A total of 23 patients were enrolled (7 patients in phase Ia, 16 patients in phase Ib) and received at least one dose of study drug. Of these patients, 16 (70%) discontinued study treatment because of progressive disease (PD). Other causes for discontinuation of study treatment were physician decision (3 patients [13%]; 1 due to clinical decline, 1 due to cancer worsening, and 1 due to nonradiologic progression), withdrawal by patient (2 patients [9%]), TEAE (1 patient [4%], grade 4 cholestatic hepatitis), and death due to study disease (1 patient [4%]). The median (range) OS follow‐up time was 15.3 months (0.4–15.3). All patients had received prior systemic therapy in the metastatic setting, with a median (range) of 4 (1–10) prior regimens. The most common (received by ≥7 patients) prior systemic anticancer therapies in the metastatic setting were irinotecan (22 patients [96%]), 5 FU/capecitabine (22 patients [96%]), bevacizumab (18 patients [78%]), oxaliplatin (17 patients [74%]), cetuximab/panitumumab (13 patients [57%]), regorafenib (8 patients [35%]), and TAS 102 (7 patients [30%]). Exposure and dose modifications are summarized in Table 2. One patient had a ramucirumab dose reduction due to a TEAE of weight decreased. One patient each had a merestinib dose reduction due to TEAEs of blood bilirubin increased and fatigue, respectively. No patients underwent a postdiscontinuation surgical procedure. One patient (4.3%) received radiotherapy and four patients (17.4%) received a postdiscontinuation systemic therapy with investigational antineoplastic agents. |