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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 objective of this study is to determine the recommended dose(s) of PYX-201 for participants with relapsed/refractory (R/R) solid tumors.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
80
Inclusion Criteria
  1. Male or non-pregnant, non-lactating female participants age ≥18 years.

  2. Histologically or cytologically confirmed solid tumors (see details below):

    For the dose escalation, the following solid tumors are allowed in participants who have developed disease progression through standard therapy and in participants for whom standard of care therapy that prolongs survival is unavailable or unsuitable (according to the Investigator), which include non-small cell lung cancer (NSCLC), locally advanced/metastatic breast cancer including hormone receptor positive (HR+) and negative (HR-) breast cancer, human epidermal growth factor receptor 2 negative (HER2-) and positive (HER2+) breast cancer, triple negative breast cancer (TNBC) head and neck squamous cell carcinomas (HNSCC), ovarian cancer, thyroid cancer, pancreatic ductal adenocarcinoma (PDAC), soft tissue sarcoma (STS), hepatocellular carcinoma (HCC), and kidney cancer.

  3. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.

  4. Measurable disease according to RECIST Version 1.1.

  5. Life expectancy of >3 months, in the opinion of the Investigator.

  6. Adequate hematologic, liver and renal function.

  7. Available pre-treatment tumor biopsy.

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Exclusion Criteria
  1. History of or concurrent invasive malignancy.
  2. Brain metasteses that are untreated or require current therapy.
  3. Significant cardiovascular disease.
  4. Ongoing active infection requiring systemic anti-infective therapy.
  5. Known active hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS).
  6. Prior solid organ or bone marrow transplantation.
  7. Previously received EDB+FN targeting treatments at any time prior to the start of PYX-201 treatment.
  8. Grade >1 neuropathy.
  9. History of uncontrolled diabetes mellitus.
  10. Participants with corneal epithelial disease.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PYX-201 Dose EscalationPYX-201Participants will receive escalating doses of PYX-201 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.
Primary Outcome Measures
NameTimeMethod
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.

Number of Participants who Experience an Adverse Event (AE)Up 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.

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to approximately 3 years
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
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
Half-life (t½) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
Objective Response Rate (ORR)Up to approximately 3 years
Progression-free Survival (PFS)Up to approximately 3 years
Disease Control Rate (DCR)Up to approximately 3 years
Clearance (CL) of PYX-201 Antibody-drug Conjugate, Total Antibody, Free Payload and Associated Metabolites in SerumDay 1 up to approximately 2 years
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
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
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
Duration of Response (DOR)Up to approximately 3 years
Time to ResponseUp to approximately 3 years
Number of Participants With Anti-drug Antibodies to PYX-201Up 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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