- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05983432
Undersøgelse til evaluering af BL-B01D1 hos patienter med metastatisk eller uoperabel ikke-småcellet lungekræft (NSCLC)
Et fase 1-studie, der evaluerer sikkerheden, tolerabiliteten og effektiviteten af BL-B01D1 hos personer med metastatisk eller ikke-operabel ikke-småcellet lungekræft
The objective of this study is to evaluate the safety, tolerability, and efficacy of BL-B01D1 in patients with Metastatic or Unresectable Non-Small Cell Lung Cancer (NSCLC) and Other Solid Tumors.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
BL-B01D1-LUNG-101 is a global, multi-center, Phase 1 study to evaluate the safety, tolerability, pharmacokinetics , and initial efficacy of BL-B01D1 in participants with metastatic or unresectable NSCLC and Other Solid Tumors.
This study will be conducted in two different dosing schedules (Cohort A and Cohort B) and three parts (dose escalation, dose finding and dose expansion). Cohort A will be dosed on Day 1 and Day 8 of a continuous 21-day treatment cycle. Cohort B will be dosed on Day 1 of a continuous 21-day treatment cycle. Each Cohort has different dose groups.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Tara Barrineau
- Telefonnummer: 425-453-6841
- E-mail: tara.barrineau@systimmune.com
Undersøgelse Kontakt Backup
- Navn: Tara Barrineau
- E-mail: tara.barrineau@systimmune.com
Studiesteder
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California
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Beverly Hills, California, Forenede Stater, 90211
- Rekruttering
- Beverly Hills Cancer Center
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Ledende efterforsker:
- Afshin Gabayan, MD
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Kontakt:
- Afshin Gabayan
- E-mail: eligabayan@bhcancercenter.com
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Duarte, California, Forenede Stater, 91010
- Rekruttering
- City of Hope Cancer Center
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Kontakt:
- Adam Rock
- E-mail: arock@coh.org
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Ledende efterforsker:
- Adam Rock, MD
-
Orange, California, Forenede Stater, 92868
- Rekruttering
- University of California Irvine Medical Center
-
Ledende efterforsker:
- Cathleen Park, MD
-
Kontakt:
- Cathleen Park
- E-mail: cathleep@hs.uci.edu
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Santa Monica, California, Forenede Stater, 90404
- Rekruttering
- UCLA Santa Monica
-
Ledende efterforsker:
- Jonathan Goldman, MD
-
Kontakt:
- Jonathan Goldman, MD
- E-mail: jwgoldman@mednet.ucla.edu
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- Rekruttering
- University of Colorado Cancer Center
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Ledende efterforsker:
- Tejas Patil, MD
-
Kontakt:
- Tejas Patil
- E-mail: tejas.patil@cuanschutz.edu
-
-
Connecticut
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New Haven, Connecticut, Forenede Stater, 06520
- Rekruttering
- Yale University, Yale Cancer Center
-
Ledende efterforsker:
- Scott Gettinger, MD
-
Kontakt:
- Scott Gettinger
- E-mail: scott.gettinger@yale.edu
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District of Columbia
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Washington D.C., District of Columbia, Forenede Stater, 20007
- Rekruttering
- Georgetown University Medical Center
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Ledende efterforsker:
- Stephen Liu, MD
-
Kontakt:
- Stephen Liu
- E-mail: stephen.v.liu@gunet.georgetown.edu
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Florida
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Miami, Florida, Forenede Stater, 33125
- Rekruttering
- Sylvester Comprehensive Cancer Center
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Ledende efterforsker:
- Gilberto Lopes, MD
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Kontakt:
- Gilberto Lopes
- E-mail: gxl405@miami.edu
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Orlando, Florida, Forenede Stater, 32827
- Rekruttering
- Sara Cannon Research Institute Lake Nona
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Ledende efterforsker:
- Cesar Perez Batista, MD
-
Kontakt:
- Cesar Perez Batista
- E-mail: cesar.perezbatista@flcancer.com
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Port Saint Lucie, Florida, Forenede Stater, 34952
- Rekruttering
- Hematology - Oncology Associates of the Treasure Coast
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Ledende efterforsker:
- Nicholas Iannotti, MD
-
Kontakt:
- Nicholas Iannotti
- E-mail: niannotti@hemoncfl.com
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Rekruttering
- Northwestern University Feinberg School of Medicine
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Kontakt:
- Young Chae
- E-mail: young.chae@northwestern.edu
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Ledende efterforsker:
- Young Chae, MD
-
-
Iowa
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Iowa City, Iowa, Forenede Stater, 52242
- Rekruttering
- University of Iowa Hospital and Clinics
-
Ledende efterforsker:
- Sneha Phadke, MD
-
Kontakt:
- Sneha Phadke
- E-mail: sneha-phadke@uiowa.edu
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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
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Kontakt:
- John Hamm
- E-mail: JHamm.Research@nortonhealthcare.org
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Rekruttering
- Massachusetts General Hospital
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Ledende efterforsker:
- Zofia Piotrowska, MD
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Kontakt:
- Zofia Piotrowska
- E-mail: zofia.piotrowska@mgh.harvard.edu
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Boston, Massachusetts, Forenede Stater, 02215
- Rekruttering
- Dana-Farber Cancer Institute
-
Kontakt:
- Janne Pasi
- E-mail: pasi_janne@dfci.harvard.edu
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Ledende efterforsker:
- Janne Pasi, MD, PhD
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New York
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New York, New York, Forenede Stater, 10065
- Rekruttering
- Memorial Sloan Kettering Cancer Center Head Neck Services
-
Ledende efterforsker:
- Helena Yu, MD
-
Kontakt:
- Helena Yu
- E-mail: yuh@mskcc.org
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South Carolina
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Greenville, South Carolina, Forenede Stater, 29605
- Rekruttering
- PRISMA Health/ITOR
-
Ledende efterforsker:
- Jeffery Edenfield, MD
-
Kontakt:
- Jeffery Edenfield
- E-mail: Jeffery.Edenfield@prismahealth.org
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-
Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Rekruttering
- Sarah Cannon - Tennessee Oncology
-
Ledende efterforsker:
- Melissa Johnson, MD
-
Kontakt:
- Melissa Johnson
- E-mail: mjohnson@tnonc.com
-
-
Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- Oncology Consultants, P.A.
-
Ledende efterforsker:
- Julio Peguero, MD
-
Kontakt:
- Julio Peguero
- E-mail: jpeguero@oncologyconsultants.com
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- University of Texas M.D. Anderson Cancer Center
-
Ledende efterforsker:
- Yasir Elamin, MD
-
Kontakt:
- Yasir Elamin
-
-
Virginia
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Fairfax, Virginia, Forenede Stater, 22031
- Rekruttering
- Virginia Cancer Specialists
-
Kontakt:
- Alexander Spira
- E-mail: alexander.spira@usoncology.com
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Ledende efterforsker:
- Alexander Spira, MD
-
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Washington
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Seattle, Washington, Forenede Stater, 98109
- Rekruttering
- University of Washington Fred Hutchinson
-
Ledende efterforsker:
- Christina Baik, MD
-
Kontakt:
- Christina Baik
- E-mail: cbaik2@u.washington.edu
-
-
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-
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Lyon, Frankrig, 69373
- Rekruttering
- Centre Léon Bérard
-
Kontakt:
- Aurélie Swalduz
- E-mail: aurelie.swalduz@lyon.unicancer.fr
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Ledende efterforsker:
- Aurélie Swalduz, MD
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Paris, Frankrig, 75013
- Rekruttering
- Groupe Hospitalier Pitie-Salpetriere
-
Kontakt:
- Johanna Wassermann
- E-mail: johanna.wassermann@aphp.fr
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Ledende efterforsker:
- Johanna Wassermann, MD
-
Saint-Herblain, Frankrig, 44805
- Rekruttering
- Institut de Cancerologie de Ouest (ICO) - Saint-Herblain
-
Ledende efterforsker:
- Sandrine Hiret, MD
-
Kontakt:
- Sandrine Hiret
- E-mail: sandrine.hiret@ico.unicancer.fr
-
Villejuif, Frankrig, 94800
- Rekruttering
- Institut Gustave Roussy
-
Ledende efterforsker:
- Anas Gazzah, MD
-
Kontakt:
- Anas Gazzah
- E-mail: anas.gazzah@gustaveroussy.fr
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-
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Candiolo, Italien, 10060
- Rekruttering
- Fondazione del Piemonte per l'Oncologia IRCC Candiolo
-
Ledende efterforsker:
- Vanesa Gregorc, MD
-
Kontakt:
- Vanesa Gregorc
- E-mail: vanesa.gregorc@ircc.it
-
Rozzano, Italien, 20089
- Rekruttering
- IRCCS Istituto Clinico Humanitas, Cancer Center
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Ledende efterforsker:
- Matteo Simonelli, MD
-
Kontakt:
- Matteo Simonelli
- E-mail: matteo.simonelli@hunimed.eu
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-
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Chūōku, Japan, 104-0045
- Rekruttering
- National Cancer Center Hospital
-
Kontakt:
- Noboru Yamamoto
- E-mail: nbryamam@ncc.go.jp
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Ledende efterforsker:
- Noboru Yamamoto, MD
-
-
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-
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Barcelona, Spanien, 08035
- Rekruttering
- Hospital Universitari Vall d'Hebron
-
Ledende efterforsker:
- Enriqueta Felip Font, MD
-
Kontakt:
- Enriqueta Felip Font
- E-mail: efelip@vhio.net
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Barcelona, Spanien, 8041
- Rekruttering
- Hospital de la Santa Creu I Sant Pau
-
Kontakt:
- Margarita Majem Tarruella
- E-mail: mmajem@santpau.cat
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Ledende efterforsker:
- Margarita Majem Tarruella, MD
-
Madrid, Spanien, 28040
- Rekruttering
- START Madrid / Hospital Universitario Fundacion Jimenez Diaz
-
Kontakt:
- Ester Garcia Lorenzo
- E-mail: ester.garcia@startmadrid.com
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Ledende efterforsker:
- Ester Garcia Lorenzo, MD
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Madrid, Spanien, 28050
- Rekruttering
- START Madrid / Centro Integral Oncologico Clara Campal
-
Kontakt:
- Ramon Yarza Barrio
- E-mail: Ramon.yarza@startmadrid.com
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Ledende efterforsker:
- Ramon Yarza Barrio, MD
-
Madrid, Spanien, 28041
- Rekruttering
- Hospital Universitario 12 De Octubre
-
Ledende efterforsker:
- Santiago Ponce Aix, MD
-
Kontakt:
- Santiago Ponce Aix
- E-mail: santiago.ponce@oncosur.org
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Madrid, Spanien, 28007
- Rekruttering
- Hospital Beata María Ana
-
Kontakt:
- Javier Cortes
- E-mail: javier.cortes@maj3.health
-
Ledende efterforsker:
- Javier Cortes, MD
-
Piqueras, Spanien, 26006
- Rekruttering
- START Rioja
-
Ledende efterforsker:
- Maria Jose de Miguel Luken, MD
-
Kontakt:
- Maria Jose de Miguel Luken
- E-mail: maria.demiguel@startrioja.com
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Seville, Spanien, 41009
- Rekruttering
- Hospital Universitario Virgen Macarena
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Ledende efterforsker:
- David Vicente Baz, MD
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Kontakt:
- David Vicente Baz
- E-mail: david.vbaz@gmail.com
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion criteria:
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Signed the informed consent voluntarily and agreed to follow the program requirements
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Either sex
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Age: ≥18 years
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Has a life expectancy of ≥3 months
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Has histologically documented, incurable, locally advanced or metastatic epithelial origin malignant cancer, priority to include the following tumor types: NSCLC, HER2 - breast cancer, esophageal cancer, SCLC, NPC, and HNSCC.
Has documented locally advanced or metastatic HER2 negative (by immunohistochemistry [IHC], score of 0 or 1) Hormone Receptor (HR) positive (HER2-, HR+) OR HER2 negative (IHC score of 0 to 2) HR negative breast cancer (HER2-, HR-) as per ASCO CAP criteria (ASCO CAP 2023; Wolff et al. 2023), not amenable to curative surgery or radiation with documentation of radiological disease progression while on/after receiving most recent treatment regimen for locally advanced or metastatic disease, must have received 1 prior line of chemotherapy for advanced disease and, when applicable and if approved in that region, a PD-1/PD-L1 inhibitor, either given concurrently or sequentially. When appropriate, must have progression on at least 1 prior line of hormonal therapy with or without a targeted therapy (such as CDK4/6, mTOR, or PI3-K inhibitors) administered for treatment of metastatic disease.
In Dose Escalation and Dose finding portions of the study, for triple-negative breast cancer (TNBC, HER2-/HR-) participants must have received PARP inhibitors if a BRCA mutation is present and sacituzumab govitecan as second line treatment. Participants who are HER2 low must have received trastuzumab deruxtecan.
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Agree to provide archived tumor samples (tissue block or slides) from primary or metastatic sites within 2 years. In the event that no archival tissue is available a fresh tissue biopsy is highly encouraged but not mandatory.
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Has at least one measurable lesion based on RECIST V1.1 (with the exception of Prostate adenocarcinoma cohort, where subjects with bone metastasis are allowed)
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Has an Eastern Cooperative Oncology Group performance status (ECOG PS) 0 to 1
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Toxicity of previous antitumor therapy has returned to level ≤1 as defined by NCI-CTCAE V5.0 (except for asymptomatic laboratory abnormalities such as elevated ALP, hyperuricemia, elevated serum or plasma amylase/lipase, and elevated blood glucose; except for toxicity that the investigator determined to have no safety risk, such as alopecia, grade 2 peripheral neurotoxicity, hypothyroidism stabilized by hormone replacement therapy, etc.)
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Has no serious cardiac dysfunction, left ventricular ejection fraction ≥50%
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Has adequate organ function before registration, defined as: a) Marrow Function: Absolute neutrophil count (ANC) ≥1.2×109 /L, Platelet count ≥100×109 /L, Hemoglobin (Hb) ≥90 g/L b) Hepatic function: Total bilirubin(TBIL≤1.5 ULN, AST and ALT without liver metastasis ≤2.5 ULN, AST and ALT with liver metastasis ≤5.0 ULN c) Renal function: Creatinine clearance ≥50 mL/min (According to the Cockcroft and Gault equation)
-
Coagulation function: international normalized ratio (INR) ≤1.5×ULN, and activated partial thromboplastin time (APTT) ≤1.5 ULN
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Urinary protein ≤2+ or ≤1000mg/24 hours
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Sexually active fertile subjects and their partners must agree to use highly effective methods of contraception during the course of the study and for 7 months for females and 4 months for males after the last dose of study treatment. An additional contraceptive method, such as a barrier method like a condom is required.
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Women of childbearing potential (WOCBP) must have a negative serum pregnancy test at screening and must be nonlactating. Female subjects are considered WOCBP unless one of the following criteria are met: documented permanent sterilization (hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or documented postmenopausal status (defined as 12 months of amenorrhea in a woman >45 years old in the absence of other biological or physiological causes. In addition, females <55 years old must have a serum follicle stimulating hormone (fsh) level > 40 mIU/mL to confirm menopause.
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For subjects with NSCLC (EGFR mutation):
a) Evidence of documented EGFR TKI-sensitizing deletion mutation in EGFR Exon 19 (ex19del) or leucin-arginine substitution point mutation in EGFR Exon 21 (ex21L858R), the serine-isoleucine mutation in EGFR Exon 20 (ex20S768I), the leucine-glutamine substitution mutation in Exon 21 (ex21L861Q), or the glycine substitution (with alanine, cysteine, or serine) mutation in Exon 18 (ex18G719X) at or after the time of disease diagnosis and prior to initiation of treatment.
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For Triple-Negative Breast Cancer (TNBC, HER2-/HR-):
a) Histologically or cytologically confirmed and documented locally advanced, recurrent inoperable or metastatic TNBC
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For Esophageal adenocarcinoma
a) Has locally advanced or metastatic adenocarcinoma cell carcinoma of the esophagus or esophagogastric junction cancers, not amenable to curative surgery or radiation with documentation of radiological disease progression after one line of fluoropyrimidine and/or platinum-based chemotherapy treatment regimen for locally advanced or metastatic disease.
NOTE: Prior therapies such as trastuzumab, zolbetuximab, or IOs are allowed in the study.
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For Prostate adenocarcinoma
a) Subject has metastatic castration-resistant prostate cancer (mCRPC) after progression on/after an androgen receptor pathway inhibitors (ARPI) treatment, such as abiraterone, enzalutamide, apalutamide and darolutamide.
Note: No prior chemotherapy including docetaxel is allowed Prior treatment with lutetium Lu 177 vipivotide tetraxetan (Pluvicto) is allowed. Enrollment will be capped for lutetium Lu 177 vipivotide tetraxetan-naive participants at approximately 20 or participants with prior lutetium Lu 177 vipivotide tetraxetan treatment at approximately 20.
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For NSCLC (EGFR wild type) with squamous histology
- Has documented locally advanced or metastatic NSCLC, not amenable to curative surgery or radiation with documentation of radiological disease progression while on/after receiving most recent treatment regimen for locally advanced or metastatic disease with predominantly squamous cell histology
- Must have documented negative test results for epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK). Must have no known genomic alterations in ROS proto-oncogene 1 (ROS1).
- Progressed or intolerant to one line of platinum-based chemotherapy with α-PD-1/L1 monoclonal antibody given either concurrently or sequentially.
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For NSCLC (EGFR wild type) with adenocarcinoma histology
- Has documented locally advanced or metastatic NSCLC, not amenable to curative surgery or radiation with documentation of radiological disease progression while on/after receiving most recent treatment regimen for locally advanced or metastatic disease with predominantly adenocarcinoma histology
- Must have documented negative test results for epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK). Must have no known genomic alterations in ROS proto-oncogene 1 (ROS1).
Progressed or intolerant to one line of platinum-based chemotherapy with α-PD-1/L1 monoclonal antibody given either concurrently or sequentially.
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Ovarian adenocarcinoma
a) Has histologic documentation of epithelial ovarian, primary peritoneal, or fallopian tube cancer that has progressed or relapsed on or after a previous platinum-containing chemotherapy with or without a PARP inhibitor.
Note: participants with platinum-sensitive or platinum resistant recurrent ovarian cancer (PSR) are eligible. However, enrollment will be capped for platinum-sensitive or platinum resistant participants at approximately 20 each.
Prior bevacizumab treatment is allowed.
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Endometrial carcinoma
a) Has relapsed, advanced and/or metastatic endometrial carcinoma, who have progressed on or after prior platinum-based chemotherapy with or without immuno-oncology (IO) treatment
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For Cervical carcinoma Has relapsed, advanced and/or metastatic cervical carcinoma, who have progressed on or after prior platinum-based chemotherapy with or without immuno-oncology (IO) treatment
Exclusion criteria:
-
Chemotherapy, biological therapy, immunotherapy, radical radiotherapy, targeted therapy (including small molecule inhibitor of tyrosine kinase), and other anti-tumor therapy within 2 weeks or 5 half-lives (whichever is shorter) prior to the first administration; major surgery within 4 weeks prior to the first administration; mitomycin and nitrosoureas treatment within 6 weeks prior to the first administration
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Participants with history of severe heart disease, such as symptomatic congestive heart failure (CHF) ≥ Grade 2 (CTCAE 5.0), New York Heart Association (NYHA) ≥ Grade 2 heart failure, history of transmural myocardial infarction, unstable angina pectoris etc;
-
Subjects with prolonged QT interval (QTc >470 msec), complete left bundle branch block, Grade 3 atrioventricular block
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Active autoimmune diseases and inflammatory diseases, such as: systemic lupus erythematosus, psoriasis requiring systemic treatment, rheumatoid arthritis, inflammatory bowel disease and Hashimoto's thyroiditis, etc., except for Type I diabetes, hypothyroidism that can be controlled only by standard of care treatment, and skin diseases that do not require systemic treatment (such as vitiligo, psoriasis)
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Other malignant tumors were diagnosed within 5 years prior to the first administration with the following exceptions: basal cell carcinoma of the skin, squamous cell carcinoma of the skin and/or carcinoma in situ after radical resection
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Participants with poorly controlled hypertension by two kinds of antihypertensive drugs (systolic blood pressure>150 mmHg or diastolic blood pressure>100 mmHg)
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Participants have Grade 3 lung disease defined according to NCI-CTCAE v5.0, a history of interstitial lung disease (ILD)/ pneumonitis
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Unstable thrombotic events such as deep vein thrombosis, arterial thrombosis, and pulmonary embolism requiring therapeutic intervention within the previous 6 months before screening; Infusion set-related thrombosis is excluded
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Participants with primary tumors in the central nervous system (CNS) and active or untreated CNS metastases and/or carcinomatous meningitis should be excluded. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks and have no evidence of new or enlarging brain metastases and no requirements for corticosteroids 14 days prior to dosing with the investigational product (IP). Participants on low dose corticosteroids (<20 mg prednisone or equivalent/day) may participate.
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Participants who have a history of allergies to recombinant humanized antibodies or human-mouse chimeric antibodies or any of the components of BL-B01D1
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Participants have a history of autologous or allogeneic stem cell transplantation (Allo-HSCT)
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Has received treatment with anthracyclines with a cumulative dose exceeding 360 mg/m2
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Participants with ≥ Grade 2 hypokalemia (low concentration of potassium in the blood) according to CTCAE v5.0 (Grade 1: participant asymptomatic with potassium levels <LLN - 3.0 mmol/L or equivalent)
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Known Human immunodeficiency virus antibody (HIVAb) positive, active tuberculosis, active Hepatitis B virus infection (HBV-DNA copy number> the lower limit of detection) or active Hepatitis C virus infection (HCV antibody positive and HCV-RNA > the lower limit of detection)
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Participants with active infections requiring systemic treatment, such as severe pneumonia, bacteremia, sepsis.
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Received an investigational drug within 4 weeks, or two half-lives (whichever is longer) prior to first dose of study treatment
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Participants who are pregnant or breastfeeding
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Other conditions that the investigator believes may make the subject not suitable for participating in this clinical trial.
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Participants who have received prior therapy with any ADC targeting EGFR and/or HER3 or containing a topoisomerase 1 inhibitor payload (all dose expansion cohorts with exception of TNBC noted below).
Note: For TNBC dose expansion cohort, participants with prior ADC therapy targeting HER3 and EGFR or a topoisomerase I inhibitor, such as sacituzumab govitecan may be enrolled with Sponsor consultation prior to enrollment
-
For NSCLC EGFRmut:
-
Participants treated with more than two systemic chemotherapies prior to randomization.
NOTE: Progression of disease within 12 months after receiving neoadjuvant and adjuvant chemotherapies is considered 1 prior systemic chemotherapy
-
Previously documented EGFR Exon 20 insertion mutations as primary EGFR mutations
-
-
For Triple-Negative Breast Cancer (TNBC, HER2-/HR-):
a) Participants treated with more than two systemic chemotherapies prior to randomization.
NOTE: Progression of disease within 12 months after receiving neoadjuvant and adjuvant chemotherapies is considered 1 prior systemic chemotherapy
-
For Esophageal Carcinoma a) Participants received more than 1 prior line of systemic chemotherapy therapy for locally advanced or metastatic disease. NOTE: this limit only applies to prior systemic chemotherapy.
-
For Prostate adenocarcinoma:
a) Prior treatment with systemic chemotherapy.
-
For NSCLC with EGFR WT squamous or adenocarcinoma histology: a) Participants received more than 1 prior line of systemic chemotherapy for locally advanced or metastatic disease
-
For Ovarian Carcinoma a) Participants received more than 1 prior line of systemic chemotherapy. Re-treatment with platinum-based chemotherapy is considered one line of therapy. Prior hormonal therapy is permitted.
-
For Endometrial Carcinoma a) Participants received more than 1 prior line of systemic chemotherapy. Re-treatment with platinum-based chemotherapy is considered one line of therapy. Prior hormonal therapy is permitted.
-
For Cervical Carcinoma a) if received more than 1 prior line of systemic chemotherapy. Re-treatment with platinum-based chemotherapy is considered one line of therapy.
Notes: Re-treatment with platinum-based chemotherapy is considered one line of therapy.
Note: A participant who does not meet this exclusion criterion may be allowed into the study pending the sponsor's approval, based on current accrual within this dose expansion cohort.
Note: There is no limit on the number of prior lines of non-chemotherapy regimens. ADCs with cytotoxic payloads are considered a line of chemotherapy. For any expansion cohorts, if only limited number of patients can be enrolled with 1 prior line of chemotherapy, the Sponsor has the option to allow participants with more than 1 prior line of chemotherapy to be enrolled, upon Sponsor's approval.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: BL-B01D1 administered Day 1 and Day 8 per cycle
BL-B01D1 will be administered on Day 1 and Day 8 by intravenous infusion every 3 weeks |
BL-B01D1 will be administered either on a Day 1 or Day 1 Day 8 dosing regimen |
|
Eksperimentel: BL-B01D1 administered Day 1 per cycle
BL-B01D1 will be administered on Day 1 via by intravenous infusion every 3 weeks |
BL-B01D1 will be administered either on a Day 1 or Day 1 Day 8 dosing regimen |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Participants with Dose-limiting toxicities
Tidsramme: One year
|
Measuring the number of patients Dose-limiting toxicities (DLTs). A DLT is defined as any of the following events that are not clearly due to the underlying disease or extraneous causes: Hematological toxicities:
Non-Hematological toxicities:
|
One year
|
|
Participants with Serious Adverse Events (SAEs) and treatment-emergent adverse events (TEAEs),
Tidsramme: One year
|
Measuring the number of patients with serious adverse events (SAEs) and treatment-emergent adverse events (TEAEs) |
One year
|
|
Participants with abnormal physical examination findings
Tidsramme: One year
|
Measure the number of participants with abnormal physical examination findings. |
One year
|
|
Participants with ability to care for themselves, daily activity, and physical activity
Tidsramme: One year
|
Measure the change in participants with Eastern Clinical Oncology Group (ECOG) Scale of Performance Status. The scale is 0-4 with 0 being the fully active (best outcome) and 4 being completely disabled (worst outcome) |
One year
|
|
Participants with abnormal ECG reading
Tidsramme: One year
|
Measure the number of participants with abnormal ECG parameters |
One year
|
|
Participants with abnormal lab results
Tidsramme: One year
|
Measure the number of participants with abnormal clinical laboratory values |
One year
|
|
To determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and two or more recommended doses and schedules for recommended dose expansion (RDEs) of BL-B01D1 in metastatic NSCLC
Tidsramme: One year
|
Determine the highest BL-B01D1 dose level at which ≤33% subjects experience a DLT during the DLT evaluation period and highest BL-B01D1 dose administered in the event and MTD cannot be defined. |
One year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Cmax of BL-B01D1
Tidsramme: One year
|
Calculate maximum (peak) observed concentration of BL-B01D1 |
One year
|
|
Cmax of anti-EGFR×HER3 antibody
Tidsramme: One year
|
Calculate maximum (peak) observed concentration of anti-EGFR×HER3 antibody |
One year
|
|
Cmax of free payload ED-04
Tidsramme: One year
|
Calculate maximum (peak) observed concentration of free payload ED-04 |
One year
|
|
Tmax of BL-B01D1
Tidsramme: One year
|
Calculate time of maximum observed concentration of BL-B01D1 |
One year
|
|
Tmax of anti-EGFR×HER3 antibody
Tidsramme: One year
|
Calculate time of maximum observed concentration of anti-EGFR×HER3 antibody |
One year
|
|
Tmax of free payload ED-04
Tidsramme: One year
|
Calculate time of maximum observed concentration of free payload ED-04 |
One year
|
|
AUC(0-8) of BL-B01D1
Tidsramme: One year
|
Calculate area under the serum concentration-time curve of BL-B01D1 from time 0 to 8 hours |
One year
|
|
AUC(0-8) of anti-EGFR×HER3 antibodies
Tidsramme: One year
|
Calculate area under the serum concentration-time curve of anti-EGFR×HER3 antibodies from time 0 to 8 hours |
One year
|
|
AUC(0-8) of free payload ED-04
Tidsramme: One year
|
Calculate area under the serum concentration-time curve of free payload ED-04 from time 0 to 8 hours |
One year
|
|
AUC(last) of BL-B01D1
Tidsramme: One year
|
Calculate area under the serum concentration-time curve up of BL-B01D1 to the last quantifiable time |
One year
|
|
AUC(last) anti-EGFR×HER3 antibodies
Tidsramme: One year
|
Calculate area under the serum concentration-time curve up of anti-EGFR×HER3 antibodies to the last quantifiable time |
One year
|
|
AUC(last) of free payload ED-04
Tidsramme: One year
|
Calculate area under the serum concentration-time curve up of free payload ED-04 to the last quantifiable time |
One year
|
|
Overall Response Rate (ORR)
Tidsramme: One year
|
To assess the clinical efficacy of BL-B01D1 as measured by ORR using RECIST criteria v 1.1 |
One year
|
|
Disease Control Rate (DCR)
Tidsramme: One year
|
To assess the clinical efficacy of BL-B01D1 as measured by DCR using RECIST criteria v 1.1 |
One year
|
|
Time To Response (TTR)
Tidsramme: One year
|
To assess the clinical efficacy of BL-B01D1 as measured by TTR using RECIST criteria v 1.1 |
One year
|
|
Progression-Free Survival (PFS),
Tidsramme: One year
|
To assess the clinical efficacy of BL-B01D1 as measured by PFS using RECIST criteria v 1.1 |
One year
|
|
Overall Survival (OS).
Tidsramme: One year
|
To assess the clinical efficacy of BL-B01D1 as measured by OS using RECIST criteria v 1.1 |
One year
|
|
Antitumor Activity
Tidsramme: One year
|
To investigate the antitumor activity of BL-B01D1 as evaluated using RECIST Version 1.1 |
One year
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Jimmy Zhao, MD, PhD, SystImmune Inc.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Genitale sygdomme
- Sygdomme i det endokrine system
- Stomatognatiske sygdomme
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Neoplasmer
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Luftvejssygdomme
- Neoplasmer efter histologisk type
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Livmodersygdomme
- Kønssygdomme, kvindelige
- Lungesygdomme
- Neoplasmer i endokrine kirtler
- Neoplasmer i hoved og hals
- Neoplasmer, kirtel og epitel
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Esophageale sygdomme
- Lungeneoplasmer
- Ovariesygdomme
- Adnexale sygdomme
- Genitale neoplasmer, kvindelige
- Gonadale lidelser
- Hudsygdomme
- Brystsygdomme
- Karcinom
- Livmoderhalssygdomme
- Otorhinolaryngologiske sygdomme
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Uterine neoplasmer
- Pharyngeale neoplasmer
- Otorhinolaryngologiske neoplasmer
- Nasopharyngeale sygdomme
- Pharyngeale sygdomme
- Karcinom, pladecelle
- Brystneoplasmer
- Hud- og bindevævssygdomme
- Planocellulært karcinom i hoved og hals
- Esophageale neoplasmer
- Ovariale neoplasmer
- Karcinom, ikke-småcellet lunge
- Uterine cervikale neoplasmer
- Småcellet lungekarcinom
- Nasopharyngeale neoplasmer
- Tredobbelt negative brystneoplasmer
- Endometriale neoplasmer
Andre undersøgelses-id-numre
- BL-B01D1-LUNG-101
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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