A Phase 1, First in Human Study of TORL-4-500 in Patients With Advanced Cancer
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
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
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
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / 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
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
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
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Studiestol: Caroline Labib, PharmD, TORL Biotherapeutics, LLC
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TORL4500-001
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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