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Clinical Study of Antibody-Drug Conjugate MYTX-011 in Subjects With Non-Small Cell Lung Cancer

Primary Purpose

NSCLC, NSCLC Stage IV, NSCLC Stage IIIB

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MYTX-011
Sponsored by
Mythic Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for NSCLC focused on measuring cMET, MYTX-011, Mythic, MET, MYTX011, ADC, KisMET-01

Eligibility Criteria

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

Inclusion Criteria: Part 1: Histologically or cytologically confirmed locally advanced, recurrent or metastatic NSCLC and have received available standard of care therapy. There is no limit on the number of prior therapies that can have been received. Part 2: Cohort A: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC. Tumor sample with high cMET expression by IHC confirmed by central laboratory testing. Cohort B: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC. Tumor sample with intermediate cMET expression by IHC confirmed by central laboratory testing. Cohort C: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic squamous NSCLC. Tumor sample with cMET overexpression by IHC confirmed by central laboratory testing. Cohort D: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC. Tumor sample that does not meet cMET IHC entry criteria for Cohorts A-C Known MET amplification or exon 14 skipping mutations respectively. Patients with MET exon 14 skipping mutations must have received MET TKI therapy if available and considered standard of care. Cohort E: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC. Evidence of cMET expression by IHC as documented in medical records. No more than 3 prior lines of systemic therapy including prior cMET targeted ADC or antibody. Part 2 Cohorts A-D - No more than two prior lines of therapy in the locally advanced/metastatic setting. Part 2 Cohorts A-E: Known to not have an actionable EGFR mutation. Patients with or without other driver mutations are permitted to enroll. Patients without any actionable gene alteration: must have progressed on (or be considered ineligible for) standard of care therapy Patients with actionable gene alterations (other than EGFR) must have progressed on (or be considered ineligible for) or be intolerant to anti-cancer therapy targeting driver gene alterations and available standard of care therapy All patients (Part 1 and Part 2) Patient has at least one measurable lesion per RECIST 1.1 ECOG performance status 0 or 1 For women of childbearing potential and men with partners of childbearing potential, agreement to use a highly effective method of birth control for the duration of the study treatment and for at least 6 months after the last dose of study drug. Able to provide informed consent, and willing and able to comply with study protocol requirements Exclusion Criteria: Radiation to the lung within 2 months prior to screening. Major surgery within 28 days of first dose of study drug administration. Untreated, uncontrolled CNS metastases. History of interstitial lung disease or pneumonitis that required treatment with systemic steroids or evidence of active interstitial lung disease or pneumonitis. A history of prior radiation pneumonitis in the radiation field (fibrosis) is permitted. Clinically significant systemic illness that could pose undue risk to the subject or confound the ability to interpret study results. Active infection requiring IV antibiotics, antivirals, or antifungal medication Neuropathy > Grade 1 History of cirrhosis, hepatic fibrosis, esophageal or gastric varices, or other clinically significant liver disease. Active or chronic corneal disorder

Sites / Locations

  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting
  • KisMET-01 Clinical SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part 1 Dose Escalation

Part 2 Cohort A

Part 2 Cohort B

Part 2 Cohort C

Part 2 Cohort D

Part 2 Cohort E

Arm Description

Part 1 patients will receive MYTX-011.

Part 2 Cohort A patients will be randomized to two different dose levels of MYTX-011. Doses to be determined after completion of Part 1.

Part 2 Cohort B patients will receive MYTX-011 at the recommended phase 2 dose.

Part 2 Cohort C patients will receive MYTX-011 at the recommended phase 2 dose.

Part 2 Cohort D patients will receive MYTX-011 at the recommended phase 2 dose.

Part 2 Cohort E patients will receive MYTX-011 at the recommended phase 2 dose.

Outcomes

Primary Outcome Measures

Part 1: Number of patients with dose limiting toxicity (DLT)
The dose limiting toxicities will be based on number and severity of treatment-related adverse events.
Part 2: Number of patients with tumor response
The overall response rate will be based on number of complete responses and partial responses.

Secondary Outcome Measures

Part 1: Pharmacokinetic (PK) parameter
Total ADC
Part 1: Pharmacokinetic (PK) parameter
Total antibody
Part 1: Pharmacokinetic (PK) parameter
Free MMAE
Part 1: ADA
Presence of anti-drug antibodies
Part 1: ORR
Complete response + partial response
Part 1: DOR, TTR, DCR
Duration of response in patients that achieve CR or PR, time to response, best overall response and disease control rate
Part 1: PFS
Progression free survival
Part 1: OS
Overall survival

Full Information

First Posted
November 29, 2022
Last Updated
October 5, 2023
Sponsor
Mythic Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05652868
Brief Title
Clinical Study of Antibody-Drug Conjugate MYTX-011 in Subjects With Non-Small Cell Lung Cancer
Official Title
A Phase 1 Multicenter Dose Escalation and Dose Expansion Study of Antibody-Drug Conjugate MYTX-011 in Subjects With Non-Small Cell Lung Cancer - KisMET-01
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 23, 2023 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2027 (Anticipated)

3. Sponsor/Collaborators

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

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 is a Phase I open label multi-center study to evaluate the safety, tolerability, pharmacokinetics and preliminary effectiveness of the investigational drug MYTX-011 in patients with locally advanced, recurrent or metastatic NSCLC. MYTX-011 is in a class of medications called antibody drug conjugates (ADCs). MYTX-011 is composed of a pH-dependent anti-cMET antibody and the potent antimicrotubule drug monomethyl auristatin E (MMAE).
Detailed Description
The study will be conducted in 2 parts. Part 1 will assess the safety and tolerability of MYTX-011 and identify the dose to be studied in Part 2. Part 2 will include subjects with NSCLC with cMET overexpression or MET amplification/exon 14 skipping mutations, populations with a current unmet medical need.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
NSCLC, NSCLC Stage IV, NSCLC Stage IIIB, Non-Small Cell Lung Cancer, Advanced Non-Small Cell Squamous Lung Cancer, Advanced Non-Small Cell Lung Cancer, Advanced Non-Small Cell Non-Squamous Lung Cancer
Keywords
cMET, MYTX-011, Mythic, MET, MYTX011, ADC, KisMET-01

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Part 1 Dose Escalation
Arm Type
Experimental
Arm Description
Part 1 patients will receive MYTX-011.
Arm Title
Part 2 Cohort A
Arm Type
Experimental
Arm Description
Part 2 Cohort A patients will be randomized to two different dose levels of MYTX-011. Doses to be determined after completion of Part 1.
Arm Title
Part 2 Cohort B
Arm Type
Experimental
Arm Description
Part 2 Cohort B patients will receive MYTX-011 at the recommended phase 2 dose.
Arm Title
Part 2 Cohort C
Arm Type
Experimental
Arm Description
Part 2 Cohort C patients will receive MYTX-011 at the recommended phase 2 dose.
Arm Title
Part 2 Cohort D
Arm Type
Experimental
Arm Description
Part 2 Cohort D patients will receive MYTX-011 at the recommended phase 2 dose.
Arm Title
Part 2 Cohort E
Arm Type
Experimental
Arm Description
Part 2 Cohort E patients will receive MYTX-011 at the recommended phase 2 dose.
Intervention Type
Drug
Intervention Name(s)
MYTX-011
Intervention Description
MYTX-011 will be administered as an intravenous infusion every 21 days for up to two years.
Primary Outcome Measure Information:
Title
Part 1: Number of patients with dose limiting toxicity (DLT)
Description
The dose limiting toxicities will be based on number and severity of treatment-related adverse events.
Time Frame
Up to Day 21
Title
Part 2: Number of patients with tumor response
Description
The overall response rate will be based on number of complete responses and partial responses.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Part 1: Pharmacokinetic (PK) parameter
Description
Total ADC
Time Frame
24 months
Title
Part 1: Pharmacokinetic (PK) parameter
Description
Total antibody
Time Frame
24 months
Title
Part 1: Pharmacokinetic (PK) parameter
Description
Free MMAE
Time Frame
24 months
Title
Part 1: ADA
Description
Presence of anti-drug antibodies
Time Frame
24 months
Title
Part 1: ORR
Description
Complete response + partial response
Time Frame
24 months
Title
Part 1: DOR, TTR, DCR
Description
Duration of response in patients that achieve CR or PR, time to response, best overall response and disease control rate
Time Frame
2 years
Title
Part 1: PFS
Description
Progression free survival
Time Frame
for up to 2 years after end of treatment
Title
Part 1: OS
Description
Overall survival
Time Frame
for up to 2 years after end of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Part 1: Histologically or cytologically confirmed locally advanced, recurrent or metastatic NSCLC and have received available standard of care therapy. There is no limit on the number of prior therapies that can have been received. Part 2: Cohort A: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC. Tumor sample with high cMET expression by IHC confirmed by central laboratory testing. Cohort B: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic non-squamous NSCLC. Tumor sample with intermediate cMET expression by IHC confirmed by central laboratory testing. Cohort C: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic squamous NSCLC. Tumor sample with cMET overexpression by IHC confirmed by central laboratory testing. Cohort D: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC. Tumor sample that does not meet cMET IHC entry criteria for Cohorts A-C Known MET amplification or exon 14 skipping mutations respectively. Patients with MET exon 14 skipping mutations must have received MET TKI therapy if available and considered standard of care. Cohort E: Have histologically or cytologically confirmed locally advanced, recurrent (and not a candidate for curative therapy), or metastatic NSCLC. Evidence of cMET expression by IHC as documented in medical records. No more than 3 prior lines of systemic therapy including prior cMET targeted ADC or antibody. Part 2 Cohorts A-D - No more than two prior lines of therapy in the locally advanced/metastatic setting. Part 2 Cohorts A-E: Known to not have an actionable EGFR mutation. Patients with or without other driver mutations are permitted to enroll. Patients without any actionable gene alteration: must have progressed on (or be considered ineligible for) standard of care therapy Patients with actionable gene alterations (other than EGFR) must have progressed on (or be considered ineligible for) or be intolerant to anti-cancer therapy targeting driver gene alterations and available standard of care therapy All patients (Part 1 and Part 2) Patient has at least one measurable lesion per RECIST 1.1 ECOG performance status 0 or 1 For women of childbearing potential and men with partners of childbearing potential, agreement to use a highly effective method of birth control for the duration of the study treatment and for at least 6 months after the last dose of study drug. Able to provide informed consent, and willing and able to comply with study protocol requirements Exclusion Criteria: Radiation to the lung within 2 months prior to screening. Major surgery within 28 days of first dose of study drug administration. Untreated, uncontrolled CNS metastases. History of interstitial lung disease or pneumonitis that required treatment with systemic steroids or evidence of active interstitial lung disease or pneumonitis. A history of prior radiation pneumonitis in the radiation field (fibrosis) is permitted. Clinically significant systemic illness that could pose undue risk to the subject or confound the ability to interpret study results. Active infection requiring IV antibiotics, antivirals, or antifungal medication Neuropathy > Grade 1 History of cirrhosis, hepatic fibrosis, esophageal or gastric varices, or other clinically significant liver disease. Active or chronic corneal disorder
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Helen Chalk, BSc
Phone
1-833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lisa Haystrand, MS
Phone
1-833-888-1138
Email
clinicalsupport@mythictx.com
Facility Information:
Facility Name
KisMET-01 Clinical Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
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
Lisa Haystrand, MSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Mineola
State/Province
New York
ZIP/Postal Code
11501
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MS
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MS
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MS
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
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
Lisa Haystrand, MS
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
Facility Name
KisMET-01 Clinical Site
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Helen Chalk, BSc
Phone
833-888-1138
Email
clinicalsupport@mythictx.com
First Name & Middle Initial & Last Name & Degree
Lisa Haystrand, MS
Phone
8338881138
Email
clinicalsupport@mythictx.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Clinical Study of Antibody-Drug Conjugate MYTX-011 in Subjects With Non-Small Cell Lung Cancer

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