NBE-002 in Patients With Advanced Solid Tumors
Primary Purpose
Advanced Solid Tumor, Advanced Cancer, Triple Negative Breast Cancer
Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NBE-002
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Solid Tumor focused on measuring ROR1, Antibody-drug Conjugate, Carcinoma, Cancer, Solid Tumor, Sarcoma, Triple Negative Breast Cancer
Eligibility Criteria
Inclusion Criteria:
- Written informed consent
- Age ≥18 years
- Phase 1, DEC and SEC: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma), who have progressive disease, have undergone systemic therapy for advanced disease, and for whom no standard therapy is available
- Phase 2, EC1: patients with histologically or cytologically confirmed advanced triple-negative breast cancer, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
- Phase 2, EC2: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma) other than TNBC, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
- Availability of pretreatment tumor tissue
- Phase 1, DEC and SEC: at least one measurable or non-measurable lesion as per RECIST v1.1
- Phase 2, EC1 and EC2: at least one measurable lesion as per RECIST v1.1
- Phase 1, DEC and SEC: Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
- Phase 2, EC1 and EC2: ECOG performance status of 0 or 1
- Adequate function of bone marrow, liver, kidneys, heart; adequate coagulation profile
- Both male and female patients must agree to use effective contraceptive methods
- Women of child-bearing potential (WCBP) must have a negative serum pregnancy test
- Patients must be willing and able to sign the informed consent form, and to adhere to the study visit schedule and other protocol requirements
Exclusion Criteria:
- Prior treatment with any agent targeting ROR1
- Presence of active central nervous system (CNS) metastasis
- Persistent toxicities from previous systemic anti-neoplastic treatments of Grade > 1 (or Grade > 2 for neurotoxicity)
- Systemic anti-neoplastic therapy within five half-lives or four weeks (six weeks for nitrosourea and mitomycin-C), whichever is shorter, prior to first dose of the study drug
- Wide-field radiotherapy within four weeks, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within two weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
- Major surgery within four weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
- Prior allogeneic bone marrow transplantation
- Significant cardiac disease
- History of thromboembolic or cerebrovascular events within six months prior to first dose of the study drug
- Acute and/or clinically significant bacterial, fungal or viral infection
- Concomitant use of systemic steroids at dose of >10 mg of prednisone or its equivalent per day
- Concurrent participation in another investigational clinical trial
- Pregnant or breast-feeding females
- Other conditions that prevent the patient from giving informed consent or participating in the trial, or that may increase the risk associated with the study participation, or that may interfere with the interpretation of the study results
- Prior history of malignancy other than inclusion diagnosis within three years prior to first dose of the study drug
- Prior treatment with cumulative lifetime dose of anthracycline
Sites / Locations
- Sarah Cannon Research Institute - TN Oncology
- The University of Texas MD Anderson Cancer Center
- NEXT Oncology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Dose-escalation Cohort (DEC)
Safety-expansion Cohort (SEC)
Expansion Cohort 1 (EC1)
Expansion Cohort 2 (EC2)
Arm Description
Escalating doses of NBE-002 depending on cohort at enrollment.
Dose to be determined based on DEC.
Dose to be determined based on DEC and SEC.
Dose to be determined based on DEC and SEC.
Outcomes
Primary Outcome Measures
Recommended Phase 2 Dose (RP2D) (Phase 1)
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Anti-tumor Activity (Phase 2)
Anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Secondary Outcome Measures
Incidence of Adverse Events (Safety and Tolerability)
Safety and tolerability profile will be assessed by Common Terminology Criteria for Adverse Events v5.0 and summarized by type, frequency, and severity of adverse events
Preliminary Anti-tumor Activity (Phase 1)
Preliminary anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Concentrations of NBE-002
Pharmacokinetic profile will be characterized by concentrations of NBE-002
Concentrations of NBE-002-reactive antibodies
Immunogenicity profile will be characterized by concentrations of NBE-002-reactive antibodies
Full Information
NCT ID
NCT04441099
First Posted
June 18, 2020
Last Updated
September 4, 2023
Sponsor
NBE-Therapeutics AG
Collaborators
Cmed Clinical Services
1. Study Identification
Unique Protocol Identification Number
NCT04441099
Brief Title
NBE-002 in Patients With Advanced Solid Tumors
Official Title
A First-in-Human, Phase 1/2 Study of NBE-002, an Anti-ROR1 Antibody Drug Conjugate, in Patients With Advanced Solid Tumors
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Terminated
Why Stopped
End of Program
Study Start Date
June 19, 2020 (Actual)
Primary Completion Date
August 14, 2023 (Actual)
Study Completion Date
August 14, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NBE-Therapeutics AG
Collaborators
Cmed Clinical Services
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This first-in-human study will evaluate the recommended dose for further clinical development, safety, tolerability, anti-tumor activity, immunogenicity, pharmacokinetics and pharmacodynamics of NBE-002, a novel anti-ROR1 antibody-drug conjugate, in patients with advanced solid tumors.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Advanced Cancer, Triple Negative Breast Cancer
Keywords
ROR1, Antibody-drug Conjugate, Carcinoma, Cancer, Solid Tumor, Sarcoma, Triple Negative Breast Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Dose-escalation Cohort (DEC)
Arm Type
Experimental
Arm Description
Escalating doses of NBE-002 depending on cohort at enrollment.
Arm Title
Safety-expansion Cohort (SEC)
Arm Type
Experimental
Arm Description
Dose to be determined based on DEC.
Arm Title
Expansion Cohort 1 (EC1)
Arm Type
Experimental
Arm Description
Dose to be determined based on DEC and SEC.
Arm Title
Expansion Cohort 2 (EC2)
Arm Type
Experimental
Arm Description
Dose to be determined based on DEC and SEC.
Intervention Type
Drug
Intervention Name(s)
NBE-002
Intervention Description
NBE-002 will be given intravenously on Day 1 of repeated 28-day cycles.
Primary Outcome Measure Information:
Title
Recommended Phase 2 Dose (RP2D) (Phase 1)
Description
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Time Frame
Up to 48 months
Title
Anti-tumor Activity (Phase 2)
Description
Anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Time Frame
Up to 60 months
Secondary Outcome Measure Information:
Title
Incidence of Adverse Events (Safety and Tolerability)
Description
Safety and tolerability profile will be assessed by Common Terminology Criteria for Adverse Events v5.0 and summarized by type, frequency, and severity of adverse events
Time Frame
Up to 60 months
Title
Preliminary Anti-tumor Activity (Phase 1)
Description
Preliminary anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Time Frame
Up to 48 months
Title
Concentrations of NBE-002
Description
Pharmacokinetic profile will be characterized by concentrations of NBE-002
Time Frame
Up to 60 months
Title
Concentrations of NBE-002-reactive antibodies
Description
Immunogenicity profile will be characterized by concentrations of NBE-002-reactive antibodies
Time Frame
Up to 60 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Written informed consent
Age ≥18 years
Phase 1, DEC and SEC: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma), who have progressive disease, have undergone systemic therapy for advanced disease, and for whom no standard therapy is available
Phase 2, EC1: patients with histologically or cytologically confirmed advanced triple-negative breast cancer, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
Phase 2, EC2: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma) other than TNBC, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
Availability of pretreatment tumor tissue
Phase 1, DEC and SEC: at least one measurable or non-measurable lesion as per RECIST v1.1
Phase 2, EC1 and EC2: at least one measurable lesion as per RECIST v1.1
Phase 1, DEC and SEC: Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
Phase 2, EC1 and EC2: ECOG performance status of 0 or 1
Adequate function of bone marrow, liver, kidneys, heart; adequate coagulation profile
Both male and female patients must agree to use effective contraceptive methods
Women of child-bearing potential (WCBP) must have a negative serum pregnancy test
Patients must be willing and able to sign the informed consent form, and to adhere to the study visit schedule and other protocol requirements
Exclusion Criteria:
Prior treatment with any agent targeting ROR1
Presence of active central nervous system (CNS) metastasis
Persistent toxicities from previous systemic anti-neoplastic treatments of Grade > 1 (or Grade > 2 for neurotoxicity)
Systemic anti-neoplastic therapy within five half-lives or four weeks (six weeks for nitrosourea and mitomycin-C), whichever is shorter, prior to first dose of the study drug
Wide-field radiotherapy within four weeks, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within two weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
Major surgery within four weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
Prior allogeneic bone marrow transplantation
Significant cardiac disease
History of thromboembolic or cerebrovascular events within six months prior to first dose of the study drug
Acute and/or clinically significant bacterial, fungal or viral infection
Concomitant use of systemic steroids at dose of >10 mg of prednisone or its equivalent per day
Concurrent participation in another investigational clinical trial
Pregnant or breast-feeding females
Other conditions that prevent the patient from giving informed consent or participating in the trial, or that may increase the risk associated with the study participation, or that may interfere with the interpretation of the study results
Prior history of malignancy other than inclusion diagnosis within three years prior to first dose of the study drug
Prior treatment with cumulative lifetime dose of anthracycline
Facility Information:
Facility Name
Sarah Cannon Research Institute - TN Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
The University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
NEXT Oncology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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NBE-002 in Patients With Advanced Solid Tumors
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