跳至主要内容
临床试验/ISRCTN57038506
ISRCTN57038506进行中(未招募)1 期

A Phase 1 Multicenter Dose Escalation and Dose Expansion Study of Antibody-Drug Conjugate MYTX-011 in Subjects with Non-Small Cell Lung Cancer – KisMET-01

Mythic Therapeutics0 个研究点目标入组 200 人开始时间: 2024年4月2日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
200

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Subjects must meet all the following inclusion criteria to be eligible for participation in this study:
  • 1. Part 1:
  • a. Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC and have received available standard of care therapy.
  • b. There is no limit on the number of prior therapies that can have been received.
  • 2. Part 2 (Cohorts A-E):
  • a. Known to not have an actionable EGFR mutation. Subjects with or without other driver mutations are permitted to enroll.
  • b. Must have received available standard of care therapy.
  • c. Must have progressed on at least 1 line of prior therapy in the locally advanced/metastatic setting. Note: multiple lines of tyrosine kinase inhibitor (TKI) for the same actionable mutation count as 1 line of therapy. Maintenance therapy is not considered a separate line of therapy. Adjuvant and neoadjuvant therapies count as 1 line of therapy if given within 6 months before study entry.
  • d. Subjects without any actionable gene alteration: must have progressed on (or be considered ineligible for), or be intolerant to, platinum-based chemotherapy and immune checkpoint inhibitor (as monotherapy or in combination with chemotherapy).
  • e. Subjects with actionable gene alterations (other than EGFR) for which immune checkpoint inhibitor therapy is not standard of care (e.g., anaplastic lymphoma
  • kinase [ALK] translocation): must have progressed on (or be considered ineligible for), or be intolerant to, anticancer therapy targeting driver gene alterations and
  • platinum-based chemotherapy.
  • f. Subjects with actionable gene alterations (other than EGFR) for which immune checkpoint inhibitor is standard of care: must have progressed on (or be considered ineligible for), or be intolerant to, anticancer therapy targeting driver gene alternation and platinum-based chemotherapy, and also progressed on (or be considered ineligible for) or be intolerant to immune checkpoint inhibitor (as monotherapy or in combination with platinum-based chemotherapy).
  • 3. Part 2:
  • a. Cohort A:
  • i. Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC.
  • ii. Tumor sample with high cMET expression by IHC (3+ with tumor cell positivity of =50%) confirmed by central laboratory testing.
  • b. Cohort B:
  • i. Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC.
  • ii. Tumor sample with intermediate cMET expression by IHC (3+ with tumor cell positivity of = 25% - <50%) confirmed by central laboratory testing.
  • c. Cohort C:
  • i. Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic squamous NSCLC.
  • ii. Tumor sample with cMET overexpression by IHC (2+ with tumor cell positivity of = 25%) confirmed by central laboratory testing.
  • d. Cohort D:
  • i. Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC.
  • ii. Tumor sample that does not meet cMET IHC entry criteria for Cohorts A and B (for subjects with non-squamous NSCLC) and C (for subjects with squamous
  • NSCLC) based on central laboratory testing.
  • iii. Known MET amplification or exon 14 skipping mutations, respectively, performed in a CLIA-certified laboratory in the US or equivalently accredited diagnostic labo

排除标准

  • Subjects who meet any of the following exclusion criteria will be excluded from this study:
  • 1. NSCLC with adeno-squamous histology (for Cohorts A, B, and C only; subjects with NSCLC with adeno-squamous histology are allowed in Cohorts D and E).
  • 2. Radiation to the lung within 6 weeks prior to screening. For all other sites (except lung and brain), therapeutic or palliative radiation within 2 weeks of the first dose of study drug. Must have recovered from all radiation-related toxicity.
  • 3. Major surgery within 28 days before first dose of study drug administration.
  • 4. Systemic anticancer therapy including investigational drugs, within the lesser of 28 days or 5 half-lives of the prior therapy before starting study drug (14 days or 5 half-lives for small molecule targeted therapy).
  • Concurrent use of hormonal therapy for breast cancer or prostate cancer is permitted.
  • 5. Previously received cMET-targeted antibody or ADC, bicycle, or small peptide therapies targeting cMET.
  • Note: For Cohort E: Subjects will have previously received and progressed on either cMET-targeted ADC or antibody; however, they must not have been intolerant to the
  • cMET-targeted ADC or antibody therapy.
  • 6. Use of any concomitant or prohibited therapies outlined in Section 7.6.
  • 7. Untreated, uncontrolled CNS metastases. Subjects with CNS metastases who have had surgical resection or have received radiation therapy to all known sites of CNS disease ending at least 4 weeks prior to first dose of study drug are eligible if:
  • a. There is no evidence of disease progression after at least 2 weeks after the end of definitive therapy; and
  • b. The subject is neurologically stable and either off or on a non-increasing dose (in the past 2 weeks) of systemic steroids.
  • 8. Known history of human immunodeficiency virus (HIV) infection.
  • 9. Untreated hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • a. HBV: Subjects with serological evidence of chronic HBV infection should have an HBV viral load below the limit of quantification to be eligible. In addition, subjects
  • with positive HBsAg should be on anti-HBV therapy at enrollment and while receiving MYTX-011.
  • b. HCV: Subjects with history of HCV infection should have completed curative antiviral treatment and have HCV viral load below the limit of quantification.
  • 10. Myocardial infarction, unstable angina, PTCA or CABG or cerebrovascular event (stroke or transient ischemic attack [TIA]) within 6 months before first dose of study drug, symptomatic congestive heart failure (New York Heart Association [NYHA] > Class II; see Appendix B), or ventricular arrhythmias requiring treatment.
  • 11. Elevated corrected QT interval (QTc) >480 ms based on Fridericia’s correction formula.
  • 12. History of interstitial lung disease or pneumonitis that required treatment with systemic steroids or evidence of active interstitial lung disease or pneumonitis. A history of prior radiation pneumonitis in the radiation field (fibrosis) is permitted.
  • 13. Subject requires systemic steroid therapy: prednisone 10 mg daily or equivalent. Inhaled steroids or topical steroid use is permitted.
  • 14. Clinically significant systemic illness that could pose undue risk to the subject or confound the ability to interpret study results.
  • 15. Active infection requiring IV antibiotics, antivirals, or antifungal medication within 14 days of Cycle 1 Day 1.
  • 16. Neuropathy > Grade 1 for any reason.
  • 17. History of cirrhosis, hepatic fibrosis, esophageal or gastric varices, or other

研究者

发起方
Mythic Therapeutics

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