AOH1996 for the Treatment of Refractory Solid Tumors

Prior treatment

• Concomitant Medications/Therapies \_\_1. Dietary/herbal supplements
• 5\. Strong inhibitors or inducers of CYP2C9
• 7\. Issues with tolerating oral medication (e.g., inability to swallow pills, malabsorption issues, ongoing nausea or vomiting).

Other illness

• 6\. Strong inhibitors or inducers of CYP3A
  • Other Illnesses and Conditions
• 9\. Known allergy to any of the components within the study agents and/or their excipients.
• 10\. No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for three years.
• 11\. Intercurrent or historic medical condition that increases subject risk in the opinion of the Investigator. Eligibility may be revisited for intercurrent medical conditions once resolution/recovery is deemed adequate by the investigator (e.g. recovery from major surgery, completion of treatment for severe infection).
  • Noncompliance
  • \_\_12. Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics).
  • \*\*Eligibility should be confirmed per institutional policies.

Lab values

• 2\. Other investigational products or chemotherapy. Exception: EGFR TKI in the NSCLC expansion cohort is allowed.

Other

• 3\. Warfarin
• 4\. Current or planned use of agents contraindicated for use with strong CYP3A4 inducers
• 8\. Women who are or are planning to become pregnant or breastfeed

• Informed Consent and Willingness to Participate
• 1\. Documented informed consent by the participant
• 2\. Willingness to permit study team to obtain and use archival tissue, if already existing
  • Age Criteria, Performance Status and Life Expectancy
• 3\. Age: ≥ 18 years
• 4\. ECOG performance status ≤ 2
• 5\. Life expectancy of \> 3 months
  • Nature of Illness and Treatment History \_\_6. Patients with solid tumors failing standard therapies or patients refusing standard treatments (exception: Part B NSCLC combination (EGFR TKI + AOH1996) cohort: patients with stable disease or better on EGFR TKI for at least 2 months)
  • Contraception
  • \_\_7. Agreement by females and males of childbearing potential\* to use an adequate method of birth control (hormonal contraception is inadequate) or abstain from heterosexual activity for the course of the study through 30 days after the last dose of study medication. See Appendix B for guidelines.
  • \- Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for \> 1 year (women only).
  • Laboratory Criteria (to be performed within 14 days prior to Day 1)
• 8\. ANC ≥ 1,500/mm3
• 9\. Platelets ≥ 100,000/mm3 :
• 10\. Total serum bilirubin ≤ 1.5 x ULN
• 11\. AST =\< 1.5 x ULN or =\< 3 x ULN with liver metastases
• 12\. ALT =\< 1.5 x ULN or =\< 3 x ULN with liver metastases
• 13\. Creatinine clearance of ≥ 60 mL/min per 24 hour urine or the Cockcroft-Gault
• 14\. Women of childbearing potential (WOCBP): negative urine or serum pregnancy test If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required