MedPath

Study of PYX-201 in Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumor
Solid Tumor
Interventions
Registration Number
NCT05720117
Lead Sponsor
Pyxis Oncology, Inc
Brief Summary

The primary objectives of this study are to determine the recommended dose(s) of PYX-201 for participants with relapsed/refractory (R/R) solid tumors, and to determine the objective response rate (ORR) in participants treated with PYX-201 as a single agent.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 1: PYX-201 Dose EscalationPYX-201Participants will receive escalating doses of PYX-201 as an intravenous (IV) infusion to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and antitumor activity of PYX-201. Intra-participant dose escalation may be considered for participants who have adequately tolerated therapy.
Part 2: Cohort APYX-201Participants with recurrent, persistent, and/or metastatic head and neck squamous cell carcinoma (HNSCC) who have received at least one but no more than two lines of prior systemic therapy, including platinum-based therapy and a programmed cell death protein 1 (PD-1) inhibitor, and participants who have received up to two lines of prior therapy that must include one prior PD-1 inhibitor and one prior epidermal growth factor receptor (EGFR)-directed treatment, will receive PYX-201 as an IV infusion at the recommended dose for Part 2.
Part 2: Cohort BPYX-201Participants with triple-negative breast cancer (TNBC) who have been treated with at least one but no more than two lines of prior systemic therapy will receive PYX-201 as an IV infusion at the recommended dose for Part 2.
Part 2: Cohort CPYX-201Participants with hormone receptor (HR)-positive (HR+)/human epidermal growth factor receptor 2 (HER2)-negative (immunohistochemistry \[IHC\] 0, IHC 1+, or IHC 2+/in situ hybridization \[ISH\]-negative) breast cancer who had progressed on cyclin-dependent kinase 4/6 (CDK-4/6) inhibitors plus endocrine therapy and one line of chemotherapy, and had received no more than three prior lines of systemic therapy, will receive PYX-201 as an IV infusion at the recommended dose for Part 2.
Part 2: Cohort DPYX-201Participants with various advanced solid tumor types, including non-small cell lung cancer (NSCLC), sarcomas, rare solid tumor head and neck (H\&N) cancers, ovarian cancer (OVCA), cervical cancer, and endometrial cancer, will receive PYX-201 as an IV infusion at the recommended dose for Part 2.
Primary Outcome Measures
NameTimeMethod
Part 1: Number of Participants who Experience a Dose-limiting Toxicity (DLT)Day 1 to Day 21

DLT is defined as (1) an adverse event (AE) or abnormal laboratory value assessed as unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs after the treatment with PYX-201 and (2) meets any of the predefined criteria outlined in the protocol.

Part 1: Number of Participants who Experience an AEUp to approximately 3 years

Type, incidence, seriousness, relationship to study treatment and severity of AEs, including serious AEs and AEs at Grade 3 or above, based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0. Any clinically significant changes in clinical laboratory parameters, vital signs, and electrocardiogram (ECG) parameters will be recorded as AEs.

Part 2: Objective Response Rate (ORR)Up to approximately 2 years
Secondary Outcome Measures
NameTimeMethod
Part 2: TTRUp to approximately 2 years
Part 2: Median Overall Survival (mOS)Up to approximately 4 years
Part 2: Cmax of PYX-201Up to approximately 2 years
Part 2: Tmax of PYX-201Up to approximately 2 years
Part 2: Trough Concentration of PYX-201Up to approximately 2 years
Part 2: Number of Participants who Experience an AEUp to approximately 2 years

Type, incidence, seriousness, relationship to study treatment and severity of AEs, including serious AEs and AEs at Grade 3 or above, based on NCI-CTCAE Version 5.0. Any clinically significant changes in clinical laboratory parameters, vital signs, and ECG parameters will be recorded as AEs.

Part 2: Median Progression-free Survival (mPFS)Up to approximately 4 years
Part 2: DCRUp to approximately 2 years
Part 1: Maximum Observed Concentration (Cmax) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Time to Maximum Concentration (Tmax) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Clearance (CL) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Area Under the Concentration-time Curve from Time 0 to the Last Quantifiable Concentration (AUC0-t) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Area Under the Concentration-time Curve Over the Dosing Interval (AUCtau) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Area Under the Concentration-time Curve from Time 0 Extrapolated to Infinity (AUC0-inf) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1:Half-life (t½) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Part 1: ORRUp to approximately 3 years
Part 1:Duration of Response (DOR)Up to approximately 3 years
Part 1:Progression-free Survival (PFS)Up to approximately 3 years
Part 1:Disease Control Rate (DCR)Up to approximately 3 years
Part 1:Time to Response (TTR)Up to approximately 3 years
Part 1:Overall Survival (OS)Up to approximately 3 years
Part 1:Number of Participants With Anti-drug Antibodies to PYX-201Up to approximately 2 years
Part 2: DORUp to approximately 2 years
Part 2: Clinical Benefit RateUp to approximately 2 years

Trial Locations

Locations (18)

SCRI - HealthOne Denver

🇺🇸

Denver, Colorado, United States

University of Chicago Medicine

🇺🇸

Chicago, Illinois, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

NEXT Dallas

🇺🇸

Dallas, Texas, United States

NEXT Virginia

🇺🇸

Fairfax, Virginia, United States

NEXT San Antonio

🇺🇸

San Antonio, Texas, United States

SCRI - Florida Cancer Specialists

🇺🇸

Sarasota, Florida, United States

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

START Madrid - Hospital Universitario Fundación Jiménez Díaz

🇪🇸

Madrid, Spain

Hospital Clínico Universitario de Valencia

🇪🇸

València, Spain

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Universitair Ziekenhuis Antwerpen

🇧🇪

Edegem, Belgium

Hospital Universitari Vall d'Hebrón

🇪🇸

Barcelona, Spain

Institut Jules Bordet

🇧🇪

Brussels, Belgium

Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

Cliniques Universitaires Saint-Luc

🇧🇪

Brussels, Belgium

HonorHealth Research Institute

🇺🇸

Scottsdale, Arizona, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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