Clinical Trials /

Study of XB002 in Subjects With Solid Tumors

NCT04925284

Description:

This is a Phase 1, non-randomized, open-label, multicenter, dose-escalation and expansion study evaluating the safety, tolerability, PK, pharmacodynamics, and clinical antitumor activity of XB002 administered IV q3w as a monotherapy to subjects with advanced solid tumors.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of XB002 in Subjects With Solid Tumors
  • Official Title: A Dose-Escalation and Expansion Study of the Safety and Pharmacokinetics of XB002 in Subjects With Inoperable Locally Advanced or Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: XB002-101
  • NCT ID: NCT04925284

Conditions

  • Non Small Cell Lung Cancer
  • Urothelial Cancer
  • Epithelial Ovarian Cancer
  • Cervical Cancer
  • SCCHN
  • Pancreatic Cancer

Interventions

DrugSynonymsArms
XB002XB002 Dose-Escalation Cohorts

Purpose

This is a Phase 1, non-randomized, open-label, multicenter, dose-escalation and expansion study evaluating the safety, tolerability, PK, pharmacodynamics, and clinical antitumor activity of XB002 administered IV q3w as a monotherapy to subjects with advanced solid tumors.

Trial Arms

NameTypeDescriptionInterventions
XB002 Dose-Escalation CohortsExperimentalSubjects (Cohort A) will accrue in cohorts of 3-12 subjects in a modified i3+3 design.
  • XB002
XB002 Expansion CohortsExperimentalThe MTD or recommended dose from the dose-escalation stage may be further explored in subjects with non-small cell lung cancer [NSCLC] (Cohort B), urothelial cancer (Cohort C), epithelial ovarian cancer [EOC] (Cohort D), cervical cancer (Cohort E), SCCHN (Cohort F) and pancreatic cancer (cohort G)
  • XB002

Eligibility Criteria

        Inclusion Criteria:

          -  Cytologically or histologically and radiologically confirmed solid tumor that is
             inoperable, locally advanced, metastatic, or recurrent.

          -  Dose-Escalation Stage Cohort A and Cohort-Expansion Stage (Cohorts B - G): The subject
             has received standard life-prolonging therapies unless they do not exist, or available
             therapies are intolerable or no longer effective.

          -  Cohort-Expansion Stage Cohort B (Non-small Cell Lung Cancer): Subjects with Stage IV
             NSCLC who have documented radiographic disease progression during or following their
             last systemic anticancer therapy.

          -  Cohort-Expansion Stage Cohort C (Urothelial Cancer): Subjects with transitional cell
             histology (including renal pelvis, ureter, urinary bladder, urethra) who have
             documented radiographic disease progression during or following their last systemic
             anticancer therapy.

          -  Cohort-Expansion Stage Cohort D (Epithelial Ovarian Cancer): Subjects with epithelial
             ovarian cancer, including primary peritoneal cancer (PPC) and fallopian tube cancer
             (FTC) who have platinum-resistant disease following treatment with platinum-containing
             chemotherapy. Note: Ovarian borderline epithelial tumors (low malignant potential) are
             not eligible.

          -  Cohort-Expansion Stage Cohort E (Cervical Cancer): Subjects with carcinoma of the
             uterine cervix who have documented radiographic disease progression during or
             following their last systemic anticancer therapy.

          -  Cohort F (SCCHN): Subjects with head and neck cancer (squamous cell histology) who
             have documented radiographic disease progression during or following their last
             systemic anticancer therapy. Allowed primary tumor locations are oral cavity,
             oropharynx, hypopharynx, glottic larynx. Note: Excluded are subjects with primary
             tumor site of the nasopharynx.

          -  Cohort G (Pancreatic Cancer): Subjects with pancreatic cancer (adenocarcinoma
             histology) who have documented radiographic disease progression during or following
             their last systemic anticancer therapy.

          -  Expansion Cohorts: Subjects must have measurable disease per RECIST 1.1 as determined
             by the Investigator.

          -  Tumor tissue material collected approximately 2 years prior to consent. If archival
             tumor tissue is not available, a fresh tumor biopsy may be collected from subjects
             enrolled in the Dose-Escalation Stage and must be collected from subjects in the
             Cohort-Expansion Stage, at least 7 days (and up to 60 days) prior to first dose.

          -  Recovery to baseline or ≤ Grade 1 severity (Common Terminology Criteria for Adverse
             Events version 5 [CTCAE v5]) from AEs.

          -  Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1.

          -  Adequate organ and marrow function.

          -  Sexually active fertile subjects and their partners must agree to use medically
             accepted methods of contraception.

          -  Female subjects of childbearing potential must not be pregnant at screening.

        Exclusion Criteria:

          -  Receipt of prior therapies as defined in study protocol

          -  Known brain metastases or cranial epidural disease unless adequately treated with
             radiotherapy and/or surgery (including radiosurgery) and stable for at least 4 weeks
             before first dose of study treatment.

          -  Uncontrolled, significant intercurrent or recent illness.

          -  Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per
             electrocardiogram (ECG).

          -  Pregnant or lactating females

          -  Diagnosis of another malignancy within 2 years before first dose of study treatment,
             except for superficial skin cancers, or localized, low grade tumors deemed cured and
             not treated with systemic therapy.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Dose-Escalation Stage: MTD/recommended dose for XB002
Time Frame:18 months
Safety Issue:
Description:To determine the MTD and/or RD for further evaluation of IV administration of XB002 in subjects with advanced malignancies

Secondary Outcome Measures

Measure:Safety of XB002: Adverse Events
Time Frame:30 months
Safety Issue:
Description:To evaluate the safety of XB002 through the evaluation of incidence and severity of nonserious adverse events (AEs) and serious adverse events (SAEs)
Measure:Tolerability of XB002 as evaluated by the duration of exposure for the study
Time Frame:30 months
Safety Issue:
Description:To evaluate the tolerability of XB002 through the evaluation of duration of exposure for the study treatment
Measure:Tolerability of XB002 as evaluated dose intensity of the study treatment
Time Frame:30 months
Safety Issue:
Description:To evaluate the tolerability of XB002 through the evaluation of dose intensity of the study treatment
Measure:Maximum Plasma Concentration (Cmax)
Time Frame:30 months
Safety Issue:
Description:To evaluate the Cmax for XB002, total antibody, and free payload at scheduled visits over time
Measure:Trough Concentration (Ctrough)
Time Frame:30 months
Safety Issue:
Description:To evaluate the Ctrough of XB002, total antibody, and free payload at scheduled visits over time
Measure:Immunogenicity of XB002
Time Frame:30 months
Safety Issue:
Description:To assess the immunogenicity of XB002 as measured by anti-drug antibody (ADA) analysis
Measure:Dose-Escalation Stage: Anti-tumor activity of XB002: Objective Response Rate (ORR)
Time Frame:30 months
Safety Issue:
Description:To evaluate the anti-tumor activity of XB002, as measured by ORR, per RECIST 1.1 as assessed by the Investigator
Measure:Anti-tumor activity of XB002: Duration of Response (DOR)
Time Frame:30 months
Safety Issue:
Description:To evaluate the anti-tumor activity of XB002, as measured by DOR, per RECIST 1.1 as assessed by the Investigator (dose escalation stage) or by a BIRC for selected cohorts (cohort expansion stage)
Measure:Anti-tumor activity of XB002: Progression Free Survival (PFS)
Time Frame:30 months
Safety Issue:
Description:To evaluate the anti-tumor activity of XB002, as measured by PFS, per RECIST 1.1 as assessed by the Investigator (dose escalation stage) or by a BIRC for selected cohorts (cohort expansion stage)
Measure:Cohort-Expansion Stage: overall survival
Time Frame:12 months
Safety Issue:
Description:To evaluate overall survival

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Exelixis

Last Updated

June 14, 2021