A Clinical Trial Evaluating the Safety of TD001 In Patients With PSMA-Expressing Metastatic Prostate Cancer
A Phase 1/2 Dose Escalation Trial With Administration Schedule Exploration Evaluating Single Agent TD001, a PSMA-Targeted Antibody-Drug Conjugate, in Patients With PSMA-Expressing Metastatic Castration-Resistant Prostate Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: TOAD Clinical Operations
- Phone Number: 41 41 556 64 01
- Email: contact@toadonco.com
Study Locations
-
-
Victoria
-
Melbourne, Victoria, Australia, 3000
- Recruiting
- Peter MacCallum Cancer Centre
-
-
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2M9
- Recruiting
- Princess Margaret Cancer Centre
-
-
-
-
-
Bordeaux, France, 33076
- Recruiting
- Institut Bergonie
-
Paris, France, 75014
- Recruiting
- Hôpital Paris Saint Joseph
-
Villejuif, France, 94805
- Recruiting
- Institut Gustave Roussy
-
-
-
-
-
Barcelona, Spain, 08035
- Recruiting
- Vall d'Hebron Institute of Oncology
-
-
-
-
Connecticut
-
New Haven, Connecticut, United States, 06520
- Not yet recruiting
- Yale University, Yale Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient must fully understand the study requirements and voluntarily sign informed consent.
- PSMA-expressing metastatic CRPC with documented progression based on serum PSA, RECIST 1.1 with PCWG3, and/or bone disease.
- At least one measurable metastatic lesion per RECIST 1.1.
- Adequate organ function.
- Prior orchiectomy and/or ongoing androgen deprivation therapy.
- Prior treatment with at least one androgen receptor pathway inhibitor (ARPI) drug.
Exclusion Criteria:
- Previous treatment with strontium-89, samarium-153, rhenium-186, rhenium-188, radium-223, or hemi-body irradiation, within 6 months before treatment.
- Systemic anticancer therapy including an investigational agent within 28 days before treatment.
- Known hypersensitivity to the components of TD001, its analogs, or excipients.
- Current dyspnea at rest, other disease requiring continuous oxygen therapy, or history of pneumonitis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose escalation
Sequential groups of participants receive TD001 at escalating doses
|
Intravenous (IV) infusion at protocol-defined doses and schedules until disease progression or other reason to end treatment
|
|
Experimental: RP2D dose expansion
Groups of participants receive TD001 at the recommended Phase 2 doses (RP2Ds)
|
Intravenous (IV) infusion at protocol-defined doses and schedules until disease progression or other reason to end treatment
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recommended Phase 2 doses (dose escalation)
Time Frame: Treatment + follow-up (estimated 9 months)
|
Incidence of AEs, SAEs, abnormal laboratory parameters, TD001 discontinuation or modification due to AEs, as assessed by CTCAE v6.0
|
Treatment + follow-up (estimated 9 months)
|
|
Safety/tolerability - incidence of AEs, SAEs, abnormal laboratory parameters (dose escalation + expansion)
Time Frame: Treatment + follow-up (estimated 21 months)
|
AEs, SAEs, abnormal laboratory parameters by type, severity, and relatedness as assessed by CTCAE v6.0
|
Treatment + follow-up (estimated 21 months)
|
|
Safety/tolerability - incidence of TD001 discontinuation or modification due to AEs (dose escalation + expansion)
Time Frame: Treatment + follow-up (estimated 21 months)
|
AEs by type, severity, and relatedness as assessed by CTCAE v6.0
|
Treatment + follow-up (estimated 21 months)
|
|
Maximum tolerated dose (dose escalation)
Time Frame: Treatment + follow-up (estimated 9 months)
|
Number of participants with dose-limiting toxicity; incidence of adverse events (AEs), serious AEs (SAEs), abnormal laboratory parameters, TD001 discontinuation or modification due to AEs, as assessed by CTCAE v6.0
|
Treatment + follow-up (estimated 9 months)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Plasma PK - AUC
Time Frame: Estimated 6-8 months
|
Area under the concentration-time curve for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
Plasma PK - AUClast
Time Frame: Estimated 6-8 months
|
Area under concentration-time curve from time zero to the last measurable concentration for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
Plasma PK - Cmax
Time Frame: Estimated 6-8 months
|
Maximum concentration for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
Plasma PK - Tmax
Time Frame: Estimated 6-8 months
|
Time to maximum concentration for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
Plasma PK - T1/2
Time Frame: Estimated 6-8 months
|
Terminal elimination half-life for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
Plasma PK - Ctrough
Time Frame: Estimated 6-8 months
|
Trough concentration for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
PSA progression-free survival
Time Frame: Treatment + follow-up (estimated 21 months)
|
Per PCWG3
|
Treatment + follow-up (estimated 21 months)
|
|
Radiographic progression-free survival
Time Frame: Treatment + follow-up (estimated 21 months)
|
per PCWG3-modified RECIST 1.1
|
Treatment + follow-up (estimated 21 months)
|
|
Duration of response
Time Frame: Treatment + follow-up (estimated 21 months)
|
For PSA and radiographic response
|
Treatment + follow-up (estimated 21 months)
|
|
Disease control rate
Time Frame: Treatment (estimated 8 months)
|
Best response of CR, PR or SD
|
Treatment (estimated 8 months)
|
|
Overall survival
Time Frame: Treatment + follow-up (estimated 21 months)
|
Treatment + follow-up (estimated 21 months)
|
|
|
Immunogenicity - prevalance and incidence of ADAs
Time Frame: Treatment period + follow-up (estimated 9 months)
|
ADAs against TD001 prior to first dose and at any time on treatment
|
Treatment period + follow-up (estimated 9 months)
|
|
Plasma PK - AUCtau
Time Frame: Estimated 6-8 months
|
Area under concentration-time curve from time zero to the end of the dosing interval for total ADC, total antibody, and unconjugated payload
|
Estimated 6-8 months
|
|
PSA50 response rate
Time Frame: Treatment (estimated 8 months)
|
≥50% PSA decrease from baseline, per PCWG3
|
Treatment (estimated 8 months)
|
|
Overall response rate
Time Frame: Treatment (estimated 8 months)
|
Best response of CR or PR per PCWG3-modified RECIST 1.1
|
Treatment (estimated 8 months)
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TD001-101
- 2025-523273-41-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.