En undersøgelse af ZW251 hos deltagere med avancerede faste tumorer
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
Status
Betingelser
Betingelser
Intervention / Behandling
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
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Zymeworks Clinical Trial Resource
- Telefonnummer: (206) 237-1030
- E-mail: medinfo@zymeworks.com
Studiesteder
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California
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San Francisco, California, Forenede Stater, 94158
- Rekruttering
- UCSF Comprehensive Cancer Center
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Ledende efterforsker:
- Katie Kelley, MD
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Santa Monica, California, Forenede Stater, 90404
- Rekruttering
- University of California Los Angeles - Cancer Care - Santa Monica (UCLA)
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Ledende efterforsker:
- Richard Finn, MD
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Kentucky
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Louisville, Kentucky, Forenede Stater, 40202
- Rekruttering
- Norton Cancer Institute
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Ledende efterforsker:
- John Hamm, MD FACP, FASCO
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Michigan
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Grand Rapids, Michigan, Forenede Stater, 49546
- Rekruttering
- START Midwest
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Ledende efterforsker:
- Sreenivasa Chandana, MD, PhD
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
- Rekruttering
- Hackensack University Medical Center
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Ledende efterforsker:
- Martin Gutierrez, MD
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New York
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New York, New York, Forenede Stater, 10065-6800
- Rekruttering
- Memorial Sloan Kettering Cancer Center
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Ledende efterforsker:
- Ghassan Abou-Alfa, MD, JD, MBA, PhD
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- MD Anderson Cancer Center
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Ledende efterforsker:
- Ecaterina Dumbrava, MD
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San Antonio, Texas, Forenede Stater, 78229
- Rekruttering
- START San Antonio
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Ledende efterforsker:
- Muralidhar Beeram, MD, MBBS
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Dublin, Irland, D07 R2WY
- Rekruttering
- START - Dublin Mater Misericordiae University Hospital (MMUH)
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Ledende efterforsker:
- Austin Duffy, MD, DMed
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Kashiwa, Japan, 2778577
- Rekruttering
- National Cancer Center East
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Ledende efterforsker:
- Masafumi Ikeda, MD, PhD
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Kyoto, Japan, 606-8507
- Rekruttering
- Kyoto University Hospital
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Ledende efterforsker:
- Takako Nakajima, MD
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Osaka, Japan, 573-1191
- Rekruttering
- Kansai Medical University Hospital
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Ledende efterforsker:
- Toshio Shimizu, MD, PhD
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Tokyo, Japan, 104-0045
- Rekruttering
- National Cancer Center Hospital
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Ledende efterforsker:
- Yuta Maruki, MD
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Lisbon, Portugal, 1649-035
- Rekruttering
- START Lisboa a - Unidade de Ensaios ClÃnicos - Hospital de Santa Maria
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Ledende efterforsker:
- Andre Mansinho, MD, MSc
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Vila Nova de Gaia, Portugal, 4434-502
- Rekruttering
- Unidade Local de Saúde Gaia e Espinho
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Ledende efterforsker:
- Andreia Capela, MD
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Barcelona, Spanien, 08035
- Rekruttering
- Hospital Universitario Vall d'Hebron
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Ledende efterforsker:
- Jaume Capdevila Castillon, MD, PhD
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Barcelona, Spanien, 29010
- Rekruttering
- START Barcelona
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Ledende efterforsker:
- Tatiana Hernandez Guerrero, MD, PhD
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Logroño, Spanien, 26006
- Rekruttering
- START - Rioja Hospital Universitario San Pedro
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Ledende efterforsker:
- Maria Jose de Miguel Luken, MD
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Madrid, Spanien, 28223
- Rekruttering
- NEXT Oncology Madrid
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Ledende efterforsker:
- Valentina Boni, MD, PhD
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Madrid, Spanien, 28050
- Rekruttering
- START Madrid Hospital Universitario HM Sanchinarro - CIOCC
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Ledende efterforsker:
- Emiliano Calvo, MD, PhD
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Madrid, Spanien, 28040
- Rekruttering
- START Madrid Hospital Universitario Fundacion Jimenez Diaz
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Ledende efterforsker:
- Manuel Pedregal Trujillo, MD
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Málaga, Spanien, 29010
- Rekruttering
- Hospital Universitario Virgen de la Victoria
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Ledende efterforsker:
- Javier Garcia Corbacho, MD
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Pamplona, Spanien, 31008
- Rekruttering
- Clinica Universidad de Navarra
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Ledende efterforsker:
- Bruno Sangro, MD, PhD
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Taipei, Taiwan, 100225
- Rekruttering
- National Taiwan University Hospital
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Ledende efterforsker:
- Ann Lii Cheng, MD
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Taipei, Taiwan, 112201
- Rekruttering
- Taipei Veterans General Hospital
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Ledende efterforsker:
- Yi-Hsiang Huang, MD, PhD
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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:
- 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
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 |
|---|---|
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Eksperimentel: ZW251
|
Administered intravenously |
Hvad måler undersøgelsen?
Primære resultatmål
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
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Bedste samlede svar (del 1 og 2)
Tidsramme: Op til cirka 2 år
|
Op til cirka 2 år
|
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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
|
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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
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Maggie Weinstein, MD, PhD, MPH, Zymeworks BC Inc.
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
- Neoplasmer efter sted
- Neoplasmer
- Luftvejssygdomme
- Neoplasmer efter histologisk type
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Lungesygdomme
- Leversygdomme
- Neoplasmer, kirtel og epitel
- Adenocarcinom
- Neoplasmer i leveren
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Karcinom
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Carcinom, hepatocellulært
- Lungeneoplasmer
- Karcinom, ikke-småcellet lunge
- Neoplasmer, kimceller og embryonale
- Neoplasmer, pladecelle
Andre undersøgelses-id-numre
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)?
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