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A Phase 1 Study of CPO301 in Adult Patients With Advanced or Metastatic Solid Tumors

Primary Purpose

Cancer, Cancer, Lung

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CPO301
Sponsored by
Conjupro Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer focused on measuring Cancer, Non-Small Cell Lung Cancer, Solid Tumors, Metastatic, Advanced

Eligibility Criteria

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

Major Inclusion Criteria: Age ≥18 years Patients with histologically confirmed locally advanced or metastatic solid tumors who have disease progression, intolerance to prior therapy, are ineligible for available therapies, or refuse standard of care therapy in the metastatic setting. In Part A, patients with solid tumors including but not limited to NSCLC (adenocarcinoma and squamous cell carcinoma), breast cancer, KRAS-wild type colorectal cancer, and head & neck cancer based on previous biopsy result. In Part B, Cohort 1 will exclusively include NSCLC patients with documented EGFR mutations based on previous biopsy result and Cohort 2 will be patients with other cancer(s) suggested to have sensitivity to CPO301 in Part A. At least 1 measurable target lesion present and documented by CT or MRI according to RECIST v1.1 ECOG performance status 0 or 1 at screening Life expectancy >12 weeks Major Exclusion Criteria: Known, active, or uncontrolled central nervous system (CNS) metastasis or carcinomatous meningitis. Has AEs due to previous anti-tumor treatments not recovered to ≤Grade 1 (except for alopecia; some tolerable chronic toxicities of Grade 2 may be excluded after consultation with the sponsor, as judged by the investigator) according to NCI-CTCAE v5.0. Any serious and/or uncontrolled concurrent illness that may interfere with study participation Prior therapy Received other investigational drugs or treatments within 4 weeks before the first dose of the investigational drug in the study The time interval between the latest anti-tumor treatment and the first dose of the investigational drug meets the following requirements: Have received anti-tumor treatments such as chemotherapy, radiotherapy, targeted therapy, immunotherapy and other clinical investigational drugs within 4 weeks before the first dose of the investigational drug; have received oral fluoropyrimidines, small molecule targeted drugs within 2 weeks before the first dose of the investigational drug; have received palliative radiotherapy or local therapy within 2 weeks before the first dose of investigational drug. Had major surgery within 4 weeks before the first dose of the investigational drug in the study.

Sites / Locations

  • NEXT VirginiaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Part A, Dose Escalation

Part B, Dose Expansion

Arm Description

Participants receive escalating doses of CPO301 of 0.6 mg/kg, 1.8mg/kg, 3.6 mg/kg, 4.8 mg/kg, 6.4 mg/kg and 8 mg/kg administered by IVI every 3 weeks (Q3W), with 21 days as a treatment cycle.

Participants receive CPO301 at the recommended phase 2 dose (RP2D) determined in Part A, administered by IVI every 3 weeks (Q3W), with 21 days as a treatment cycle.

Outcomes

Primary Outcome Measures

To determine the dose to be used in Part B (RP2D)
To determine the recommended dose of CPO301 to be used as monotherapy in Part B (RP2D)
Safety and tolerability at RP2D of CPO301 as monotherapy
as measured by Incidence and severity of AEs per CTCAEv5.0

Secondary Outcome Measures

Pharmacokinetics (PK)
The pharmacokinetics (PK) profile of CPO301 will be assessed by measuring the blood concentration of the drug in the plasma at various timepoints and calculation of parameters, such as Peak Plasma Concentration (Cmax)
Expression of anti-drug antibody (ADA)
The expression of anti-drug antibodies (ADAs) following administration will be assessed by analysis of serum samples.
Efficacy assessment
To document any early indication of clinical efficacy

Full Information

First Posted
June 22, 2023
Last Updated
July 10, 2023
Sponsor
Conjupro Biotherapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05948865
Brief Title
A Phase 1 Study of CPO301 in Adult Patients With Advanced or Metastatic Solid Tumors
Official Title
A Phase 1, Multicenter, Single Agent Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Evidence of Antitumor Activity of CPO301, an EGFR-Targeting Antibody-Drug Conjugate, in Adult Patients With Advanced or Metastatic Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 6, 2023 (Actual)
Primary Completion Date
June 13, 2025 (Anticipated)
Study Completion Date
December 12, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Conjupro Biotherapeutics, Inc.

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 goal of this clinical trial is to test CPO301, a type of drug called an antibody drug conjugate in adult patients with advanced or metastatic solid tumors. The main questions it aims to answer are: To assess the safety and tolerability of CPO301 at increasing doses and determine the dose to be used in the second part of the study (Part A) To assess the safety and tolerability of CPO301 at the dose determined to be safe and tolerable in Part A in patients with Non-Small Cell Lung Cancer and potentially other tumor types (Part B) To evaluate how quickly CPO301 is metabolized by the body (pharmacokinetics or PK) To evaluate if antibodies to the study drug develop (immunogenicity) To evaluate preliminary efficacy to the drug To correlate preliminary efficacy with mutations in a biomarker called EGFR Participants will: Provide written informed consent Undergo screening tests to ensure they are eligible for study treatment Attend all required study visits and receive CPO301 by intravenous injection every 3 weeks until the study doctor determines study treatment should be stopped, based on how well a participant is doing on treatment Be followed for progression every 3 months for up to 2 years
Detailed Description
This Phase 1 study is a multicenter, dose-escalating, dose-expansion, single agent, 2-part study conducted in patients with advanced or metastatic solid tumors who progressed on ≥1 prior conventional systemic therapy or who were ineligible or intolerant to standard treatment or had no or refused standard treatment. Dose escalation (Part A) - Dose escalation will be guided by a modified 3+3 design to determine the maximum tolerated dose (MTD) or recommended dose of CPO301 (also known as SYS6010). Determination of dose-limiting toxicity (DLT) will be based on toxicity observed during the DLT observation period (first 21 days [1 cycle]). Dose escalation decisions are made based on the occurrence of DLT. MTD will be determined based on the data of all enrolled participants. To better identify the MTD, one or more dose groups may also be added beyond the planned maximum dose group (if determined to be safe), or between the maximum escalation dose group and the next lower dose group for DLT assessment. Intermediate dose groups and/or adjustment to the dosing frequency may be made Dose expansion (Part B) - Additional patients will be enrolled at the recommended dose determined in the dose escalation stage. An additional tumor cohort may be added based on data observed in Part A.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer, Cancer, Lung
Keywords
Cancer, Non-Small Cell Lung Cancer, Solid Tumors, Metastatic, Advanced

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Part A, Dose Escalation
Arm Type
Experimental
Arm Description
Participants receive escalating doses of CPO301 of 0.6 mg/kg, 1.8mg/kg, 3.6 mg/kg, 4.8 mg/kg, 6.4 mg/kg and 8 mg/kg administered by IVI every 3 weeks (Q3W), with 21 days as a treatment cycle.
Arm Title
Part B, Dose Expansion
Arm Type
Experimental
Arm Description
Participants receive CPO301 at the recommended phase 2 dose (RP2D) determined in Part A, administered by IVI every 3 weeks (Q3W), with 21 days as a treatment cycle.
Intervention Type
Drug
Intervention Name(s)
CPO301
Other Intervention Name(s)
SYS6010
Intervention Description
Administered by intravenous injection
Primary Outcome Measure Information:
Title
To determine the dose to be used in Part B (RP2D)
Description
To determine the recommended dose of CPO301 to be used as monotherapy in Part B (RP2D)
Time Frame
through study completion, an average of 1 year
Title
Safety and tolerability at RP2D of CPO301 as monotherapy
Description
as measured by Incidence and severity of AEs per CTCAEv5.0
Time Frame
through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK)
Description
The pharmacokinetics (PK) profile of CPO301 will be assessed by measuring the blood concentration of the drug in the plasma at various timepoints and calculation of parameters, such as Peak Plasma Concentration (Cmax)
Time Frame
through study completion, an average of 1 year
Title
Expression of anti-drug antibody (ADA)
Description
The expression of anti-drug antibodies (ADAs) following administration will be assessed by analysis of serum samples.
Time Frame
through study completion, an average of 1 year
Title
Efficacy assessment
Description
To document any early indication of clinical efficacy
Time Frame
through study completion, an average of 1 year
Other Pre-specified Outcome Measures:
Title
Parts A and B, Exploratory: Correlatives
Description
To explore the correlation between EGFR status (different mutations, or amplification levels) and efficacy in patients with advanced solid tumors and biomarkers relevant to CPO301 efficacy
Time Frame
through study completion, an average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Major Inclusion Criteria: Age ≥18 years Patients with histologically confirmed locally advanced or metastatic solid tumors who have disease progression, intolerance to prior therapy, are ineligible for available therapies, or refuse standard of care therapy in the metastatic setting. In Part A, patients with solid tumors including but not limited to NSCLC (adenocarcinoma and squamous cell carcinoma), breast cancer, KRAS-wild type colorectal cancer, and head & neck cancer based on previous biopsy result. In Part B, Cohort 1 will exclusively include NSCLC patients with documented EGFR mutations based on previous biopsy result and Cohort 2 will be patients with other cancer(s) suggested to have sensitivity to CPO301 in Part A. At least 1 measurable target lesion present and documented by CT or MRI according to RECIST v1.1 ECOG performance status 0 or 1 at screening Life expectancy >12 weeks Major Exclusion Criteria: Known, active, or uncontrolled central nervous system (CNS) metastasis or carcinomatous meningitis. Has AEs due to previous anti-tumor treatments not recovered to ≤Grade 1 (except for alopecia; some tolerable chronic toxicities of Grade 2 may be excluded after consultation with the sponsor, as judged by the investigator) according to NCI-CTCAE v5.0. Any serious and/or uncontrolled concurrent illness that may interfere with study participation Prior therapy Received other investigational drugs or treatments within 4 weeks before the first dose of the investigational drug in the study The time interval between the latest anti-tumor treatment and the first dose of the investigational drug meets the following requirements: Have received anti-tumor treatments such as chemotherapy, radiotherapy, targeted therapy, immunotherapy and other clinical investigational drugs within 4 weeks before the first dose of the investigational drug; have received oral fluoropyrimidines, small molecule targeted drugs within 2 weeks before the first dose of the investigational drug; have received palliative radiotherapy or local therapy within 2 weeks before the first dose of investigational drug. Had major surgery within 4 weeks before the first dose of the investigational drug in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kevin Romanko
Phone
609-686-6502
Email
clinicaltrials.gov@cspcus.com
First Name & Middle Initial & Last Name or Official Title & Degree
Audrey Li
Phone
609-356-0210
Email
clinicaltrials.gov@cspcus.com
Facility Information:
Facility Name
NEXT 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

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase 1 Study of CPO301 in Adult Patients With Advanced or Metastatic Solid Tumors

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