ClinicalTrials.gg
RecruitingNCT04683250MARGARETUpdated Aug 19, 2026

Study of RET Inhibitor TAS0953/HM06 in Patients With Advanced Solid Tumors With RET Gene Abnormalities

A Phase 1/2 interventional study of TAS0953/HM06 and TAS0953/HM06 in RET-altered Non Small Cell Lung Cancer and RET-altered Solid Tumors, sponsored by Taiho Pharmaceutical Co., Ltd.. Recruiting at 29 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Taiho Pharmaceutical Co., Ltd. (part of Otsuka Holdings Co., Ltd.) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2020; still recruiting 5 years 10 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
244
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Phase 1 and 2 trial to study the safety, pharmacokinetics, and efficacy of TAS0953/HM06 in patients with advanced solid tumors with RET gene abnormalities. Phase 1 aims to determine the Maximum Tolerated Dose (MTD) and identify the Recommended Phase 2 Dose (RP2D) to be used in phase 2.

02

Conditions studied

  • RET-altered Non Small Cell Lung Cancer
  • RET-altered Solid Tumors
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 244 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Taiho Pharmaceutical Co., Ltd. is the lead sponsor of 43 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Ages Eligible for Study:

- Adult patient (The definition of adulthood shall comply with the regulatory requirements of each region)

Inclusion criteria

Inclusion Criteria:

Phase I - Common inclusion criteria for Dose-Escalation / Dose-Expansion:

  • (ECOG) performance score of 0 or 1
  • Available RET-gene abnormalities determined on tissue or liquid biopsy. If deemed appropriate by the investigator, determination on a pleural cell block or cell pellet is also acceptable.
  • Adequate hematopoietic, hepatic and renal function

Phase I Dose-Escalation - Specific inclusion criteria:

  • Advanced solid tumors
  • Measurable and/or non- as determined by 1.1
  • If patient has brain and/or , (s)he should be asymptomatic.

Phase I Dose-Expansion - Specific inclusion criteria:

  • Patient with RET gene fusion :

    • Cohort 1, 3: locally advanced or NSCLC patients naïve to RET selective inhibitors and no prior systemic anti-cancer treatment. Patients who have been treated with or adjuvant chemotherapy may be included if it has been completed at least 6 months prior to the first dose of the study.
    • Cohort 2, 4: locally advanced or metastatic NSCLC patients with RET gene fusion and prior exposure to RET selective inhibitors.
  • Measurable disease as determined by RECIST 1.1
  • If patient has brain and/or leptomeningeal metastases,(s)he should have:

    • asymptomatic untreated brain/leptomeningeal metastases off and anticonvulsant for at least 7 days or
    • asymptomatic already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration.

Phase II :

  • Available RET-gene abnormalities determined on tissue or liquid biopsy
  • Locally advanced or metastatic:

    • NSCLC patients with primary RET gene fusion and prior exposure to RET selective inhibitors;
    • NSCLC patients with RET gene fusion and without prior exposure to RET selective inhibitors
    • patients with advanced solid tumors that harbour RET gene abnormalities (other than NSCLC patients with primary RET gene fusions) and has failed all the available therapeutic options
  • Eastern Cooperative Oncology Group (ECOG) performance score of 0-2
  • Measurable disease as determined by RECIST 1.1
  • If patient has brain and/or leptomeningeal metastases,(s)he should have:

    • asymptomatic untreated brain/leptomeningeal metastases off steroids and anticonvulsant for at least 7 days or
    • asymptomatic brain metastases already treated with local therapy and be clinically stable on steroids and anticonvulsant for at least 7 days before study drug administration.
  • Adequate hematopoietic, hepatic and renal function

Exclusion criteria

Exclusion Criteria:

Common exclusion criteria for Phase 1 and Phase 2

  • agents or anticancer therapy within 5 half-lives prior to the first dose of study drug
  • Major surgery (excluding placement of vascular access) within 4 weeks prior to the first dose of study drug or planned major surgery during the course of study treatment.
  • Whole Brain Radiotherapy within 14 days or other palliative radiotherapy within 7 days prior to the first dose of study drug, or persisting side effects of such therapy, in the opinion of the Investigator.
  • , uncontrolled, cardiovascular disease including myocardial infarction within 3 months prior to Day 1 of Cycle 1, unstable angina pectoris, significant valvular or pericardial disease, history of ventricular tachycardia, symptomatic Congestive Heart Failure (CHF) (NYHA) class III-IV, and severe uncontrolled arterial hypertension, according to the Investigator's opinion.
  • corrected using Fridericia's formula (QTcF) >470 msec; personal or family history of prolonged QT syndrome or history of Torsades de pointes (TdP). History of risk factors for TdP
  • Treatment with strong inhibitors within 1 week prior to the first dose of study drug or strong CYP3A4 inducers within 3 weeks prior to the first dose of study drug.

Phase I Dose-Expansion - and Phase II specific exclusion criteria:

  • Presence of known EGFR, KRAS, ALK, , ROS1, BRAF and METex14 activating mutations.
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
244 participants (estimated)

Study arms

  • Experimental
    TAS0953/HM06 Phase 1

    Dose escalation and dose expansion until recommended Phase 2 dose determined

    Drug: TAS0953/HM06

  • Experimental
    TAS0953/HM06 Phase 2

    Treatment phase at recommended Phase 2 dose in three different populations

    Drug: TAS0953/HM06

Interventions

  • DrugTAS0953/HM06

    Phase 1: oral, starting dose 20mg twice a day, until recommended phase 2 dose, continuous daily dosing, cycles lasting 21 days

  • DrugTAS0953/HM06

    Phase 2: oral, recommended dose twice a day, continuous daily dosing, cycles lasting 21 days

06

What researchers measure

Primary outcomes

  1. Phase 1 (dose-escalation): Maximum Tolerated Dose (MTD)

    Incidence rate and category of dose limiting toxicities (DLTs)

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

  2. Phase 1 (dose-expansion): Recommended Phase 2 dose (RP2D)

    Time frame: At the end of Cycle 1 (each cycle is 21 days), and at the end of every subsequent cycle (each cycle is 21 days) for approximately 10 months (or earlier if patient discontinues the study)

  3. Phase 2: Objective Response Rate (ORR) by independent central review

    Proportion of patients with confirmed complete response (CR) and or partial response (PR) according to RECIST 1.1 as assessed by independent central review

    Time frame: Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease.

Secondary outcomes

  1. Phase 1 (dose expansion): Objective Response Rate (ORR) by independent central review

    Proportion of patients with confirmed complete response (CR) and or partial response (PR) according to RECIST 1.1 as assessed by independent central review

    Time frame: Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease

  2. Phase 2: ORR by Investigator

    Proportion of patients with confirmed complete response (CR) and or partial response (PR) according to RECIST 1.1 as assessed by Investigator

    Time frame: Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease

  3. Phase 2: Disease Control Rate (DCR)

    Proportion of patients with confirmed complete response (CR), partial response (PR) and Stable Disease according to RECIST 1.1 as assessed by Investigator

    Time frame: Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease

  4. Phase 2: Time to Tumor Response (TTR)

    Time from first dose to first documentation of objective tumor response (CR or PR)

    Time frame: From date of randomization until the date of first documentation of objective tumor response, assessed up to an average of 2 years.

  5. Phase 2: Progression Free Survival (PFS)

    Time from first dose to first documentation of objective disease progression or to death due to any cause, whichever occurs first

    Time frame: From date of randomization until the date of first documented progression or death due to any cause, whichever occurs first, assessed up to an average of 2 years.

  6. Phase 2: Time to Progression (TTP)

    Time from first dose to objective tumor progression

    Time frame: From date of randomization until the date of first documented progression, assessed up to an average of 2 years

  7. Phase 2: Duration of Response (DOR)

    Time from first documentation of tumor response (CR + PR) to disease progression or death due any cause whichever occurs first

    Time frame: From first documentation of objective tumor response (CR or PR) until the date of first documented progression or death due to any causes, whichever occurs first, assessed up to an average of 2 years

  8. Phase 2: Overall Survival (OS)

    Time from first dose to date of death due to any cause

    Time frame: From date of randomization until the date of death due to any cause, assessed up to an average of 2 years

  9. Phase 2: Central Nervous System (CNS) ORR (C-ORR)

    Rate of confirmed CR and PR relative to patients with brain lesions at study entry

    Time frame: Approximately every 6 weeks for 6 months, then every 9 weeks during treatment, 7 days after the last dose, and every 3 months after the last dose (up to an average of 2 years) in patients without progressive disease

  10. Phase 2: Central Nervous System DOR (C-DOR)

    Time from documentation of intracranial tumor response to disease progression or death due to any cause whichever occurs first

    Time frame: From first documentation of objective tumor response (CR or PR) until the date of first documented progression or death due to any causes, whichever occurs first, assessed up to an average of 2 years

  11. Phase 2: Time to CNS progression

    Time from the first dose to the first radiological evidence of CNS disease progression

    Time frame: From date of randomization until the date of first documented progression, assessed up to an average of 2 years

  12. Phase 1 (dose-escalation): Area under the plasma concentration versus time curve from time 0 to 12 hours (AUC0-12)

    Time frame: Day -1 of Cycle 1 (each cycle is 21 days)

  13. Phase 1 (dose-escalation): AUC0-24

    Time frame: Day -1 of Cycle 1 (each cycle is 21 days)

  14. Phase 1 (dose-escalation): AUC0-infinity

    Time frame: Day -1 of Cycle 1 (each cycle is 21 days)

  15. Phase 1 (dose-escalation): AUC0-12 at steady state

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  16. Phase 1 (dose-escalation): Maximum drug concentration (Cmax)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  17. Phase 1 (dose-escalation): Trough drug concentration at 12 hours (Ctrough)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  18. Phase 1 (dose-escalation): Time to maximum plasma concentration (tmax)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  19. Phase 1 (dose-escalation): Terminal half-life (t1/2)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  20. Phase 1 (dose-escalation): Accumulation factor based on Cmax (Rmax)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  21. Phase 1 (dose-escalation): Accumulation factor based on Ctrough (Rmin)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  22. Phase 1 (dose-escalation): Terminal rate constant (lambda_z)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  23. Phase 1 (dose-escalation): Volume of Distribution (Vz/F)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  24. Phase 1 (dose-escalation): Systemic clearance (CL/F)

    Time frame: Day -1 and Day 15 of Cycle 1 (each cycle is 21 days)

  25. Phase 1 (dose-escalation): Amount excreted in 0-24 hour urine (Ae0-24)

    Time frame: Day -1 of Cycle 1 (each cycle is 21 days)

  26. Phase 1 (dose-escalation): Renal Clearance (CL_R)

    Time frame: Day -1 of Cycle 1 (each cycle is 21 days)

  27. Phase 1 (dose-expansion): AUC0-12 at steady state

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  28. Phase 1 (dose-expansion): Maximum drug concentration (Cmax)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  29. Phase 1 (dose-expansion): Trough drug concentration at 12 hours (Ctrough)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  30. Phase 1 (dose-expansion): Time to maximum plasma concentration (tmax)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  31. Phase 1 (dose-expansion): Terminal rate constant (lambda_z)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  32. Phase 1 (dose-expansion): Terminal half-life (t1/2)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  33. Phase 2 Population PK: Typical value of absorption rate constant (Ka)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  34. Phase 2 Population PK: Typical value of CL/F

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  35. Phase 2 Population PK: Typical value of volume of distribution (V/F)

    Time frame: Day 15 of Cycle 1 (each cycle is 21 days)

  36. Phase 1: Incidence of abnormal electrocardiograms (ECG QT interval). QT will be corrected for heart rate (QTc) using Fridericia's formula (QTcF).

    Time frame: On Day 1, Day 8 (only in dose escalation), Day 15 in cycle 1, Day 1 of any subsequent cycles (each cycle is 21 days) during treatment, for approximately 10 months (or earlier if the patient discontinues from the study), and 7 days after last dose

  37. Phase 1: Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: From the time of informed consent, for approximately 10 months (or earlier if the patient discontinues from the study), and through Safety Follow-up (28 days after the last dose)

  38. Phase 1: Incidence of serious adverse events (SAEs)

    Time frame: From the time of informed consent, for approximately 10 months (or earlier if the patient discontinues from the study), and through Safety Follow-up (28 days after the last dose)

  39. Phase 2: Incidence of abnormal electrocardiograms (ECG QT interval). QT will be corrected for heart rate (QTc) using Fridericia's formula (QTcF).

    Time frame: On Day 1 and Day 15 in cycle 1, Day 1 of any subsequent cycles (each cycle is 21 days) during treatment, for approximately 2 years (or earlier if the patient discontinues from the study), and 7 days after last dose

  40. Phase 2: Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: From the time of informed consent for approximately 2 years (or earlier if the patient discontinues from the study), and through Safety Follow-up (28 days after the last dose)

  41. Phase 2: Incidence of serious adverse events (SAEs)

    Time frame: From the time of informed consent for approximately 2 years (or earlier if the patient discontinues from the study), and through Safety Follow-up (28 days after the last dose)

07

Study locations

20 of 29 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2020 (actual). Primary completion is estimated for Mar 2030, 111 months after the start.

Of 308 industry-sponsored phase 1/2 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 39 and three quarters within 77. This study's planned 111 months is above that.

Counting every sponsor, half of 431 studies reached it within 63 months; a quarter within 42 and three quarters within 80.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 4, 2020
First posted
Dec 24, 2020
StartActual
Dec 16, 2020
Primary completionEst.
Mar 2030
CompletionEst.
Mar 2031
Last update
Aug 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04683250
Responsible party
Sponsor
First posted
Dec 24, 2020
Start date
Dec 16, 2020
Primary completion
Mar 2030 (estimated)
Completion
Mar 2031 (estimated)
Last update
Aug 19, 2026

Study contacts

Kazuo Koba
Contact
k-koba@taiho.co.jp
+81-3-3294-4527

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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