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En undersøgelse af ZW251 hos deltagere med avancerede faste tumorer

1. oktober 2026 opdateret af: Zymeworks BC Inc.

En første-i-human, fase 1, open-label, multicenterundersøgelse af ZW251, en ny glypican-3, der er målrettet mod antistof-lægemiddelkonjugat, i deltagere med avancerede faste tumorer, herunder hepatocellulært karcinom

The purpose of this study is to find out if ZW251, an antibody-drug conjugate targeting glypican-3 (GPC3), is safe and can treat participants with advanced cancers, including hepatocellular carcinoma (HCC), squamous cell non-small cell lung cancer (NSCLC), or germ cell tumors (GCT).

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Part 1 (dose escalation) of the study will evaluate the safety and tolerability of ZW251 in HCC, squamous cell NSCLC, and GCT. Part 2 (dose optimization) of the study will further assess safety and potential anti-tumor activity of the ZW251 established recommended doses in HCC.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

140

Fase

  • Fase 1

Kontakter og lokationer

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

Studiekontakt

Studiesteder

    • California
      • San Francisco, California, Forenede Stater, 94158
        • Rekruttering
        • UCSF Comprehensive Cancer Center
        • Ledende efterforsker:
          • Katie Kelley, MD
      • Santa Monica, California, Forenede Stater, 90404
        • Rekruttering
        • University of California Los Angeles - Cancer Care - Santa Monica (UCLA)
        • Ledende efterforsker:
          • Richard Finn, MD
    • Kentucky
      • Louisville, Kentucky, Forenede Stater, 40202
        • Rekruttering
        • Norton Cancer Institute
        • Ledende efterforsker:
          • John Hamm, MD FACP, FASCO
    • Michigan
      • Grand Rapids, Michigan, Forenede Stater, 49546
        • Rekruttering
        • START Midwest
        • Ledende efterforsker:
          • Sreenivasa Chandana, MD, PhD
    • New Jersey
      • Hackensack, New Jersey, Forenede Stater, 07601
        • Rekruttering
        • Hackensack University Medical Center
        • Ledende efterforsker:
          • Martin Gutierrez, MD
    • New York
      • New York, New York, Forenede Stater, 10065-6800
        • Rekruttering
        • Memorial Sloan Kettering Cancer Center
        • Ledende efterforsker:
          • Ghassan Abou-Alfa, MD, JD, MBA, PhD
    • Texas
      • Houston, Texas, Forenede Stater, 77030
        • Rekruttering
        • MD Anderson Cancer Center
        • Ledende efterforsker:
          • Ecaterina Dumbrava, MD
      • San Antonio, Texas, Forenede Stater, 78229
        • Rekruttering
        • START San Antonio
        • Ledende efterforsker:
          • Muralidhar Beeram, MD, MBBS
      • Dublin, Irland, D07 R2WY
        • Rekruttering
        • START - Dublin Mater Misericordiae University Hospital (MMUH)
        • Ledende efterforsker:
          • Austin Duffy, MD, DMed
      • Kashiwa, Japan, 2778577
        • Rekruttering
        • National Cancer Center East
        • Ledende efterforsker:
          • Masafumi Ikeda, MD, PhD
      • Kyoto, Japan, 606-8507
        • Rekruttering
        • Kyoto University Hospital
        • Ledende efterforsker:
          • Takako Nakajima, MD
      • Osaka, Japan, 573-1191
        • Rekruttering
        • Kansai Medical University Hospital
        • Ledende efterforsker:
          • Toshio Shimizu, MD, PhD
      • Tokyo, Japan, 104-0045
        • Rekruttering
        • National Cancer Center Hospital
        • Ledende efterforsker:
          • Yuta Maruki, MD
      • Lisbon, Portugal, 1649-035
        • Rekruttering
        • START Lisboa a - Unidade de Ensaios ClÃnicos - Hospital de Santa Maria
        • Ledende efterforsker:
          • Andre Mansinho, MD, MSc
      • Vila Nova de Gaia, Portugal, 4434-502
        • Rekruttering
        • Unidade Local de Saúde Gaia e Espinho
        • Ledende efterforsker:
          • Andreia Capela, MD
      • Barcelona, Spanien, 08035
        • Rekruttering
        • Hospital Universitario Vall d'Hebron
        • Ledende efterforsker:
          • Jaume Capdevila Castillon, MD, PhD
      • Barcelona, Spanien, 29010
        • Rekruttering
        • START Barcelona
        • Ledende efterforsker:
          • Tatiana Hernandez Guerrero, MD, PhD
      • Logroño, Spanien, 26006
        • Rekruttering
        • START - Rioja Hospital Universitario San Pedro
        • Ledende efterforsker:
          • Maria Jose de Miguel Luken, MD
      • Madrid, Spanien, 28223
        • Rekruttering
        • NEXT Oncology Madrid
        • Ledende efterforsker:
          • Valentina Boni, MD, PhD
      • Madrid, Spanien, 28050
        • Rekruttering
        • START Madrid Hospital Universitario HM Sanchinarro - CIOCC
        • Ledende efterforsker:
          • Emiliano Calvo, MD, PhD
      • Madrid, Spanien, 28040
        • Rekruttering
        • START Madrid Hospital Universitario Fundacion Jimenez Diaz
        • Ledende efterforsker:
          • Manuel Pedregal Trujillo, MD
      • Málaga, Spanien, 29010
        • Rekruttering
        • Hospital Universitario Virgen de la Victoria
        • Ledende efterforsker:
          • Javier Garcia Corbacho, MD
      • Pamplona, Spanien, 31008
        • Rekruttering
        • Clinica Universidad de Navarra
        • Ledende efterforsker:
          • Bruno Sangro, MD, PhD
      • Taipei, Taiwan, 100225
        • Rekruttering
        • National Taiwan University Hospital
        • Ledende efterforsker:
          • Ann Lii Cheng, MD
      • Taipei, Taiwan, 112201
        • Rekruttering
        • Taipei Veterans General Hospital
        • Ledende efterforsker:
          • Yi-Hsiang Huang, MD, PhD

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:

  • Pathologically or cytologically confirmed diagnosis of HCC with evidence of locally advanced (unresectable, and ineligible for transplant) and/or metastatic disease. Noninvasive methods may be used to confirm diagnosis
  • Pathologically or cytologically confirmed diagnosis of squamous cell NSCLC with evidence of locally advanced (unresectable) and/or metastatic disease
  • Pathologically or cytologically confirmed diagnosis of GCT with evidence of yolk sac and/or choriocarcinoma predominant component and locally advanced (unresectable) and/or metastatic disease
  • Measurable disease per RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1
  • Liver function status of Child-Pugh Class A (for HCC only)
  • Adequate organ function

Exclusion Criteria:

  • Known additional malignancy that is progressing or that has required active treatment within the last year
  • History of hepatic encephalopathy within the past 6 months or requirement for medications to control encephalopathy
  • Participants with HCC experiencing main portal vein tumor invasion require sponsor approval for enrollment
  • Known gastrointestinal bleeding within 3 months
  • Acute or chronic uncontrolled renal disease, pancreatitis, or non-malignant liver disease

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: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: ZW251

Administered intravenously

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of dose-limiting toxicities (DLTs; Part 1)
Tidsramme: Up to 3 weeks

Number of participants who experienced a DLT. DLTs include specifically defined adverse events (AEs) considered to be related to ZW251

Up to 3 weeks
Incidence of AEs (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Number of participants who experienced AEs, adverse events of special interest, or serious adverse events

Up to approximately 2 years
Incidence of clinical laboratory abnormalities (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline laboratory abnormality, including either hematology or chemistry. Grades are defined using National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0

Up to approximately 2 years
Objective response rate (Part 2)
Tidsramme: Up to approximately 2 years

Number of participants who achieved a best overall response of either confirmed complete response (CR) or partial response (PR) during treatment according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Up to approximately 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Bedste samlede svar (del 1 og 2)
Tidsramme: Op til cirka 2 år
Op til cirka 2 år
Objective response rate (Part 1)
Tidsramme: Up to approximately 2 years

Number of participants who achieved a best overall response of either confirmed CR or PR during treatment according to RECIST v1.1

Up to approximately 2 years
Disease control rate (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Number of participants who achieved a best response of CR, PR, or stable disease during treatment per RECIST v1.1

Up to approximately 2 years
Duration of response (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

The time from the first objective response (CR or PR) to the first documented progressive disease (PD) per RECIST v1.1 or death within 30 days of last dose of study treatment from any cause. Only participants who achieve a confirmed response will be included in the analysis

Up to approximately 2 years
Progression-free survival (Part 2)
Tidsramme: Up to approximately 2 years

The time from the first dose of study treatment to the date of first documented PD per RECIST v1.1 or death from any cause

Up to approximately 2 years
Area under the concentration-time curve (AUC0-504) of ZW251 (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Area under the concentration-time curve of ZW251 after first dose administration

Up to approximately 2 years
Maximum concentration (Cmax) of ZW251 (Parts 1 and 2)
Tidsramme: Up to approximately 2 years

ZW251 maximum concentration after first dose administration

Up to approximately 2 years
Area under the concentration-time curve of ZW251 at steady state (AUCtau,ss; Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Area under the concentration-time curve of ZW251 at steady state after fourth dose administration

Up to approximately 2 years
Maximum concentration of ZW251 at steady state (Сmax,ss; Parts 1 and 2)
Tidsramme: Up to approximately 2 years

ZW251 maximum concentration at steady state after fourth dose administration

Up to approximately 2 years
Minimal concentration of ZW251 at steady state (Сmin,ss; Parts 1 and 2)
Tidsramme: Up to approximately 2 years

ZW251 minimal concentration at steady state after fourth dose administration

Up to approximately 2 years
Incidence of anti-drug antibodies (ADAs; Parts 1 and 2)
Tidsramme: Up to approximately 2 years

Number of participants who develop ADAs

Up to approximately 2 years

Samarbejdspartnere og efterforskere

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

Sponsor

Efterforskere

  • Studieleder: Maggie Weinstein, MD, PhD, MPH, Zymeworks BC Inc.

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)

21. oktober 2025

Primær færdiggørelse (Anslået)

1. september 2027

Studieafslutning (Anslået)

1. maj 2028

Datoer for studieregistrering

Først indsendt

27. august 2025

Først indsendt, der opfyldte QC-kriterier

5. september 2025

Først opslået (Faktiske)

10. september 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • ZWI-ZW251-101
  • 2025-523088-39 (EudraCT nummer)
  • 2025 (U.S. NIH-bevilling/kontrakt)

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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