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A First-in-Human Study of CAN04 in Patients With Solid Malignant Tumors

Phase 1
Completed
Conditions
Non Small Cell Lung Cancer
Pancreatic Ductal Adenocarcinoma
Triple Negative Breast Cancer
Colorectal Cancer
Registration Number
NCT03267316
Lead Sponsor
Cantargia AB
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
167
Inclusion Criteria

Inclusion Criteria:<br><br> 1. Age = 18 year.<br><br> 2. Measurable disease in accordance to iRECIST by computed tomography (CT) or magnetic<br> resonance imaging (MRI) scan, no more than 6 weeks prior to screening.<br><br> 3. At least 4 weeks since the last dose of radiation therapy, immunotherapy, or<br> surgery; at least 6 weeks for therapy which is known to have delayed toxicity; at<br> least 4 weeks since treatment with biologic/targeted therapies.<br><br> 4. Eastern Cooperative Oncology Group (ECOG) performance status =1.<br><br> 5. Histologically or cytologically confirmed diagnosis of unresectable stage III or<br> stage IV squamous or non-squamous NSCLC (applicable Part II, Combination - NSCLC<br> (NCG) arm only).<br><br> - Subjects must be eligible to receive first line standard chemotherapy regimen<br> with cisplatin/gemcitabine or a second line standard chemotherapy regimen with<br> cisplatin/gemcitabine after relapsing from first line with pembrolizumab<br> monotherapy.<br><br> - Subjects with actionable mutations (EGFR, ALK, ROS) can be enrolled if they<br> have previously progressed to all approved standard of care targeted therapies<br> and the next line of standard therapy is a platinum doublet.<br><br> 6. Histologically or cytologically confirmed diagnosis of unresectable stage III or<br> stage IV non-squamous NSCLC (applicable Part II, Combination - non-squamous NSCLC<br> NCP arm only).<br><br> - Subjects must be eligible to receive first line standard chemotherapy regimen<br> with carboplatin/pemetrexed or a second line standard chemotherapy regimen with<br> carboplatin/pemetrexed after relapsing from first line with pembrolizumab<br> monotherapy.<br><br> - Subjects with actionable mutations (EGFR, ALK, ROS) can be enrolled if they<br> have previously progressed to all approved standard of care targeted therapies<br> and the next line of standard therapy is a platinum doublet.<br><br> 7. Newly diagnosed, treatment na?ve, histologically confirmed, unresectable, locally<br> advanced or metastatic (stage III or stage IV) PDAC (applicable Part II, Combination<br> - PDAC arms only).<br><br> - Subjects must be eligible to receive treatment with nab-paclitaxel and<br> gemcitabine.<br><br>Exclusion Criteria:<br><br> 1. Subjects receiving live vaccination, etanercept or other TNF-a inhibitors or any<br> other investigational agents during or just prior to (within 28 days of first study<br> drug administration) participation in this study.<br><br> 2. Clinical evidence of an active metastatic second malignancy.<br><br> 3. Subjects with a life expectancy <12 weeks.<br><br> 4. Uncontrolled or significant cardiovascular disease defined as New York Heart<br> Association Classification III, or IV.<br><br> 5. Immunocompromised subject currently receiving systemic therapy.<br><br> 6. Other medical conditions that in the opinion of the investigator disqualify the<br> subject for inclusion.<br><br> 7. Applicable Part II, Combination - NSCLC (NCG and NCP) arms only<br><br> - Prior lines of treatment with anti-cancer medication other than pembrolizumab<br> administered as 1st line.<br><br> - Known tumor EGFR mutation, unless contraindication to EGFR-directed therapy or<br> if the subject has progressed to all approved anti-EGFR therapies.<br><br> - Known tumor ALK rearrangements, unless contraindication to ALK-directed therapy<br> or ALK-directed therapy not available or if the subject has progressed to all<br> approved anti-EGFR therapies.

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
Secondary Outcome Measures
NameTimeMethod
Maximum concentration (Cmax);Terminal half-life (t1/2);Clearance (CL);Apparent volume of distribution during the terminal phase (VZ);Area under the curve from time 0 to infinity (AUC0-8);Anti-drug antibodies (ADA) against CAN04;Preliminary signs of efficacy as assessed by tumor response
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