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A Study of CBX 12 in Subjects With Platinum Resistant or Refractory Ovarian Cancer

Phase 2
Recruiting
Conditions
Platinum-resistant Ovarian Cancer
Refractory Ovarian Carcinoma
Interventions
Registration Number
NCT06315491
Lead Sponsor
Cybrexa Therapeutics
Brief Summary

The purpose of this study is to assess the safety, tolerability, and efficacy of CBX-12 in female subjects with platinum resistant or refractory ovarian cancer at 2 doses; 125 mg/m2 every 21 days or 100 mg/m2 every 21 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • Subjects must have histologically- or cytologically-diagnosed epithelial high-grade serous cancer of the ovary, fallopian tube cancer or primary peritoneum cancer that is refractory to prior therapy and must have platinum-resistant disease defined as:

    • Subjects who have received only 1 platinum-based chemotherapy regimen for at least 4 cycles of platinum must have disease progression on treatment or occurring ≤ 26 weeks after their last dose of platinum.
    • Patients who have progressed following a second course of a platinum based regimen.
    • Subjects may have up to 2 additional systemic regimens for advanced or metastatic disease. Maintenance regimens (e.g., with a PARP inhibitor or bevacizumab) are not considered separate regimens.
  • Age greater than or equal to 18 years at the time of signing the informed consent form (ICF).

  • Has measurable disease per RECIST 1.1.

  • Has provided written informed consent.

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

  • Adequate liver, renal, hematologic, pulmonary and coagulation function.

Exclusion Criteria
  • Cytotoxic chemotherapy, biologic agent, investigational agent, or radiation therapy within 3 weeks prior to the first dose of CBX-12.
  • Subjects who are currently receiving any other anticancer or investigational agent(s).
  • Clinically significant intercurrent disease.
  • Active human immunodeficiency virus (HIV) infection.
  • Active hepatitis B or C infection.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CBX-12 - 125mg/m2 q21dCBX-12125mg/m2 CBX-12 administered by intravenous (IV) infusion every 21 days. Treatment will continue until there is evidence of progressive disease (PD) or development of unacceptable toxicity.
CBX-12 - 100mg/m2 q21dCBX-12100mg/m2 CBX-12 administered by intravenous (IV) infusion every 21 days. Treatment will continue until there is evidence of progressive disease (PD) or development of unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Percentage of Subjects With Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]Randomization to progressive disease (PD) (Up to approximately 21 months)

ORR is defined as the proportion of subjects achieving a confirmed best overall response (BOR) of CR or PR defined using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.

Secondary Outcome Measures
NameTimeMethod
Incidence of Subjects With Treatment Emergent Adverse Events (TEAEs)First dose of study drug to 30-day post-dose follow up (Up to approximately 21 months)

Safety as assessed by the incidence of treatment-emergent AEs (TEAEs).

Median Duration of Response (DoR)Date of Initial CR or PR to PD (Up to 21 Months)

Duration of response is the interval from the date of initial CR or PR until the first date criteria for PD is met using RECIST v1.1 criteria, or initiation of other (or additional) antitumor therapy is first reported, or death due to any cause.

Progression-Free Survival (PFS)Randomization to PD or Date of Death (Up to 21 Months)

PFS is defined as the time from the day of randomization to the first evidence of progression as defined by RECIST (RECIST v1.1) criteria or death from any cause.

Plasma levels of CBX-12 (Cmax)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1, 2, and 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable Cmax

Plasma levels of CBX-12 (Tmax)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1, 2, and 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable Tmax

Plasma levels of CBX-12 (T1/2)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1, 2, and 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable T1/2

Plasma levels of Exatecan (Cmax)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1 hour post EOI, 2 hours post EOI, 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable Cmax

Plasma levels of Exatecan (Tmax)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1 hour post EOI, 2 hours post EOI, 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable Tmax

Plasma levels of Exatecan (T1/2)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1 hour post EOI, 2 hours post EOI, 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable T1/2

Plasma levels of CBX-12 (AUC0-24hr)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1, 2, and 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable AUC0-24hr

Plasma levels of Exatecan (AUC0-24hr)At 1st dose of study drug (pre-dose, end of infusion (EOI), 1 hour post EOI, 2 hours post EOI, 4 hours post EOI), and 10-14 days post 1st dose

Assessment of pharmacokinetic (PK) variable AUC0-24hr

Trial Locations

Locations (20)

Honor Health

🇺🇸

Scottsdale, Arizona, United States

Arizona Oncology Associates

🇺🇸

Tucson, Arizona, United States

Usc Norris Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

Yale University School of Medicine

🇺🇸

New Haven, Connecticut, United States

D&H Cancer Research Center

🇺🇸

Margate, Florida, United States

South Florida Gynecology

🇺🇸

Tampa, Florida, United States

Northwest Cancer Centers

🇺🇸

Dyer, Indiana, United States

Norton Cancer Institute

🇺🇸

Louisville, Kentucky, United States

Women's Cancer Care

🇺🇸

Covington, Louisiana, United States

Pci Nyu Langone Health

🇺🇸

New York, New York, United States

Albert Einstein College of Medicine Montefiore Medical

🇺🇸

New York, New York, United States

University Hospitals Seidman Cancer Center

🇺🇸

Cleveland, Ohio, United States

Oncology Associate or Oregon

🇺🇸

Eugene, Oregon, United States

Sidney Kimmel Medical College at Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

Allegheny Singer Research Institute D/B/A Ahn Research Institution

🇺🇸

Pittsburgh, Pennsylvania, United States

Tennessee Oncology

🇺🇸

Nashville, Tennessee, United States

Mary Crowley Cancer Research

🇺🇸

Dallas, Texas, United States

Texas Oncology- Gulf Coast

🇺🇸

The Woodlands, Texas, United States

Virgina Cancer Specialist

🇺🇸

Fairfax, Virginia, United States

Multicare Institute For Research & Innovation

🇺🇸

Tacoma, Washington, United States

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