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临床试验/NCT05103683
NCT05103683
招募中
1 期

A Phase 1, First in Human, Dose-Escalation Study of TORL-1-23 in Participants With Advanced Cancer

TORL Biotherapeutics, LLC23 个研究点 分布在 3 个国家目标入组 90 人2021年11月17日

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

注册库
clinicaltrials.gov
开始日期
2021年11月17日
结束日期
2026年11月15日
最后更新
2个月前
研究类型
Interventional
研究设计
Sequential
性别
All

研究者

责任方
Sponsor

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)

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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.