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CompletedNCT04866134HERKULES-1Updated Sep 16, 2026

A Study of ERAS-007 as Monotherapy or in Combination With ERAS-601 in Patients With Advanced or Metastatic Solid Tumors

A Phase 1/2 interventional study of ERAS-007 and ERAS-601 in Advanced or Metastatic Solid Tumors, sponsored by Erasca, Inc.. Completed at 5 sites in United States. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Erasca, Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
85
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

  • To evaluate the safety and tolerability of ERAS-007 monotherapy administered once weekly (QW) and twice daily-once weekly (BID-QW).
  • To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 monotherapy administered BID-QW.
  • To characterize the pharmacokinetic (PK) profile of ERAS-007 monotherapy.
  • To determine the optimal dose and schedule of ERAS-007 monotherapy.
  • To evaluate antitumor activity of ERAS-007 in various solid tumors.
  • To evaluate the safety and tolerability of ERAS-007 (BID-QW) and ERAS-601 (twice daily for three weeks on and 1 week off (BID 3/1)) when administered in combination.
  • To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) of ERAS-007 administered in combination with ERAS-601.
  • To characterize the pharmacokinetic (PK) profile of ERAS-007 and ERAS-601 when administered in combination.
  • To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors
  • To evaluate antitumor activity of ERAS-007 and ERAS-601 when administered in combination in various solid tumors
Read the detailed description

This is a Phase 1b/2, open-label, multicenter clinical study of ERAS-007 monotherapy (QW or BID-QW) administered either QW or BID-QWand ERAS-007 (BID-QW) in combination with ERAS-601 (BID 3/1). The monotherapy RD on a weekly schedule has been determined to be 250 mg QW in a previous study. The dose escalation phases of this study will test ERAS-007 monotherapy administered BID-QW as a monotherapy or in combination with ERAS-601 in participants with any solid tumor. The monotherapy RD on a weekly schedule has been determined to be 250 mg QW in a previous study. In parallel, the dose expansion phase of this study will test ERAS-007 monotherapy administered at the RD of 250 mg QW in participants with advanced or metastatic solid tumors harboring specific molecular alterations. Once sufficient safety and PK data are available from the BID-QW dose escalation phase, the Sponsor will then determine the optimal dose and schedule of ERAS-007 administered as a monotherapy.

02

Conditions studied

  • Advanced or Metastatic Solid Tumors

Keywords

  • ERK
  • solid tumor
  • advanced solid tumor
  • metastatic solid tumor
  • neoplasms
  • solid malignancies
  • MAPK
  • SHP2
03

In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's enrollment of 85 is above the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Erasca, Inc. is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years.
  • Willing and able to give written informed consent.
  • Have histologically or cytologically confirmed advanced or metastatic solid tumor with a relevant molecular alteration (as applicable).
  • There is no available standard systemic therapy available for the patient's tumor histology and/or molecular biomarker profile; or standard therapy is intolerable, not effective, or not accessible; or patient has refused standard therapy.
  • Recovered from all toxicities associated with prior treatment to acceptable baseline status.
  • Have ECOG performance status of 0 or 1 with an anticipated life expectancy of > 12 weeks.
  • Willing to comply with all protocol-required visits, assessments, and procedures.
  • Able to swallow oral medication.

Exclusion criteria

Exclusion Criteria:

  • 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-007.
  • Received previous treatment with an ERK inhibitor.
  • For participants being considered for ERAS-007 + ERAS-601 (Part D): prior treatment with SHP2 inhibitor.
  • For participants being considered for ERAS-007 + ERAS-601 (Part D): documented PTPN11 mutations
  • Received prior antineoplastic therapy within \< 21 days or 5 half-lives, whichever is shorter.
  • Received prior palliative radiation within 7 days of first dose of ERAS 007 or ERAS-601,
  • Received previous treatment with a MAPK inhibitor that resulted in discontinuation due to unacceptable toxicity.
  • Prior surgery (e.g., gastric bypass surgery, gastrectomy) or gastrointestinal dysfunction (e.g., Crohn's disease, ulcerative colitis, short gut syndrome) that may affect drug absorption.
  • Have any underlying medical condition, psychiatric condition, or social situation that, in the opinion of the Investigator, would compromise study administration as per protocol or compromise the assessment of AEs.
  • Are pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
85 participants (actual)

Study arms

  • Experimental
    Dose Escalation (Part A): ERAS-007 Monotherapy, BID-QW dosing

    ERAS-007 monotherapy will be administered BID-QW in sequential ascending doses to participants with advanced or metastatic solid tumors until unacceptable toxicity, disease progression, or withdrawal of consent.

    Drug: ERAS-007

  • Experimental
    Dose Expansion (Part B): ERAS-007 Monotherapy, QW dosing

    ERAS-007 monotherapy will be administered at 250 mg QW to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.

    Drug: ERAS-007

  • Experimental
    Dose Expansion (Part C): ERAS-007 Monotherapy, BID-QW dosing (if necessary)

    Depending on data generated from Part A, ERAS-007 monotherapy may be administered at the BID-QW RD to participants with advanced or metastatic solid tumors that harbor specific molecular alterations.

    Drug: ERAS-007

  • Experimental
    Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601

    Experimental: Dose Escalation (Part D): ERAS-007 BID-QW dosing in combination with ERAS-601 ERAS-007 will be administered BID-QW in combination with ERAS-601 administered BID 3/1 to study participants with advanced or metastatic solid tumors that harbor specific molecular targets in sequential ascending doses until unacceptable toxicity, disease progression, or withdrawal of consent.

    Drug: ERAS-007 · Drug: ERAS-601

Interventions

  • DrugERAS-007

    ERAS-007 will be administered orally as specified in Arm description.

  • DrugERAS-601

    ERAS-601 will be administered orally as specified in Arm description.

06

What researchers measure

Primary outcomes

  1. Evaluate safety and tolerability of escalating doses of ERAS-007 BID-QW

    Based on adverse events observed

    Time frame: Assessed up to 24 months from time of first dose

  2. Dose Limiting Toxicities (DLT)

    Based on adverse events observed

    Time frame: Study Day 1 up to Day 29

  3. Maximum tolerated dose (MTD)

    Based on adverse events observed

    Time frame: Study Day 1 up to Day 29

  4. Recommended dose (RD)

    Based on adverse events observed

    Time frame: Study Day 1 up to Day 29

  5. Adverse Events

    Incidence and severity of treatment-emergent AEs and serious AEs

    Time frame: Assessed up to 24 months from time of first dose

  6. Plasma concentration (Cmax)

    Maximum plasma concentration of ERAS-007

    Time frame: Study Day 1 up to Day 29

  7. Time to achieve Cmax (Tmax)

    Time to achieve maximum plasma concentration of ERAS-007 and ERAS-601

    Time frame: Study Day 1 up to Day 29

  8. Area under the curve

    Area under the plasma concentration-time curve of ERAS-007 and ERAS-601

    Time frame: Study Day 1 up to Day 29

  9. Half-life

    Half-life of ERAS-007 and ERAS-601

    Time frame: Study Day 1 up to Day 29

Secondary outcomes

  1. Objective Response Rate (ORR)

    Based on assessment of radiographic imaging per RECIST version 1.1

    Time frame: Assessed up to 24 months from time of first dose

  2. Duration of Response (DOR)

    Based on assessment of radiographic imaging per RECIST version 1.1

    Time frame: Assessed up to 24 months from time of first dose

  3. Time to Response (TTR)

    Based on assessment of radiographic imaging per RECIST version 1.1

    Time frame: Assessed up to 24 months from time of first dose

Other outcomes

  1. Pharmacodynamic assessment

    Assessment of phosphorylated ERK (pERK) inhibition in isolated PBMCs or tumor tissue by immunoblot, IHC or immunofluorescence.

    Time frame: Assessed up to 24 months from time of first dose

07

Study locations

5 sites
  • Sarah Cannon Research Institute (HealthONE)
    Denver, Colorado 80218, United States
  • Sarah Cannon Research Institute (Florida Cancer Specialists)
    Sarasota, Florida 34232, United States
  • Sarah Cannon Research Institute (Tennessee Oncology)
    Nashville, Tennessee 37203, United States
  • Mary Crowley Cancer Research
    Dallas, Texas 75251, United States
  • NEXT Oncology
    San Antonio, Texas 78229, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04866134
Lead sponsor
Erasca, Inc.
Responsible party
Sponsor
First posted
Apr 29, 2021
Start date
May 7, 2021
Primary completion
Jul 1, 2026
Completion
Jul 1, 2026
Last update
Sep 16, 2026

Study contacts

Wei Lin, M.D.
study director · Chief Medical Officer

Oversight

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

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