Studie FiH ke zkoumání bezpečnosti, PK a účinnosti NaPi2b ADC TUB-040 u pacientů s PROC nebo r/r adenokarcinomem NSCLC (NAPISTAR1-01)
První studie fáze I/IIa eskalace a optimalizace dávek u člověka k prozkoumání bezpečnosti, snášenlivosti, PK a účinnosti NaPi2b ADC TUB-040 u pacientů s vysoce kvalitním karcinomem vaječníků rezistentním na platinu (PROC) nebo r/r Adenokarcinom nemalobuněčný karcinom plic (NSCLC)
The goal of this clinical study is to learn more about the study drug, TUB-040, including its safety, tolerability, pharmacokinetics, and preliminary efficacy, and to determine the best dose of TUB-040 in participants with ovarian cancer or non-small cell lung cancer (NSCLC).
The primary objectives of this study are:
Phase 1: To determine the safety and tolerability of TUB-040 and determine the maximum tolerated dose (MTD) or the identified dose for optimization (IDO).
Phase 2a: To assess safety of TUB-040, the preliminary efficacy of TUB-040, and to identify the recommended phase II dose (RP2D) for further development of TUB-040 .
Phase 2b: To determine the efficacy of TUB-040 in patients with PROC.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Fáze 2
- Fáze 1
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Gilead Clinical Study Information Center
- Telefonní číslo: 1-833-445-3230 (GILEAD-0)
- E-mail: GileadClinicalTrials@gilead.com
Studijní místa
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Leuven, Belgie, 3000
- Nábor
- UZ Leuven - PPDS
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Berlin, Německo, 13353
- Nábor
- Charité- Universitaetsmedizin Berlin
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Cologne, Německo, 50937
- Nábor
- University Hospital of Cologne
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Cluj-Napoca, Rumunsko, 40015
- Nábor
- ARENSIA Exploratory Medicine, LLC
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London, Spojené království, SE1 9RT
- Aktivní, ne nábor
- Guy's Hospital
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Alabama
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Birmingham, Alabama, Spojené státy, 35294
- Nábor
- University of Alabama at Birmingham
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Georgia
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Atlanta, Georgia, Spojené státy, 30322
- Nábor
- Winship Cancer Institute Emory University
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Massachusetts
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Boston, Massachusetts, Spojené státy, 02215
- Nábor
- Dana Farber Cancer Institute (DFCI)
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New Jersey
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East Brunswick, New Jersey, Spojené státy, 08816
- Nábor
- START New Jersey (Astera Cancer Center)
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New York
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New York, New York, Spojené státy, 10011
- Nábor
- Mount Sinai
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Ohio
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Cincinnati, Ohio, Spojené státy, 45219
- Nábor
- The Christ Hospital Physicians - Mt. Auburn
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Columbus, Ohio, Spojené státy, 43210
- Nábor
- Ohio State University CRS
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Oklahoma
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Oklahoma City, Oklahoma, Spojené státy, 73104
- Nábor
- Stephenson Cancer Center
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Oregon
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Medford, Oregon, Spojené státy, 97504
- Nábor
- Asante Rogue Region al Medical Center
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Texas
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Fort Worth, Texas, Spojené státy, 76104
- Nábor
- START Dallas Fort Worth
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Irving, Texas, Spojené státy, 75039
- Nábor
- NEXT Oncology Dallas
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Utah
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West Valley City, Utah, Spojené státy, 84119
- Nábor
- START Mountain Region
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Virginia
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Fairfax, Virginia, Spojené státy, 22031
- Nábor
- NEXT Virginia
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Kyiv, Ukrajina, 01135
- Aktivní, ne nábor
- ARENSIA Exploratory Medicine, LLC
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Madrid, Španělsko, 28027
- Nábor
- Clínica Universidad de Navarra - Madrid
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Madrid, Španělsko, 28223
- Nábor
- NEXT Madrid, University Hospital Quironsalud Madrid
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Key Inclusion Criteria (for all phases)
- Male or non-pregnant, non-breastfeeding female, age 18 years or older at the date of consent.
- Disease not amenable to curative intent treatment.
- Individuals have exhausted the standard of care treatment (SoC) with expected survival benefit and are not denied SoC with expected survival benefit by participating in the trial.
- Individuals with previous systemic topoisomerase I inhibitor treatment (e.g., Topotecan) are allowed in the study.
- Radiologically measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by the INV.
- Eastern Cooperative Oncology Group (ECOG) 0-1.
- Have a life expectancy of more than 12 weeks for disease-related mortality, as evaluated by the INV.
- Individuals must be willing to sign an archival tissue release form for research purposes and determination of biomarker expression.
- Individuals must be willing to undergo a non-contrast high resolution computed tomography (HRCT) of the thorax scan and pulmonary function testing (PFT) at screening.
- Adequate organ function
- Resolution of all acute toxic effects of prior therapy or surgical procedures to ≤grade 1 (except alopecia, hyperpigmentation, or discoloration (incl. vitiligo) of the skin and nails, stable immune-related toxicity such as hypothyroidism on hormone replacement, adrenal insufficiency on ≤10 mg daily prednisone [or equivalent], chronic grade 2 peripheral sensory neuropathy after prior taxane therapy or anticancer treatment such as but not limited to immune oncology therapy (IOs)).
- Individuals of childbearing potential (FCBP) who are sexually active with a non-sterilized partner must use at least one highly effective method of contraception from the time of screening and must agree to continue using such precautions until the end of exposure, plus 5 half-lives and 6 months add-on in the case of individuals assigned female at birth.
- In the opinion of the investigator, the individual must be able to understand, give written informed consent, and comply with all study-related procedures, medication use, and evaluations.
- The individual must not have a history of non-compliance with medical regimens or be considered potentially unreliable and/or uncooperative.
- The individual must be willing to sign and date the informed consent form (ICF)
Key Exclusion Criteria (for all phases)
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The individual is pregnant, lactating or breastfeeding or has a positive serum pregnancy test during the screening period.
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History of hypersensitivity to exatecan or excipients of the TUB-040 formulation.
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Individuals are not allowed to participate in interventional clinical studies either concurrently or within the previous 28 days or within 5 half-lives of any investigational pharmacologic agents or imaging materials, including dyes, investigational surgical techniques, or devices.
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Individuals with spinal cord compression or active central nervous system disease, and/or carcinomatous meningitis.
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Prior radiotherapy <2 weeks from trial inclusion.
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Major surgery within 21 days prior to signing the ICF, unless the individual is recovered at that time.
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Has a history of non-infectious interstitial lung disease/pneumonitis (ILD)/pneumonitis/radiation pneumonitis that required steroids or has current ILD/pneumonitis.
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Has an oxygen saturation of <93% on room air at rest.
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Has a QTcF >470 ms
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History of nephrotic syndrome
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Active corneal disease, or history of corneal disease within 12 months prior to enrollment.
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Active, uncontrolled or severe impairment of the urogenital, renal, hepatobiliary, cardiovascular, gastrointestinal, neurologic, or hematopoietic systems which, in the opinion of the investigator, would predispose the individual to the development of complications from the administration of protocol therapy.
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History of another malignancy with ongoing treatment or not yet free from disease for 2 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or other malignancy with a similar expected curative outcome.
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Documented other concurrent non-malignant comorbidities such as unstable or uncontrolled pectoral angina, myocardial infarction during the last 6 months, valvular heart disease that requires treatment, acute myocarditis, or congestive heart failure (CHF) (New York Heart Association III or IV).
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Any anti-tumor chemotherapy, systemic anti-cancer therapy, radiotherapy (except for local radiation therapy of lesions that may cause imminent complications), hormonal therapy, immunotherapy, or corticoid therapy.
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Concurrent use of strong inhibitors or strong inducers of CYP3A4
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Live vaccines within 30 days prior to study entry.
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Individuals with acute or chronic infections such as:
- Individuals who are HBsAg positive are eligible if they have received Hepatitis B virus (HBV) anti-viral therapy for at least 4 weeks and have an undetectable HBV viral load prior to randomization.
- Individuals with a history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening.
- HIV infected individuals must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease
- Any other known unresolved and active bacterial, viral, fungal, mycobacterial, or other infection at screening.
- History of severe and recurrent infections per INV judgment.
- History of progressive multifocal leukoencephalopathy
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Nerandomizované
- Intervenční model: Sekvenční přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: Phase 1: Cohort 1: Dose Escalation in Platinum Resistant Ovarian Cancer (PROC)
Participants will receive escalating doses of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects. |
Administered intravenous (IV) on day 1 of each 21-day treatment cycle |
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Experimentální: Phase 1: Cohort 2: Dose Escalation in R/R NSCLC of the adenocarcinoma subtype
Participants will receive escalating doses of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects. |
Administered intravenous (IV) on day 1 of each 21-day treatment cycle |
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Experimentální: Phase 1: Cohort 3: PROC, Combination with Bevacizumab (BEV)
Participants will receive escalating doses of TUB-040 combined with BEV every 3 weeks until the disease progresses or the patient has to stop due to side effects. |
Administered IV
Ostatní jména:
Administered intravenous (IV) on day 1 of each 21-day treatment cycle |
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Experimentální: Phase 2a: Dose Optimization in PROC
Participants will receive two different dose levels of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects. |
Administered intravenous (IV) on day 1 of each 21-day treatment cycle |
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Experimentální: Phase 2b: Dose Expansion in PROC
Patients will receive TUB-040 at the safe dose established during dose escalation until disease progression or unacceptable toxicity. |
Administered intravenous (IV) on day 1 of each 21-day treatment cycle |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Phase 1 and 2a: Percentage of Participants Experiencing Treatment-Emergent Adverse Event (TEAEs)
Časové okno: First dose date up to 30 days post last dose (Up to 3 years)
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First dose date up to 30 days post last dose (Up to 3 years)
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Phase 1: Percentage of Participants Experiencing any Dose-limiting Toxicities (DLTs)
Časové okno: First dose up to 21 days
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First dose up to 21 days
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Phase 2a & 2b: Overall Response Rate (ORR) by Blinded Independent Central Review (BICR)
Časové okno: Up to 3 years
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ORR is defined as the percentage of participants who have achieved complete response (CR) or partial response (PR), as assessed by BICR. |
Up to 3 years
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Phase 1: Percentage of Participants Experiencing Serious Adverse Events (SAEs)
Časové okno: First dose date up to 30 days post last dose (Up to 3 years)
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First dose date up to 30 days post last dose (Up to 3 years)
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Phase 1, 2a & 2b: Percentage of Participants Developing anti-TUB-040 antibodies and semiquantitative titer assessments
Časové okno: From enrollment until 30 days after last study drug
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From enrollment until 30 days after last study drug
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Phase 2a & 2b: Percentage of Participants Experiencing TEAEs
Časové okno: First dose date up to 30 days post last dose date (Up to 3 years)
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First dose date up to 30 days post last dose date (Up to 3 years)
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Phase 2a & 2b: Duration of Response (DOR) by BICR
Časové okno: Up to 3 years
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DOR is defined as the interval from the first documentation of CR or PR until the date of first documented disease progression or death, whichever comes first, as assessed by BICR. |
Up to 3 years
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Phase 1, 2a & 2b: ORR by INV
Časové okno: Up to 3 years
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ORR is defined as the percentage of participants who have achieved complete response (CR) or partial response (PR), as assessed by Investigator (INV). |
Up to 3 years
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Phase 1, 2a & 2b: DOR by INV
Časové okno: Up to 3 years
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DOR is defined as the interval from the first documentation of CR or PR until the date of first documented disease progression or death, whichever comes first, as assessed by INV. |
Up to 3 years
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Phase 1, 2a & 2b: Progression-Free Survival (PFS) by INV
Časové okno: Up to 3 years
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PFS is defined as the time from first dose date until disease progression or death from any cause, whichever comes first, as assessed by INV. |
Up to 3 years
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Phase 1, 2a & 2b: Disease Control Rate (DCR) by INV
Časové okno: Up to 3 years
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DCR is defined as the percentage of participants with a confirmed CR, PR, or stable disease, as assessed by INV. |
Up to 3 years
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Phase 2a & 2b: Progression-Free Survival (PFS) by BICR
Časové okno: Up to 3 years
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PFS is defined as the time from first dose date until disease progression or death from any cause, whichever comes first, as assessed by BICR. |
Up to 3 years
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Phase 2a & 2b: Disease Control Rate (DCR) by BICR
Časové okno: Up to 3 years
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DCR is defined as the percentage of participants with a confirmed CR, PR, or stable disease, as assessed by BICR. |
Up to 3 years
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Phase 1, 2a & 2b: Percentage of Participants Experiencing Grade ≥3 Lab Abnormalities
Časové okno: Up to 3 years
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Up to 3 years
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Phase 1 & 2a: Pharmacokinetic (PK) Parameter of TUB-040, total Monoclonal Antibody (mAb), and Free Exatecan: Cmax
Časové okno: Up to 3 years
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Cmax is defined as the maximum observed drug concentration. |
Up to 3 years
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Phase 1 & 2a: PK Parameter of TUB-040, Total mAb, and Free Exatecan: Cmin
Časové okno: Up to 3 years
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The concentration of TUB-040 (conjugated ADC), total mAb, and free payload (Cmin will be derived). |
Up to 3 years
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Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Tmax
Časové okno: Up to 3 years
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Tmax is defined as the time (observed time point) of Cmax. |
Up to 3 years
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Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Area Under Curve (AUC)
Časové okno: Up to 3 years
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AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. |
Up to 3 years
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Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Half life (t1/2)
Časové okno: Up to 3 years
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t1/2 is defined as the terminal elimination half-life at steady state. |
Up to 3 years
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Phase 2a & 2b: Overall Survival (OS)
Časové okno: Up to 3 years
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OS is defined as the length of time from first dose until the date of death from any cause. |
Up to 3 years
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Phase 2a & 2b: Cancer Antigen (CA)-125 response according to Gynecological Cancer InterGroup (GCIG)
Časové okno: Up to 3 years
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Up to 3 years
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: Gilead Study Director, Gilead Sciences
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
- Urogenitální onemocnění
- Onemocnění genitálií
- Onemocnění endokrinního systému
- Urogenitální novotvary
- Novotvary podle místa
- Novotvary
- Ženské urogenitální onemocnění
- Ženské urogenitální onemocnění a těhotenské komplikace
- Nemoci dýchacích cest
- Onemocnění pohlavních orgánů, ženy
- Plicní onemocnění
- Novotvary endokrinních žláz
- Novotvary dýchacího traktu
- Novotvary hrudníku
- Novotvary plic
- Onemocnění vaječníků
- Adnexální onemocnění
- Genitální novotvary, ženy
- Gonadální poruchy
- Karcinom, Bronchogenní
- Bronchiální novotvary
- Novotvary vaječníků
- Karcinom, nemalobuněčné plíce
- Aminokyseliny, peptidy a proteiny
- Proteiny
- Protilátky, monoklonální, humanizované
- Protilátky, monoklonální
- Protilátky
- Imunoglobuliny
- Imunoproteiny
- Krevní proteiny
- Sérové globuliny
- Globuliny
- Bevacizumab
Další identifikační čísla studie
Další identifikační čísla studie
- NAPISTAR 1-01
- 2024-511074-80 (Číslo EudraCT)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
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