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First-in-human Study of OT-A201 in Patients With Selected Hematological Malignancies and Solid Tumors

Primary Purpose

Hematological Malignancy, Solid Tumor

Status
Recruiting
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
OT-A201
IMids
Bevacizumab
Paclitaxel
TBD Compound
Sponsored by
Onward Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematological Malignancy

Eligibility Criteria

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

Main Inclusion Criteria: Histologically or cytologically confirmed relapsed/refractory hematological malignancy or advanced/metastatic solid cancer Measurable disease Have had all available therapeutic standards for their disease Willingness to undergo baseline biopsy/bone marrow aspiration in case biopsy was not collected after completion of the most recent prior therapy ECOG performance status ≤ 1 Life expectancy > 3 months as assessed by the investigator Acceptable clinical lab results Main Exclusion Criteria: Systemic steroids at a daily dose of > 10 mg of prednisone or equivalent within 28 days before study treatment. Transient use of steroids for other medical condition may be allowed Ongoing immune-related adverse events irAEs and or AEs ≥ grade 2 from previous therapies not resolved except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy Within 4 weeks of major surgery Documented history of active autoimmune disorder requiring systemic immunosuppressive therapy within the last 12 months Prior solid organ transplant Primary or secondary immune deficiency Active and uncontrolled infection requiring intravenous antibiotic or antiviral treatment Seropositive (except after vaccination or confirmed cure for hepatitis) for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) Clinically significant disease

Sites / Locations

  • ICM - MontpellierRecruiting
  • Saint-Eloi Hospital - Montpellier (CHU)Recruiting
  • Saint-Joseph Hospital - ParisRecruiting
  • Centre Eugène MarquisRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

OT-A201 monotherapy

OT-A201 in combination with iMiD

OT-A201 in combination with a specific agent

OT-A201 in combination with bevacizumab

OT-A201 in combination with paclitaxel

Arm Description

OT-A201 administered by IV infusion on a weekly (qw) basis. An alternative dosing schedule of every 2 weeks (q2w) may be implemented based on the clinical safety and laboratory data.

OT-A201 in combination with lenalidomide or pomalidomide at the approved dose

OT-A201 in combination with late stage approved treatment (combination to be defined by a protocol amendment)

OT-A201 in combination with bevacizumab at the approved dose

OT-A201 in combination with paclitaxel at the approved dose

Outcomes

Primary Outcome Measures

Maximum tolerated dose(s) (MTD) and recommended dose(s) of OT-A201
Evaluate dose-limiting toxicity (DLT) during the DLT observation period
Safety profile of OT-A201
Incidence, severity, and relationship of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), TEAEs leading to discontinuation of study treatment; and clinically significant findings on clinical laboratory tests, vital signs, ECGs, and physical examinations

Secondary Outcome Measures

Full Information

First Posted
April 12, 2023
Last Updated
July 21, 2023
Sponsor
Onward Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05828459
Brief Title
First-in-human Study of OT-A201 in Patients With Selected Hematological Malignancies and Solid Tumors
Official Title
A First-in-human, Dose-escalation Followed by Expansion Study to Assess the Safety and Preliminary Efficacy of a Bispecific Antibody OT-A201 as Monotherapy and in Combination Therapy in Patients With Selected Hematological Malignancies and Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 10, 2023 (Actual)
Primary Completion Date
January 2027 (Anticipated)
Study Completion Date
July 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Onward Therapeutics

4. Oversight

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

5. Study Description

Brief Summary
This phase 1 study is aimed at establishing the safety basis of OT-A201 in the treatment of hematological malignancies and solid tumors. In the dose of escalation part it is to characterize the overall safety and tolerability profile and determine the recommended dose(s) of OT-A201 as monotherapy, and in various combination regimens. Preliminary information about anti-cancer activity will be further explored in the expansion part of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematological Malignancy, Solid Tumor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Monotherapy dose escalation followed by dose confirmation of combination regimens. Further expansion of each groups.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OT-A201 monotherapy
Arm Type
Experimental
Arm Description
OT-A201 administered by IV infusion on a weekly (qw) basis. An alternative dosing schedule of every 2 weeks (q2w) may be implemented based on the clinical safety and laboratory data.
Arm Title
OT-A201 in combination with iMiD
Arm Type
Experimental
Arm Description
OT-A201 in combination with lenalidomide or pomalidomide at the approved dose
Arm Title
OT-A201 in combination with a specific agent
Arm Type
Experimental
Arm Description
OT-A201 in combination with late stage approved treatment (combination to be defined by a protocol amendment)
Arm Title
OT-A201 in combination with bevacizumab
Arm Type
Experimental
Arm Description
OT-A201 in combination with bevacizumab at the approved dose
Arm Title
OT-A201 in combination with paclitaxel
Arm Type
Experimental
Arm Description
OT-A201 in combination with paclitaxel at the approved dose
Intervention Type
Drug
Intervention Name(s)
OT-A201
Intervention Description
OT-A201 IV infusion qw or q2w
Intervention Type
Drug
Intervention Name(s)
IMids
Other Intervention Name(s)
lenalidomide, pomalidomide
Intervention Description
Combination regimen for hematological malignancy Lenalidomide: 25 mg on Days 1 to 21 of each 28-day cycle; or Pomalidomide: 4 mg on Days 1 to 21 of each 28-day cycle
Intervention Type
Drug
Intervention Name(s)
Bevacizumab
Intervention Description
Combination regimen for solid tumor Bevacizumab: 10 mg/m² q2w
Intervention Type
Drug
Intervention Name(s)
Paclitaxel
Intervention Description
Combination regimen for solid tumor Paclitaxel: 175 mg/m² q3w
Intervention Type
Drug
Intervention Name(s)
TBD Compound
Intervention Description
Combination regimen for hematological malignancy
Primary Outcome Measure Information:
Title
Maximum tolerated dose(s) (MTD) and recommended dose(s) of OT-A201
Description
Evaluate dose-limiting toxicity (DLT) during the DLT observation period
Time Frame
28 days
Title
Safety profile of OT-A201
Description
Incidence, severity, and relationship of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), TEAEs leading to discontinuation of study treatment; and clinically significant findings on clinical laboratory tests, vital signs, ECGs, and physical examinations
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: Histologically or cytologically confirmed relapsed/refractory hematological malignancy or advanced/metastatic solid cancer Measurable disease Have had all available therapeutic standards for their disease Willingness to undergo baseline biopsy/bone marrow aspiration in case biopsy was not collected after completion of the most recent prior therapy ECOG performance status ≤ 1 Life expectancy > 3 months as assessed by the investigator Acceptable clinical lab results Main Exclusion Criteria: Systemic steroids at a daily dose of > 10 mg of prednisone or equivalent within 28 days before study treatment. Transient use of steroids for other medical condition may be allowed Ongoing immune-related adverse events irAEs and or AEs ≥ grade 2 from previous therapies not resolved except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy Within 4 weeks of major surgery Documented history of active autoimmune disorder requiring systemic immunosuppressive therapy within the last 12 months Prior solid organ transplant Primary or secondary immune deficiency Active and uncontrolled infection requiring intravenous antibiotic or antiviral treatment Seropositive (except after vaccination or confirmed cure for hepatitis) for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) Clinically significant disease
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Bruno Piccolella
Phone
+33 6 12 97 73 68
Email
bruno.piccolella@onward-therapeutics.com
First Name & Middle Initial & Last Name or Official Title & Degree
Erica Wang
Phone
+886 921 865 855
Email
erica.wang@onward-therapeutics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eric Raymond, MD, PhD
Organizational Affiliation
Saint-Joseph Hospital - Paris
Official's Role
Principal Investigator
Facility Information:
Facility Name
ICM - Montpellier
City
Montpellier
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jérémy Fleith
Phone
+33 (0)4 67 61 85 70
Email
Jeremy.Fleith@icm.unicancer.fr
First Name & Middle Initial & Last Name & Degree
Diego Tosi, MD
Facility Name
Saint-Eloi Hospital - Montpellier (CHU)
City
Montpellier
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cécile Popko
Phone
+33 (0)4 67 33 24 13
Email
c-popko@chu-montpellier.fr
First Name & Middle Initial & Last Name & Degree
Guillaume Cartron, MD, PhD
Facility Name
Saint-Joseph Hospital - Paris
City
Paris
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sandrine Rullé
Phone
+33 (0)1 44 12 32 41
Email
srulle@ghpsj.fr
First Name & Middle Initial & Last Name & Degree
Eric Raymond, MD, PhD
Facility Name
Centre Eugène Marquis
City
Rennes
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Emilie Fouchet
Phone
+33 (0)2 99 25 44 09
Email
e.fouchet@rennes.unicancer.fr
First Name & Middle Initial & Last Name & Degree
Héloise Bourien, MD

12. IPD Sharing Statement

Learn more about this trial

First-in-human Study of OT-A201 in Patients With Selected Hematological Malignancies and Solid Tumors

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