- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05041972
ARX788 in Selected HER2-mutated or HER2-amplified/Overexpressed Solid Tumors (ACE-Pan Tumor-02)
A Global Phase 2 Study to Evaluate the Efficacy and Safety of ARX788 for Selected HER2-mutated or HER2-amplified/Overexpressed Solid Tumors
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
Florida
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Miami Beach, Florida, United States, 33140
- Mount Sinai Medical Center
-
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Missouri
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Kansas City, Missouri, United States, 64114
- AMR Kansas City
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18 years and older
- Life expectancy > 3 months
- Eastern Cooperative Oncology Performance Status ≤ 1
- HER2 status must be determined from a local Clinical Laboratory Improvement Amendments (CLIA) or equivalent-certified laboratory.
- Cohort 1, Cohort 2, and Explanatory Cohort A: HER2 mutated subjects with pre-specified HER2 activating mutation. Subjects with HER2 mutations in NSCLC (Cohort 1), breast cancer (Cohort 2), and other solid tumors (Cohort A) who have not received prior HER2 antibody drug conjugate (ADC) treatment are eligible.
- Cohort 3: Subjects with HER2 amplifications in biliary tract cancers (BTC) who have not received prior HER2 ADC treatment are eligible.
- Cohort 4: Subjects with HER2 amplifications in colorectal cancer (CRC), ovarian, endometrial, NSCLC and other solid tumors who have not received prior HER2 ADC treatment are eligible.
- Cohort 5 HER2 mutation or HER2 amplification: subjects with HER2 mutated or amplified tumors and have been previously treated with HER2 ADC are eligible.
- Subjects who are resistant or refractory to previous standard care of treatment.
- Subjects with stable brain metastases.
- Adequate organ functions.
Exclusion Criteria:
Any subject who meets any of the following criteria is excluded from the study:
- For Cohort 4: breast and gastric/GEJ cancer are excluded.
- Prior history of interstitial lung disease, pneumonitis, or other clinically significant lung disease within 12 months.
- History of ocular events, any current ongoing active ocular infections, or any chronic corneal disease unless approved by Medical Monitor.
- Exposure to any other investigational or commercial anticancer agents or therapies administered with the intention to treat malignancy within 14 days before the first dose of ARX788.
- Clinically significant surgical intervention (excluding diagnostic biopsy) within 21 days of the first dose of ARX788.
- Radiotherapy administered less than 21 days prior to the first dose of ARX788, or localized palliative radiotherapy administered less than 7 days prior to the first dose of ARX788, or radiotherapy-induced toxicity of Grade 2 or greater based on NCI-CTCAE v 5.0.
There are additional inclusion and exclusion criteria. The study center will determine if criteria for participation are met.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cohort 1: HER2 Mutated Non-Small Cell Lung Cancer (NSCLC)
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
Experimental: Cohort 2: HER2 Mutation Breast Cancer
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
Experimental: Exploratory Cohort A: Other HER2-Mutated tumors
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
Experimental: Cohort 3: HER2 Amplification Biliary Tract Cancer (BTC)
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
Experimental: Cohort 4 HER2 Amplification Colorectal (CRC), Ovarian Endometrial, NSCLC, and other solid tumors
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
Experimental: Cohort 5: HER2 Mutation or HER2 Amplification Solid Tumors
Intervention: Drug: ARX788
|
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective response rate (ORR)
Time Frame: At the end of every 2 cycles (each cycle is 21 days)
|
The confirmed objective response rate (ORR) of ARX788 by blinded independent central review (BICR) based on RECIST 1.1 in Cohorts 1-5. The ORR is defined as the number of subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable subjects |
At the end of every 2 cycles (each cycle is 21 days)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of Response
Time Frame: 1 year
|
DOR is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for subjects with a BOR of CR or PR.
|
1 year
|
Best Overall Response (BOR)
Time Frame: At the end of every 2 cycles (each cycle is 21 days)
|
BOR is defined as the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started).
|
At the end of every 2 cycles (each cycle is 21 days)
|
Disease Control Rate (DCR)
Time Frame: 2 years
|
DCR is defined as the proportion of complete response (CR), partial response (PR), and stable disease (SD) rates.
|
2 years
|
Progression Free Survival (PFS)
Time Frame: 2 years
|
PFS is defined as the time between date of first dose of study therapy and date of progression or death.
|
2 years
|
Overall Survival (OS)
Time Frame: 2 years
|
Overall survival (OS) is defined as the time from first dose of study therapy to the date of death (any cause).
|
2 years
|
Time to Response (TTR)
Time Frame: At the end of every 2 cycles (each cycle is 21 days)
|
Time to response (TTR) is defined as the time from the start of treatment to the first objective tumor response
|
At the end of every 2 cycles (each cycle is 21 days)
|
Maximum serum concentration (Cmax) for ARX788, total antibody, and metabolites
Time Frame: Cycle 1 and Cycle 3
|
Pharmacokinetic parameter maximum serum concentration (Cmax) for ARX788, total antibody, and metabolites.
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Cycle 1 and Cycle 3
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Trough concentration (Ctrough) for ARX788, total antibody, and metabolites
Time Frame: Cycle 1 and Cycle 3
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Pharmacokinetic parameter trough concentration (Ctrough) for ARX788, total antibody, and metabolites.
|
Cycle 1 and Cycle 3
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Incidence of anti-drug antibodies (ADAs)
Time Frame: Predose at every cycle (each cycle is 21 days)
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Incidence of anti-drug antibodies (ADAs) following intravenous administration of ARX788 in participants with HER2-mutated or HER2-amplified locally advanced or metastatic solid tumors.
|
Predose at every cycle (each cycle is 21 days)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Global Trial Lead, Ambrx, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ACE-Pan tumor-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
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