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FT836 With or Without Chemotherapy and/or Monoclonal Antibodies, in Participants With Advanced Solid Tumors

Not Applicable
Recruiting
Conditions
Non-Small Cell Lung Cancer
Colorectal Cancer
Breast Cancer
Ovarian Cancer
Endometrial Carcinoma
Head and Neck Squamous Cell Carcinoma
Interventions
Registration Number
NCT07216105
Lead Sponsor
Fate Therapeutics
Brief Summary

This is a phase 1 study of FT836 administered in participants with advanced solid tumors. The primary objectives of the study are to evaluate the safety and tolerability of FT836 with or without paclitaxel and/or trastuzumab or cetuximab, and to determine the recommended phase 2 dose (RP2D) of FT836 in combination with trastuzumab or cetuximab; each objective will be assessed with or without paclitaxel chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
113
Inclusion Criteria
  • For all regimens, disease that is not amenable to curative therapy and that has relapsed or progressed following at least one line of prior systemic therapy.

  • Evidence of adequate organ function as determined by all of the following:

    • Absolute neutrophil count (ANC) >1000/µL without growth factor support within 7 days prior to start of first study intervention
    • Platelet count ≥75,000/µL without transfusion support within 14 days prior to start of first study intervention
    • Estimated creatinine clearance ≥50 mL/minute by Cockcroft-Gault method or other standard institutional method
    • Total bilirubin ≤1.5 × upper limit of normal (ULN); for participants with documented Gilbert syndrome, total bilirubin must be ≤3 ×ULN
    • Aspartate transaminase (AST) ≤3 × ULN or alanine transaminase (ALT) ≤3 × ULN; in participants with documented liver metastases, AST or ALT ≤5 × ULN
    • Alkaline phosphatase (ALP) ≤2.5 × ULN; in participants with documented liver or bone metastases, ALP ≤5 × ULN
    • Oxygen saturation >90% on room air
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.

  • Presence of measurable disease by RECIST, v1.1 assessed within 28 days prior to start of first study intervention.

  • Presence of baseline safely accessible lesions of adequate size for on-treatment biopsies (exceptions for lesion size may be granted with medical monitor approval) and participant willingness to undergo protocol prescribed on-treatment biopsies.

Exclusion Criteria
  • Clinically significant cardiovascular disease including any of the following: uncontrolled/ unstable cardiac arrhythmias, myocardial infarction within 6 months prior to start of first study intervention, unstable angina or congestive heart failure of New York Heart Association (NYHA) Grade 2 or higher, or cardiac ejection fraction <50%.
  • Receipt of any biological therapy, chemotherapy, investigational therapy, or radiation therapy within 2 weeks or five half-lives prior to start of fifirst study intervention, whichever is shorter.
  • Known active central nervous system (CNS) involvement by malignancy. Participants with prior CNS involvement from their malignancy must have completed effective treatment of their CNS disease with no symptoms of disease in the absence of steroid treatment and at least stable findings on relevant CNS imaging and no evidence of leptomeningeal disease for at least 4 weeks prior to study enrollment.
  • Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions within 6 months prior to study enrollment.
  • Currently receiving or likely to require systemic immunosuppressive therapy (e.g., prednisone ≥5 mg daily) for any reason from start of first study intervention to Day 29 with the exception of corticosteroids as a premedication for chemotherapy side effects per institutional standard of care or as mandated by the protocol.
  • Any history of Grade ≥3 immune-related AE or Grade ≥2 eye toxicity attributed to prior cancer immunotherapy, other than endocrinopathy managed with replacement therapy or asymptomatic elevation of serum amylase or lipase.
  • Grade ≥2 peripheral neuropathy limiting instrumental activities of daily living.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Regimen A ( FT836)FT836Participants receive FT836 monotherapy
Regimen B ( Paclitaxel + FT836)FT836Participants receive Paclitaxel chemotherapy followed by FT836
Regimen B ( Paclitaxel + FT836)PaclitaxelParticipants receive Paclitaxel chemotherapy followed by FT836
Regimen C ( Cetuximab + FT836)FT836Participants receive FT836 combined with cetuximab
Regimen C ( Cetuximab + FT836)CetuximabParticipants receive FT836 combined with cetuximab
Regimen D ( Paclitaxel + Cetuximab + FT836)FT836Participants receive Paclitaxel chemotherapy followed by FT836 combined with cetuximab
Regimen D ( Paclitaxel + Cetuximab + FT836)PaclitaxelParticipants receive Paclitaxel chemotherapy followed by FT836 combined with cetuximab
Regimen E ( Trastuzumab + FT836))TrastuzumabParticipants receive FT836 combined with trastuzumab
Regimen F ( Paclitaxel + Trastuzumab + FT836)FT836Participants receive Paclitaxel chemotherapy followed by FT836 combined with trastuzumab
Regimen D ( Paclitaxel + Cetuximab + FT836)CetuximabParticipants receive Paclitaxel chemotherapy followed by FT836 combined with cetuximab
Regimen E ( Trastuzumab + FT836))FT836Participants receive FT836 combined with trastuzumab
Regimen F ( Paclitaxel + Trastuzumab + FT836)PaclitaxelParticipants receive Paclitaxel chemotherapy followed by FT836 combined with trastuzumab
Regimen F ( Paclitaxel + Trastuzumab + FT836)TrastuzumabParticipants receive Paclitaxel chemotherapy followed by FT836 combined with trastuzumab
Primary Outcome Measures
NameTimeMethod
Number of participants with dose limiting toxicities (DLTs)From Day 1 through Day 29 of Cycle 1( each cycle is 56 days)

The number of participants experiencing ≥1 DLT will be reported.

Severity of DLTsFrom Day 1 through Day 29 of Cycle 1( each cycle is 56 days)

The severity of DLTs will be determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE, v5.0).

Secondary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR)Up to approximately 24 months

Participants will be classified into the following tumor response categories: complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE) per RECIST v1.1. The best overall response (BOR) will be summarized for the efficacy evaluable population. ORR is defined as the percentage of participants who achieve a PR or better during the study prior to any subsequent off-protocol anti-cancer therapy.

Duration of Response (DOR)Up to approximately 24 months

The DOR is defined as the time from first objective response to disease progression or death from any cause.

Overall Survival (OS)Up to approximately 24 months

OS is defined as the time from first dose of study intervention to death from any cause.

Progression-Free Survival (PFS)Up to approximately 24 months

PFS is defined as the time from first study intervention to progressive disease or death from any cause.

Trial Locations

Locations (1)

University of Minnesota Masonic Cancer Center

🇺🇸

Minneapolis, Minnesota, United States

University of Minnesota Masonic Cancer Center
🇺🇸Minneapolis, Minnesota, United States
Principle Investigator
Contact

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