- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT06573294
Forsøg for at vurdere sikkerheden og antitumoraktiviteten af GEN1057 i maligne solide tumorer
Et første-i-menneskeligt, åbent, dosiseskaleringsforsøg for at evaluere sikkerheden og antitumoraktiviteten af GEN1057 hos forsøgspersoner med ondartede solide tumorer
The purpose of this trial is to study the antibody GEN1057 when used as a single agent for the treatment of certain types of cancer.
Trial details include:
- The trial duration for an individual participant will be up to approximately 11 months.
- The treatment duration for an individual participant will be up to approximately 4 months (the duration of treatment may vary for each participant) and the follow-up duration for an individual participant will be approximately 6 months.
Participation in the trial will require visits to the site. All participants will receive active drug; no one will be given placebo.
Studieoversigt
Status
Intervention / Behandling
Detaljeret beskrivelse
The trial is a first-in-human (FIH) open-label, multicenter, multinational safety trial.
The dose escalation will evaluate different dose levels by assessing safety, tolerability, and early efficacy signals to determine the expansion dose(s) of GEN1057 as monotherapy, as well as characterizing the pharmacokinetic (PK) profile and immunogenicity in participants with malignant solid tumors who have metastatic or advanced disease.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- SCRI Oncology Partners
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Texas
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San Antonio, Texas, Forenede Stater, 78229
- South Texas Accelerated Research Therapeutics, LLC
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Tokyo, Japan
- National Cancer Center, Tsukiji 5-1-1
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Madrid, Spanien, 28050
- Start Madrid Centro Integral Oncologico Clara Campal CIOCC
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Barcelona
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Barcelona, Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Advanced and/or metastatic malignant solid tumors, who have progressed on standard of care therapy for whom there is no available standard therapy likely to provide clinical benefit, or who are not candidates for available therapy, and for whom experimental therapy with GEN1057 may be beneficial, in the opinion of the investigator.
- Be at least 18 (or the legal age of consent in the jurisdiction in which the trial is taking place) years of age.
- Have measurable disease according to RECIST v1.1.
- Have Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1 at screening and on C1D1 pretreatment. Note: If screening ECOG PS is assessed within 3 days prior to C1D1, ECOG PS does not need to be reassessed at C1D1.
- Have a life expectancy of ≥3 months.
Key Exclusion Criteria:
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Has been exposed to any of the following prior therapies/treatments within the specified timeframes:
- Treatment with an investigational anticancer agent within 28 days or for systemic therapies within 5 half-lives of the drug, whichever is shorter, prior to trial treatment administration.
- Treatment with an investigational drug, including investigational vaccines within 28 days before the planned first dose of trial treatment.
- Prior treatment with live, attenuated vaccines within 28 days prior to initiation of GEN1057. Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guérin, and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (eg, FluMist®) are live, attenuated vaccines and are not allowed. Experimental and/or nonauthorized severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccinations are not allowed.
- Used an invasive investigational medical device within 28 days before the planned first dose of trial treatment.
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Has clinically significant toxicities from previous anticancer therapies that have not resolved to baseline levels or to grade 1, except for anorexia, hyperthyroidism, hypothyroidism, and peripheral neuropathy, which must have recovered to ≤ grade 2. There is no limitation for alopecia and hearing impairment from previous therapies.
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Has known, symptomatic brain metastases. Asymptomatic brain metastases are allowed provided that they have been treated, have been stable for >28 days as documented by radiographic imaging, and do not require prolonged (>14 days) systemic corticosteroid therapy.
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Has a past or current malignancy other than inclusion diagnosis.
Note: Other protocol-defined inclusion and exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: GEN1057 Monoterapi
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Intravenous (IV) infusion IV infusion/orally by mouth. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Antal deltagere med behandlingsfremkomne bivirkninger (AE'er)
Tidsramme: Fra første dosis til slutningen af sikkerhedsopfølgningsperioden (ca. 5 måneder)
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Fra første dosis til slutningen af sikkerhedsopfølgningsperioden (ca. 5 måneder)
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Number of Participants With Dose Limiting Toxicities (DLTs)
Tidsramme: Up to 21 days
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DLTs will be graded for severity according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), v5.0. |
Up to 21 days
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Maksimal plasmakoncentration (Cmax) af GEN1057
Tidsramme: Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Tid til at nå Cmax (Tmax) for GEN1057
Tidsramme: Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Areal under koncentrationstidskurven (AUC) fra tid nul til sidste kvantificerbare prøve (AUC0-sidste) af GEN1057
Tidsramme: Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Halveringstid (t1/2) af GEN1057
Tidsramme: Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Clearance (CL) af GEN1057 fra plasma
Tidsramme: Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Før- og efterdosis på flere tidspunkter op til slutningen af behandlingen (ca. 4 måneder)
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Number of Participants with Anti-drug Antibodies (ADAs) to GEN1057
Tidsramme: Up to approximately 11 months
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Serum samples will be screened for ADAs binding to GEN1057 and the titer of confirmed positive samples will be reported. |
Up to approximately 11 months
|
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Objective Response Rate (ORR)
Tidsramme: Up to approximately 11 months
|
The ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) based on response evaluation criteria in solid tumors (RECIST) version (v) 1.1 as assessed by the investigator. |
Up to approximately 11 months
|
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Duration of Response (DOR)
Tidsramme: Up to approximately 11 months
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DOR is defined as the time from the first documentation of response (CR or PR) to the date of progressive disease (PD) or death, whichever occurs earlier based on RECIST v1.1 as assessed by the investigator. |
Up to approximately 11 months
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Time to Response (TTR)
Tidsramme: Up to approximately 11 months
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TTR is defined as the time from Cycle 1 Day 1 (C1D1) to the first documentation of objective response (CR or PR) in participants achieving PR or CR based on RECIST v1.1 as assessed by the investigator. |
Up to approximately 11 months
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Disease Control Rate (DCR)
Tidsramme: Up to approximately 11 months
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DCR is defined as the percentage of participants with BOR of CR, PR, or stable disease (SD) based on RECIST v1.1 as assessed by the investigator. |
Up to approximately 11 months
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Study Official, Genmab
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
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
Andre undersøgelses-id-numre
- GCT1057-01
- 2024-513563-75-00 (Ctis)
- jRCT2031240508 (Registry Identifier: Japan Registry of Clinical Trials)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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