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AMT-151 in Patients With Selected Advanced Solid Tumours

Primary Purpose

Advanced Solid Tumor, Advanced Cancer, Advanced Carcinoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AMT-151
Sponsored by
Multitude Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring Carcinoma, Cancer, Antibody-Drug Conjugate, Folate Receptor Alpha

Eligibility Criteria

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

Key Inclusion Criteria:

  • Patients must be willing and able to sign the Informed Consent Form, and to adhere to the study visit schedule and other protocol requirements.
  • Age ≥18 years (at the time consent is obtained).
  • Patients with the following histologically confirmed, advanced cancer diagnoses:

    1. Serous, endometrioid, clear-cell, or mucinous epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer.
    2. Serous, endometrioid, or clear-cell endometrial cancer.
    3. Adenocarcinoma of the lung.
    4. Triple-negative breast cancer.
    5. Pancreatic ductal adenocarcinoma.
    6. Malignant pleural mesothelioma.
  • Patients who have undergone any number of prior systemic therapies and have radiologically or clinically determined progressive disease during or after their most recent line of therapy, and for whom no further standard therapy is available, or who are intolerable to standard therapy.
  • Patients must have at least one measurable or non-measurable lesion as per RECIST version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate function of bone marrow, liver, kidneys, heart.
  • Both male and female patients must agree to use effective contraceptive methods.
  • Women of child-bearing potential (WCBP) must have a negative serum pregnancy test.
  • Availability of tumour tissue sample (either an archival specimen or a fresh biopsy material) at screening.

Key Exclusion Criteria:

  • Prior treatment with any agent targeting Folate Receptor Alpha.
  • Active central nervous system metastasis.
  • Persistent toxicities from previous systemic anti-neoplastic treatments of Grade >1.
  • Systemic anti-neoplastic therapy within five half-lives or 21 days, whichever is shorter, prior to the first dose of the study drug.
  • Radiotherapy to lung field at a total radiation dose of >= 20 Gy within 6 months, wide-field radiotherapy (>30% of marrow-bearing bones) within 28 days, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within 14 days prior to the first dose of the study drug, or no recovery from side effects of such intervention.
  • Major surgery (not including placement of vascular access device or tumor biopsies) within 28 days prior to the first dose of the study drug, or no recovery from side effects of such intervention.
  • Prior allogeneic or autologous bone marrow transplantation.
  • Significant cardiac or lung disease, active or chronic ocular disorders, thromboembolic or cerebrovascular events within 6 months prior to the first dose of the study drug, acute and/or clinically significant bacterial, fungal, or viral infection.
  • Pregnant or breast-feeding females.

Note: Other protocol defined Inclusion/Exclusion criteria apply.

Sites / Locations

  • Chris O'Brien LifehouseRecruiting
  • ICON Cancer CentreRecruiting
  • Mater Cancer Care CentreRecruiting
  • Cancer Research SARecruiting
  • Cabrini Malvern HospitalRecruiting
  • One Clinical Research (OCR)Recruiting
  • Fujian Provincial Cancer Hospital
  • Hunan Cancer Hospital
  • Shanghai Tumor Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AMT-151 Dose Escalation

Arm Description

Outcomes

Primary Outcome Measures

Recommended Phase 2 Dose (RP2D)
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Maximum Tolerated Dose (MTD)
The MTD will be determined using DLTs
Incidence of Adverse Events
Safety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.0

Secondary Outcome Measures

Overall Response Rate (ORR) according to the Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Proportion of patients achieving Complete Response (CR) or Partial Response (PR)
Disease Control Rate (DCR) according to the RECIST v1.1
Proportion of patients achieving CR, PR or Stable Disease (SD)
Progression-free Survival (PFS)
Time from date of start of treatment to date of the first progression or death, whichever occurs first.
Time to Treatment Response (TTR)
Time from date of start of treatment to date of the first assessment of response (PR or CR)
Duration of Response (DoR)
Time from date of first assessment of response (CR or PR) to date of the first progression or death, whichever occurs first
Overall Survival (OS)
Time from date of start of treatment to date of death
Concentration of anti-drug antibodies (ADA)
Immunogenicity profile characterized by concentration of ADAs
Maximum observed concentration (C[max])
Pharmacokinetic profile characterized by the maximum observed concentration (C[max]) of AMT-151
Area under the curve (AUC)
Pharmacokinetic profile characterized by the area under the curve (AUC) of AMT-151
Terminal half-life (t[1/2])
Pharmacokinetic profile characterized by the terminal half-life (t[1/2]) of AMT-151
Time to maximum concentration (Tmax)
Pharmacokinetic profile characterized by the time to maximum concentration (Tmax) of AMT-151

Full Information

First Posted
August 10, 2022
Last Updated
October 17, 2023
Sponsor
Multitude Therapeutics Inc.
Collaborators
Tigermed Consulting Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05498597
Brief Title
AMT-151 in Patients With Selected Advanced Solid Tumours
Official Title
First-in-Human, Phase 1 Study of AMT-151, an Anti-Folate Receptor Alpha Antibody-Drug Conjugate, in Patients With Selected Advanced Solid Tumours
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 25, 2023 (Actual)
Primary Completion Date
January 1, 2024 (Anticipated)
Study Completion Date
October 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Multitude Therapeutics Inc.
Collaborators
Tigermed Consulting Co., Ltd

4. Oversight

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

5. Study Description

Brief Summary
This first-in-human study will evaluate the Maximum Tolerated Dose (MTD) / the Recommended Phase 2 Dose (RP2D), safety, tolerability, anti-tumor activity, pharmacokinetics, pharmacodynamics and immunogenicity of AMT-151, a novel antibody-drug conjugate against folate receptor alpha, in patients with selected advanced solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Advanced Cancer, Advanced Carcinoma, Ovarian Cancer, Ovarian Carcinoma, Ovarian Epithelial Cancer, Ovarian Endometrioid Adenocarcinoma, Endometrial Cancer, Endometrial Adenocarcinoma, Endometrial Serous Adenocarcinoma, Endometrial Endometrioid Adenocarcinoma, Endometrial Clear Cell Adenocarcinoma, Lung Adenocarcinoma, Triple Negative Breast Cancer, Pancreatic Ductal Adenocarcinoma, Malignant Pleural Mesothelioma, Ovarian Clear Cell Carcinoma, Ovarian Clear Cell Adenocarcinoma, Ovarian Mucinous Adenocarcinoma
Keywords
Carcinoma, Cancer, Antibody-Drug Conjugate, Folate Receptor Alpha

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
AMT-151 Dose Escalation
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
AMT-151
Intervention Description
Administered intravenously
Primary Outcome Measure Information:
Title
Recommended Phase 2 Dose (RP2D)
Description
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Time Frame
Up to 24 months
Title
Maximum Tolerated Dose (MTD)
Description
The MTD will be determined using DLTs
Time Frame
Up to 24 months
Title
Incidence of Adverse Events
Description
Safety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.0
Time Frame
Up to 24 months
Secondary Outcome Measure Information:
Title
Overall Response Rate (ORR) according to the Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Description
Proportion of patients achieving Complete Response (CR) or Partial Response (PR)
Time Frame
Up to 24 months
Title
Disease Control Rate (DCR) according to the RECIST v1.1
Description
Proportion of patients achieving CR, PR or Stable Disease (SD)
Time Frame
Up to 24 months
Title
Progression-free Survival (PFS)
Description
Time from date of start of treatment to date of the first progression or death, whichever occurs first.
Time Frame
Up to 24 months
Title
Time to Treatment Response (TTR)
Description
Time from date of start of treatment to date of the first assessment of response (PR or CR)
Time Frame
Up to 24 months
Title
Duration of Response (DoR)
Description
Time from date of first assessment of response (CR or PR) to date of the first progression or death, whichever occurs first
Time Frame
Up to 24 months
Title
Overall Survival (OS)
Description
Time from date of start of treatment to date of death
Time Frame
Up to 24 months
Title
Concentration of anti-drug antibodies (ADA)
Description
Immunogenicity profile characterized by concentration of ADAs
Time Frame
Up to 24 months
Title
Maximum observed concentration (C[max])
Description
Pharmacokinetic profile characterized by the maximum observed concentration (C[max]) of AMT-151
Time Frame
Up to 24 months
Title
Area under the curve (AUC)
Description
Pharmacokinetic profile characterized by the area under the curve (AUC) of AMT-151
Time Frame
Up to 24 months
Title
Terminal half-life (t[1/2])
Description
Pharmacokinetic profile characterized by the terminal half-life (t[1/2]) of AMT-151
Time Frame
Up to 24 months
Title
Time to maximum concentration (Tmax)
Description
Pharmacokinetic profile characterized by the time to maximum concentration (Tmax) of AMT-151
Time Frame
Up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Patients must be willing and able to sign the Informed Consent Form, and to adhere to the study visit schedule and other protocol requirements. Age ≥18 years (at the time consent is obtained). Patients with the following histologically confirmed, advanced cancer diagnoses: Serous, endometrioid, clear-cell, or mucinous epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer. Serous, endometrioid, or clear-cell endometrial cancer. Adenocarcinoma of the lung. Triple-negative breast cancer. Pancreatic ductal adenocarcinoma. Malignant pleural mesothelioma. Patients who have undergone any number of prior systemic therapies and have radiologically or clinically determined progressive disease during or after their most recent line of therapy, and for whom no further standard therapy is available, or who are intolerable to standard therapy. Patients must have at least one measurable or non-measurable lesion as per RECIST version 1.1. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Adequate function of bone marrow, liver, kidneys, heart. Both male and female patients must agree to use effective contraceptive methods. Women of child-bearing potential (WCBP) must have a negative serum pregnancy test. Availability of tumour tissue sample (either an archival specimen or a fresh biopsy material) at screening. Key Exclusion Criteria: Prior treatment with any agent targeting Folate Receptor Alpha. Active central nervous system metastasis. Persistent toxicities from previous systemic anti-neoplastic treatments of Grade >1. Systemic anti-neoplastic therapy within five half-lives or 21 days, whichever is shorter, prior to the first dose of the study drug. Radiotherapy to lung field at a total radiation dose of >= 20 Gy within 6 months, wide-field radiotherapy (>30% of marrow-bearing bones) within 28 days, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within 14 days prior to the first dose of the study drug, or no recovery from side effects of such intervention. Major surgery (not including placement of vascular access device or tumor biopsies) within 28 days prior to the first dose of the study drug, or no recovery from side effects of such intervention. Prior allogeneic or autologous bone marrow transplantation. Significant cardiac or lung disease, active or chronic ocular disorders, thromboembolic or cerebrovascular events within 6 months prior to the first dose of the study drug, acute and/or clinically significant bacterial, fungal, or viral infection. Pregnant or breast-feeding females. Note: Other protocol defined Inclusion/Exclusion criteria apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jane Zhu
Phone
13917933915
Email
juanjuan.zhu@multitudetherapeutics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sarwan Bishnoi
Organizational Affiliation
Cancer Research SA
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Richardson Gary
Organizational Affiliation
Cabrini Malvern Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Steven Kao
Organizational Affiliation
Chris O'Brien Lifehouse
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Catherine Shannon
Organizational Affiliation
Mater Cancer Care Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jermaine Coward
Organizational Affiliation
ICON Cancer Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Mihitha Ariyapperuma
Organizational Affiliation
One Clinical Research (OCR)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chris O'Brien Lifehouse
City
Sydney
State/Province
New South Wales
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Steven Kao
Phone
61 02 8514 0140
Facility Name
ICON Cancer Centre
City
Brisbane
State/Province
Queensland
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jermaine Coward
Facility Name
Mater Cancer Care Centre
City
South Brisbane
State/Province
Queensland
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Catherine Shannon
Facility Name
Cancer Research SA
City
Adelaide
State/Province
South Australia
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarwan Bishnoi
Phone
61 08 3592 565
Facility Name
Cabrini Malvern Hospital
City
Malvern
State/Province
Victoria
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Richardson Gary
Phone
61 03 9508 9542
Facility Name
One Clinical Research (OCR)
City
Perth
State/Province
Western Australia
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mihitha Ariyapperuma
Phone
61 08 6279 9466
Facility Name
Fujian Provincial Cancer Hospital
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350014
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
An Lin, Director
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410031
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jing Wang, Director
Phone
13875902083
Email
wangjing0081@126.com
Facility Name
Shanghai Tumor Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jian Zhang, Director
Phone
02164175590
Email
syner2000@163.com
First Name & Middle Initial & Last Name & Degree
Xiaohua Wu, Director
Phone
15618369676
Email
edison-1016@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

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AMT-151 in Patients With Selected Advanced Solid Tumours

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