NCT05103683
招募中
1 期
A Phase 1, First in Human, Dose-Escalation Study of TORL-1-23 in Participants With Advanced Cancer
概览
- 阶段
- 1 期
- 干预措施
- TORL-1-23
- 疾病 / 适应症
- Advanced Solid Tumor
- 发起方
- TORL Biotherapeutics, LLC
- 入组人数
- 90
- 试验地点
- 23
- 主要终点
- Recommended Phase 2 Dose (RP2D)
- 状态
- 招募中
- 最后更新
- 2个月前
概览
简要总结
This first-in-human study will evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of TORL-1-23 in patients with advanced cancer
研究者
入排标准
入选标准
- •Advanced solid tumor
- •Measurable disease, per RECIST v1.1
- •Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- •Adequate organ function
排除标准
- •Has not recovered \[recovery is defined as NCI CTCAE, version 5.0, grade ≤1\] from the acute toxicities of previous therapy, except treatment-related alopecia or laboratory abnormalities otherwise meeting eligibility requirements
- •Received prior chemotherapeutic, investigational, or other therapies for the treatment of cancer within 14 days with small molecule and within 28 days with biologic before the first dose of TORL-1-23
- •Progressive or symptomatic brain metastases
- •Serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection
- •History of significant cardiac disease
- •History of myelodysplastic syndrome (MDS) or AML
- •History of another cancer within 3 years before Day 1 of study treatment, with the exception of basal or squamous cell carcinoma of the skin that has been definitively treated. A history of other malignancies with a low risk of recurrence, including appropriately treated ductal carcinoma in situ (DCIS) of the breast and prostate cancer with a Gleason score less than or equal to 6, are also not excluded
- •If female, is pregnant or breastfeeding
研究组 & 干预措施
Monotherapy Dose Finding - Part 1
TORL-1-23
干预措施: TORL-1-23
Expansion as Monotherapy - Part 2
TORL-1-23
干预措施: TORL-1-23
结局指标
主要结局
Recommended Phase 2 Dose (RP2D)
时间窗: up to 2 years
Based on the maximum tolerated dose, cumulative safety, and pharmacokinetic data
Maximum Tolerated Dose (MTD)
时间窗: 28 Days
Highest administered dose with \< 33% participants experiencing dose limiting toxicity (DLT) in the first 6 DLT evaluable participants
Incidence and severity of adverse events and serious adverse events
时间窗: up to 2 years
Incidence and severity of adverse events, serious adverse events, according to NCI-CTCAE Version 5.0
次要结局
- Duration of Response (DOR)(up to 2 years)
- Objective Response Rate (ORR)(up to 2 years)
- 1 Year Overall Survival (1YOS)(1 year)
- 2 Year Overall Survival (2YOS)(2 years)
- Maximum Serum Concentration of TORL-1-23 (Cmax)(21 days)
- Time to Response (TTR)(up to 2 years)
- Number of anti-drug antibody (ADA) Positive Participants(up to 2 years)
- Minimum Serum Concentration of TORL-1-23 (Cmin)(21 days)
- Apparent volume of distribution during the terminal phase (Vz) of TORL-1-23(63 days)
- Area under the Serum Concentration-Time curve from the time of dosing to the last measurable concentration (AUClast) for TORL-1-23(21 days)
- Area under the Serum Concentration-Time curve from the time of dosing extrapolated to time infinity (AUCinf) for TORL-1-23(63 days)
- Maximum Serum Concentration of TORL-1-23 at Steady State (Cmax,ss)(63 days)
- Progression Free Survival (PFS)(up to 2 years)
- Minimum Serum Concentration of TORL-1-23 at Steady State (Cmin,ss)(63 days)
- Terminal Half-life (t1/2) of Serum TORL-1-23(63 days)
- Time of Maximum Serum Concentration of TORL-1-23 (Tmax)(21 days)
- Time of Minimum Serum Concentration of TORL-1-23 (Tmin)(21 days)
- Time of Minimum Serum Concentration of TORL-1-23 at Steady State (Tmin,ss)(63 days)
- Clearance (CL) of TORL-1-23(63 days)
- Accumulation ratio (Rac) of TORL-1-23(63 days)
研究点 (23)
Loading locations...
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相关资讯
TORL-1-23 Shows Promising Activity in CLDN6-Positive Advanced Solid Tumors- TORL-1-23, a CLDN6-targeted antibody-drug conjugate, demonstrates encouraging responses in heavily pretreated patients with advanced solid tumors, including platinum-resistant ovarian cancer.
- The overall response rate reached 42% at a 2.4 mg/kg dose, with durable and deep responses observed, particularly in ovarian cancer patients treated at 2.4 mg/kg and 3.0 mg/kg.
- The antibody-drug conjugate was well-tolerated, with manageable safety profiles, and the risk of neutropenia was mitigated by prophylactic pegfilgrastim administration.
- A registrational phase 2 study is planned for CLDN6-positive platinum-resistant ovarian cancer, with further evaluation in other CLDN6-positive cancers, including NSCLC.TORL BioTherapeutics Secures $158 Million to Advance ADC Oncology Pipeline• TORL BioTherapeutics has raised $158 million in an oversubscribed Series B-2 financing round to support its antibody-drug conjugate (ADC) oncology pipeline.
• The funding will primarily advance the clinical development of TORL-1-23, a first-in-class ADC targeting Claudin 6+ tumors, through Phase 1 and a pivotal Phase 2 trial.
• Proceeds will also support ongoing Phase 1 studies for TORL-2-307 (targeting CLDN 18.2+), TORL-3-600 (targeting CDH17+ colorectal cancer), and TORL-4-500 (targeting DLK1+ solid tumors).
• The company's pipeline leverages discoveries from the Slamon Research Laboratory at UCLA, focusing on novel cancer targets and antibody-based therapies.