Prior discontinuation of cetuximab treatment due to toxicity or intolerance of cetuximab.
- History of interstitial lung disease requiring systemic steroid treatment. Note that a participant with resolved pulmonary infections or radiation pneumonitis is eligible.
Trial locations and contacts
68 sites in 7 countries. Contact the study team or a site near you to ask about taking part.
68 sites in 7 countries
United States26 sites, 23 recruiting
- Recruiting
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
- Recruiting
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
- Recruiting
Roswell Park Cancer Institute
Buffalo, New York, 14263
- Recruiting
Case Western
Cleveland, Ohio, 44106
- Recruiting
Denver HealthONE Drug Development Unit
Denver, Colorado, 80218
- Recruiting
City of Hope National Medical Center
Duarte, California, 91010
- Recruiting
NEXT Oncology - Virginia Cancer Specialists
Fairfax, Virginia, 22031
- Recruiting
University of Florida, Davis Cancer Center
Gainesville, Florida, 32610
- Recruiting
Hackensack University Medical Center
Hackensack, New Jersey, 07601
- Terminated
Florida Cancer Specialist
Lake Mary, Florida, 32746
- Recruiting
University of Wisconsin Hospital
Madison, Wisconsin, 53792
- Recruiting
Taylor Cancer Research Center
Maumee, Ohio, 43537
- Terminated
SCRI Oncology Partners
Nashville, Tennessee, 37203
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
- Recruiting
Smilow Cancer Center at Yale New Haven Hospital
New Haven, Connecticut, 06520-8028
- Terminated
Columbia University - Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
- Recruiting
Oregon Health and Science University
Portland, Oregon, 97239
- Recruiting
University of Rochester Medical Center James P. Wilmot Cancer Center
Rochester, New York, 14642
- Recruiting
NEXT Oncology
San Antonio, Texas, 78229
- Recruiting
UCLA Santa Monica Hematology Oncology
Santa Monica, California, 90404
- Recruiting
Florida Cancer Specialists & Research Institute Sarasota
Sarasota, Florida, 34232-6422
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
- Recruiting
Georgetown University Hospital
Washington D.C., District of Columbia, 20007
- Recruiting
University of Kansas Medical Center
Westwood, Kansas, 66205
- Recruiting
Trinity Health Ann Arbor Hospital
Ypsilanti, Michigan, 48197
Japan15 sites, 14 recruiting
- Terminated
National Cancer Center Hospital
Chuo-ku, Tokyo
- Recruiting
Kansai Medical University Hospital
Hirakata, Osaka
- Recruiting
National Cancer Center Hospital East
Kashiwa, Chiba
- Recruiting
Cancer Institute Hospital of JFCR
Koto-ku, Tokyo
- Recruiting
Kurume University Hospital
Kurume, Fukuoka
- Recruiting
Shikoku Cancer Center
Matsuyama, Ehime
- Recruiting
Aichi Cancer Center
Nagoya, Aichi-ken
- Recruiting
Niigata Cancer Center Hospital
Niigata, Niigata
- Recruiting
Osaka International Cancer Institute
Osaka
- Recruiting
Hokkaido University Hospital
Sapporo, Hokkaido
- Recruiting
Kindai University Hospital
Sayama, Osaka
- Recruiting
Tohoku University Hospital
Sendai, Miyagi
- Recruiting
Shizuoka Cancer Center
Sunto-gun, Shizuoka
- Recruiting
Yamaguchi University Hospital
Ube, Yamaguchi
- Recruiting
Kanagawa Cancer Center
Yokohama, Kanagawa
Spain11 sites, 11 recruiting
- Recruiting
Site ES34009
A Coruña
- Recruiting
Site ES34001
Barcelona
- Recruiting
Site ES34005
Barcelona
- Recruiting
Site ES34008
Barcelona
- Recruiting
Site ES34004
Madrid
- Recruiting
Site ES34006
Madrid
- Recruiting
Site ES34007
Madrid
- Recruiting
Site ES34002
Málaga
- Recruiting
Site ES34011
Pamplona, Navarre
- Recruiting
Site ES34003
Seville
- Recruiting
Site ES34010
Valencia
South Korea7 sites, 7 recruiting
- Recruiting
Site KR82007
Cheongju-si, North Chungcheong
- Recruiting
Site KR82005
Goyang-si, Gyeonggi-do
- Recruiting
Site KR82001
Jongno -Gu, Seoul
- Recruiting
Site KR82003
Seodaemun-gu, Seoul
- Recruiting
Site KR82002
Seongnam-si, Gyeonggi-do
- Recruiting
Site KR82006
Seoul
- Recruiting
Site KR82004
Songpa-gu, Seoul
France5 sites, 5 recruiting
- Recruiting
Site FR33002
Bordeaux
- Recruiting
Site FR33003
La Tronche, Grenobele
- Recruiting
Site FR33001
Lyon
- Recruiting
Site FR33005
Lyon
- Recruiting
Site FR33004
Villejuif, Île-de-France Region
China3 sites, 3 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality
- Recruiting
Shanghai Pulmonary Hospital
Shanghai
- Recruiting
Fudan University Shanghai Cancer Center
Xuhui District, Shanghai Municipality
Puerto Rico1 site, 1 recruiting
- Recruiting
PanOncology Trials
San Juan, 00935
About this study
Official title: A Phase 1 Study of ASP3082 in Participants With Locally Advanced or Metastatic Solid Tumor Malignancies With KRAS G12D Mutation
This is an open-label study. This means that people in this study and clinic staff will know that people will receive ASP3082. The study aims to check how safe and well-tolerated ASP3082 is for people with advanced solid tumors that have a specific mutation called KRAS G12D.
This study will be in 2 parts.
Read more
In Part 1, different small groups of people will receive lower to higher doses of ASP3082 by itself, or together with cetuximab. Any medical problems will be recorded at each dose. This is done to find suitable doses of ASP3082, by itself or together with cetuximab, to use in Part 2 of the study. The first group will receive the lowest dose of ASP3082. A medical expert panel will check the results from this group and decide if the next group can receive a higher dose of ASP3082. The panel will do this for each group until all groups have received ASP3082 (by itself or together with cetuximab) or until suitable doses have been selected for Part 2.
In Part 2, ASP3082 will be given in by itself, or in combination with the other study treatments.
Study treatments will be given through a vein. This is called an infusion. Each treatment cycle is 21 or 28 days long. They will continue treatment until: they have medical problems from the treatment they can't tolerate; their cancer gets worse; they start other cancer treatment; or they ask to stop treatment.
- Conditions
- Solid Tumor
- Being tested
- Setidegrasib, Cetuximab, Leucovorin, Oxaliplatin, Fluorouracil
- Keywords
- Solid Tumor, Cancer, Malignancy, Metastasis, Pharmacokinetics, setidegrasib, ASP3082, KRAS G12D, NSCLC, CRC, PDAC
- Medical subject headings
- Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SetidegrasibDrug
Also called ASP3082
Intravenous Infusion
CetuximabDrug
Intravenous Infusion
LeucovorinDrug
Intravenous Infusion
OxaliplatinDrug
Intravenous Infusion
FluorouracilDrug
Intravenous Infusion
IrinotecanDrug
Intravenous Infusion
Nanoparticle albumin-bound-paclitaxelDrug
Intravenous Infusion
GemcitabineDrug
Intravenous Infusion
DocetaxelDrug
Intravenous Infusion
PembrolizumabDrug
Intravenous Infusion
CisplatinDrug
Intravenous Infusion
CarboplatinDrug
Intravenous Infusion
PemetrexedDrug
Intravenous Infusion
Liposomal IrinotecanDrug
Intravenous Infusion
| Study group | Role | What they receive |
|---|---|---|
| ASP3082 Dose Escalation (Monotherapy Part 1) | Experimental | Participants will receive ASP3082 in a 21-day cycle. Receives: Drug: Setidegrasib |
| ASP3082 Dose Expansion (Monotherapy Part 2) | Experimental | Participants will receive ASP3082 with dose level(s) selected from dose escalation (part 1) in a 21-day cycle. Receives: Drug: Setidegrasib |
| ASP3082 + Cetuximab Dose Escalation (Combination Therapy Part 1) | Experimental | Participants will receive ASP3082 in a 21-day cycle. Cetuximab will be administered weekly. Receives: Drug: Setidegrasib; Drug: Cetuximab |
| ASP3082 + Cetuximab Dose Expansion (Combination Therapy Part 2) | Experimental | Participants will receive ASP3082 or ASP3082 + Cetuximab with dose level(s) selected from dose escalation (part 1) in a 21-day cycle. Cetuximab will be administered weekly. Receives: Drug: Setidegrasib; Drug: Cetuximab |
| ASP3082 China Safety Cohort | Experimental | Participants will receive ASP3082 with dose level selected from dose escalation (Monotherapy part 1) in a 21-day cycle. Receives: Drug: Setidegrasib |
| Treatment naive PDAC cohort ASP3082 + FOLFIRINOX | Experimental | Upon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with FOLFIRINOX (leucovorin [LV]/fluorouracil [5-FU]/irinotecan/oxaliplatin) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. Receives: Drug: Setidegrasib; Drug: Leucovorin; Drug: Oxaliplatin; Drug: Fluorouracil; Drug: Irinotecan |
| Treatment naive PDAC cohort ASP3082 + Nab-Paclitaxel + Gemcitabine | Experimental | Upon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with Nab-P + GEM (nanoparticle albumin-bound-paclitaxel plus gemcitabine) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. Receives: Drug: Setidegrasib; Drug: Nanoparticle albumin-bound-paclitaxel; Drug: Gemcitabine |
| ASP3082 + Docetaxel - NSCLC | Experimental | Participants with KRAS G12D mutant will receive ASP3082 in combination with docetaxel in a 21-day cycle. Receives: Drug: Setidegrasib; Drug: Docetaxel |
| ASP3082 + Pembrolizumab - NSCLC | Experimental | Participants with KRAS G12D mutant will receive ASP3082 in combination with pembrolizumab in a 21-day cycle. Receives: Drug: Setidegrasib; Drug: Pembrolizumab |
| ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC | Experimental | Participants with KRAS G12D mutant will receive ASP3082 in combination with platinum-based chemotherapy (cisplatin or carboplatin) and pemetrexed, with or without pembrolizumab in a 21-day cycle. Receives: Drug: Setidegrasib; Drug: Pembrolizumab; Drug: Cisplatin; Drug: Carboplatin; Drug: Pemetrexed |
| Treatment naive PDAC cohort ASP3082 + NALIRIFOX | Experimental | Upon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with NALIRIFOX (leucovorin[LV]/fluorouracil[5-FU]/liposomal irinotecan/oxaliplatin) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. Receives: Drug: Setidegrasib; Drug: Leucovorin; Drug: Oxaliplatin; Drug: Fluorouracil; Drug: Liposomal Irinotecan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Dose Limiting Toxicities (DLTs)
A DLT is defined as any event meeting the DLT criteria excluding toxicities clearly related to disease progression or intercurrent illness or standard of care (SoC) regimens as determined by the investigator.
Measured: Up to 28 Days
Number of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study IP, whether or not considered related to the study investigational product (IP).
Note: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of study IP. This includes events related to the comparator and events related to the (study) procedures.
Measured: Up to 48 months
Number of Participants with Serious Adverse Events (SAEs)
An SAE is defined as any untoward medical occurrence that, at any dose: Results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, and other medically important events.
Measured: Up to 48 months
Number of Participants with laboratory value abnormalities and/or adverse events (AEs)
Number of participants with potentially clinically significant laboratory values.
Measured: Up to 48 months
Number of Participants with electrocardiogram (ECG) abnormalities and/or adverse events (AEs)
Number of participants with potentially clinically significant ECG values.
Measured: Up to 48 months
Number of Participants with vital sign abnormalities and/or adverse events (AEs)
Number of participants with potentially clinically significant vital sign values.
Measured: Up to 48 months
Number of Participants with physical exam abnormalities and/or adverse events
Number of participants with potentially clinically significant physical exam values.
Measured: Up to 48 months
Number of Participants with Eastern Cooperative Oncology Group (ECOG) performance status
The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.
Measured: Up to 48 months
Secondary outcomes (8)
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
ORR is defined as the proportion of participants whose best overall response is rated as complete response (CR) or partial response (PR) per RECIST v1.1.
Measured: Up to 48 months
Duration of Response (DOR) per RECIST v 1.1
DOR is measured from the time measurement criteria are first met for CR/PR (whichever is first recorded) until the first date of documented radiological disease progression per RECIST v1.1 or death in the absence of progression.
Measured: Up to 48 months
Disease Control Rate (DCR) per RECIST v 1.1
DCR is defined as the proportion of participants whose best overall response is rated as CR, PR or SD based on RECIST v1.1.
Measured: Up to 48 months
Pharmacokinetics (PK) of ASP3082 in plasma: Area under the concentration-time curve (AUC)
AUC will be recorded from the PK plasma samples collected.
Measured: Up to 48 months
PK of ASP3082 in plasma: Maximum Concentration (Cmax)
Cmax will be recorded from the PK plasma samples collected.
Measured: Up to 48 months
PK of ASP3082 in plasma: concentration immediately prior to dosing at multiple dosing (Ctrough)
Ctrough will be recorded from the PK plasma samples collected.
Measured: Up to 48 months
PK of ASP3082 in plasma: Time of maximum concentration (tmax)
tmax will be recorded from the PK plasma samples collected.
Measured: Up to 48 months
Changes in Kirsten rat sarcoma (KRAS) viral oncogene homolog G12D in tumor samples
Changes in KRAS G12D in tumor samples will be measured.
Measured: Up to 48 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2022
- Study start8 Jun 2022
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Solid TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 681 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Astellas Pharma Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05382559
- Sponsor's protocol ID
- 3082-CL-0101
- Other IDs
- jRCT2031220738, CTR20250465, 2022-501590-39-00
- Status last verified
- Oct 2026
- First submitted
- 16 May 2022
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Publications
Park W, Kasi A, Spira AI, Paz-Ares Rodriguez L, Herzberg BO, Pelster MS, Tolcher AW, Kuboki Y, Kitano S, Shoji H, Wang JS, Berlin JD, Hollebecque A, LoRusso P, Fountzilas C, Cassier PA, Nishina T, Sakai D, Inagaki C, Morgensztern D, Ueno M, Jung M, Kim SW, Janne PA, Italiano A, You B, Macarulla T, Fujii H, Shetty A, Lu Y, Cui D, Kadam S, Gill SC, Toyoshima J, Saito T, Goldman JW. Setidegrasib in Advanced Non-Small-Cell Lung Cancer and Pancreatic Cancer. N Engl J Med. 2026 Apr 9;394(14):1409-1420. doi: 10.1056/NEJMoa2600752. Epub 2026 Mar 25.
PubMed 41879829
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study of ASP3082 in Participants With Locally Advanced or Metastatic Solid Tumor Malignancies With KRAS G12D Mutation
- ClinicalTrials.gov ID
- NCT05382559
- Acronym / sponsor ID
- 3082-CL-0101
- Conditions
- Solid Tumor
- Keywords
- Solid Tumor, Cancer, Malignancy, Metastasis, Pharmacokinetics, setidegrasib, ASP3082, KRAS G12D
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 681 participants (estimated)
- Lead sponsor
- Astellas Pharma IncIndustry (pharma, biotech, devices)
- Study start
- 8 Jun 2022 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2028 (estimated)
- First posted
- 19 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label study. This means that people in this study and clinic staff will know that people will receive ASP3082. The study aims to check how safe and well-tolerated ASP3082 is for people with advanced solid tumors that have a specific mutation called KRAS G12D.
This study will be in 2 parts.
In Part 1, different small groups of people will receive lower to higher doses of ASP3082 by itself, or together with cetuximab. Any medical problems will be recorded at each dose. This is done to find suitable doses of ASP3082, by itself or together with cetuximab, to use in Part 2 of the study. The first group will receive the lowest dose of ASP3082. A medical expert panel will check the results from this group and decide if the next group can receive a higher dose of ASP3082. The panel will do this for each group until all groups have received ASP3082 (by itself or together with cetuximab) or until suitable doses have been selected for Part 2.
In Part 2, ASP3082 will be given in by itself, or in combination with the other study treatments.
Study treatments will be given through a vein. This is called an infusion. Each treatment cycle is 21 or 28 days long. They will continue treatment until: they have medical problems from the treatment they can't tolerate; their cancer gets worse; they start other cancer treatment; or they ask to stop treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 11
| Arm | Type | Receives |
|---|---|---|
| ASP3082 Dose Escalation (Monotherapy Part 1) | Experimental | Drug: SetidegrasibParticipants will receive ASP3082 in a 21-day cycle. |
| ASP3082 Dose Expansion (Monotherapy Part 2) | Experimental | Drug: SetidegrasibParticipants will receive ASP3082 with dose level(s) selected from dose escalation (part 1) in a 21-day cycle. |
| ASP3082 + Cetuximab Dose Escalation (Combination Therapy Part 1) | Experimental | Drug: Setidegrasib, Drug: CetuximabParticipants will receive ASP3082 in a 21-day cycle. Cetuximab will be administered weekly. |
| ASP3082 + Cetuximab Dose Expansion (Combination Therapy Part 2) | Experimental | Drug: Setidegrasib, Drug: CetuximabParticipants will receive ASP3082 or ASP3082 + Cetuximab with dose level(s) selected from dose escalation (part 1) in a 21-day cycle. Cetuximab will be administered weekly. |
| ASP3082 China Safety Cohort | Experimental | Drug: SetidegrasibParticipants will receive ASP3082 with dose level selected from dose escalation (Monotherapy part 1) in a 21-day cycle. |
| Treatment naive PDAC cohort ASP3082 + FOLFIRINOX | Experimental | Drug: Setidegrasib, Drug: Leucovorin, Drug: Oxaliplatin, Drug: Fluorouracil, Drug: IrinotecanUpon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with FOLFIRINOX (leucovorin [LV]/fluorouracil [5-FU]/irinotecan/oxaliplatin) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. |
| Treatment naive PDAC cohort ASP3082 + Nab-Paclitaxel + Gemcitabine | Experimental | Drug: Setidegrasib, Drug: Nanoparticle albumin-bound-paclitaxel, Drug: GemcitabineUpon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with Nab-P + GEM (nanoparticle albumin-bound-paclitaxel plus gemcitabine) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. |
| ASP3082 + Docetaxel - NSCLC | Experimental | Drug: Setidegrasib, Drug: DocetaxelParticipants with KRAS G12D mutant will receive ASP3082 in combination with docetaxel in a 21-day cycle. |
| ASP3082 + Pembrolizumab - NSCLC | Experimental | Drug: Setidegrasib, Drug: PembrolizumabParticipants with KRAS G12D mutant will receive ASP3082 in combination with pembrolizumab in a 21-day cycle. |
| ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC | Experimental | Drug: Setidegrasib, Drug: Pembrolizumab, Drug: Cisplatin, Drug: Carboplatin, Drug: PemetrexedParticipants with KRAS G12D mutant will receive ASP3082 in combination with platinum-based chemotherapy (cisplatin or carboplatin) and pemetrexed, with or without pembrolizumab in a 21-day cycle. |
| Treatment naive PDAC cohort ASP3082 + NALIRIFOX | Experimental | Drug: Setidegrasib, Drug: Leucovorin, Drug: Oxaliplatin, Drug: Fluorouracil, Drug: Liposomal IrinotecanUpon completion of dose escalation (part 1), participants with KRAS G12D mutant will receive ASP3082 in combination with NALIRIFOX (leucovorin[LV]/fluorouracil[5-FU]/liposomal irinotecan/oxaliplatin) with dose level(s) selected from dose escalation (part 1) in a 28-day cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (25 listed)
- Participant has locally advanced (unresectable) or metastatic solid tumor malignancy with documented Kirsten rat sarcoma viral oncogene homolog [KRAS] G12D mutation and has received prior standard therapy and the investigator does not see any further clinical benefit from continuing such targeted therapy, or is ineligible to receive standard approved therapies (no limit to the number of prior treatment regimens).
- For the ASP3082 monotherapy escalation cohorts, participants with solid tumor malignancies are allowed to be enrolled. Participants with other known KRAS G12 mutations will not be eligible for the study
- For ASP3082 combination therapy with Nab-P+GEM or FOLFIRINOX or NALRIFOX: Participant must have mPDAC that has not been previously treated with chemotherapy. If a participant received (neo)adjuvant therapy, tumor recurrence or disease progression must have occurred at least 6 months after completing the last dose of the (neo)adjuvant therapy.
- Participant consents to provide tumor specimen in a tissue block or unstained serial slides or a tumor biopsy (core needle biopsy or excision) obtained after the last interventional treatment, but prior to start of study intervention. Participant also consents to provide a sample for tumor biopsy during the treatment period as indicated in the study protocol. If a participant cannot provide a fresh tissue biopsy sample, the site should consult with the sponsor/study medical monitor.
- Participant has at least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
Key exclusion criteria (17 listed)
- Participant has received investigational therapy within 21 days or 5 half-lives, whichever is shorter, prior to start of study intervention.
- Participant has symptomatic or untreated central nervous system (CNS) metastases. Participants with asymptomatic, treated CNS metastases are eligible.
- Participant has leptomeningeal disease as a manifestation of the current malignancy.
- Participant has a prior malignancy active (i.e., requiring treatment or intervention) within the previous 2 years, except for local malignancies that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast, which are allowed.
- Participant has a known or suspected hypersensitivity to ASP3082 or any components of the formulation used.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SetidegrasibAlso: ASP3082Intravenous Infusion | Drug | ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC, ASP3082 + Cetuximab Dose Escalation (Combination Therapy Part 1), ASP3082 + Cetuximab Dose Expansion (Combination Therapy Part 2), ASP3082 + Docetaxel - NSCLC, ASP3082 + Pembrolizumab - NSCLC, ASP3082 China Safety Cohort, ASP3082 Dose Escalation (Monotherapy Part 1), ASP3082 Dose Expansion (Monotherapy Part 2), Treatment naive PDAC cohort ASP3082 + FOLFIRINOX, Treatment naive PDAC cohort ASP3082 + NALIRIFOX, Treatment naive PDAC cohort ASP3082 + Nab-Paclitaxel + Gemcitabine |
| CetuximabIntravenous Infusion | Drug | ASP3082 + Cetuximab Dose Escalation (Combination Therapy Part 1), ASP3082 + Cetuximab Dose Expansion (Combination Therapy Part 2) |
| LeucovorinIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + FOLFIRINOX, Treatment naive PDAC cohort ASP3082 + NALIRIFOX |
| OxaliplatinIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + FOLFIRINOX, Treatment naive PDAC cohort ASP3082 + NALIRIFOX |
| FluorouracilIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + FOLFIRINOX, Treatment naive PDAC cohort ASP3082 + NALIRIFOX |
| IrinotecanIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + FOLFIRINOX |
| Nanoparticle albumin-bound-paclitaxelIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + Nab-Paclitaxel + Gemcitabine |
| GemcitabineIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + Nab-Paclitaxel + Gemcitabine |
| DocetaxelIntravenous Infusion | Drug | ASP3082 + Docetaxel - NSCLC |
| PembrolizumabIntravenous Infusion | Drug | ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC, ASP3082 + Pembrolizumab - NSCLC |
| CisplatinIntravenous Infusion | Drug | ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC |
| CarboplatinIntravenous Infusion | Drug | ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC |
| PemetrexedIntravenous Infusion | Drug | ASP3082 + (Cisplatin or Carboplatin) and Pemetrexed +/- Pembrolizumab - NSCLC |
| Liposomal IrinotecanIntravenous Infusion | Drug | Treatment naive PDAC cohort ASP3082 + NALIRIFOX |
Primary outcome
Incidence of Dose Limiting Toxicities (DLTs)
Time frame: Up to 28 Days
A DLT is defined as any event meeting the DLT criteria excluding toxicities clearly related to disease progression or intercurrent illness or standard of care (SoC) regimens as determined by the investigator.
Number of Participants with Adverse Events (AEs)
Time frame: Up to 48 months
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study IP, whether or not considered related to the study investigational product (IP). Note: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of study IP. This includes events related to the comparator and events related to the (study) procedures.
Number of Participants with Serious Adverse Events (SAEs)
Time frame: Up to 48 months
An SAE is defined as any untoward medical occurrence that, at any dose: Results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, and other medically important events.
Number of Participants with laboratory value abnormalities and/or adverse events (AEs)
Time frame: Up to 48 months
Number of participants with potentially clinically significant laboratory values.
Number of Participants with electrocardiogram (ECG) abnormalities and/or adverse events (AEs)
Time frame: Up to 48 months
Number of participants with potentially clinically significant ECG values.
Number of Participants with vital sign abnormalities and/or adverse events (AEs)
Time frame: Up to 48 months
Number of participants with potentially clinically significant vital sign values.
Number of Participants with physical exam abnormalities and/or adverse events
Time frame: Up to 48 months
Number of participants with potentially clinically significant physical exam values.
Number of Participants with Eastern Cooperative Oncology Group (ECOG) performance status
Time frame: Up to 48 months
The ECOG scale will be used to assess performance status. Grades range from 0 (fully active) to 5 (dead). Negative change scores indicate an improvement. Positive scores indicate a decline in performance.
8 secondary outcomes
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time frame: Up to 48 months
Duration of Response (DOR) per RECIST v 1.1
Time frame: Up to 48 months
Disease Control Rate (DCR) per RECIST v 1.1
Time frame: Up to 48 months
Pharmacokinetics (PK) of ASP3082 in plasma: Area under the concentration-time curve (AUC)
Time frame: Up to 48 months
PK of ASP3082 in plasma: Maximum Concentration (Cmax)
Time frame: Up to 48 months
PK of ASP3082 in plasma: concentration immediately prior to dosing at multiple dosing (Ctrough)
Time frame: Up to 48 months
PK of ASP3082 in plasma: Time of maximum concentration (tmax)
Time frame: Up to 48 months
Changes in Kirsten rat sarcoma (KRAS) viral oncogene homolog G12D in tumor samples
Time frame: Up to 48 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
- Derived from this study: PubMed 41879829Park W, Kasi A, Spira AI, Paz-Ares Rodriguez L, Herzberg BO, Pelster MS, Tolcher AW, Kuboki Y, Kitano S, Shoji H, Wang JS, Berlin JD, Hollebecque A, LoRusso P, Fountzilas C, Cassier PA, Nishina T, Sakai D, Inagaki C, Morgensztern D, Ueno M, Jung M, Kim SW, Janne PA, Italiano A, You B, Macarulla T, Fujii H, Shetty A, Lu Y, Cui D, Kadam S, Gill SC, Toyoshima J, Saito T, Goldman JW. Setidegrasib in Advanced Non-Small-Cell Lung Cancer and Pancreatic Cancer. N Engl J Med. 2026 Apr 9;394(14):1409-1420. doi: 10.1056/NEJMoa2600752. Epub 2026 Mar 25.
- Individual participant dataSharing planned: Yes. Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Medical Director study director
Astellas Pharma Inc
68 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Setidegrasib, Cetuximab and Leucovorin in people with Solid Tumor, run by Astellas Pharma Inc at 68 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 25 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 68 sites in United States, Japan, Spain, South Korea, France and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Astellas Pharma Global Development, Inc. (800-888-7704, astellas.registration@astellas.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Dose Limiting Toxicities (DLTs) (time frame: Up to 28 Days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05382559, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.