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- Register voor klinische proeven in de VS.
- Klinische proef NCT06756035
CT-95 bij geavanceerde kankers geassocieerd met mesotheline-expressie
Fase 1-studie van CT-95 bij gevorderde kankers geassocieerd met mesotheline-expressie
This is a Phase 1a/1b, first-in-human (FIH), open-label, multi-center dose escalation and expansion study of the safety, pharmacokinetics (PK), pharmacodynamics, and antitumor activity of single-agent CT-95 in subjects with advanced (recurrent, unresectable, or metastatic) cancers associated with MSLN expression.
Studie Overzicht
Toestand
Conditie
- Colorectale kanker
- Epitheliale eierstokkanker
- Cholangiocarcinoom Niet-reseceerbaar
- Longadenocarcinoom Metastatisch
- Kwaadaardig pleuraal mesothelioom, gevorderd
- Cholangiocarcinoom Geavanceerd
- Pancreasadenocarcinoom Gevorderd of gemetastaseerd
- Mesotheline-positieve geavanceerde kwaadaardige solide tumoren
- Geavanceerde kankers die mesotheline tot expressie brengen
- Kwaadaardig peritoneaal mesothelioom, gevorderd
- Tumoren die mesotheline tot expressie brengen
Interventie / Behandeling
Gedetailleerde beschrijving
Phase 1a Dose Escalation: Participants with ovarian epithelial tumors, primary peritoneal or fallopian tube cancer (PROC), epithelioid mesothelioma, lung adenocarcinoma, pancreatic adenocarcinoma, colorectal cancer, cholangiocarcinoma, and gastric/GEJ adenocarcinomas will be enrolled in one of approximately 9 dose escalation cohorts to assess the safety and tolerability of CT-95, as well as determine the maximum tolerated dose (MTD) or other recommended dose(s) for expansion (RDE[s]) for further dose expansion cohorts.
Participants will receive CT-95 as a single agent administered once weekly (QW) intravenously (IV) over a 4-week cycle.
Phase 1b Dose Expansion: The RDE(s) of CT-95 determined in Phase 1a will be evaluated in 2-4 indication-specific expansion cohorts of up to 20 subjects each (i.e. up to 80 participants total). Different indications, dose levels, and/or schedules may be explored. The expansion doses and/or dosing schedules for Phase 1b will be determined by Sponsor in conjunction with SRC based upon all available safety, PK, PD, biomarker, and preliminary efficacy data from Phase 1a.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 1
Contacten en locaties
Studie Locaties
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Colorado
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Denver, Colorado, Verenigde Staten, 80218
- Context Investigational Site
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Illinois
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Chicago, Illinois, Verenigde Staten, 60637
- Context Investigational Site
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Michigan
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Grand Rapids, Michigan, Verenigde Staten, 49546
- Context Investigational Site
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New Jersey
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Hackensack, New Jersey, Verenigde Staten, 07601
- Context Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19104
- University of Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19107
- Context Investigational Site
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Tennessee
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Nashville, Tennessee, Verenigde Staten, 37203
- Context Investigational Site
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Texas
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San Antonio, Texas, Verenigde Staten, 78229
- Context Investigational Site
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- ECOG 0 or 1
- Subjects with evaluable disease per RECIST 1.1 or mRECIST
- Subjects with adequate organ function.
- Subjects with advanced cancers associated with mesothelin expression
Exclusion Criteria:
- Uncontrolled significant active infection or any medical or other condition that in opinion of the investigator would preclude the subject's participation in the study.
- Prior treatment with MSLN-targeted CD3 or chimeric antigen receptor T cell (CAR-T) therapy
- Concurrent participation in another investigational clinical trial.
- Evidence of leptomeningeal disease
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: CT-95
Phase 1a: Dose Escalation - each dose cohort will assess toxicity 28 days following the first dose of CT95 anticipate a total of 8 dose cohorts. Phase 1b: Dose Expansion - approximately 80 participants will be evaluated in 2-4 indication-specific expansion cohorts. |
MSLN bispecific antibody to be administered according to the dose and schedule of the assigned cohort until documentation of disease progression (or confirmed disease progression), unacceptable toxicity, or participant/physician decision. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Determine the MTD or RD of CT-95 [Safety and Tolerability]
Tijdsspanne: From date of first dose of CT-95 until 28 days following the first dose.
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The frequency of dose-limiting toxicities (DLTs) will be analyzed along with safety and tolerability measures to determine the MTD or RD of CT-95. |
From date of first dose of CT-95 until 28 days following the first dose.
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Tijdsspanne: From date of first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
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The frequency and severity of adverse events, serious adverse events, and adverse events of special interest will be analyzed. |
From date of first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Evaluate Response Rates [Anti-tumor Activity]
Tijdsspanne: At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first
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Overall response rates will be calculated using RECIST 1.1 (and mRECIST for patients with mesothelioma) for CT-95. |
At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first
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Evaluate Progression-free Survival [Anti-tumor Activity]
Tijdsspanne: At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
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PFS will be summarized using RECIST 1.1 (and mRECIST for patients with mesothelioma) for CT-95. |
At 8-week intervals from the time of the first dose of CT-95 for approximately 6 months or until treatment discontinuation, whichever comes first.
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Evaluate Overall Survival [Survival]
Tijdsspanne: From the time of the first dose of CT-95 until approximately two years post-first dose.
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Overall survival will be summarized for CT-95. |
From the time of the first dose of CT-95 until approximately two years post-first dose.
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Evaluate the Maximum Serum Concentration (Cmax) [Pharmacokinetics]
Tijdsspanne: From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Serum concentrations of CT-95 analyzed as a function of time relative to dosing will be calculated. |
From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Evaluate the Area Under the Curve (AUC) [Pharmacokinetics]
Tijdsspanne: From date of first dose of CT-95 for 5 months or treatment discontinuation, whichever comes first.
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The AUC of CT-95 analyzed as a function of time relative to dosing will be calculated. |
From date of first dose of CT-95 for 5 months or treatment discontinuation, whichever comes first.
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Evaluate Anti-Drug Antibodies [Immunogenicity]
Tijdsspanne: From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Incidence and titer of ADAs will be evaluated. |
From date of first dose of CT-95 for 5 months or until treatment discontinuation, whichever comes first.
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie directeur: Karen Chagin, MD, Context Therapeutics Inc.
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Genitale ziekten
- Endocriene systeemziekten
- Pathologische processen
- Urogenitale neoplasmata
- Neoplasmata per site
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Darmziekten
- Ziekten van de luchtwegen
- Neoplasmata per histologisch type
- Gastro-intestinale neoplasmata
- Neoplasmata van het spijsverteringsstelsel
- Ziekten van het spijsverteringsstelsel
- Gastro-intestinale aandoeningen
- Intestinale neoplasmata
- Rectale ziekten
- Genitale ziekten, vrouw
- Longziekten
- Endocriene klierneoplasmata
- Neoplasmata, glandulair en epitheel
- Neoplasmata van de luchtwegen
- Thoracale neoplasmata
- Colon Ziekten
- Neoplastische processen
- Longneoplasmata
- Ovariële ziekten
- Adnexale ziekten
- Genitale neoplasmata, vrouwelijk
- Gonadale aandoeningen
- Adenoom
- Neoplasmata, mesotheliaal
- Pleurale neoplasmata
- Carcinoom
- Ovariumneoplasmata
- Pathologische aandoeningen, tekenen en symptomen
- Mesothelioom
- Carcinoom, ovariumepitheel
- Mesothelioom, kwaadaardig
- Neoplasmata
- Colorectale neoplasmata
- Neoplasma metastase
Andere studie-ID-nummers
- CNTX-CT95-101
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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