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A Phase 1, First in Human Study of TORL-4-500 in Patients With Advanced Cancer

15. september 2026 opdateret af: TORL Biotherapeutics, LLC

This first-in-human study will evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of TORL-4-500 in patients with advanced cancer.

For Part 1, any advanced or metastatic solid tumor malignancy will be evaluated including, for example, adrenocortical carcinoma (ACC).

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

70

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Ontario
      • Toronto, Ontario, Canada, M5G 2M9
        • University Health Network, Princess Margaret Cancer Centre
    • Quebec
      • Montreal, Quebec, Canada, H4A 3J1
        • McGill University Health Centre
    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85054
        • Mayo Clinic Phoenix
    • California
      • Fullerton, California, Forenede Stater, 92835
        • Providence Medical Foundation
      • Los Angeles, California, Forenede Stater, 90095
        • UCLA - JCCC Clinical Research Unit
      • Torrance, California, Forenede Stater, 90505
        • Torrance Memorial Physician Network
    • Florida
      • Jacksonville, Florida, Forenede Stater, 32224
        • Mayo Clinic Jacksonville
      • Orlando, Florida, Forenede Stater, 32827
        • Florida Cancer Specialists Lake Nona Drug Development Unit
    • Minnesota
      • Rochester, Minnesota, Forenede Stater, 55905
        • Mayo Clinic Rochester
    • Virginia
      • Lexington, Virginia, Forenede Stater, 22031
        • Virginia Cancer Specialists

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Advanced solid tumor
  • Measurable disease, per RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Adequate organ function

Exclusion Criteria:

  • Has not recovered [recovery is defined as NCI CTCAE, version 5.0, grade ≤1] from the acute toxicities of previous therapy, except treatment-related alopecia or laboratory abnormalities otherwise meeting eligibility requirements
  • Received prior chemotherapeutic, investigational, or other therapies for the treatment of cancer within 14 days with small molecule and within 28 days with biologic before the first dose of TORL-4-500
  • Progressive or symptomatic brain metastases
  • Serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection
  • History of significant cardiac disease
  • History of myelodysplastic syndrome (MDS) or AML
  • History of another cancer within 3 years before Day 1 of study treatment, with the exception of basal or squamous cell carcinoma of the skin that has been definitively treated. A history of other malignancies with a low risk of recurrence, including appropriately treated ductal carcinoma in situ (DCIS) of the breast and prostate cancer with a Gleason score less than or equal to 6, are also not excluded
  • If female, is pregnant or breastfeeding

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Sekventiel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Monotherapy Dose Dose Finding - Part 1

TORL-4-500 iv once every 3 weeks

antibody drug conjugate

Eksperimentel: Expansion as Monotherapy - Part 2

TORL-4-500 iv once every 3 weeks

antibody drug conjugate

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence and severity of adverse events and serious adverse events
Tidsramme: up to 2 years

Incidence and severity of adverse events, serious adverse events, according to NCI-CTCAE Version 5.0

up to 2 years
Maximum Tolerated Dose (MTD)
Tidsramme: 28 Days

Highest administered dose with < 33% participants experiencing dose limiting toxicity (DLT) in the first 6 DLT evaluable participants

28 Days
Recommended Phase 2 Dose (RP2D)
Tidsramme: up to 2 years

Based on the maximum tolerated dose, cumulative safety, and pharmacokinetic data

up to 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response Rate (ORR)
Tidsramme: up to 2 years

Percentage of participants with best response of complete response (CR) or partial response (PR) according to RECIST 1.1

up to 2 years
Duration of Response (DOR)
Tidsramme: up to 2 years

Time from CR or PR to objective disease progression or death to any cause

up to 2 years
Progression Free Survival (PFS)
Tidsramme: up to 2 years

PFS is defined as the time from the start of the treatment until objective disease progression or death from any cause

up to 2 years
Time to Response (TTR)
Tidsramme: up to 2 years

Time from start of treatment to complete response or partial response

up to 2 years
1 Year Overall Survival (1YOS)
Tidsramme: 1 year

Proportion of participants alive at 1 year from the start of treatment to death from any cause

1 year
2 Year Overall Survival (2YOS)
Tidsramme: 2 years

Proportion of participants alive at 2 years from the start of treatment to death from any cause

2 years
Number of anti-drug antibody (ADA) Positive Participants
Tidsramme: up to 2 years

Immunogenicity will be measured by the number of participants that are ADA positive.

up to 2 years
Maximum Serum Concentration of TORL-4-500 (Cmax)
Tidsramme: 21 days

PK assessment

21 days
Minimum Serum Concentration of TORL-4-500 (Cmin)
Tidsramme: 21 days

PK assessment

21 days
Maximum Serum Concentration of TORL-4-500 at Steady State (Cmax,ss)
Tidsramme: 63 days

PK assessment

63 days
Minimum Serum Concentration of TORL-4-500 at Steady State (Cmin,ss)
Tidsramme: 63 days

PK assessment

63 days
Time of Maximum Serum Concentration of TORL-4-500 (Tmax)
Tidsramme: 21 days

PK assessment

21 days
Time of Minimum Serum Concentration of TORL-4-500 (Tmin)
Tidsramme: 21 days

PK Assessment

21 days
Time of Minimum Serum Concentration of TORL-4-500 at Steady State (Tmin,ss)
Tidsramme: 63 days

PK Assessment

63 days
Terminal Half-life (t1/2) of Serum TORL-4-500-ADC
Tidsramme: 63 days

PK Assessment

63 days
Area under the Serum Concentration-Time curve from the time of dosing to the last measurable concentration (AUClast) for TORL-4-500
Tidsramme: 21 days

PK Assessment

21 days
Area under the Serum Concentration-Time curve from the time of dosing extrapolated to time infinity (AUCinf) for TORL-4-500
Tidsramme: 63 days

PK Assessment

63 days
Apparent volume of distribution during the terminal phase (Vz) of TORL-4-500
Tidsramme: 63 days

PK Assessment

63 days
Clearance (CL) of TORL-4-500
Tidsramme: 63 days

PK Assessment

63 days
Accumulation ratio (Rac) of TORL-4-500
Tidsramme: 63 days

PK Assessment

63 days

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studiestol: Caroline Labib, PharmD, TORL Biotherapeutics, LLC

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

4. december 2023

Primær færdiggørelse (Anslået)

29. marts 2027

Studieafslutning (Anslået)

31. maj 2027

Datoer for studieregistrering

Først indsendt

15. august 2023

Først indsendt, der opfyldte QC-kriterier

15. august 2023

Først opslået (Faktiske)

22. august 2023

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • TORL4500-001

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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