A Study of XMT-1660 in Participants With Solid Tumors
Primary Purpose
Triple Negative Breast Cancer, Breast Cancer, Endometrial Cancer
Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
XMT-1660
Sponsored by
About this trial
This is an interventional treatment trial for Triple Negative Breast Cancer
Eligibility Criteria
Inclusion Criteria:
- Participant has proven recurrent or advanced solid tumor and has disease progression after treatment with available anti-cancer therapies known to confer benefit or is intolerant to treatment.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Participant must have at least one measurable lesion(s) as defined by RECIST version 1.1.
- Participant must be willing to undergo a minimally invasive tumor biopsy to obtain tumor tissue for local testing, if medically feasible, prior to C1D1. If the investigator feels a biopsy is not medically feasible, an exemption request must be submitted to the study Medical Monitor for approval.
Exclusion Criteria:
- Prior treatment with an Antibody Drug Conjugate (ADC) containing an auristatin or maytansinoid payload. Prior treatment with another ADC containing other payloads is allowed.
- Major surgery within 28 days of starting study treatment, systemic anticancer therapy within the time period of 28 days or 5 half-lives of the prior therapy before starting study treatment (14 days or 5 half-lives for small molecule targeted therapy), whichever is less, or palliative radiation therapy within 14 days of starting study treatment.
- Diagnosis of additional malignancy that required active treatment (including surgery, systemic therapy, and radiation) within 2 years prior to screening, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix.
- Participant has current severe, uncontrolled systemic disease (e.g., clinically significant cardiovascular, pulmonary, or metabolic disease) or intercurrent illness that could interfere with per-protocol evaluations. Further, participants are excluded with the following characteristics:
Participant has untreated CNS metastases (including new and progressive brain metastases), history of leptomeningeal metastasis or carcinomatous meningitis.
- Participants are eligible if CNS metastases are adequately treated, and participants are neurologically stable for at least 2 weeks prior to enrollment.
- In addition, participants must be either off corticosteroids, or on a stable/decreasing dose of ≤ 10 mg daily prednisone (or equivalent). Anticonvulsants are allowed except for those drugs associated with liver toxicity
Sites / Locations
- UC Irvine Health-Chao Family Comprehensive Cancer CenterRecruiting
- Florida Cancer SpecialistsRecruiting
- Moffitt Cancer CenterRecruiting
- Winship Cancer Institute, Emory UniversityRecruiting
- Massachusetts General HospitalRecruiting
- Beth Israel Deaconess Medical CenterRecruiting
- Dana-Farber Cancer InstituteRecruiting
- Henry Ford Health HospitalRecruiting
- New York University Langone HealthRecruiting
- Memorial Sloan Kettering Cancer CenterRecruiting
- Tennessee Oncology, PLLCRecruiting
- NEXT Oncology VirginiaRecruiting
- Summit Cancer CentersRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
XMT-1660
Arm Description
Single arm XMT-1660 alone (monotherapy)
Outcomes
Primary Outcome Measures
Frequency of adverse events that are considered dose-limiting toxicities (DLTs) and associated with XMT-1660 during the first cycle of treatment (Dose Escalation)
Determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of XMT-1660
Incidence of adverse events (Dose Escalation and Dose Expansion)
Assess the safety and tolerability of XMT-1660 by determining the number of patients with adverse events from date of first dose to 30 days post last dose
Objective Response Rate (ORR) (Dose Expansion)
The percentage of patients with a best overall response of complete or partial response as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Secondary Outcome Measures
Objective Response Rate (ORR) (Dose Escalation)
The percentage of patients with a best overall response of complete or partial response as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Duration of response (DOR) (Dose Escalation and Dose Expansion)
The time from when response criteria are first met until disease progression or death in participants who achieve a complete or partial response
Time of maximum observed plasma concentration of XMT-1660 (Tmax) (Dose Expansion)
Assess the pharmacokinetics of XMT-1660
Maximum observed plasma concentration of XMT-1660 (Cmax) (Dose Expansion)
Assess the pharmacokinetics of XMT-1660
Area under the concentration-time curve of XMT-1660 (AUC) (Dose Expansion)
Assess the pharmacokinetics of XMT-1660
Systemic clearance of XMT-1660 (Dose Expansion)
Assess the pharmacokinetics of XMT-1660 by measuring the rate at which the drug is eliminated from the body
Apparent terminal elimination half-life of XMT-1660 (Dose Expansion)
Assess the pharmacokinetics of XMT-1660
Volume of Distribution (Dose Expansion)
Assess the pharmacokinetics of XMT-1660
Trough concentration of XMT-1660 (Ctrough) (Dose Expansion)
Assess the pharmacokinetics of XMT-1660 by measuring the lowest concentration of drug before dosing
Assess antidrug antibodies (ADA) and neutralizing antibodies (nAB) (Dose Escalation and Dose Expansion)
Assess the development of antidrug antibodies (ADA) and neutralizing antibodies (nAb) to XMT-1660
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05377996
Brief Title
A Study of XMT-1660 in Participants With Solid Tumors
Official Title
A Phase 1, First-in-human, Dose Escalation and Expansion, Multicenter Study of XMT-1660 in Participants With Solid Tumors
Study Type
Interventional
2. Study Status
Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 15, 2022 (Actual)
Primary Completion Date
January 2025 (Anticipated)
Study Completion Date
January 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mersana Therapeutics
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
A Study of XMT-1660 in Solid Tumors
Detailed Description
This first-in-human (FIH) study will test the safety and side effects of a drug called XMT-1660. A side effect is anything a drug does to the body besides treating the disease.
Participants in the study will have cancer that has come back after a period of time during which the cancer could not be detected (recurrent), spread in the body near where it started (advanced) or spread through the body (metastatic).
The study will have two parts. The first part called Dose Escalation will find out how much XMT-1660 should be given to participants. The second part called Dose Expansion will use the dose found in the first part to find out how safe XMT-1660 is and if it works to treat solid tumor cancers.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Triple Negative Breast Cancer, Breast Cancer, Endometrial Cancer, Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cavity Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
166 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
XMT-1660
Arm Type
Experimental
Arm Description
Single arm XMT-1660 alone (monotherapy)
Intervention Type
Drug
Intervention Name(s)
XMT-1660
Intervention Description
XMT-1660 will be administered through a vein in your arm or port catheter (intravenously)
Primary Outcome Measure Information:
Title
Frequency of adverse events that are considered dose-limiting toxicities (DLTs) and associated with XMT-1660 during the first cycle of treatment (Dose Escalation)
Description
Determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of XMT-1660
Time Frame
17 months
Title
Incidence of adverse events (Dose Escalation and Dose Expansion)
Description
Assess the safety and tolerability of XMT-1660 by determining the number of patients with adverse events from date of first dose to 30 days post last dose
Time Frame
3 years
Title
Objective Response Rate (ORR) (Dose Expansion)
Description
The percentage of patients with a best overall response of complete or partial response as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time Frame
approximately 3 years
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) (Dose Escalation)
Description
The percentage of patients with a best overall response of complete or partial response as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time Frame
Up to approximately 3 years
Title
Duration of response (DOR) (Dose Escalation and Dose Expansion)
Description
The time from when response criteria are first met until disease progression or death in participants who achieve a complete or partial response
Time Frame
Up to approximately 3 years
Title
Time of maximum observed plasma concentration of XMT-1660 (Tmax) (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660
Time Frame
3 years
Title
Maximum observed plasma concentration of XMT-1660 (Cmax) (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660
Time Frame
3 years
Title
Area under the concentration-time curve of XMT-1660 (AUC) (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660
Time Frame
3 years
Title
Systemic clearance of XMT-1660 (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660 by measuring the rate at which the drug is eliminated from the body
Time Frame
3 years
Title
Apparent terminal elimination half-life of XMT-1660 (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660
Time Frame
3 years
Title
Volume of Distribution (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660
Time Frame
3 years
Title
Trough concentration of XMT-1660 (Ctrough) (Dose Expansion)
Description
Assess the pharmacokinetics of XMT-1660 by measuring the lowest concentration of drug before dosing
Time Frame
3 years
Title
Assess antidrug antibodies (ADA) and neutralizing antibodies (nAB) (Dose Escalation and Dose Expansion)
Description
Assess the development of antidrug antibodies (ADA) and neutralizing antibodies (nAb) to XMT-1660
Time Frame
3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participant has proven recurrent or advanced solid tumor and has disease progression after treatment with available anti-cancer therapies known to confer benefit or is intolerant to treatment.
Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
Participant must have at least one measurable lesion(s) as defined by RECIST version 1.1.
Participant must be willing to undergo a minimally invasive tumor biopsy to obtain tumor tissue for local testing, if medically feasible, prior to C1D1. If the investigator feels a biopsy is not medically feasible, an exemption request must be submitted to the study Medical Monitor for approval.
Exclusion Criteria:
Prior treatment with an Antibody Drug Conjugate (ADC) containing an auristatin or maytansinoid payload. Prior treatment with another ADC containing other payloads is allowed.
Major surgery within 28 days of starting study treatment, systemic anticancer therapy within the time period of 28 days or 5 half-lives of the prior therapy before starting study treatment (14 days or 5 half-lives for small molecule targeted therapy), whichever is less, or palliative radiation therapy within 14 days of starting study treatment.
Diagnosis of additional malignancy that required active treatment (including surgery, systemic therapy, and radiation) within 2 years prior to screening, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix.
Participant has current severe, uncontrolled systemic disease (e.g., clinically significant cardiovascular, pulmonary, or metabolic disease) or intercurrent illness that could interfere with per-protocol evaluations. Further, participants are excluded with the following characteristics:
Participant has untreated CNS metastases (including new and progressive brain metastases), history of leptomeningeal metastasis or carcinomatous meningitis.
Participants are eligible if CNS metastases are adequately treated, and participants are neurologically stable for at least 2 weeks prior to enrollment.
In addition, participants must be either off corticosteroids, or on a stable/decreasing dose of ≤ 10 mg daily prednisone (or equivalent). Anticonvulsants are allowed except for those drugs associated with liver toxicity
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
William Downing
Phone
1-617-715-8214
Email
medicalinformation@mersana.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Divya Gupta, MD
Organizational Affiliation
Mersana Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
UC Irvine Health-Chao Family Comprehensive Cancer Center
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ritesh Parajuli
First Name & Middle Initial & Last Name & Degree
Ritesh Parajuli
Facility Name
Florida Cancer Specialists
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Judy Wang
First Name & Middle Initial & Last Name & Degree
Judy Wang
Facility Name
Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hyo Han, MD
Facility Name
Winship Cancer Institute, Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kevin Kalinsky, MD
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aditya Bardia
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniel Fein, MD
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Antonio Giordano, MD, PhD
Facility Name
Henry Ford Health Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Amy Weise
Facility Name
New York University Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sylvia Adams, MD
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nour Abuhadra, MD
Facility Name
Tennessee Oncology, PLLC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Erika P Hamilton, MD
Facility Name
NEXT Oncology Virginia
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alex Spira, MD, PhD
Facility Name
Summit Cancer Centers
City
Spokane
State/Province
Washington
ZIP/Postal Code
99208
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Arvind Chaudhry, MD, PhD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study of XMT-1660 in Participants With Solid Tumors
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