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A Study of [225Ac]-FPI-2059 in Adult Participants With Solid Tumours

Primary Purpose

Pancreatic Ductal Adenocarcinoma (PDAC), Squamous Cell Carcinoma of Head and Neck, Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
[225]-FPI-2059
[111In]-FPI-2058
Sponsored by
Fusion Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Ductal Adenocarcinoma (PDAC) focused on measuring Solid Tumor, FPI-2059, FPI-2058, Pancreas, Prostate, Neuroendocrine, Stomach cancer, Gastric, Ewing sarcoma, HNSCC, Squamous cell carcinoma, CRC, Colorectal, actinium, targeted alpha therapy, radiopharmaceuticals

Eligibility Criteria

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

Key Inclusion Criteria: Signed ICF prior to initiation of any study-specific procedures Histologically and/or cytologically confirmed solid tumor that is metastatic or locally advanced, inoperable, or recurrent. Solid tumors indications may include PDAC, CRC, NED prostate cancer, gastric cancer, SCCHN, and Ewing sarcoma. Disease that has progressed despite prior treatment, and for which additional effective standard therapy is not available or is contraindicated, not tolerable, or the patient refuses standard therapy Measurable disease per RECIST v.1.1 Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Sufficient target expression in at least one measurable lesion as determined by imaging following injection of [111In]-FPI-2058 Adequate organ function Tumor tissue (either archival within the last 24 months or fresh biopsy) Key Exclusion Criteria: Previous treatment with any radiopharmaceutical Contraindications to or inability to perform the imaging procedures required in this study Anti-cancer therapy, such as chemotherapy, immunotherapy, hormonal therapy, targeted therapy, or investigational agents within certain amount of time prior to administration of the first dose of [111In]-FPI-2058 Radiation therapy (RT) within 28 days prior to the first dose of [111In]-FPI-2058 Patients with known CNS metastatic disease Concurrent severe and/or uncontrolled illness that would limit compliance with study requirements Known or suspected allergies or contraindication to the investigational treatment Received any type of vaccine within 30 days prior to the first dose of [111In]-FPI-2058

Sites / Locations

  • University of Alabama at Birmingham Hospital
  • City of Hope Medical CenterRecruiting
  • University of KentuckyRecruiting
  • Advanced Molecular Imaging and TherapyRecruiting
  • XCancer Omaha / Urology Cancer CenterRecruiting
  • Westmead HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Phase 1 Dose Escalation

Phase 1 Dose Expansion

Arm Description

Outcomes

Primary Outcome Measures

Incidence of Adverse Events to evaluate safety and tolerability of [225Ac]-FPI-2059 and [111In]-FPI-2058
Maximum tolerated dose (MTD) of [225Ac]-FPI-2059
Radiation dose of [111In]-FPI-2058 and [225Ac]-FPI-2059 to whole body, organs, and selected regions of interest

Secondary Outcome Measures

Anti-tumor activity of [225Ac]-FPI-2059 regimen measured by response per RECIST v1.1
Tumor uptake of [111In]-FPI-2058 by evaluating SPECT/CT and planar images
Pharmacokinetics (PK) of [225Ac]-FPI-2059 and [111In]-FPI-2059 by measuring changes in clearance, AUC, Cmax, and half-life

Full Information

First Posted
October 31, 2022
Last Updated
October 6, 2023
Sponsor
Fusion Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05605522
Brief Title
A Study of [225Ac]-FPI-2059 in Adult Participants With Solid Tumours
Official Title
A Phase 1 Study of [225Ac]-FPI-2059 in Adult Participants With NTSR1-Expressing Advanced, Metastatic and/or Recurrent Solid Tumours
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 7, 2023 (Actual)
Primary Completion Date
June 2025 (Anticipated)
Study Completion Date
September 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fusion Pharmaceuticals Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a first-in-human Phase 1 clinical trial designed to investigate the safety, tolerability, pharmacokinetics, and biodistribution of [225Ac]-FPI-2059 and [111In]-FPI-2058 in participants with neurotensin receptor 1 (NTSR1)-expressing solid tumours.
Detailed Description
This is a first-in-human, Phase 1, non-randomized, multi-centre, open-label clinical trial designed to investigate the safety, tolerability, dosimetry, biodistribution, and pharmacokinetics (PK) of [225Ac]-FPI-2059 and [111In]-FPI-2058, as well as the pharmacodynamics and preliminary anti-tumour activity of [225Ac]-FPI-2059 in participants with neurotensin receptor 1 (NTSR1)-expressing advanced, metastatic and/or recurrent solid tumours. The study will employ a 3+3 dose escalation design to identify the recommended phase 2 dose (RP2D) and regimen of [225Ac]-FPI-2059 administered intravenously every 56 days. After the RP2D for [225Ac]-FPI-2059 is determined, enrolment will continue into an expansion cohort, to confirm the safety and tolerability of the RP2D, as well as to identify any preliminary evidence of efficacy in selected NTSR1-expressing tumour types.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Ductal Adenocarcinoma (PDAC), Squamous Cell Carcinoma of Head and Neck, Colorectal Cancer, Gastric Cancer, Ewing Sarcoma, NTSR1 Expressing Solid Tumours, Neuroendocrine Differentiated (NED) Prostate Cancer
Keywords
Solid Tumor, FPI-2059, FPI-2058, Pancreas, Prostate, Neuroendocrine, Stomach cancer, Gastric, Ewing sarcoma, HNSCC, Squamous cell carcinoma, CRC, Colorectal, actinium, targeted alpha therapy, radiopharmaceuticals

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
42 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1 Dose Escalation
Arm Type
Experimental
Arm Title
Phase 1 Dose Expansion
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
[225]-FPI-2059
Intervention Description
[225Ac]-FPI-2059 is a targeted alpha therapeutic that consists of an NTSR1-targeting small molecule that is linked to Ac-225, an alpha particle emitting radionuclide. Participants will be dosed through IV administration every 56 days up to four cycles. The dose depends on cohort assignment. In the Dose Expansion arm, [225Ac]-FPI-2059 will be administered at the RP2D as determined in Phase 1 Dose Escalation.
Intervention Type
Drug
Intervention Name(s)
[111In]-FPI-2058
Intervention Description
[111In]-FPI-2058 is an imaging agent that consists of an NTSR1-targeting small molecule linked to In-111.Participants will receive [111In]-FPI-2058 by IV Injection for imaging once during screening period. The dose is consistent across cohorts.
Primary Outcome Measure Information:
Title
Incidence of Adverse Events to evaluate safety and tolerability of [225Ac]-FPI-2059 and [111In]-FPI-2058
Time Frame
approximately 5 years post final administration
Title
Maximum tolerated dose (MTD) of [225Ac]-FPI-2059
Time Frame
56 days post administration
Title
Radiation dose of [111In]-FPI-2058 and [225Ac]-FPI-2059 to whole body, organs, and selected regions of interest
Time Frame
within 56 days of administration
Secondary Outcome Measure Information:
Title
Anti-tumor activity of [225Ac]-FPI-2059 regimen measured by response per RECIST v1.1
Time Frame
approximately 5 years post final administration
Title
Tumor uptake of [111In]-FPI-2058 by evaluating SPECT/CT and planar images
Time Frame
within 56 days of administration
Title
Pharmacokinetics (PK) of [225Ac]-FPI-2059 and [111In]-FPI-2059 by measuring changes in clearance, AUC, Cmax, and half-life
Time Frame
approximately 36 days of final administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Signed ICF prior to initiation of any study-specific procedures Histologically and/or cytologically confirmed solid tumor that is metastatic or locally advanced, inoperable, or recurrent. Solid tumors indications may include PDAC, CRC, NED prostate cancer, gastric cancer, SCCHN, and Ewing sarcoma. Disease that has progressed despite prior treatment, and for which additional effective standard therapy is not available or is contraindicated, not tolerable, or the patient refuses standard therapy Measurable disease per RECIST v.1.1 Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Sufficient target expression in at least one measurable lesion as determined by imaging following injection of [111In]-FPI-2058 Adequate organ function Tumor tissue (either archival within the last 24 months or fresh biopsy) Key Exclusion Criteria: Previous treatment with any radiopharmaceutical Contraindications to or inability to perform the imaging procedures required in this study Anti-cancer therapy, such as chemotherapy, immunotherapy, hormonal therapy, targeted therapy, or investigational agents within certain amount of time prior to administration of the first dose of [111In]-FPI-2058 Radiation therapy (RT) within 28 days prior to the first dose of [111In]-FPI-2058 Patients with known CNS metastatic disease Concurrent severe and/or uncontrolled illness that would limit compliance with study requirements Known or suspected allergies or contraindication to the investigational treatment Received any type of vaccine within 30 days prior to the first dose of [111In]-FPI-2058
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Trials Fusion Pharmaceuticals
Phone
1 (888) 506-4215
Email
clinicaltrials@fusionpharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joanne Schindler, MD, DVM
Organizational Affiliation
Fusion Pharmaceuticals Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham Hospital
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35249
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
City of Hope Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
Individual Site Status
Recruiting
Facility Name
Advanced Molecular Imaging and Therapy
City
Glen Burnie
State/Province
Maryland
ZIP/Postal Code
21061
Country
United States
Individual Site Status
Recruiting
Facility Name
XCancer Omaha / Urology Cancer Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Luke Nordquist, Dr.
Phone
402-991-8468
Email
Drnordquistguresearch@gucancer.com
First Name & Middle Initial & Last Name & Degree
Tony Romero
Phone
(402) 697-2229
Email
tromero@gucancer.com
Facility Name
Westmead Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Individual Site Status
Recruiting

12. IPD Sharing Statement

Links:
URL
http://fusionpharma.com/
Description
Sponsor Website

Learn more about this trial

A Study of [225Ac]-FPI-2059 in Adult Participants With Solid Tumours

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