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FiH-Studie zur Untersuchung der Sicherheit, PK und Wirksamkeit des NaPi2b ADC TUB-040 bei Patienten mit PROC oder r/r Adenokarzinom NSCLC (NAPISTAR1-01)

30. Oktober 2026 aktualisiert von: Gilead Sciences

Eine erste Phase-I/IIa-Studie zur Dosiseskalation und -optimierung am Menschen zur Untersuchung der Sicherheit, Verträglichkeit, PK und Wirksamkeit des NaPi2b ADC TUB-040 bei Patienten mit platinresistentem hochgradigem Eierstockkrebs (PROC) oder r/r Adenokarzinom Nicht-kleinzelliger Lungenkrebs (NSCLC)

The goal of this clinical study is to learn more about the study drug, TUB-040, including its safety, tolerability, pharmacokinetics, and preliminary efficacy, and to determine the best dose of TUB-040 in participants with ovarian cancer or non-small cell lung cancer (NSCLC).

The primary objectives of this study are:

Phase 1: To determine the safety and tolerability of TUB-040 and determine the maximum tolerated dose (MTD) or the identified dose for optimization (IDO).

Phase 2a: To assess safety of TUB-040, the preliminary efficacy of TUB-040, and to identify the recommended phase II dose (RP2D) for further development of TUB-040 .

Phase 2b: To determine the efficacy of TUB-040 in patients with PROC.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

334

Phase

  • Phase 2
  • Phase 1

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

  • Belgien
      • Leuven, Belgien, 3000
        • Rekrutierung
        • UZ Leuven - PPDS
  • Deutschland
      • Berlin, Deutschland, 13353
        • Rekrutierung
        • Charité- Universitaetsmedizin Berlin
      • Cologne, Deutschland, 50937
        • Rekrutierung
        • University Hospital of Cologne
  • Rumänien
      • Cluj-Napoca, Rumänien, 40015
        • Rekrutierung
        • ARENSIA Exploratory Medicine, LLC
  • Spanien
      • Madrid, Spanien, 28027
        • Rekrutierung
        • Clínica Universidad de Navarra - Madrid
      • Madrid, Spanien, 28223
        • Rekrutierung
        • NEXT Madrid, University Hospital Quironsalud Madrid
  • Ukraine
      • Kyiv, Ukraine, 01135
        • Aktiv, nicht rekrutierend
        • ARENSIA Exploratory Medicine, LLC
  • Vereinigte Staaten
    • Alabama
      • Birmingham, Alabama, Vereinigte Staaten, 35294
        • Rekrutierung
        • University of Alabama at Birmingham
    • Georgia
      • Atlanta, Georgia, Vereinigte Staaten, 30322
        • Rekrutierung
        • Winship Cancer Institute Emory University
    • Massachusetts
      • Boston, Massachusetts, Vereinigte Staaten, 02215
        • Rekrutierung
        • Dana Farber Cancer Institute (DFCI)
    • New Jersey
      • East Brunswick, New Jersey, Vereinigte Staaten, 08816
        • Rekrutierung
        • START New Jersey (Astera Cancer Center)
    • New York
      • New York, New York, Vereinigte Staaten, 10011
        • Rekrutierung
        • Mount Sinai
    • Ohio
      • Cincinnati, Ohio, Vereinigte Staaten, 45219
        • Rekrutierung
        • The Christ Hospital Physicians - Mt. Auburn
      • Columbus, Ohio, Vereinigte Staaten, 43210
        • Rekrutierung
        • Ohio State University CRS
    • Oklahoma
      • Oklahoma City, Oklahoma, Vereinigte Staaten, 73104
        • Rekrutierung
        • Stephenson Cancer Center
    • Oregon
      • Medford, Oregon, Vereinigte Staaten, 97504
        • Rekrutierung
        • Asante Rogue Region al Medical Center
    • Texas
      • Fort Worth, Texas, Vereinigte Staaten, 76104
        • Rekrutierung
        • START Dallas Fort Worth
      • Irving, Texas, Vereinigte Staaten, 75039
        • Rekrutierung
        • NEXT Oncology Dallas
    • Utah
      • West Valley City, Utah, Vereinigte Staaten, 84119
        • Rekrutierung
        • START Mountain Region
    • Virginia
      • Fairfax, Virginia, Vereinigte Staaten, 22031
        • Rekrutierung
        • NEXT Virginia
  • Vereinigtes Königreich
      • London, Vereinigtes Königreich, SE1 9RT
        • Aktiv, nicht rekrutierend
        • Guy's Hospital

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Key Inclusion Criteria (for all phases)

  1. Male or non-pregnant, non-breastfeeding female, age 18 years or older at the date of consent.
  2. Disease not amenable to curative intent treatment.
  3. Individuals have exhausted the standard of care treatment (SoC) with expected survival benefit and are not denied SoC with expected survival benefit by participating in the trial.
  4. Individuals with previous systemic topoisomerase I inhibitor treatment (e.g., Topotecan) are allowed in the study.
  5. Radiologically measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by the INV.
  6. Eastern Cooperative Oncology Group (ECOG) 0-1.
  7. Have a life expectancy of more than 12 weeks for disease-related mortality, as evaluated by the INV.
  8. Individuals must be willing to sign an archival tissue release form for research purposes and determination of biomarker expression.
  9. Individuals must be willing to undergo a non-contrast high resolution computed tomography (HRCT) of the thorax scan and pulmonary function testing (PFT) at screening.
  10. Adequate organ function
  11. Resolution of all acute toxic effects of prior therapy or surgical procedures to ≤grade 1 (except alopecia, hyperpigmentation, or discoloration (incl. vitiligo) of the skin and nails, stable immune-related toxicity such as hypothyroidism on hormone replacement, adrenal insufficiency on ≤10 mg daily prednisone [or equivalent], chronic grade 2 peripheral sensory neuropathy after prior taxane therapy or anticancer treatment such as but not limited to immune oncology therapy (IOs)).
  12. Individuals of childbearing potential (FCBP) who are sexually active with a non-sterilized partner must use at least one highly effective method of contraception from the time of screening and must agree to continue using such precautions until the end of exposure, plus 5 half-lives and 6 months add-on in the case of individuals assigned female at birth.
  13. In the opinion of the investigator, the individual must be able to understand, give written informed consent, and comply with all study-related procedures, medication use, and evaluations.
  14. The individual must not have a history of non-compliance with medical regimens or be considered potentially unreliable and/or uncooperative.
  15. The individual must be willing to sign and date the informed consent form (ICF)

Key Exclusion Criteria (for all phases)

  1. The individual is pregnant, lactating or breastfeeding or has a positive serum pregnancy test during the screening period.

  2. History of hypersensitivity to exatecan or excipients of the TUB-040 formulation.

  3. Individuals are not allowed to participate in interventional clinical studies either concurrently or within the previous 28 days or within 5 half-lives of any investigational pharmacologic agents or imaging materials, including dyes, investigational surgical techniques, or devices.

  4. Individuals with spinal cord compression or active central nervous system disease, and/or carcinomatous meningitis.

  5. Prior radiotherapy <2 weeks from trial inclusion.

  6. Major surgery within 21 days prior to signing the ICF, unless the individual is recovered at that time.

  7. Has a history of non-infectious interstitial lung disease/pneumonitis (ILD)/pneumonitis/radiation pneumonitis that required steroids or has current ILD/pneumonitis.

  8. Has an oxygen saturation of <93% on room air at rest.

  9. Has a QTcF >470 ms

  10. History of nephrotic syndrome

  11. Active corneal disease, or history of corneal disease within 12 months prior to enrollment.

  12. Active, uncontrolled or severe impairment of the urogenital, renal, hepatobiliary, cardiovascular, gastrointestinal, neurologic, or hematopoietic systems which, in the opinion of the investigator, would predispose the individual to the development of complications from the administration of protocol therapy.

  13. History of another malignancy with ongoing treatment or not yet free from disease for 2 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or other malignancy with a similar expected curative outcome.

  14. Documented other concurrent non-malignant comorbidities such as unstable or uncontrolled pectoral angina, myocardial infarction during the last 6 months, valvular heart disease that requires treatment, acute myocarditis, or congestive heart failure (CHF) (New York Heart Association III or IV).

  15. Any anti-tumor chemotherapy, systemic anti-cancer therapy, radiotherapy (except for local radiation therapy of lesions that may cause imminent complications), hormonal therapy, immunotherapy, or corticoid therapy.

  16. Concurrent use of strong inhibitors or strong inducers of CYP3A4

  17. Live vaccines within 30 days prior to study entry.

  18. Individuals with acute or chronic infections such as:

    1. Individuals who are HBsAg positive are eligible if they have received Hepatitis B virus (HBV) anti-viral therapy for at least 4 weeks and have an undetectable HBV viral load prior to randomization.
    2. Individuals with a history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening.
    3. HIV infected individuals must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease
    4. Any other known unresolved and active bacterial, viral, fungal, mycobacterial, or other infection at screening.
    5. History of severe and recurrent infections per INV judgment.
    6. History of progressive multifocal leukoencephalopathy

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Nicht randomisiert
  • Interventionsmodell: Sequenzielle Zuweisung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Phase 1: Cohort 1: Dose Escalation in Platinum Resistant Ovarian Cancer (PROC)

Participants will receive escalating doses of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects.
Arzneimittel: TUB-040

Administered intravenous (IV) on day 1 of each 21-day treatment cycle
Experimental: Phase 1: Cohort 2: Dose Escalation in R/R NSCLC of the adenocarcinoma subtype

Participants will receive escalating doses of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects.
Arzneimittel: TUB-040

Administered intravenous (IV) on day 1 of each 21-day treatment cycle
Experimental: Phase 1: Cohort 3: PROC, Combination with Bevacizumab (BEV)

Participants will receive escalating doses of TUB-040 combined with BEV every 3 weeks until the disease progresses or the patient has to stop due to side effects.
Arzneimittel: Bevacizumab

Administered IV

Andere Namen:
  • BEV
Arzneimittel: TUB-040

Administered intravenous (IV) on day 1 of each 21-day treatment cycle
Experimental: Phase 2a: Dose Optimization in PROC

Participants will receive two different dose levels of TUB-040 every 3 weeks until the disease progresses or the patient has to stop due to side effects.
Arzneimittel: TUB-040

Administered intravenous (IV) on day 1 of each 21-day treatment cycle
Experimental: Phase 2b: Dose Expansion in PROC

Patients will receive TUB-040 at the safe dose established during dose escalation until disease progression or unacceptable toxicity.
Arzneimittel: TUB-040

Administered intravenous (IV) on day 1 of each 21-day treatment cycle

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Phase 1 and 2a: Percentage of Participants Experiencing Treatment-Emergent Adverse Event (TEAEs)
Zeitfenster: First dose date up to 30 days post last dose (Up to 3 years)
First dose date up to 30 days post last dose (Up to 3 years)
Phase 1: Percentage of Participants Experiencing any Dose-limiting Toxicities (DLTs)
Zeitfenster: First dose up to 21 days
First dose up to 21 days
Phase 2a & 2b: Overall Response Rate (ORR) by Blinded Independent Central Review (BICR)
Zeitfenster: Up to 3 years

ORR is defined as the percentage of participants who have achieved complete response (CR) or partial response (PR), as assessed by BICR.
Up to 3 years

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Phase 1: Percentage of Participants Experiencing Serious Adverse Events (SAEs)
Zeitfenster: First dose date up to 30 days post last dose (Up to 3 years)
First dose date up to 30 days post last dose (Up to 3 years)
Phase 1, 2a & 2b: Percentage of Participants Developing anti-TUB-040 antibodies and semiquantitative titer assessments
Zeitfenster: From enrollment until 30 days after last study drug
From enrollment until 30 days after last study drug
Phase 2a & 2b: Percentage of Participants Experiencing TEAEs
Zeitfenster: First dose date up to 30 days post last dose date (Up to 3 years)
First dose date up to 30 days post last dose date (Up to 3 years)
Phase 2a & 2b: Duration of Response (DOR) by BICR
Zeitfenster: Up to 3 years

DOR is defined as the interval from the first documentation of CR or PR until the date of first documented disease progression or death, whichever comes first, as assessed by BICR.
Up to 3 years
Phase 1, 2a & 2b: ORR by INV
Zeitfenster: Up to 3 years

ORR is defined as the percentage of participants who have achieved complete response (CR) or partial response (PR), as assessed by Investigator (INV).
Up to 3 years
Phase 1, 2a & 2b: DOR by INV
Zeitfenster: Up to 3 years

DOR is defined as the interval from the first documentation of CR or PR until the date of first documented disease progression or death, whichever comes first, as assessed by INV.
Up to 3 years
Phase 1, 2a & 2b: Progression-Free Survival (PFS) by INV
Zeitfenster: Up to 3 years

PFS is defined as the time from first dose date until disease progression or death from any cause, whichever comes first, as assessed by INV.
Up to 3 years
Phase 1, 2a & 2b: Disease Control Rate (DCR) by INV
Zeitfenster: Up to 3 years

DCR is defined as the percentage of participants with a confirmed CR, PR, or stable disease, as assessed by INV.
Up to 3 years
Phase 2a & 2b: Progression-Free Survival (PFS) by BICR
Zeitfenster: Up to 3 years

PFS is defined as the time from first dose date until disease progression or death from any cause, whichever comes first, as assessed by BICR.
Up to 3 years
Phase 2a & 2b: Disease Control Rate (DCR) by BICR
Zeitfenster: Up to 3 years

DCR is defined as the percentage of participants with a confirmed CR, PR, or stable disease, as assessed by BICR.
Up to 3 years
Phase 1, 2a & 2b: Percentage of Participants Experiencing Grade ≥3 Lab Abnormalities
Zeitfenster: Up to 3 years
Up to 3 years
Phase 1 & 2a: Pharmacokinetic (PK) Parameter of TUB-040, total Monoclonal Antibody (mAb), and Free Exatecan: Cmax
Zeitfenster: Up to 3 years

Cmax is defined as the maximum observed drug concentration.
Up to 3 years
Phase 1 & 2a: PK Parameter of TUB-040, Total mAb, and Free Exatecan: Cmin
Zeitfenster: Up to 3 years

The concentration of TUB-040 (conjugated ADC), total mAb, and free payload (Cmin will be derived).
Up to 3 years
Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Tmax
Zeitfenster: Up to 3 years

Tmax is defined as the time (observed time point) of Cmax.
Up to 3 years
Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Area Under Curve (AUC)
Zeitfenster: Up to 3 years

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption.
Up to 3 years
Phase 1 & 2a: PK Parameter TUB-040, Total mAb, and Free Exatecan: Half life (t1/2)
Zeitfenster: Up to 3 years

t1/2 is defined as the terminal elimination half-life at steady state.
Up to 3 years
Phase 2a & 2b: Overall Survival (OS)
Zeitfenster: Up to 3 years

OS is defined as the length of time from first dose until the date of death from any cause.
Up to 3 years
Phase 2a & 2b: Cancer Antigen (CA)-125 response according to Gynecological Cancer InterGroup (GCIG)
Zeitfenster: Up to 3 years
Up to 3 years

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Gilead Sciences

Ermittler

  • Studienleiter: Gilead Study Director, Gilead Sciences

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

12. Juni 2024

Primärer Abschluss (Geschätzt)

1. Dezember 2027

Studienabschluss (Geschätzt)

1. Dezember 2027

Studienanmeldedaten

Zuerst eingereicht

6. Februar 2024

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

6. März 2024

Zuerst gepostet (Tatsächlich)

12. März 2024

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

3. November 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

30. Oktober 2026

Zuletzt verifiziert

1. Oktober 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Schlüsselwörter

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • NAPISTAR 1-01
  • 2024-511074-80 (EudraCT-Nummer)

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Ja

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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