A PD Study of Oral eFT508 in Subjects With Advanced TNBC and HCC

Inclusion Criteria (TNBC Cohort Only):

Women ≥18 years of age
Pathologically documented diagnosis of TNBC that is metastatic or locally advanced and unresectable
Adequate hepatic function and coagulation profile
Negative HIV, HBV and HCV

Inclusion Criteria (HCC Cohort Only):

Men or Women ≥18 years of age
Histological or cytological confirmed diagnosis of HCC with Barcelona Clinic Liver Cancer Stage B or C who cannot benefit from resection, local ablation, or chemoembolization
ECOG performance status of 0 or 1
Has at least 1 measurable lesion based on irRECIST 1.1.
Negative HIV tests

Inclusion Criteria (Either Cohort):

subject agrees to undergo a pre-treatment and an on-treatment biopsy of the tumor
Completion of all previous therapy for the treatment of cancer ≥3 weeks before the start of study drug
All acute toxic effects of any prior antitumor therapy resolved to Grade ≤1 before the start of study drug
Adequate bone marrow and renal function
Life expectancy of ≥3 months

Exclusion Criteria (Either Cohort):

Pregnant or breastfeeding
History of another malignancy except for the following: adequately treated local basal cell or squamous cell carcinoma of the skin; in situ cervical carcinoma; adequately treated, papillary, noninvasive bladder cancer; other adequately treated Stage 1 or 2 cancers currently in complete remission; or any other cancer that has been in complete remission for ≥2 years.
Gastrointestinal disease that may interfere with drug absorption or with interpretation of GI AEs.
Known symptomatic brain metastases requiring ≥10 mg/day of prednisolone (or its equivalent).
Significant cardiovascular disease within 6 months prior to start of study drug
Ongoing risk for bleeding due to active peptic ulcer disease or bleeding diathesis or requirement for systemic anticoagulation with unfractionated heparin, low-molecular-weight heparin or heparin fractions, or oral anticoagulants.
Evidence of an ongoing systemic bacterial, fungal, or viral infection
Has received a live vaccine within 30 days of planned start of study drug
Major surgery within 4 weeks before the start of study drug
Prior solid organ or bone marrow progenitor cell transplantation
Prior therapy with any known inhibitor of MNK1 or MNK2
Prior high dose chemotherapy requiring stem cell rescue
History of or active autoimmune disorders or other conditions that might impair or compromise the immune system
Ongoing immunosuppressive therapy, including systemic or enteric corticosteroids
Use of a strong inhibitor or inducer of cytochrome P450 (CYP)3A4 within 7 days prior to the start of study drug or expected requirement for use of a strong CYP3A4 inhibitor or inducer during study participation
Need for proton pump inhibitors and histamine H2 blockers
Previously received investigational product in a clinical trial within 30 days or within 5 elimination half lives (whichever is longer) prior to the start of study drug, or is planning to take part in another clinical trial while participating in this study
HCC Cohort Only: Portal vein invasion at the main portal (Vp4), inferior vena cava, or cardiac involvement of HCC based on imaging.