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临床试验/NCT05568680
NCT05568680招募中1 期

A Phase 1 Study of SynKIR-110, Autologous T Cells Transduced With Mesothelin KIR-CAR, in Subjects With Mesothelin-Expressing Advanced Ovarian Cancer, Cholangiocarcinoma, or Mesothelioma

Verismo Therapeutics9 个研究点 分布在 1 个国家目标入组 42 人开始时间: 2023年3月30日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
42
试验地点
9
主要终点
Safety and Feasibility of SynKIR-110

研究概览

简要总结

This first-in-human (FIH) trial is designed to assess the safety, feasibility, and potential activity of a single intravenous (IV) dose of SynKIR-110 administered to subjects with mesothelin-expressing advanced ovarian cancer, mesothelioma, and cholangiocarcinoma.

详细描述

This is a Phase 1, FIH, multicenter, open-label, dose-escalation pilot study of a single IV gravity drip infusion of SynKIR-110 in subjects with advanced, mesothelin-expressing tumors (ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or mesothelioma). Up to 42 subjects will be assessed to determine the safety and feasibility of treatment with SynKIR-110. Informed consent will be obtained from subjects prior to participation in this study.

The study includes an enrollment screening period (which includes pre-leukapheresis safety/eligibility and leukapheresis visits), treatment period (administration of non-myeloablative lymphodepleting chemotherapy followed by a single infusion of investigational product), and a 12-month follow-up period or until disease progression. Subjects will be followed for 12 months or until confirmed disease progression, whichever occurs first, at which point they will be invited to participate in a long-term safety follow-up study.

Up to 6 cohorts of 3 to 6 subjects per cohort will be treated to determine the safety and feasibility of treatment with SynKIR-110. Doses will be escalated following a standard 3 + 3 design until either an MTD or MFD is reached. An additional 6 to 9 subjects will be treated at the MTD/MFD to further assess safety and potential activity of SynKIR-110.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
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

入选标准

  • Pathologically confirmed recurrent or relapsed advanced ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or epithelial mesothelioma (pleural or peritoneal) after at least 1 prior line of systemic therapy for advanced disease
  • Adult 18 years of age or older.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to
  • Has at least 1 measurable lesion by iRECIST for ovarian cancer or cholangiocarcinoma or lesions measurable for mRECIST for mesothelioma.
  • Satisfactory Blood coagulation parameters
  • Satisfactory organ and bone marrow function

排除标准

  • Active invasive cancers other than mesothelioma, cholangiocarcinoma, and ovarian unless surgically and medically cured without evidence of recurrent disease for 5 years.
  • History of T or B cell malignancies or previous gene-engineered T cell therapies.
  • Sarcomatoid/biphasic mesothelioma.
  • Pulmonary exclusions
  • Have acquired hereditary, congenital immunodeficiency or have recognized immunodeficiency disease
  • Active hepatitis B, active hepatitis C, or any HIV infection at the time of screening
  • Active autoimmune disease

研究组 & 干预措施

SynKIR-110

Experimental

Single dose gravity drip IV administration

干预措施: SynKIR-110, Autologous T cells Transduced with Mesothelin KIR-CAR (Biological)

结局指标

主要结局

Safety and Feasibility of SynKIR-110

时间窗: Up to 12 months

* The incidence, frequency, and severity of TEAEs, incidence of AEs related to native mesothelin-expressing tissues, Incidence of CRS and/or neurologic toxicity * Frequency of subjects who pass screening to enrollment but do not receive SynKIR-110

次要结局

  • Define the maximum tolerated dose (MTD)/maximum feasible dose (MFD) of SynKIR-110 and to identify a recommended Phase 2 dose(Up to 12 months)

研究者

发起方
Verismo Therapeutics
申办方类型
Industry
责任方
Sponsor

研究点 (9)

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相关资讯

Verismo Therapeutics Expands KIR-CAR Solid Tumor Pipeline with Novel CLDN6 Binder from Penn Collaboration- Verismo Therapeutics has secured a novel CLDN6-targeted binder through a research collaboration with the University of Pennsylvania, expanding its KIR-CAR platform into a second solid tumor antigen program. - CLDN6 is a clinically validated solid tumor target with limited expression in healthy adult tissues, already being pursued via CAR-T, ADC, and bispecific antibody modalities. - The new preclinical program complements the clinical-stage SynKIR-110 targeting mesothelin, which recently reported early signals of tumor reduction in the STAR-101 Phase 1 trial. - Verismo's multi-chain KIR-CAR platform is designed to overcome persistence and T-cell exhaustion limitations that have hindered conventional CAR-T therapies in solid tumors.last monthVerismo Therapeutics Reports First Clinical Data for Novel Multi-Chain KIR-CAR Therapies at AACR 2026- Verismo Therapeutics will present initial Phase 1 clinical data for SynKIR™-110 in mesothelin-expressing solid tumors and early data for SynKIR™-310 in B cell non-Hodgkin lymphomas at AACR 2026. - The company's multi-chain KIR-CAR platform represents the first KIR-CAR-based immuno-oncology therapies in human trials, designed to overcome limitations of traditional CAR T therapies. - The novel technology uses natural killer cell biology to address "always-on" tonic signaling and T cell exhaustion that limit current single-chain CAR T treatments. - Preclinical data shows the KIR-CAR platform outperforms conventional CAR T therapies in xenograft models and demonstrates resistance to tumor immunosuppression.6 months agoVerismo's Novel KIR-CAR Platform Shows Superior Tumor Control with Reduced Toxicity in Preclinical Studies- Verismo Therapeutics presented preclinical data at ASH 2025 showing SynKIR™-310 achieved faster and deeper tumor control compared to conventional CD19 CAR-T therapies like tisagenlecleucel. - The novel KIR-CAR signaling platform demonstrated superior anti-tumor activity while producing substantially lower levels of inflammatory cytokines in mouse models. - SynKIR™-310 is currently being evaluated in a Phase 1 clinical trial for patients with relapsed/refractory B-cell non-Hodgkin lymphoma, including those previously treated with CD19 CAR-T therapies. - The technology addresses key limitations of current CAR-T treatments, including T cell exhaustion and cytokine release syndrome that affects many patients.9 months agoVerismo Therapeutics' Novel KIR-CAR Platform Shows Enhanced Safety and Efficacy in Solid Tumor Preclinical Studies- Verismo Therapeutics presented preclinical data at SITC 2025 showing SynKIR™-110 demonstrated reduced cell exhaustion and lower off-target toxicity compared to conventional CAR T therapies. - The novel KIR-CAR platform achieved sustained tumor killing and deep regression in mesothelioma mouse models while showing selective enrichment in tumors rather than normal tissues. - SynKIR™-110 is currently in Phase 1 clinical trials for advanced ovarian cancer, cholangiocarcinoma, and mesothelioma, with FDA Orphan Drug and Fast Track designations for mesothelioma treatment. - The company's oral presentation was selected as one of the top 150 abstracts from over 1,300 submissions at the SITC 2025 Annual Meeting.10 months agoVerismo Therapeutics Partners with Miltenyi Biotec to Advance KIR-CAR Platform for Solid Tumor Treatment- Verismo Therapeutics successfully manufactured its first clinical cell product using lentiviral vector supplied by Miltenyi Bioindustry for the STAR-101 Phase 1 trial. - The collaboration supports SynKIR™-110, a novel KIR-CAR therapy targeting mesothelin for solid tumor treatment, marking a major milestone in clinical development. - This partnership establishes a reliable supply chain for Phase 2 development and commercial applications of Verismo's unique multi-chain KIR-CAR platform technology. - The KIR-CAR platform uses modified NK cell-derived receptors designed to improve T cell persistence and reduce exhaustion in challenging tumor microenvironments.11 months ago

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