A Study of TRB191 in Patients With Extensive-stage Small Cell Lung Cancer
A Phase I, Open-label, Multi-center Study of TRB191 in Patients With Extensive Stage Small Cell Lung Cancer
The purpose of this study is to characterize the safety, tolerability, pharmacokinetics (PK), immunogenicity (IG) and preliminary anti-tumor activity and to determine a recommended dose (RD) of TRB191 in patients with extensive-stage small cell lung cancer (ES-SCLC).
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This is a phase I, open-label, multi-center, first-in-human (FIH) study of TRB191 in adult patients with ES-SCLC. The study is comprised of a dose escalation part followed by a dose expansion part in second-line and beyond (2L+) ES-SCLC patients.
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Novartis Pharmaceuticals
- Numéro de téléphone: 1-888-669-6682
- E-mail: novartis.email@novartis.com
Sauvegarde des contacts de l'étude
- Nom: Novartis Pharmaceuticals
- Numéro de téléphone: +41613241111
Lieux d'étude
-
-
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Tel Aviv, Israël, 6423906
- Recrutement
- Novartis Investigative Site
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Age ≥ 18 years old
- Histologically or cytologically confirmed and documented ES-SCLC
- Dose escalation: Patients with ES-SCLC and disease progression after one or more chemotherapy regimens (with or without PD-L1 inhibitor) according to the local standard of care (SOC). Prior treatment with a DLL3-targeted therapy is allowed, except in cohorts designed to evaluate TRB191 in patients who are naïve to prior DLL3-targeted therapy
- Dose expansion: Patients with ES-SCLC and disease progression after one or more chemotherapy regimens (with or without PD-L1 inhibitor), according to the local SOC. Patients must have received prior treatment with tarlatamab
Exclusion Criteria:
- Patients with inadequate bone marrow function and/or organ functions with out-of-range laboratory values
- Impaired cardiac function or clinically significant cardiac disease
- Presence of symptomatic central nervous system (CNS) metastases or CNS metastases requiring local therapy or increasing doses of corticosteroids within 2 weeks prior to study entry
- Treatment with anti-cancer therapies prior to the first dose of study treatment within the stated timeframes
- Pregnant or nursing woman, and women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception
Other protocol-defined inclusion/exclusion criteria may apply.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: TRB191 single agent
Treatment with TRB191 single agent in patients with extensive-stage small cell lung cancer. |
Subcutaneous injection of TRB191 |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Dose intensity
Délai: Up to approximately 24 months
|
Dose intensity defined as the ratio of actual cumulative dose received and actual duration of exposure. |
Up to approximately 24 months
|
|
Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Délai: Up to approximately 24 months
|
Number of participants with AEs and SAEs, including changes in laboratory values, vital signs and echocardiograms (ECGs) qualifying and reported as AEs. |
Up to approximately 24 months
|
|
Incidence of Dose Limiting Toxicities (DLTs)
Délai: 21 days
|
Number of participants with DLTs. A DLT is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher, unless clearly and incontrovertibly assessed as due to underlying disease, disease progression, or intercurrent illness, that occurs within the first 21 days of treatment with TRB191. Other clinically significant toxicities may be considered DLTs, even if not CTCAE grade 3 or higher. |
21 days
|
|
Frequency of dose interruptions and reductions
Délai: Up to approximately 24 months
|
Number of participants with dose adjustments (interruptions and reductions as a measure of tolerability. |
Up to approximately 24 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Maximum serum concentration (Cmax) of TRB191
Délai: From pre-dose up to 120 or 240 hours post-dose
|
Pharmacokinetic (PK) parameters based on serum concentrations of TRB191. Cmax will be determined using non-compartmental method(s). |
From pre-dose up to 120 or 240 hours post-dose
|
|
Time to reach maximum serum concentration (Tmax) of TRB191
Délai: From pre-dose up to 120 or 240 hours post-dose
|
PK parameters based on serum concentrations of TRB191. Tmax will be determined using non-compartmental method(s). |
From pre-dose up to 120 or 240 hours post-dose
|
|
Arean under the serum concentration-time curve (AUC) of TRB191
Délai: From pre-dose up to 120 or 240 hours post-dose
|
PK parameters based on serum concentrations of TRB191. AUC will be determined using non-compartmental method(s). |
From pre-dose up to 120 or 240 hours post-dose
|
|
Number of participants with anti-drug antibodies (ADA)
Délai: From baseline (pre-dose) up to approximately 24 months
|
Number of participants with anti-TRB191 antibodies during treatment. |
From baseline (pre-dose) up to approximately 24 months
|
|
Overall Response Rate (ORR) per RECIST v1.1
Délai: Up to approximately 24 months
|
ORR is defined as the proportion of patients with a best overall response (BOR) of Complete response (CR) or Partial response (PR) as per local review and according to Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST v1.1). |
Up to approximately 24 months
|
|
Disease Control Rate (DCR) per RECIST v1.1
Délai: Up to approximately 24 months
|
DCR is defined as the proportion of patients with a BOR of CR, PR, or stable disease as per local review and according to RECIST v1.1. |
Up to approximately 24 months
|
|
Duration of Response (DOR) per RECIST v1.1
Délai: Up to approximately 24 months
|
DOR is the time between the first documented response (CR or PR) and the date of progression as per local review and according to RECIST v 1.1, or death due to any cause. |
Up to approximately 24 months
|
|
Progression-Free Survival (PFS) per RECIST v1.1
Délai: Up to approximately 24 months
|
PFS is defined as the time from the date of start of treatment to the date of the first documented progression as per local review and according to RECIST v1.1 or death due to any cause. |
Up to approximately 24 months
|
Collaborateurs et enquêteurs
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Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- CTRB191A12101
- 2026-526463-37 (Identificateur de registre: EU CTIS)
Plan pour les données individuelles des participants (IPD)
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Description du régime IPD
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on https://www.clinicalstudydatarequest.com/.
Informations sur les médicaments et les dispositifs, documents d'étude
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