Clinical Trials /

Study of TST005 in Patients With Locally Advanced or Metastatic Solid Tumors

NCT04958434

Description:

This is an open label Phase 1, first-in-human (FIH) study of TST005, a bi-specific antibody consisting of a PD-L1 monoclonal antibody (mAb) and a transforming growth factor beta (TGF-β) trap in subjects with locally advanced or metastatic cancers

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of TST005 in Patients With Locally Advanced or Metastatic Solid Tumors
  • Official Title: A Phase 1, First in Human, Open-label, Dose Escalation and Dose Expansion Study of TST005 in Patients With Locally Advanced or Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: TST005-1001
  • NCT ID: NCT04958434

Conditions

  • Locally Advanced or Metastatic Cancers
  • Metastatic Human Papillomavirus-Related Malignant Neoplasm

Interventions

DrugSynonymsArms
TST005Part A - Dose Escalation

Purpose

This is an open label Phase 1, first-in-human (FIH) study of TST005, a bi-specific antibody consisting of a PD-L1 monoclonal antibody (mAb) and a transforming growth factor beta (TGF-β) trap in subjects with locally advanced or metastatic cancers

Detailed Description

      The study has 2 parts. Part A is a dose escalation portion where the patients will be doses
      every three weeks following an accelerated 3+3 design. This portion will enroll approximately
      25 patients with locally advanced or metastatic cancers.

      Part B is an expansion portion where approximately 30 additional patients will be dosed at
      the recommended dose level every 3 weeks. This part will include patients with locally
      advanced or metastatic HPV related malignancies.

      The trial will last approximately 2 years, with assessments including safety labs, ECGs, PKs
      and PDs and CT/MRI tumor assessments, based on the Q3W dosing schedule.
    

Trial Arms

NameTypeDescriptionInterventions
Part A - Dose EscalationExperimentalDosed every 3 weeks IV with TST005, starting dose is 1 mg/kg, and 5 dose levels will be tested.
  • TST005
Part B - Dose ExpansionExperimentalParticipants with any kind of advanced or HPV metastatic solid tumors dosed Q3W with the Part A Q3W recommended dose of TST005
  • TST005

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, evaluable by RECIST v1.1. (Part B includes metastatic HPV+
             malignancies)

          3. Subject who has tumor progression during or after prior therapy and for whom no
             standard therapy exists that would confer clinical benefit.

          4. At least one measurable lesion per RECIST 1.1 (Part B only).

          5. Eastern Cooperative Oncology Group Performance Status (ECOG PS)0~1.

          6. Provide archived tumor tissue samples

          7. Adequate organ function

        Exclusion Criteria:

          1. Concurrent malignancy within 3 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.

          2. Untreated or symptomatic central nervous system (CNS) metastases.

          3. Any unresolved Grade 2 or greater toxicity from previous anticancer therapy except
             alopecia.

          4. Active leptomeningeal disease.

          5. Active autoimmune diseases or history of autoimmune diseases that may relapse, with
             the following exceptions:

               -  Controlled type 1 diabetes

               -  Hypothyroidism (provided it is managed with hormone-replacement therapy only)

               -  Controlled celiac disease

               -  Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or
                  alopecia)

               -  Any other disease that is not expected to recur in the absence of external
                  triggering factors

          6. Any condition that required systemic treatment with either corticosteroids (> 10 mg
             daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days
             before the first dose of investigational product, with the following exceptions:

               -  Adrenal replacement steroid (dose ≤ 10 mg daily of prednisone or equivalent)

               -  Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with
                  minimal systemic absorption

               -  Short course (≤ 7 days) of corticosteroid prescribed prophylactically (eg, for
                  contrast dye allergy) or for the treatment of a non-autoimmune condition (eg,
                  delayed-type hypersensitivity reaction caused by contact allergen)

          7. History of interstitial lung disease, noninfectious pneumonitis, or uncontrolled lung
             diseases, including but not limited to pulmonary fibrosis, active pneumonitis.

          8. Severe cardiovascular disease, including cerebrovascular accident, transient ischemic
             attack, myocardial infarction, or unstable angina, New York Heart Association class
             III or IV heart failure or uncontrolled arrhythmia within 6 months of first dose.

          9. Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic
             therapy within 2 weeks of screening.

         10. Clinically significant bleeding within three months of the first dose.

         11. Uncontrolled hypertension, defined as systolic ≥150 mm Hg or diastolic ≥90 mm Hg
             maintained over time and despite antihypertensive treatment.

         12. Patients with QTcF > 480 ms on screening ECG or with a history of additional risk
             factors for TdP (e.g., heart failure, hypokalemia,family history of Long QT Syndrome)

         13. Pregnant or nursing.

         14. Known human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome.

         15. A serious nonmalignant disease (e.g., psychiatric, substance abuse, uncontrolled
             intercurrent illness, etc.) that could compromise protocol objectives in the opinion
             of the Investigator and/or the Sponsor.

         16. Any other condition that, in the opinion of the Investigator, would prohibit the
             subject from participating in the study.

         17. Active autoimmune disease requiring systemic therapy in the last 2 years prior to the
             first dose (i.e., with use of disease modifying agents, systemic corticosteroids or
             immunosuppressive drug).

             • Subjects with Type 1 diabetes mellitus (TD1M), hypothyroidism requiring only hormone
             replacement, or skin disorders not requiring systemic treatment are permitted to
             enroll.

         18. A history of (non-infectious) pneumonitis that required steroids or has current
             pneumonitis.

         19. < 4 weeks after any major procedures/surgery; clinically significant unhealed wound;
             any unhealed ulceration in GI prior to first dose of TST005.

         20. History of severe immune-related adverse effects from checkpoint inhibitor (CPI)
             therapy (NCI CTCAE Grade 3 or 4) with the exception of endocrinopathy managed with
             replacement therapy or subjects who discontinued CPI therapy for CPI-associated
             toxicity or intolerability.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part A - Determine the maximum tolerated dose (MTD) or recommended Phase 2 dose(s) (RP2D)
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:As measured by the number of participants experiencing a dose limiting toxicity (DLT) in each dosing cohort

Secondary Outcome Measures

Measure:Part A - Area under Plasma concentration vs. time curve (AUC) for TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Observe changes in AUC over time
Measure:Part A - Peak Plasma concentration (Cmax) for TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Observe the maximum serum concentration
Measure:Part A - Time to maximum observed serum (Tmax) for TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Tmax is the time in hours / days for TST005 to reach the maximum concentration after administration
Measure:Part A - Terminal half-life of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Time for serum level to decrease by 1/2 during the terminal elimination phase
Measure:Immunogenicity of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:To determine if the formation of Anti-drug antibodies (ADA) or neutralizing antibodies (NAb) against TST005 are observed
Measure:Part B - Assess the Objective response rate (ORR) of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:as measured by RECIST v 1.1 and iRECIST
Measure:Part B - Assess the Disease Control rate (DCR) of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Percentage of patients that exhibit stable disease (SD), + partial response (PR), + complete response (CR)
Measure:Part B - Assess the Duration of Response of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Measured by the time a patient shows response
Measure:Part B - Assess the Time to Response (TTR) of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Measured by the average time patients show a response to TST005
Measure:Part B - Assess the Progression -free Survival (PFS) of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Measured by the average time before patients show signs of disease progression after receiving TST005
Measure:Part B - Assess the Overall Survival (OS) of TST005
Time Frame:Up to 90 days following last dose
Safety Issue:
Description:Time between treatment of TST005 and death for any reason

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Transcenta Therapeutics

Trial Keywords

  • PD-L1, TGF-B

Last Updated

July 15, 2021