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A Study of CTX-009 in Combination With Paclitaxel in Adult Patients With Unresectable Advanced, Metastatic or Recurrent Biliary Tract Cancers (COMPANION-002)

Phase 2
Active, not recruiting
Conditions
Ampullary Cancer
Gall Bladder Cancer
Biliary Tract Cancer
Cholangiocarcinoma
Interventions
Registration Number
NCT05506943
Lead Sponsor
Compass Therapeutics
Brief Summary

This is a multi-center, open-label, randomized, phase 2/3 trial of the bispecific antibody CTX-009 plus paclitaxel versus paclitaxel in patients with previously treated, unresectable advanced or metastatic biliary tract cancers.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CTX-009 plus PaclitaxelPaclitaxel-
CTX-009 plus PaclitaxelCTX-009-
PaclitaxelPaclitaxelPatients randomized to receive paclitaxel only have the option to crossover to the CTX-009 plus paclitaxel arm after documented disease progression per RECIST v1.1.
Primary Outcome Measures
NameTimeMethod
Best Overall ResponseFrom randomization to treatment discontinuation for any reason, average 6 months

Percentage of patients whose Best Overall Response (BOR) is assessed as Complete Response (CR) or Partial Response (PR) as assessed by RECIST 1.1

Secondary Outcome Measures
NameTimeMethod
Overall SurvivalFrom randomization to death from any cause, average 12 months

Time from randomization until the date of death by any cause. Patients who are still alive at the time of the analysis, or who have become lost to follow-up or withdrawn consent will be censored at their last date known to be alive

Disease Control RateFrom randomization to treatment discontinuation for any reason, average 6 months

Percentage of patients whose BOR is assessed as CR, PR, or Stable Disease (SD)

Duration of ResponseFrom first confirmed CR or PR to confirmed PD, average 6 months

The time between the date of the radiological evaluation that first confirmed CR or PR and the date of the radiation evaluation that first confirmed Progressive Disease (PD)

Patient Reported Quality of LifeFrom randomization to treatment discontinuation for any reason, average 6 months

Assessed approximately every 2 months from patient reported data using European Organization for Research and Treatment of Cancer (EORTC) Quality of Life questionnaire (QLQ)-C30 and BIL21

Exposure Response by Pharmacokinetic (PK) SamplingFrom C1D1 to treatment discontinuation for any reason, average of 6 months

Serum concentrations of CTX-009 at specified timepoints

Progression Free SurvivalFrom randomization to first documented objective PD or death if PD does not occur, average 6 months

Time from randomization until the date of objective PD (as assessed by RECIST 1.1) or the date of death (by any cause in the absence of disease progression)

Safety Profile of CTX-009 in Combination with PaclitaxelFrom randomization to 60 days after the last dose of study treatment, average 7 months

Incidence of Treatment Emergent Adverse Events (TEAEs) and changes in clinical abnormalities for all randomized patients who received at least one dose of study treatment (either CTX-009 or paclitaxel)

Trial Locations

Locations (34)

Virginia Mason Franciscan Health

🇺🇸

Seattle, Washington, United States

The University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Washington University School of Medicine, Siteman Cancer Center

🇺🇸

Saint Louis, Missouri, United States

Memorial Medical Center

🇺🇸

Las Cruces, New Mexico, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Mayo Clinic Jacksonville

🇺🇸

Jacksonville, Florida, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Texas Oncology - Dension

🇺🇸

Denison, Texas, United States

Roswell Park

🇺🇸

Buffalo, New York, United States

Rutgers Cancer Institute

🇺🇸

New Brunswick, New Jersey, United States

The University of New Mexico

🇺🇸

Albuquerque, New Mexico, United States

Columbia University

🇺🇸

New York, New York, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

University of Tennessee Medical Center

🇺🇸

Knoxville, Tennessee, United States

University of California San Francisco

🇺🇸

San Francisco, California, United States

SCRI Oncology Partners

🇺🇸

Nashville, Tennessee, United States

Texas Oncology - San Antonio

🇺🇸

San Antonio, Texas, United States

Gabrail Cancer Center

🇺🇸

Canton, Ohio, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Texas Oncology - Northeast Texas

🇺🇸

Tyler, Texas, United States

Northwest Cancer Specialists, P.C.

🇺🇸

Vancouver, Washington, United States

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

University of Arizona

🇺🇸

Tucson, Arizona, United States

University of Southern California Norris Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

Stanford Medicine Cancer Center

🇺🇸

Palo Alto, California, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

Texas Oncology - Baylor Charles A. Sammons Cancer Center

🇺🇸

Dallas, Texas, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Mayo Clinic Rochester

🇺🇸

Rochester, Minnesota, United States

Rocky Mountain Cancer Centers, LLP

🇺🇸

Aurora, Colorado, United States

Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

AdventHealth Orlando

🇺🇸

Orlando, Florida, United States

Texas Oncology - Austin

🇺🇸

Austin, Texas, United States

Montefiore Medical Center

🇺🇸

Bronx, New York, United States

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