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CAB-ROR2-ADC Safety and Efficacy Study in Patients With TNBC or Head & Neck Cancer (Ph1) and NSCLC or Melanoma (Ph2)

Phase 1
Completed
Conditions
Melanoma
Head and Neck Cancer
Non Small Cell Lung Cancer
Triple Negative Breast Cancer
Interventions
Biological: PD-1 inhibitor
Registration Number
NCT03504488
Lead Sponsor
BioAtla, Inc.
Brief Summary

The objective of this study is to assess safety and efficacy of CAB-ROR2-ADC in solid tumors

Detailed Description

This is a multi-center, open-label, Phase 1/2 study designed to evaluate the safety, tolerability, PK, immunogenicity, and antitumor activity of BA3021, a conditionally active biologic (CAB) ROR2-targeted antibody drug conjugate (CAB-ROR2-ADC) BA3021 in patients with advanced solid tumors.

This study will consist of a dose escalation phase and a dose expansion phase with BA3021 in Phase 1. Phase 2 will study BA3021 alone or in combination with a PD-1 inhibitor.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
132
Inclusion Criteria
  • Patients must have histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumor and have failed all available standard of care (SoC) therapy and for whom no curative therapy is available or who are not eligible, intolerant to or refuse standard therapy.
  • Patients must have measurable disease.
  • For the dose expansion phase: Patients with locally advanced unresectable or metastatic, non-small cell lung cancer (NSCLC), triple negative breast cancer (TNBC) and soft tissue sarcoma (STS)
  • Age ≥ 18 years.
  • Adequate renal function
  • Adequate liver function
  • Adequate hematological function
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy of at least three months.
Exclusion Criteria
  • Patients must not have clinically significant cardiac disease.
  • Patients must not have known non-controlled CNS metastasis.
  • Patients must not have a history of ≥ Grade 3 allergic reactions to mAb therapy as wellas known or suspected allergy or intolerance to any agent given during this study.
  • Patients must not have had major surgery within 4 weeks before first BA3021 administration.
  • Patients must not have had prior therapy with a conjugated or unconjugated auristatin derivative/vinca-binding site targeting payload.
  • Patients must not have known human immunodeficiency virus (HIV) infection, active hepatitis B and/or hepatitis C.
  • Patients must not be women who are pregnant or breast feeding.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Monotherapy - CAB-ROR2-ADC (BA3021) aloneCAB-ROR2-ADCBA3021 alone Q2W dosing regimen
Combination TherapyPD-1 inhibitorCAB-ROR2-ADC (BA3021) with PD-1 inhibitor
Combination TherapyCAB-ROR2-ADCCAB-ROR2-ADC (BA3021) with PD-1 inhibitor
Primary Outcome Measures
NameTimeMethod
Phase 1: Safety ProfileUp to 24 months

Assess maximum tolerated dose as defined in the protocol

Phase 1 and 2: Safety ProfileUp to 24 months

Frequency and severity of AEs and/or SAEs

Phase 2: Confirmed Objective Response Rate (ORR)Up to 24 months

Proportion of patients who achieve a confirmed CR or PR

Secondary Outcome Measures
NameTimeMethod
Phase 1 and 2: Overall survival (OS)Up to 24 months

Time from the first dose of BA3021 treatment until death due to any cause

Phase 1 and 2: Progression-free survival (PFS)Up to 24 months

Time from the first dose of IP until the first documentation of disease progression or death due to any cause, whichever occurs first

Phase 1: PharmacokineticsUp to 24 months

Area under the plasma concentration versus time curve

Phase 1: Confirmed Objective Response Rate (ORR)Up to 24 months

Proportion of patients who achieve a confirmed CR or PR

Phase 1 and 2: Tumor sizeUp to 24 months

Percent change from baseline in tumor size

Phase 1 and 2: Duration of response (DOR)Up to 24 months

Time from the first documented OR until the first documented disease progression or death (due to any cause), whichever occurs first

Phase 1 and 2: Best overall response (OR)Up to 24 months

All post-baseline disease assessments that occur prior to the initiation of subsequent anticancer therapy

Phase 1 and 2: Disease control rate (DCR)Up to 24 months

Proportion of patients with a best overall response of confirmed CR, confirmed PR, or stable disease (SD) ≥ 12 weeks

Phase 1: ImmunogenicityUp to 24 months

The number and percentage of patients who develop detectable anti-drug antibodies (ADAs)

Phase 1 and 2: Time to response (TTR)Up to 24 months

Time from the first dose of investigational product until the first documentation of OR

Trial Locations

Locations (58)

University of Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

City of Hope - Duarte

🇺🇸

Duarte, California, United States

University of California, San Diego (UCSD) - Moores Cancer Center

🇺🇸

La Jolla, California, United States

California Research Institute

🇺🇸

Los Angeles, California, United States

USC Norris

🇺🇸

Los Angeles, California, United States

American Institute of Research

🇺🇸

Whittier, California, United States

UC Irvine Medical Center - Chao Family Comprehensive Cancer Center

🇺🇸

Orange, California, United States

University of California San Francisco

🇺🇸

San Francisco, California, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

Sarah Cannon Research Institute at Health One

🇺🇸

Denver, Colorado, United States

Florida Cancer Specialists & Research Institute

🇺🇸

Fort Myers, Florida, United States

Memorial Cancer Institute (MCI)

🇺🇸

Hollywood, Florida, United States

Florida Cancer Specialist - North

🇺🇸

Saint Petersburg, Florida, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

Tampa, Florida, United States

Moffitt Cancer Center

🇺🇸

Tampa, Florida, United States

Florida Cancer Specialists

🇺🇸

West Palm Beach, Florida, United States

Augusta University - Georgia Cancer Center

🇺🇸

Augusta, Georgia, United States

Baptist Health Systems

🇺🇸

Lexington, Kentucky, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Norton Cancer Institute, Brownsboro Hospital Campus

🇺🇸

Louisville, Kentucky, United States

Hematology/Oncology Clinic

🇺🇸

Baton Rouge, Louisiana, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Comprehensive Cancer Care of Nevada

🇺🇸

Las Vegas, Nevada, United States

OptumCare Cancer Care

🇺🇸

Las Vegas, Nevada, United States

NYU Langone Health

🇺🇸

New York, New York, United States

Roswell Park

🇺🇸

Buffalo, New York, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

FirstHealth Outpatient Cancer Center

🇺🇸

Pinehurst, North Carolina, United States

Wake Forest Baptist Health

🇺🇸

Winston-Salem, North Carolina, United States

The Christ Hospital

🇺🇸

Cincinnati, Ohio, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

UPMC Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina- Hollings Cancer Center

🇺🇸

Charleston, South Carolina, United States

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

Mary Crowley Cancer Research

🇺🇸

Dallas, Texas, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

University of Utah - Huntsman Cancer Institute

🇺🇸

Salt Lake City, Utah, United States

HENRY DUNANT Hospital Center, 4th Department of Medical Oncology and Clinical Trials Unit

🇬🇷

Athens, Greece

Metropolitan Hospital "Perseus Healthcare Group SA" 4th Oncology Department

🇬🇷

Piraeus, Greece

Bioclinic Thessaloniki, Οncology Department

🇬🇷

Thessaloniki, Greece

European Interbalkan Medical Center, Οncology Department

🇬🇷

Thessaloniki, Greece

Prince of Wales Hospital

🇭🇰

Hong Kong, Hong Kong

Queen Mary Hospital

🇭🇰

Hong Kong, Hong Kong

Polish Mother's Memorial Hospital-Research Institute

🇵🇱

Lodz, Lodzkie, Poland

Beata Głogowska

🇵🇱

Tomaszów Mazowiecki, Lodzkie, Poland

Institute of Genetics and Immunology GENIM LCC in Lublin

🇵🇱

Lublin, Lubelskie, Poland

Malgorzata Kozlik

🇵🇱

Warsaw, Mazowieckie, Poland

MED-Polonia, Sp. z o.o. (LLC)

🇵🇱

Poznan, Wielkopolskie, Poland

University Hospital Nuestra Senora de Valme

🇪🇸

Sevilla, Andalusia, Spain

University Clinic of Navarra - Madrid

🇪🇸

Madrid, Spain

University Hospital 12 de Octubre

🇪🇸

Madrid, Spain

Kaohsiung Chang Gung Memorial Hospital

🇨🇳

Kaohsiung City, Taiwan

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei City, Taiwan

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Catalonia, Spain

Hospital del Mar

🇪🇸

Barcelona, Catalonia, Spain

Anna Ramos Luna

🇪🇸

Barcelona, Catalonia, Spain

LinKou Chang Gung Memorial Hospital

🇨🇳

Taoyuan City, Taiwan

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