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Anti-CEACAM5 ADC M9140 in Advanced Solid Tumors

Primary Purpose

Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
M9140
Sponsored by
EMD Serono Research & Development Institute, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants with documented histopathological diagnosis of locally advanced or metastatic colorectal cancer (CRC), who were intolerant/refractory to or progressed after standard systemic therapies for the advanced/metastatic stage, if locally indicated and available to the participant. Participants with a known microsatellite instability high (MSI-H) status must have received treatment with an immune checkpoint inhibitor (if locally indicated and available) unless contraindicated.
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) less than (<) 1
  • Participants with adequate hematologic, hepatic and renal function as defined in protocol
  • Other protocol defined inclusion criteria could apply

Exclusion Criteria:

  • Participant has a history of malignancy within 3 years before the date of enrollment (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, benign prostate neoplasm/hypertropia, or malignancy that in the opinion of the Investigator, with concurrence with the Sponsor's Medical Monitor, is considered cured with minimal risk of recurrence within 3 years)
  • Participants with known brain metastases, except those meeting the following criteria: Brain metastases that have been treated locally and are clinically stable for at least 4 weeks prior to the start of treatment; No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable)
  • Participants with diarrhea (liquid stool) or ileus Grade > 1
  • Participants with active chronic inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease, intestinal perforation) and/or bowel obstruction
  • Unstable angina, myocardial infarction, congestive heart failure (New York Heart Association [NYHA] >= II) or a coronary revascularization procedure within 180 days of study entry. Calculated QTc average (using the Fridericia correction calculation) of > 470 milliseconds (ms)
  • Cerebrovascular accident/stroke (< 6 months prior to enrollment)
  • Other protocol defined exclusion criteria could apply

Sites / Locations

  • MD Anderson Cancer Center - OncologyRecruiting
  • NEXT OncologyRecruiting
  • National Cancer Center Hospital - Dept of GastroenterologyRecruiting
  • Hospital Universitari Vall d'Hebron - VHIRRecruiting
  • Hospital Universitario Quironsalud Madrid - NEXT OncologyRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

M9140

Arm Description

Outcomes

Primary Outcome Measures

Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs)
Recommended Dose Expansion (RDE) of M9140

Secondary Outcome Measures

Pharmacokinetic (PK) Plasma Concentrations of M9140
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Number of Participants with Anti-Drug Antibodies (ADA) Against M9140
Levels of Titers of Anti-Drug Antibody (ADA) Against M9140
Number of Participants with Clinically Significant Changes from Baseline in Triplicate 12-Lead Electrocardiogram (ECG)
Change from Baseline in QTc (ΔQTc) Interval

Full Information

First Posted
July 15, 2022
Last Updated
September 26, 2023
Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT05464030
Brief Title
Anti-CEACAM5 ADC M9140 in Advanced Solid Tumors
Official Title
A Phase I, Multicenter, Open-Label First in Human Study of Anti-CEACAM5 Antibody Drug Conjugate M9140 in Participants With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 4, 2022 (Actual)
Primary Completion Date
November 28, 2023 (Anticipated)
Study Completion Date
November 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany

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
The purpose of this first-in-human study is to evaluate the safety, tolerability, pharmacokinetics, and preliminary clinical activity of M9140 in advanced solid tumors. Study details include: Study Duration per participant: Approximately 4 months M9140 is not available through an expanded access program

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
31 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
M9140
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
M9140
Intervention Description
M9140 will be administered at an escalated dose until Maximum tolerated dose (MTD) and/or a safe recommended Dose for Expansion (RDE) is determined.
Primary Outcome Measure Information:
Title
Number of Participants with Dose Limiting Toxicities (DLTs) and Adverse Events (AEs)
Time Frame
up to 4 months
Title
Recommended Dose Expansion (RDE) of M9140
Time Frame
up to 4 months
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) Plasma Concentrations of M9140
Time Frame
Pre-dose up to 4 months
Title
Objective Response (OR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time Frame
Time from first dose of study treatment up to planned assessment at 4 months or until progressive disease or death
Title
Duration of Response (DoR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time Frame
Time from first dose of study treatment up to planned assessment at 4 months or until progressive disease or death
Title
Progression-free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) as Assessed by Investigators
Time Frame
Time from first dose of study treatment up to planned assessment at 4 months or until progressive disease or death
Title
Number of Participants with Anti-Drug Antibodies (ADA) Against M9140
Time Frame
up to 4 months
Title
Levels of Titers of Anti-Drug Antibody (ADA) Against M9140
Time Frame
up to 4 months
Title
Number of Participants with Clinically Significant Changes from Baseline in Triplicate 12-Lead Electrocardiogram (ECG)
Time Frame
up to 3 months
Title
Change from Baseline in QTc (ΔQTc) Interval
Time Frame
baseline, up to 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants with documented histopathological diagnosis of locally advanced or metastatic colorectal cancer (CRC), who were intolerant/refractory to or progressed after standard systemic therapies for the advanced/metastatic stage, if locally indicated and available to the participant. Participants with a known microsatellite instability high (MSI-H) status must have received treatment with an immune checkpoint inhibitor (if locally indicated and available) unless contraindicated. Eastern Cooperative Oncology Group Performance Status (ECOG PS) less than (<) 1 Participants with adequate hematologic, hepatic and renal function as defined in protocol Other protocol defined inclusion criteria could apply Exclusion Criteria: Participant has a history of malignancy within 3 years before the date of enrollment (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, benign prostate neoplasm/hypertropia, or malignancy that in the opinion of the Investigator, with concurrence with the Sponsor's Medical Monitor, is considered cured with minimal risk of recurrence within 3 years) Participants with known brain metastases, except those meeting the following criteria: Brain metastases that have been treated locally and are clinically stable for at least 4 weeks prior to the start of treatment; No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable) Participants with diarrhea (liquid stool) or ileus Grade > 1 Participants with active chronic inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease, intestinal perforation) and/or bowel obstruction Unstable angina, myocardial infarction, congestive heart failure (New York Heart Association [NYHA] >= II) or a coronary revascularization procedure within 180 days of study entry. Calculated QTc average (using the Fridericia correction calculation) of > 470 milliseconds (ms) Cerebrovascular accident/stroke (< 6 months prior to enrollment) Other protocol defined exclusion criteria could apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
US Medical Information
Phone
888-275-7376
Email
eMediUSA@emdserono.com
First Name & Middle Initial & Last Name or Official Title & Degree
Communication Center
Phone
+49 6151 72 5200
Email
service@emdgroup.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
EMD Serono Research & Development Institute, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
MD Anderson Cancer Center - Oncology
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
Email
skopetz@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Scott Kopetz
Facility Name
NEXT Oncology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Recruiting
Facility Contact:
Phone
210-580-9500
Facility Name
National Cancer Center Hospital - Dept of Gastroenterology
City
Chuo-ku
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
Email
kenkato@ncc.go.jp
First Name & Middle Initial & Last Name & Degree
Ken Kato
Facility Name
Hospital Universitari Vall d'Hebron - VHIR
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
Email
egarralda@vhio.net
First Name & Middle Initial & Last Name & Degree
Elena Garralda Cabanas
Facility Name
Hospital Universitario Quironsalud Madrid - NEXT Oncology
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
Email
vboni@nextoncology.eu
First Name & Middle Initial & Last Name & Degree
Valentina Boni

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and the European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://bit.ly/IPD21
Links:
URL
https://clinicaltrials.emdgroup.com/en/trial-details/?id=MS202329_0001
Description
Trial Awareness and Transparency website
URL
https://medical.emdserono.com/en_US/home.html
Description
US Medical Information website, Medical Resources

Learn more about this trial

Anti-CEACAM5 ADC M9140 in Advanced Solid Tumors

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