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Looking for participantsPhase1

A Phase 1/1b Study of IAM1363 in HER2 Cancers

Sponsor: Iambic Therapeutics, Inc

NCT ID: NCT06253871

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
IAM1363 (drug)
How long the study runs
Study runs about 57 months (dates as stated)
About the drug or intervention
IAM1363 — drug: IAM1363 monotherapy OR IAM1363 in combination with capecitabine + trastuzumab OR IAM1363 in combination with capecitabine + zanidatamab OR IAM1363 in combination with T-Dxd OR IAM1363 in combination with pembrolizumab +/- carboplatin and pemetrexed
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
383
Started
2024-03-25
Last checked
2026-09

Plain English Summary

What is this study?

  • • Testing a new treatment for her2 mutation-related tumors
  • • Phase1 - 383 participants
  • • This is a Phase 1/1b open-label, multi-center dose escalation and dose optimization study designed to evaluate the safety and preliminary efficacy of IAM1363 in participants with advanced cancers that harbor HER2 alterations

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with her2 mutation-related tumors

Where?

  • • Chelsea - Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Chelsea)
  • • Oxford - Oxford University Hospitals NHS Foundation Trust Churchill Hospital
  • • Sutton - Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Sutton

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This is a Phase 1/1b open-label, multi-center dose escalation and dose optimization study designed to evaluate the safety and preliminary efficacy of IAM1363 in participants with advanced cancers that harbor HER2 alterations.

More detail

This is a Phase 1/1b open-label, multi-center study, designed to evaluate IAM1363 in participants with advanced cancers that harbor HER2 alterations. This study consists of the following 4 parts: * Part 1 (Monotherapy Dose Escalation) * Part 2 (Dose Optimization) * Part 3 (Dose Expansion) * Part 4 (Combination Cohorts) Part 1 will enroll participants with a confirmed, relapsed/refractory malignancy with documented diagnosis of HER2 alterations including participants with brain metastases. Once a provisional maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) has been determined, Part 2 will enroll additional cohorts to optimize dose selection and to further evaluate the safety and preliminary efficacy of IAM1363. Following completion of Dose Optimization, Part 3 will be opened to enroll tumor-specific cohorts utilizing a Simon 2-Stage Minimax Design to evaluate IAM1363 at the selected dose(s). Part 4 will enroll 4 cohorts of participants who will receive IAM1363 in combination with other anti-cancer agents.

HER2 Mutation-Related TumorsHER2HER2-positive Breast CancerHER2 + Breast CancerBrain Metastases From Solid TumorsBrain Metastases From HER2 and Breast CancerCNS MetastasesHER2-Positive Solid TumorsNSCLC (Non-small Cell Lung Cancer)HER2-positive Bladder CancerHER2-positive Colorectal CancerHER2 + Gastric CancerHER2-positive Gastroesophageal Cancer

How this trial compares with your answers

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

Biomarkers mentioned

HER2CD4

What the study is looking for

  • ✓Age ≥ 18 years
  • ✓Have relapsed/refractory HER2-altered cancer; for selected cohorts, prospective confirmation of HER2 alteration...
  • ✓Have progression of disease after the last treatment that goes through your whole body, or be intolerant of last treatment that goes through your whole body
  • ✓Have radiographically cancer that can be measured on scans by (standard scan measurements) and/or RANO-BM
  • ✓activity scale (ECOG) performance score 0-1

Who cannot take part

  • ✗Clinically significant heart disease
  • ✗Infection with human immunodeficiency virus (HIV)-1 or HIV-2. Exception: Participants with well-controlled HIV...
  • ✗Current active liver disease including hepatitis A, hepatitis B , or hepatitis C
  • ✗Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant small bowel resection that...
  • ✗Uncontrolled diabetes
See the full criteria
Key Inclusion Criteria: * Age ≥ 18 years * Have relapsed/refractory HER2-altered malignancy; for selected cohorts, prospective confirmation of HER2 alteration by central testing is required * Have progression of disease after the last systemic therapy, or be intolerant of last systemic therapy * Have radiographically measurable disease by RECIST v1.1 and/or RANO-BM * Eastern Cooperative Oncology Group (ECOG) performance score 0-1 * Have adequate baseline hematologic, liver and renal function * Have left ventricular ejection fraction (LVEF) ≥ 50% * Able to swallow oral medication Key Exclusion Criteria: * Clinically significant cardiac disease * Infection with human immunodeficiency virus (HIV)-1 or HIV-2. Exception: Participants with well-controlled HIV (e.g., CD4 \>350/mm3 and undetectable viral load) are eligible * Current active liver disease including hepatitis A, hepatitis B , or hepatitis C * Refractory nausea and vomiting, malabsorption, external biliary shunt, or significant small bowel resection that would preclude adequate absorption * Uncontrolled diabetes * History of solid organ transplantation * History of Grade ≥2 CNS hemorrhage, or any CNS hemorrhage within 28 days before C1D1 * Prior history of non-infectious interstitial lung disease (ILD). (Exceptions: participants with prior grade 1 ILD that has completely resolved are eligible) * Participants requiring immediate local therapy for brain metastases

Where Is This Study? (3 UK sites)

Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Chelsea)

Chelsea SW3 6JJ, United Kingdom

Recruiting
Hospital R&D contact (matched)

Mark Brandon-Grove

research.development@rmh.nhs.uk020 3186 5416

Oxford University Hospitals NHS Foundation Trust Churchill Hospital

Oxford OX3 7LE, United Kingdom

Recruiting
Hospital R&D contact (matched)

Shahista Hussain

ouhtma@ouh.nhs.uk---

Royal Marsden NHS Foundation Trust, Royal Marsden Hospital (RMH)/Sutton

Sutton SM2 5PT, United Kingdom

Recruiting
Hospital R&D contact (matched)

Mark Brandon-Grove

research.development@rmh.nhs.uk020 3186 5416

How to Get in Touch

Iambic Therapeutics, Inc., Senior Medical Director

Sponsor contact

CONTACT

619-330-5499 ClinicalTrials@Iambic.ai
Data sourced from ClinicalTrials.gov · Last verified: 2026-09