CT-95 i avancerede kræftformer forbundet med mesothelinekspression
Fase 1-undersøgelse af CT-95 i avancerede kræftformer forbundet med mesothelin-ekspression
This is a Phase 1a/1b, first-in-human (FIH), open-label, multi-center dose escalation and expansion study of the safety, pharmacokinetics (PK), pharmacodynamics, and antitumor activity of single-agent CT-95 in subjects with advanced (recurrent, unresectable, or metastatic) cancers associated with MSLN expression.
Studieoversigt
Status
Status
Betingelser
Betingelser
- Kolorektal cancer
- Epitelial ovariecancer
- Cholangiocarcinom Ikke-operabelt
- Lunge Adenocarcinom Metastatisk
- Malignt pleural mesotheliom, avanceret
- Cholangiocarcinom Avanceret
- Pancreas Adenocarcinoma Avanceret eller Metastatisk
- Mesothelin-positive avancerede maligne solide tumorer
- Mesothelin-udtrykkende avancerede kræftformer
- Malignt peritoneal mesotheliom, avanceret
- Mesothelin-udtrykkende tumorer
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Phase 1a Dose Escalation: Participants with ovarian epithelial tumors, primary peritoneal or fallopian tube cancer (PROC), epithelioid mesothelioma, lung adenocarcinoma, pancreatic adenocarcinoma, colorectal cancer, cholangiocarcinoma, and gastric/GEJ adenocarcinomas will be enrolled in one of approximately 9 dose escalation cohorts to assess the safety and tolerability of CT-95, as well as determine the maximum tolerated dose (MTD) or other recommended dose(s) for expansion (RDE[s]) for further dose expansion cohorts.
Participants will receive CT-95 as a single agent administered once weekly (QW) intravenously (IV) over a 4-week cycle.
Phase 1b Dose Expansion: The RDE(s) of CT-95 determined in Phase 1a will be evaluated in 2-4 indication-specific expansion cohorts of up to 20 subjects each (i.e. up to 80 participants total). Different indications, dose levels, and/or schedules may be explored. The expansion doses and/or dosing schedules for Phase 1b will be determined by Sponsor in conjunction with SRC based upon all available safety, PK, PD, biomarker, and preliminary efficacy data from Phase 1a.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Colorado
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Denver, Colorado, Forenede Stater, 80218
- Context Investigational Site
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
- Context Investigational Site
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Michigan
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Grand Rapids, Michigan, Forenede Stater, 49546
- Context Investigational Site
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
- Context Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19107
- Context Investigational Site
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Context Investigational Site
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- Context Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- ECOG 0 or 1
- Subjects with evaluable disease per RECIST 1.1 or mRECIST
- Subjects with adequate organ function.
- Subjects with advanced cancers associated with mesothelin expression
Exclusion Criteria:
- Uncontrolled significant active infection or any medical or other condition that in opinion of the investigator would preclude the subject's participation in the study.
- Prior treatment with MSLN-targeted CD3 or chimeric antigen receptor T cell (CAR-T) therapy
- Concurrent participation in another investigational clinical trial.
- Evidence of leptomeningeal disease
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: CT-95
Phase 1a: Dose Escalation - each dose cohort will assess toxicity 28 days following the first dose of CT95 anticipate a total of 8 dose cohorts. Phase 1b: Dose Expansion - approximately 80 participants will be evaluated in 2-4 indication-specific expansion cohorts. |
MSLN bispecific antibody to be administered according to the dose and schedule of the assigned cohort until documentation of disease progression (or confirmed disease progression), unacceptable toxicity, or participant/physician decision. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Determine the MTD or RD of CT-95 [Safety and Tolerability]
Tidsramme: From date of first dose of CT-95 until 28 days following the first dose.
|
The frequency of dose-limiting toxicities (DLTs) will be analyzed along with safety and tolerability measures to determine the MTD or RD of CT-95. |
From date of first dose of CT-95 until 28 days following the first dose.
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Tidsramme: From date of first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
|
The frequency and severity of adverse events, serious adverse events, and adverse events of special interest will be analyzed. |
From date of first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Evaluate Response Rates [Anti-tumor Activity]
Tidsramme: At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first
|
Overall response rates will be calculated using RECIST 1.1 (and mRECIST for patients with mesothelioma) for CT-95. |
At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first
|
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Evaluate Progression-free Survival [Anti-tumor Activity]
Tidsramme: At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
|
PFS will be summarized using RECIST 1.1 (and mRECIST for patients with mesothelioma) for CT-95. |
At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
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Evaluate Overall Survival [Survival]
Tidsramme: From the time of the first dose of CT-95 until approximately two years post-first dose.
|
Overall survival will be summarized for CT-95. |
From the time of the first dose of CT-95 until approximately two years post-first dose.
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Evaluate the Maximum Serum Concentration (Cmax) [Pharmacokinetics]
Tidsramme: From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Serum concentrations of CT-95 analyzed as a function of time relative to dosing will be calculated. |
From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Evaluate the Area Under the Curve (AUC) [Pharmacokinetics]
Tidsramme: From date of first dose of CT-95 for 5 months or treatment discontinuation, whichever comes first.
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The AUC of CT-95 analyzed as a function of time relative to dosing will be calculated. |
From date of first dose of CT-95 for 5 months or treatment discontinuation, whichever comes first.
|
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Evaluate Anti-Drug Antibodies [Immunogenicity]
Tidsramme: From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Incidence and titer of ADAs will be evaluated. |
From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Karen Chagin, MD, Context Therapeutics Inc.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
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
- Urogenitale sygdomme
- Genitale sygdomme
- Sygdomme i det endokrine system
- Patologiske processer
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Tarmsygdomme
- Luftvejssygdomme
- Neoplasmer efter histologisk type
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Intestinale neoplasmer
- Endetarmssygdomme
- Kønssygdomme, kvindelige
- Lungesygdomme
- Neoplasmer i endokrine kirtler
- Neoplasmer, kirtel og epitel
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Tyktarmssygdomme
- Neoplastiske processer
- Lungeneoplasmer
- Ovariesygdomme
- Adnexale sygdomme
- Genitale neoplasmer, kvindelige
- Gonadale lidelser
- Adenom
- Neoplasmer, mesotheliale
- Pleurale neoplasmer
- Karcinom
- Ovariale neoplasmer
- Patologiske tilstande, tegn og symptomer
- Mesotheliom
- Karcinom, ovarieepitel
- Mesotheliom, ondartet
- Neoplasmer
- Kolorektale neoplasmer
- Neoplasma Metastase
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CNTX-CT95-101
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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