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Studio FiH per indagare la sicurezza, la farmacocinetica e l'efficacia del NaPi2b ADC TUB-040 in pazienti con NSCLC PROC o adenocarcinoma r/r (NAPISTAR1-01)

30 ottobre 2026 aggiornato da: Gilead Sciences

Un primo studio di fase I/IIa di incremento e ottimizzazione della dose nell'uomo per indagare la sicurezza, la tollerabilità, la farmacocinetica e l'efficacia di NaPi2b ADC TUB-040 in pazienti con cancro ovarico di alto grado (PROC) resistente al platino o r/r Adenocarcinoma Carcinoma polmonare non a piccole cellule (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.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

334

Fase

  • Fase 2
  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione sequenziale
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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.

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

Sperimentale: 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.

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

Sperimentale: 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.

Administered IV

Altri nomi:
  • BEV

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

Sperimentale: 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.

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

Sperimentale: 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.

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

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Phase 1 and 2a: Percentage of Participants Experiencing Treatment-Emergent Adverse Event (TEAEs)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Phase 1: Percentage of Participants Experiencing Serious Adverse Events (SAEs)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: Up to 3 years
Up to 3 years

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Direttore dello studio: Gilead Study Director, Gilead Sciences

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

12 giugno 2024

Completamento primario (Stimato)

1 dicembre 2027

Completamento dello studio (Stimato)

1 dicembre 2027

Date di iscrizione allo studio

Primo inviato

6 febbraio 2024

Primo inviato che soddisfa i criteri di controllo qualità

6 marzo 2024

Primo Inserito (Effettivo)

12 marzo 2024

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

3 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

30 ottobre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .