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.
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
Drug | Synonyms | Arms |
---|
XB002 | | XB002 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
Name | Type | Description | Interventions |
---|
XB002 Dose-Escalation Cohorts | Experimental | Subjects (Cohort A) will accrue in cohorts of 3-12 subjects in a modified i3+3 design. | |
XB002 Expansion Cohorts | Experimental | The 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) | |
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