Racura Oncology Ltd (ASX: RAC) announced that the HARNESS-1 Safety Review Committee cleared its Phase 1 HARNESS-1 trial to escalate RC220 from 50 mg/m2 to 100 mg/m2 in combination with osimertinib 80 mg daily for patients with EGFR-mutant non-small cell lung cancer, after reviewing safety data from Cohort 1 and finding no dose-limiting toxicities or other treatment-related safety concerns during the observation period in either patient; the company said the second Cohort 1 patient had received three RC220 doses 21 days apart without such issues, noted that a second patient had been added to Cohort 1 after the first patient experienced Grade 2 colitis outside the safety observation period where RC220 could not be excluded as a contributor, clarified that this clearance relates only to safety and dose-escalation rather than efficacy, explained that HARNESS-1 uses an accelerated titration design for the first three single-patient dose levels before potentially moving to a BOIN design, and stated that pre-screening is underway to enrol the single Cohort 2 patient at the 100 mg/m2 dose.
Key Points
Racura announced SRC clearance for HARNESS-1 to escalate RC220 to 100 mg/m2.
The HARNESS-1 trial is evaluating RC220 with osimertinib in EGFR-mutant non-small cell lung cancer.
The SRC reviewed safety data from both Cohort 1 patients treated at 50 mg/m2 RC220 plus osimertinib 80 mg daily.
Neither Cohort 1 patient experienced dose-limiting toxicity or other treatment-related safety concerns during the safety observation period.
The second Cohort 1 patient received three RC220 doses 21 days apart without dose-limiting toxicities or treatment-related safety concerns.
A second patient was added to Cohort 1 after the first patient experienced Grade 2 colitis outside the safety observation period.
Racura said the cause of the colitis could not be determined and RC220 could not be excluded by the SRC.
Pre-screening is underway for the single Cohort 2 patient, who will receive RC220 at 100 mg/m2.
The company emphasised that dose-escalation clearance does not demonstrate efficacy or prove RC220 is safe and effective overall.
HARNESS-1 uses an accelerated titration design for the first three dose levels of 50, 100 and 150 mg/m2 before potentially transitioning to a BOIN design at 200 mg/m2.
Racura said future market updates will depend on trial progress, including enrolment, dosing, safety review, dose escalation and any early efficacy signals.
CEO and Managing Director Dr Daniel Tillett described the SRC clearance as an important early milestone in the HARNESS-1 clinical development plan.
IMPORTANT NOTE: This information is autogenerated and has not been reviewed for accuracy or completeness. You should refer to the full announcement here for further information.