Description:
The purpose of this study is to evaluate, in patients with tumors known to express the
protein mesothelin, the following properties of BAY2287411 injection:
- safety (to identify, assess, minimize, and appropriately manage the risks associated to
the study drug)
- tolerability (the degree to which side effects can be tolerated by your body)
- maximum tolerated dose
- pharmacokinetics (the effect of your body on the study drug)
- anti-tumor activity
- recommended dose for further clinical development
Title
- Brief Title: First-in-human Study of BAY2287411 Injection, a Thorium-227 Labeled Antibody-chelator Conjugate, in Patients With Tumors Known to Express Mesothelin
- Official Title: An Open-label, First-in-human, Multi-center Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Anti-tumor Activity of a Thorium-227 Labeled Antibody-chelator Conjugate, BAY2287411 Injection, in Patients With Solid Tumors Known to Express Mesothelin
Clinical Trial IDs
- ORG STUDY ID:
18795
- SECONDARY ID:
2017-004052-29
- NCT ID:
NCT03507452
Conditions
- Advanced Recurrent Epithelioid Mesothelioma
- Serous Ovarian Cancer
- Metastatic or Locally Advanced Pancreatic Ductal Adenocarcinoma (Optional, Dose Expansion)
Interventions
Drug | Synonyms | Arms |
---|
BAY2287411 | | Dose escalation cohort a |
BAY2287411 | | Dose Expansion Cohort 1 |
Purpose
The purpose of this study is to evaluate, in patients with tumors known to express the
protein mesothelin, the following properties of BAY2287411 injection:
- safety (to identify, assess, minimize, and appropriately manage the risks associated to
the study drug)
- tolerability (the degree to which side effects can be tolerated by your body)
- maximum tolerated dose
- pharmacokinetics (the effect of your body on the study drug)
- anti-tumor activity
- recommended dose for further clinical development
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation cohort a | Experimental | Subjects with either advanced recurrent epithelioid mesothelioma or serous ovarian cancer who have exhausted available therapeutic options.
The dose of Thorium-227 will start at 1.5 MBq and increase in steps of 1.0 or 1.5 MBq, with antibody doses of 10 mg. | |
Dose escalation cohort b | Experimental | Subjects with either advanced recurrent epithelioid mesothelioma or serous ovarian cancer who have exhausted available therapeutic options.
The dose of Thorium-227 will start at 1.5 MBq and increase in steps of 1.0 or 1.5 MBq, with a total antibody dose within the range of 10 - 50 mg. | |
Dose Expansion Cohort 1 | Experimental | Subjects with advanced recurrent epithelioid mesothelioma or serous ovarian cancer, who have exhausted available therapeutic options
Dose / Regimen 1 (to be determined after completion of the dose escalation) | |
Dose Expansion Cohort 2 | Experimental | Subjects with advanced recurrent epithelioid mesothelioma or serous ovarian cancer, who have exhausted available therapeutic options
Dose / Regimen 2 (to be determined after completion of the dose escalation) | |
Dose expansion Cohort 3 (optional) | Experimental | Subjects with histologically or cytologically confirmed unresectable, metastatic or locally advanced pancreatic ductal adenocarcinoma
Dose / Regimen to be determined | |
Dose escalation cohort c | Experimental | Subjects with either advanced recurrent epithelioid mesothelioma or serous ovarian cancer who have exhausted available therapeutic options.
The dose of Thorium-227 will start at 1.5 MBq and increase in steps of 1.0 or 1.5 MBq, with antibody doses of 10 - 150 mg mg. | |
Dose escalation cohort d | Experimental | Subjects with either advanced recurrent epithelioid mesothelioma or serous ovarian cancer who have exhausted available therapeutic options.
The dose of Thorium-227 will start at 1.5 MBq and increase in steps of 1.0 or 1.5 MBq, with antibody doses of 10 - 400 mg. | |
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent
- Male or female subjects ≥ 18 years of age
- ECOG PS (Eastern Cooperative Oncology Group Performance Status) of 0 or 1
- Patients with advanced malignant epithelioid mesothelioma or advanced recurrent serous
ovarian cancer, who have exhausted available therapeutic options; in addition, in the
dose expansion part of the study, patients with metastatic pancreatic adenocarcinoma,
who have exhausted available therapeutic options
- Availability of fresh or archival tumor tissue samples
- Adequate bone marrow, liver and renal function, as assessed by pre-defined laboratory
requirements (within 28 days before start of study drug treatment)
- A negative serum pregnancy test in women of childbearing potential (WOCBP) performed
within 7 days before the start of study drug administration. Women and men of
reproductive potential must agree to use highly effective methods of contraception,
when sexually active.
Exclusion Criteria:
- Impaired cardiac function, clinically significant cardiac disease or cardiac
arrhythmias
- Pericarditis (any CTCAE grade) or pericardial effusion (CTCAE Grade ≥ 2)
- Left Ventricular Ejection Fraction (LVEF) < 50% (as measured at screening by
echocardiogram).
- History of anaphylactic reactions to monoclonal antibody therapy
- History of Myelodysplastic syndrome (MDS)/treatment-related acute myeloid leukemia
(t-AML) or with features suggestive of MDS/AML
- Infections of CTCAE (Common Terminology Criteria for Adverse Events) version 5.0 Grade
2 not responding to therapy or active clinically serious infections of CTCAE Grade >2;
known human immunodeficiency virus (HIV) infection; active hepatitis B virus (HBV) or
hepatitis C virus (HCV)infection requiring treatment. Patients with chronic HBV or HCV
infection are eligible at the investigator's discretion provided that the disease is
stable and sufficiently controlled under treatment
- Known brain, spinal or meningeal metastases
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of DLTs (dose-limiting toxicity) |
Time Frame: | 6 weeks (42 days) |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Cmax of Thorium-227 after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Measure: | Cmax of Radium-223 after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Measure: | Cmax of Total antibody after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Measure: | AUC(0-42 days) of Radium-223 after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Measure: | AUC(0-42 days) of Total antibody after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Measure: | AUC(0-42 days) of Thorium-227 after single dose of Cycle 1 |
Time Frame: | From Day 1 to 43 |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Bayer |
Trial Keywords
- Malignant Mesothelioma
- Malignant Pleural Epithelioid Mesothelioma
- Malignant Peritoneal Epithelioid Mesothelioma
Last Updated
August 19, 2021