Clinical Trials /

A Dose Escalation Study of EMB-01 in Participants With Advanced/Metastatic Solid Tumors

NCT03797391

Description:

First-in-human, Phase I/II, Multicenter, Open-Label Study of EMB-01 in Patients with Advanced/Metastatic Solid Tumors

Related Conditions:
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Dose Escalation Study of EMB-01 in Participants With Advanced/Metastatic Solid Tumors
  • Official Title: First-in-human, Phase I/II, Multicenter, Open-Label Study of EMB-01 in Patients With Advanced/Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: EMB01X101
  • NCT ID: NCT03797391

Conditions

  • Neoplasms
  • Neoplasm Metastasis
  • Non-Small-Cell Lung Cancer

Interventions

DrugSynonymsArms
EMB-01FIT-013aDose Escalation-Part 1, Expansion-Part 2

Purpose

First-in-human, Phase I/II, Multicenter, Open-Label Study of EMB-01 in Patients with Advanced/Metastatic Solid Tumors

Detailed Description

      This is a first-in-human (FIH), open-label, Phase I/II study of EMB-01, a bispecific
      Epidermal growth factor receptor (EGFR) and c-Mesenchymal-Epithelial Transition (cMet)
      antibody, in patients with advanced solid tumors who have progressed on available standard
      therapies or for which no standard therapy exists. The study consists of two parts: Phase I
      (dose escalation) and Phase II (cohort expansion). The study is planning to recruit
      tentatively 33-66 subjects with advanced/metastatic solid tumors in phase I and approximately
      42-120 subjects with EGFR mutant and/or cMET aberrated NSCLC who have progressed on or are
      intolerant to standard treatment(s) (including platinum-based therapy) will be enrolled at
      the RP2D(s) in phase II part of the study. In phase II, patients will be assigned to five
      groups according to their molecular status at baseline. The trial will consist of molecular
      pre-screening period (Phase II only), clinical screening period (-28 to -1 days), treatment
      cycles (each cycle is 28 days, maximum up to 2 years), and safety follow-up period (30 days
      after the last dose).
    

Trial Arms

NameTypeDescriptionInterventions
Dose Escalation-Part 1, Expansion-Part 2ExperimentalIn part 1, escalating dose cohort, patients will receive intravenous infusions of EMB-01 weekly (QW). The duration of each treatment cycle is 28 days (4 weeks). Participants may continue to receive study drug until discontinuation criteria are met. Dose escalation will continue until the maximum tolerated dose (MTD) or recommended phase II dose (RP2D) is reached or all planned doses are administered. In part 2, participants will receive intravenous infusion of EMB-01 at the recommended Phase II dose (RP2D) regimen(s) once weekly. The duration of each treatment cycle is 28 days (4 weeks).
  • EMB-01

Eligibility Criteria

        Inclusion Criteria:

        Molecular Pre-screening Inclusion criteria (Phase II only)

        1) The patient must sign the molecular pre-screening Inform Consent to allow for the
        molecular pre-screening process. All patients must have documented evidence of EGFR and/or
        cMet aberrations.

        Screening Inclusion Criteria

          1. Able to understand and willing to sign the Informed Consent Form (ICF).

          2. Histologically/cytologically confirmed advanced/metastatic solid tumors with
             measurable disease [Response Evaluation Criteria in Solid Tumors (RECIST) v1.1]:

             Phase I: advanced/metastatic solid tumors including but not limited to NSCLC,
             colorectal cancer, gastric cancer and liver cancer refractory to standard therapy or
             for which no standard therapy is available or accessible.

             Phase II:

             Advanced/metastatic NSCLC Patients have confirmed EGFR mutant and/or cMET aberration,
             and have progressed after standard treatment (including platinum-based therapy) or are
             intolerant to standard treatment. Additionally, patients with T790M mutation have
             received FDA/Health Authority approved therapies (if accessible) for this indication
             (i.e., osimertinib) and have progressed or became intolerant.

             A patient who has refused all currently available therapy is allowed to enroll, but
             must be documented in the source record.

          3. 4) Must have adequate organ function

          4. Regarding prior anti-tumor therapy:

             a. Must have stopped treatment at least 4 weeks or within 5 half-lives Generalized
             radiation therapy must have stopped 3 weeks before first dose of EMB 01, or local
             radiotherapy or radiation therapy for bone metastases must have stopped 2 weeks before
             first dose of EMB-01. No therapeutic radiopharmaceuticals are taken within 8 weeks
             before first dose of EMB-01.

             c. Patients must have recovered to ≤Grade 1 from the adverse effects of such above
             treatment before beginning study treatment.

          5. 6) Female patient with fertility or male patient whose partner has fertility should
             use one or more contraceptive methods for contraception starting from screening period
             and continue throughout the study treatment and for 3 months.

          6. ECOG score 0 or 1 for phase I, and ≤2 for phase II.

        Exclusion Criteria:

        Molecular Pre-screening Exclusion Criteria (Phase II only)

        Subject who meets any of the follow criteria can't be proceeded to clinical screening:

          1. Patients who are unwilling to sign the molecular pre-screening ICF.

          2. Patients for whom local EGFR and/or cMET data or the results of central laboratory
             testing do not meet the molecular pre-screening inclusion criteria.

        Screening Exclusion Criteria

          1. Life expectancy < 3 months.

          2. Subject with primacy central nervous system (CNS) malignancy or symptomatic CNS
             (leptomeningeal or brain) metastases.

          3. Pregnant or nursing females.

          4. Subjects who have had major surgery within 28 days prior to screening.

          5. Serious underlying medical conditions, including but not limited to un-controlled
             hypertension, other cardiovascular disease or diabetes, ongoing or active infection,
             psychiatric, psychological, familial or geographical condition that, in the judgment
             of the investigator, may interfere the compliance with study treatment.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum tolerated dose (MTD) (phase 1 only)
Time Frame:cycle 1 (1cycle = 28 days)
Safety Issue:
Description:Maximum tolerated dose

Secondary Outcome Measures

Measure:Maximum Serum Concentration (Cmax)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Maximum Serum Concentration
Measure:Area Under the Plasma Concentration-Time Curve (AUC)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Area Under the Plasma Concentration-Time Curve
Measure:Trough Serum Concentration (Ctrough)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Trough Serum Concentration
Measure:Elimination half-life (t1/2)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Elimination half-life
Measure:Clearance (CL)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Clearance
Measure:Volume of distribution at steady state (Vss)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:volume of distribution at steady state
Measure:7. Accumulation Ratio (AR)
Time Frame:hrough treatment discontinuation: an average of 6 months
Safety Issue:
Description:Accumulation Ratio
Measure:Dose Proportionality
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Dose Proportionality
Measure:Anti-Drug Antibodies (ADA)
Time Frame:Through study completion, an average of 7 months
Safety Issue:
Description:Anti-Drug Antibodies
Measure:Duration Of Response (DOR) (phase 2 only)
Time Frame:From the date fo dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Safety Issue:
Description:Duration Of Response
Measure:Progression-Free Survival (PFS) (phase 2 only)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Progression-free survival
Measure:Clinical Benefit Rate (CBR) (phase 2 only)
Time Frame:Through treatment discontinuation: an average of 6 months
Safety Issue:
Description:Clinical Benefit Rate

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Shanghai EpimAb Biotherapeutics Co., Ltd.

Trial Keywords

  • Human Bispecific antibody,
  • Epidermal Growth Factor Receptor (EGFR),
  • c-Mesenchymal-Epithelial Transition (cMet),
  • Neoplasms, Neoplasm Metastasis,
  • Non-Small-Cell Lung Cancer (NSCLC), First-in-human,
  • EMB-01, Tyrosine Kinase Inhibitor (TKI) Resistant

Last Updated

July 23, 2021