Description:
This is an open label Phase 1, First in Human trial of TST001, a recombinant humanized
anti-Claudin 18.2 (CLDN18.2) IgG1 monoclonal antibody. It is being tested against advanced
and/or metastatic solid tumors including gastric, gastroesophageal junction, pancreatic,
colon and lung cancers.
Title
- Brief Title: A Trial to Evaluate Safety and Tolerability of TST001 in Advanced or Metastatic Solid Tumors
- Official Title: A Phase I Clinical Trial to Evaluate the Safety, Tolerability and Pharmacokinetics of TST001 in Patients With Locally Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
TST001-1001
- NCT ID:
NCT04396821
Conditions
Interventions
Drug | Synonyms | Arms |
---|
TST001 | | Part A Q2W |
Purpose
This is an open label Phase 1, First in Human trial of TST001, a recombinant humanized
anti-Claudin 18.2 (CLDN18.2) IgG1 monoclonal antibody. It is being tested against advanced
and/or metastatic solid tumors including gastric, gastroesophageal junction, pancreatic,
colon and lung cancers.
Detailed Description
Part A of the trial will consist of two cohorts, one dosed every 2 weeks and one dosed every
3 weeks in a standard 3+3 design. Part A is the dose finding portion of the trial.
27 to 54 participants will be enrolled.
Part B consists of 3 cohorts of approximately 20 participants each. For Part B, participants
must have CLDN18.2 expressing tumors to qualify for participation. Cohort 1 is for
participants with gastric and gastroesophageal junction cancers and dosed every 2 weeks.
Cohort 2 is for participants with solid tumors except gastric and gastroesophageal cancers,
dosed every 2 weeks. Cohort 3 is for all solid tumors dosed every 3 weeks. Up to 60
participants will be enrolled.
The trial will last approximately 2 years, with assessments including safety labs, ECGs, MUGA
scans, PKs and PDs and CT/MRI tumor assessments, based on the Q2W and Q3W dosing schedules.
Trial Arms
Name | Type | Description | Interventions |
---|
Part A Q2W | Experimental | Dosed every 2 weeks IV with TST001, starting dose is 1 mg/kg, 5 dose levels will be tested. | |
Part A Q3W | Experimental | Dosed every 3 weeks IV with TST001, starting dose is 3 mg/kg,, and 4 dose levels will be tested. | |
Part B Cohort 1 | Experimental | Participants with gastric or gastroesophageal junction cancers CLDN18.2 expression, dosed Q2W IV with the Part A Q2W recommended dose. | |
Part B Cohort 2 | Experimental | Participants with solid tumors other than gastric or gastroesophageal junction cancers with CLDN18.2 expression dosed Q2W IV with TST001 as above. | |
Part B Cohort 3 | Experimental | Participants with any kind of advanced or metastatic solid tumors with CLDN 18.2 expression, dosed Q3W with the Part A Q3W recommended dose of TST001 | |
Eligibility Criteria
Inclusion Criteria:
1. Willing and able to provide signed and dated informed consent
2. Patients with histologically or cytologically confirmed, locally advanced or
metastatic solid tumors.
3. Patients must be: a) progressed after standard therapies, b) intolerant of standard
therapies, or c) with a tumor type without standard therapy. d) Patients with HER2+
GC/GEJ cancer must have progressed after HER2-targeted therapy.
4. CLDN18.2 expression in tumor (Part B only): patients with locally advanced or
metastatic unresectable GC, GEJ cancer, or other solid tumor including but not limited
to pancreatic cancer, cholangiocarcinoma, ovarian cancer, and lung cancer.
5. Eastern Cooperative Oncology Group Performance Status (ECOG PS): Part A 0~1, Part B
0~2.
6. Life expectancy ≥ 3 months.
7. At least one measurable lesion per RECIST 1.1 (Part B only).
8. Provide archived tumor tissue samples
9. Adequate organ function
10. Recover to Grade 0-1 from adverse events related to prior anti-cancer therapy except
alopecia
Exclusion Criteria:
1. Symptomatic central nervous system metastases.
2. Prior anticancer therapy:
1. Prior systemic anti-cancer treatment (chemotherapy, immunotherapy, biologic
therapy, or targeted therapy) within 4 weeks prior to Cycle 1 Day 1, or
chemotherapy without delayed toxicity within the last 2 weeks preceding the first
dose of study treatment with ≤ grade 1 treatment related AEs.
2. Radiation therapy within 4 weeks prior to Cycle 1 Day 1;
3. Prior treatment with an anti-CLDN18.2 antibody.
3. Major surgery within 8 weeks prior to study entry; Minor surgery within 2 weeks prior
to study entry.
4. Gastrointestinal abnormalities including:
1. Documented unresolved gastric outlet obstruction or persistent vomiting defined
as ≥3 episodes within 24 hours
2. Active peptic ulcer disease required treatment in the past 3 months
3. Gastrointestinal bleeding as evidenced by hematemesis, hematochezia, or melena in
the past 3 months without evidence of resolution documented by endoscopy or
colonoscopy
4. Documented active colitis within 4 weeks prior to study entry, including
infectious colitis, radiation colitis and ischemic colitis
5. History of ulcerative colitis or Crohn's disease
5. Allergy or sensitivity to TST001 or known allergies to antibodies produced from
Chinese hamster ovary cells, which in the opinion of the investigator suggests an
increased potential for hypersensitivity to TST001.
6. History of a Grade 3-4 allergic reaction to treatment with another monoclonal
antibody.
7. Severe cardiovascular disease.
8. QTc ≥470ms at baseline.
9. Concurrent malignancy within 5 years prior to entry other than adequately treated
cervical carcinoma-in-situ, localized squamous cell cancer of the skin, basal cell
carcinoma, prostate cancer not requiring treatment (with or without resection), ductal
carcinoma in situ of the breast, or ≤ T1 urothelial carcinoma.
10. Prior stem cell, bone marrow or solid organ transplant.
11. Active infection requiring intravenous therapy within 2 weeks prior to entry.
12. Women of childbearing potential, unless they are using highly effective methods of
contraception during the intervention period and for 90 days after the last dose of
study intervention.
13. Men with a partner of childbearing potential who do not consent to use two highly
effective methods of birth control during treatment and for an additional 90 days
after the last administration of investigational drug.
14. Any condition that the investigator or primary physician believes may not be
appropriate for participating the study.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Participant Safety as characterized by frequency and severity of adverse events |
Time Frame: | up to 90 days following last dose |
Safety Issue: | |
Description: | Characterization of TST001 safety profile including frequency and severity of adverse events that are related to treatment. |
Secondary Outcome Measures
Measure: | Area under plasma concentration vs time curve (AUC) for TST001 |
Time Frame: | up to 30 days following last dose |
Safety Issue: | |
Description: | changes in AUC over time in participants with TST001 |
Measure: | Peak plasma concentration (Cmax) for TST001 |
Time Frame: | up to 30 days following last dose |
Safety Issue: | |
Description: | Cmax is the maximum plasma concentration |
Measure: | Time to maximum observed plasma concentration (Tmax) |
Time Frame: | up to 30 days following last dose |
Safety Issue: | |
Description: | Tmax is the time in hrs/days it takes to reach Cmax after dosing with TST001 |
Measure: | Terminal elimination half life (t1/2) |
Time Frame: | up to 30 days following last dose |
Safety Issue: | |
Description: | Time for the plasma level of TST001 to decrease b y 1/2 during the terminal elimination phase |
Measure: | Immunogenicity |
Time Frame: | up to 30 days following last dose |
Safety Issue: | |
Description: | by measurement of Incidence of anti-drug antibodies (ADA) |
Measure: | Objective response rate (ORR) |
Time Frame: | up to 90 days following last dose |
Safety Issue: | |
Description: | as measured by RECIST 1.1 |
Measure: | Duration of Response (DOR) |
Time Frame: | up to 90 days following last dose |
Safety Issue: | |
Description: | duration of response (DOR) |
Measure: | Clinical Benefit Rate |
Time Frame: | up to 90 days following last dose |
Safety Issue: | |
Description: | (CBR: CR+PR+SD ≥ 18 weeks) |
Measure: | Progression free survival (PFS) |
Time Frame: | up to 90 days following last dose |
Safety Issue: | |
Description: | as measured by RECIST v1.1 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Mabspace Biosciences (Suzhou) Co., Ltd. |
Last Updated
June 9, 2020