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Phase 1 Study Evaluating the Safety and PK of ADU-1805 in Advanced Solid Tumors

Primary Purpose

Solid Tumor, Adult, Metastatic Solid Tumor, Refractory Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ADU-1805
Pembrolizumab
Sponsored by
Sairopa B.V.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor, Adult focused on measuring Immunotherapy

Eligibility Criteria

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

Inclusion Criteria: Male or female aged ≥18 years Signed and dated informed consent form Histologically and/or cytologically confirmed diagnosis of metastatic or unresectable solid tumors that are refractory to standard therapy or for which no standard therapy exists Measurable disease according to RECIST (Safety Expansion only) ECOG Performance status of 0 or 1 Adequate organ and marrow function Exclusion Criteria: Patients that suffer from melanoma, brain tumors, glioblastoma, sarcoma and pancreatic ductal adenocarcinoma (PDAC) Pregnancy or breast-feeding Prior treatment with or receipt of: biological agents, including monoclonal antibodies and immunotherapies, within 28 days prior to the first dose of ADU-1805 chemotherapy, targeted small molecule therapy, hormonal therapy or radiation therapy within 21 days prior to the first dose of ADU-1805 and within 42 days for nitrosoureas and mitomycin C. anti-SIRPα or anti-CD47-directed therapy systemic chronic steroid therapy or immunosuppressive therapy within 14 days prior to the first dose of ADU-1805 other investigational new drug or investigational device within 28 days prior to the first dose of ADU-1805 vaccine containing live virus within 28 prior to the first dose of ADU-1805 Active untreated brain metastases Active infection requiring systemic therapy Impaired cardiac function or clinically significant cardiac disease Current Grade >2 toxicity related to prior anti-cancer therapy History of drug-induced severe immune-related adverse reaction Prior severe hypersensitivity to other monoclonal antibodies or ADU-1805 excipients Major surgery within defined period Diagnosis or positive test of HIV, hepatitis B, hepatitis C, or active tuberculosis Allogenic tissue/solid organ transplant Any intercurrent illness that is life-threatening or of such clinical significance that it would interfere with the patient's safety or ability to participate in the study

Sites / Locations

  • Carolina BioOncology Institute - Cancer Research ClinicRecruiting
  • Gabrail Cancer & Research CenterRecruiting
  • National Institute of OncologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Monotherapy dose escalation, IV, Q3W, multiple dose levels

Combination dose escalation, IV, Q3W, multiple dose levels, pembrolizumab at fixed dose

Arm Description

ADU-1805 monotherapy dose escalation

ADU-1805 plus pembrolizumab dose escalation

Outcomes

Primary Outcome Measures

Incidence and severity of dose limiting toxicity (DLT), treatment-emergent adverse events (TEAEs), and changes from baseline in safety parameters
Incidence of DLTs and incidence and severity of TEAEs, classified according to NCI-CTCAE v. 5.0

Secondary Outcome Measures

Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Maximum concentration (Cmax)
Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Time of maximum concentration (Tmax)
Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Area under the curve (AUC)
Immunogenicity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Incidence of anti-ADU-antibodies
Pharmacodynamics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
DNA sequencing of SIRPα alleles
Pharmacodynamics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Target engagement by ADU-1805
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Overall response per (i)RECIST.
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Duration of response per (i)RECIST.
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Disease control per (i)RECIST
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Duration of disease control per (i)RECIST
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Progression-free survival per (i)RECIST

Full Information

First Posted
January 4, 2023
Last Updated
May 26, 2023
Sponsor
Sairopa B.V.
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1. Study Identification

Unique Protocol Identification Number
NCT05856981
Brief Title
Phase 1 Study Evaluating the Safety and PK of ADU-1805 in Advanced Solid Tumors
Official Title
An Open-Label, Multicenter, Multi-arm Phase 1 Study Evaluating the Safety and Pharmacokinetics of ADU-1805 in Adults With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 3, 2023 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sairopa B.V.

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, open-label, multicenter, multi-arm dose-escalation study is designed to evaluate the safety, PK, and PD of ADU-1805, an anti- SIRPα monoclonal antibody, as monotherapy and in combination with pembrolizumab (anti-PD-1 antibody).
Detailed Description
The study will start with the ADU-1805 monotherapy dose escalation arm following an i3+3 design until the RP2D is defined. The ADU-1805 plus pembrolizumab dose escalation arm, also following an i3+3 design, will start after clearance of the ADU-1805 monotherapy dose level achieving maximum target engagement (e.g. ≥ 90% target engagement) and will continue until the RP2D for the combination is defined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Adult, Metastatic Solid Tumor, Refractory Cancer
Keywords
Immunotherapy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Monotherapy dose escalation, IV, Q3W, multiple dose levels
Arm Type
Experimental
Arm Description
ADU-1805 monotherapy dose escalation
Arm Title
Combination dose escalation, IV, Q3W, multiple dose levels, pembrolizumab at fixed dose
Arm Type
Experimental
Arm Description
ADU-1805 plus pembrolizumab dose escalation
Intervention Type
Drug
Intervention Name(s)
ADU-1805
Intervention Description
anti-SIRPα monoclonal antibody
Intervention Type
Drug
Intervention Name(s)
Pembrolizumab
Other Intervention Name(s)
Keytruda
Intervention Description
Keytruda
Primary Outcome Measure Information:
Title
Incidence and severity of dose limiting toxicity (DLT), treatment-emergent adverse events (TEAEs), and changes from baseline in safety parameters
Description
Incidence of DLTs and incidence and severity of TEAEs, classified according to NCI-CTCAE v. 5.0
Time Frame
First 21 days of treatment
Secondary Outcome Measure Information:
Title
Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Description
Maximum concentration (Cmax)
Time Frame
Through study completion, up to 2,5 years
Title
Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Description
Time of maximum concentration (Tmax)
Time Frame
Through study completion, up to 2,5 years
Title
Pharmacokinetics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab, serum concentration-time profile and PK parameters
Description
Area under the curve (AUC)
Time Frame
Through study completion, up to 2,5 years
Title
Immunogenicity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Incidence of anti-ADU-antibodies
Time Frame
Through study completion, up to 2,5 years
Title
Pharmacodynamics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
DNA sequencing of SIRPα alleles
Time Frame
Through end of treatment, up to 2 years
Title
Pharmacodynamics of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Target engagement by ADU-1805
Time Frame
Through end of treatment, up to 2 years
Title
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Overall response per (i)RECIST.
Time Frame
Through study completion, up to 2,5 years
Title
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Duration of response per (i)RECIST.
Time Frame
Through study completion, up to 2,5 years
Title
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Disease control per (i)RECIST
Time Frame
Through study completion, up to 2,5 years
Title
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Duration of disease control per (i)RECIST
Time Frame
Through study completion, up to 2,5 years
Title
Preliminary Clinical activity of ADU-1805 monotherapy and ADU-1805 plus pembrolizumab
Description
Progression-free survival per (i)RECIST
Time Frame
Through study completion, up to 2,5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged ≥18 years Signed and dated informed consent form Histologically and/or cytologically confirmed diagnosis of metastatic or unresectable solid tumors that are refractory to standard therapy or for which no standard therapy exists Measurable disease according to RECIST (Safety Expansion only) ECOG Performance status of 0 or 1 Adequate organ and marrow function Exclusion Criteria: Patients that suffer from melanoma, brain tumors, glioblastoma, sarcoma and pancreatic ductal adenocarcinoma (PDAC) Pregnancy or breast-feeding Prior treatment with or receipt of: biological agents, including monoclonal antibodies and immunotherapies, within 28 days prior to the first dose of ADU-1805 chemotherapy, targeted small molecule therapy, hormonal therapy or radiation therapy within 21 days prior to the first dose of ADU-1805 and within 42 days for nitrosoureas and mitomycin C. anti-SIRPα or anti-CD47-directed therapy systemic chronic steroid therapy or immunosuppressive therapy within 14 days prior to the first dose of ADU-1805 other investigational new drug or investigational device within 28 days prior to the first dose of ADU-1805 vaccine containing live virus within 28 prior to the first dose of ADU-1805 Active untreated brain metastases Active infection requiring systemic therapy Impaired cardiac function or clinically significant cardiac disease Current Grade >2 toxicity related to prior anti-cancer therapy History of drug-induced severe immune-related adverse reaction Prior severe hypersensitivity to other monoclonal antibodies or ADU-1805 excipients Major surgery within defined period Diagnosis or positive test of HIV, hepatitis B, hepatitis C, or active tuberculosis Allogenic tissue/solid organ transplant Any intercurrent illness that is life-threatening or of such clinical significance that it would interfere with the patient's safety or ability to participate in the study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sairopa Clinical Team
Phone
0031 85 90 26 939
Email
clinical@sairopa.com
Facility Information:
Facility Name
Carolina BioOncology Institute - Cancer Research Clinic
City
Huntersville
State/Province
North Carolina
ZIP/Postal Code
28078
Country
United States
Individual Site Status
Recruiting
Facility Name
Gabrail Cancer & Research Center
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Individual Site Status
Recruiting
Facility Name
National Institute of Oncology
City
Chișinău
Country
Moldova, Republic of
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1 Study Evaluating the Safety and PK of ADU-1805 in Advanced Solid Tumors

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