NCT06431594招募中1 期
A Phase 1 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Clinical Activity of Mocertatug Rezetecan for Injection in Subjects With Advanced Solid Tumors
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 675
- 试验地点
- 66
- 主要终点
- Part 1: Number of participants with dose limiting toxicity (DLT)
研究概览
简要总结
The goal of this study is to assess the safety and tolerability of Mocertatug Rezetecan . The study will also see how the levels of Mo-Rez change over time at different dose amount
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males or females aged 18 years or older (≥18 years).
- •Participants with pathologically confirmed advanced solid tumor (who have failed or are intolerant to standard of care.
- •PROC cohort
- •Histologically documented, advanced (metastatic and/or unresectable) high-grade serous/endometrioid ovarian, primary peritoneal, or fallopian tube cancer.
- •Must have received or are intolerant to 1 but no more than 4 lines of prior systemic therapy.
- •Platinum-resistant disease, defined as progression or relapse within 6 months after the completion of platinum-based therapy.
- •Must have had prior bevacizumab , unless there is a documented contraindication or intolerance.
- •Participants with known Folate receptor-α (FR-α) expressing tumors must have received mirvetuximab soravtansine if the regimen is locally available, unless there is a documented contraindication or intolerance.
- •Participants with known Breast cancer susceptibility gene (BRCA) mutated tumors should have received a Poly adenosine diphosphate-ribose polymerase (PARP) inhibitor if the regimen is locally available, unless there is a documented contraindication or intolerance.
- •Endometrial cancer cohort
- •Histologically documented, advanced (metastatic and/or unresectable) or recurrent endometrial cancer.
- •Must have received or are intolerant to 1 but no more than 4 lines of prior systemic therapy.
- •Must have had prior platinum and PD(L)-1 inhibitor (in same regimen or in separate regimens), if the regimen is locally available, unless there is a documented contradiction or intolerance
- •All epithelial histologies are permitted including carcinosarcoma.
- •Participants have at least one target lesion as assessed per the RECIST 1.1
- •Tumor tissue from a newly obtained biopsy or archival tumor tissue is required for retrospective detection of B7 homolog 4 (B7-H4) expression by IHC in central laboratory and other biomarker analysis. Tissue from a newly obtained biopsy is preferred. If a newly obtained biopsy is not feasible, archival tumor tissue within 2 years prior to the first dose of study drug is acceptable.
- •Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 to 2 and no deterioration within 2 weeks before the first dose.
- •Have a life expectancy of at least 12 weeks.
排除标准
- •Have received any B7-H4-targeted therapy
- •Have received any of cytotoxic chemotherapy drugs, anti-tumor traditional Chinese medicines or other anti-tumor drugs within 28 days prior to the first dose of study drug; or need to continue these drugs during the study.
- •Have received locoregional radiation therapy within 2 weeks prior to the first dose of study drug; more than 30% of bone marrow irradiation or wide-field radiation therapy within 4 weeks prior to the first dose of study treatment.
- •Presence of pleural/abdominal effusion/ascites requiring clinical intervention; presence of pericardial effusion
- •Major surgery within 28 days prior to the first dose of study treatment.
- •Evidence of brain metastasis unless asymptomatic;
- •Has inadequate bone marrow reserve or hepatic/renal functions .
- •Mean Fridericia-corrected QT interval (QTcF) QTcF >450 msec or QTcF >480 msec for participants with bundle branch blocK;
- •Evidence of current clinically significant arrhythmias or ECG abnormalities
- •Left ventricular ejection fraction (LVEF) < 50%.
- •Have severe, uncontrolled or active cardiovascular disorders, serious or poorly controlled hypertension, clinically significant bleeding symptoms or serious arteriovenous thromboembolic events
- •Has current active pneumonitis/ILD or any history of ILD, any history of pneumonitis requiring steroids or immunomodulatory treatment within 90 days of planned randomization/enrollment or any history of drug-induced pneumonitis/ILD.Have received prior therapy with topoisomerase inhibitors or topoisomerase inhibitor Antibody-drug conjugate (ADCs)
- •Primary platinum refractory disease defined as those who have progressed on or within 12 weeks of last dose of first line platinum therapy not permitted.
- •Non-epithelial carcinoma, clear-cell, mucinous, germ-cell, low-grade serous, or low-grade endometrioid carcinoma not permitted.
- •Endometrial cancer a. Mesenchymal tumors of the uterus (uterine sarcomas) not permitted.
结局指标
主要结局
Part 1: Number of participants with dose limiting toxicity (DLT)
时间窗: Up to 21 days
Part 2: Confirmed Objective Response Rate (ORR)
时间窗: Up to approximately 28 months
ORR is defined as the proportion of participants with at least one confirmed Complete Response (CR) or Partial Response (PR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
次要结局
- Part 1 and 2: Maximum observed concentration (Cmax) of GSK5733584 and its components: conjugated antibody, total antibody, and small molecule toxin(Up to approximately 31 months)
- Part 1 and 2: Time to reach Cmax (Tmax) of GSK5733584 and its components: conjugated antibody, total antibody, and small molecule toxin(Up to approximately 31 months)
- Part 1 and 2: Area under the concentration-time curve (AUC) of GSK5733584 and its components: conjugated antibody, total antibody, and small molecule toxin(Up to approximately 31 months)
- Part 1: Confirmed Objective Response Rate (ORR)(Up to approximately 31 months)
- Part 1 and 2: Duration of response (DoR)(Up to approximately 31 months)
- Part 1 and 2: Progression-free survival (PFS)(Up to approximately 31 months)
- Part 1 and 2:Number of participants with treatment-emergent Anti-drug antibodies (ADA)/ Neutralizing antibody (NAb)(Up to approximately 31 months)
- Part 1 and 2: Titers of ADA to GSK5733584(Up to approximately 31 months)
- Part 1 and 2: Number of participants with Adverse Events (AEs), and Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)(Up to approximately 31 months)
- Part 1 and 2: Change from baseline in body temperature (degree Celsius)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in respiratory rate (breaths per minute)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in pulse rate (beats per minute)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in blood pressure [millimetres of mercury (mmHg)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in weight [kilogram (kg)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in white blood cell count (cells per microliter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in hemoglobin (grams per deciliter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in Platelet count (cells per microliter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in Red Blood Cell Count (RBC) (million cells per microliter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in haematocrit (Proportion of red blood cells in blood)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils (giga cells per litre)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in Glucose (fasting), Blood Urea Nitrogen (BUN), Creatinine, Sodium, Potassium, Calcium, Chloride, Magnesium Direct Bilirubin and Total Bilirubin (milligrams per decilitre)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from Baseline in AST/SGOT, ALT/ SGPT, ALP and CPK (International Units per litre)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Total Protein and Albumin (Grams per deciliter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Amylase and Lipase (Units per liter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Estimated glomerular filtration rate (eGFR) (milliliter per minute)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Prothrombin Time (PT), Partial thromboplastin time (PTT) or Activated Partial Thromboplastin Time (aPTT) (seconds)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in liver panel parameter: International Normalized Ratio (INR)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in routine urine tests: Leukocyte esterase(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in routine urine tests: Occult blood (10^9 Cells Per Liter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in routine urine tests: potential of hydrogen (pH) value(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in routine urine tests: Protein and bilirubin (Grams Per Liter)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change From Baseline in routine urine tests: Specific Gravity (Ratio)(Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in CA-125 tumor marker among ovarian cancer participants [units per milliliter (U/mL)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Thyroid stimulating hormone (TSH) [microunits per milliliter (µU/mL)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in free thyroxine (T4) [nanograms per deciliter (ng/dL)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Electrocardiogram (ECG) readings [milliseconds (msec)](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Left ventricular ejection fraction (LVEF) [Percentage](Baseline (Day -1) and up to approximately 31 months)
- Part 1 and 2: Change from baseline in Eastern Cooperative Oncology Group Performance Scale (ECOG PS) score(Baseline (Day -1) and up to approximately 31 months)
- Part 2: Overall Survival (OS)(Up to approximately 31 months)
研究者
研究点 (66)
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