Condition or disease | Intervention/treatment | Phase |
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HER2-positive Breast Cancer HER2 Gene Mutation HER-2 Gene Amplification HER2 Positive Gastric Cancer Salivary Gland Cancer Salivary Gland Tumor Salivary Gland Carcinoma Salivary Gland Neoplasms Lung Cancer Colo-rectal Cancer Rare Diseases Solid Tumor Recurrent Gastric Cancer Recurrent Colon Cancer Recurrent Breast Cancer Head and Neck Cancer Head and Neck Carcinoma Bladder Cancer Cervical Cancer Liver Cancer Bile Duct Cancer Urologic Cancer Pancreatic Cancer Prostate Cancer Recurrent Prostate Cancer Rectal Cancer Recurrent Ovarian Carcinoma Recurrent Renal Cell Cancer Rectal Cancer Stage II Rectal Cancer Stage I Rectal Cancer Stage III Skin Cancer Mouth Cancer Lip Cancer Stage I Tongue Cancer Breast Neoplasm Malignant Primary Larynx Cancer Tonsil Cancer Palate Cancer Mucoepidermoid Carcinoma Primary Peritoneal Carcinoma Mucinous Adenocarcinoma Gastric Mucinous Breast Cancer Recurrent Cholangiocarcinoma | Drug: A166 | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 82 participants |
Allocation: | Non-Randomized |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase I-II, FIH Study of A166 in Locally Advanced/Metastatic Solid Tumors Expressing Human Epidermal Growth Factor Receptor 2 (HER2) or Are HER2 Amplified That Did Not Respond or Stopped Responding to Approved Therapies |
Actual Study Start Date : | July 16, 2018 |
Estimated Primary Completion Date : | April 2021 |
Estimated Study Completion Date : | December 2021 |
Arm | Intervention/treatment |
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Experimental: Phase I: Dose Escalation
Six dose levels have been selected for evaluation in the Phase I part of the study: 0.3, 0.6, 1.2, 2.4, 3.6, and 4.8 mg/kg of A166
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Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Experimental: Phase II: • Cohort 1
HER2 positive (Immunohistochemistry (IHC) 2+ with fluorescence in situ hybridization (FISH) confirmation and Immunohistochemistry (IHC) 3+) breast cancer. Treatment with A166 at recommended Phase II dose.
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Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Experimental: Phase II: • Cohort 2
HER2 positive (Immunohistochemistry (IHC) 2+ with fluorescence in situ hybridization (FISH) confirmation and Immunohistochemistry (IHC) 3+) gastric cancer. Treatment with A166 at recommended Phase II dose.
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Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Experimental: Phase II: • Cohort 3
HER2 low expressing (Immunohistochemistry (IHC) 1+ and IHC 2+ without fluorescence in situ hybridization (FISH) confirmation) breast cancer. Treatment with A166 at recommended Phase II dose.
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Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Experimental: Phase II: • Cohort 4
All cancers other than breast cancer with low HER2 expression (Immunohistochemistry (IHC) 1+ and IHC 2+ without fluorescence in situ hybridization (FISH) confirmation) and HER2 positive (IHC2+ with FISH confirmation and Immunohistochemistry (IHC) 3+) cancers other than breast and gastric cancer. Treatment with A166 at recommended Phase II dose.
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Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Phase I
Patients must meet the following criteria for inclusion into the study:
Phase II
Patients must meet the following criteria for inclusion into the study:
Regarding previous therapy:
5.1. Cohort 1: HER2 positive (IHC 2+ with FISH confirmation and Immunohistochemistry (IHC 3+) breast cancer: patients should have progressed after at least 2 previous HER2 directed regimens in metastatic disease with approved therapies.
5.2. Cohort 2: HER2 positive (IHC 2+ with FISH confirmation and IHC 3+) gastric cancer: patients should have progressed after at least 1 previous HER2 directed regimens in metastatic disease with approved therapies.
5.3. Cohort 3: HER2 low expressing (IHC 1+ and IHC 2+ without FISH confirmation) breast cancer: patients should have no available therapy likely to convey clinical benefit.
5.4. Cohort 4: all cancers other than breast cancer with low HER2 expression (IHC 1+ and IHC 2+ without FISH confirmation) and HER2 positive (IHC 2+ with FISH confirmation and Immunohistochemistry (IHC) 3+) cancers other than breast and gastric cancer: patients should have no available therapy likely to convey clinical benefit.
Exclusion Criteria:
Phase I:
Phase II:
Contact: Clinical Trials Info at Kluspharma | 609-662-1913 | Clinicaltrialinfo@kluspharma.com |
United States, Florida | |
Florida Cancer Specialists & Research Institute | Recruiting |
Sarasota, Florida, United States, 34232 | |
Contact: Donna L Jones, BSN, RN, OCN, 941-377-9993 | |
United States, Massachusetts | |
Beth Israel Deaconess Medical Center Cancer Center | Recruiting |
Boston, Massachusetts, United States, 02215 | |
Contact: Cassandra Cruz 617-975-7411 clcruz@bidmc.harvard.edu | |
United States, Michigan | |
Karmanos Cancer Institute | Recruiting |
Detroit, Michigan, United States, 48201 | |
Contact: Valerie Davis 313-576-9370 davisv@karmanos.org | |
United States, New York | |
Clinical Research Alliance, Inc. | Recruiting |
Lake Success, New York, United States, 11042 | |
Contact: Colleen Kats ckats@researchcra.com | |
United States, Oklahoma | |
Stephenson Cancer Center | Recruiting |
Oklahoma City, Oklahoma, United States, 73104 | |
Contact: Dana Suters | |
Contact 405-271-8778 SCC-Clinical-Trials-Office@ouhsc.edu | |
United States, Oregon | |
Providence Cancer Institute | Recruiting |
Portland, Oregon, United States, 97213 | |
Contact: Christina Lopez | |
Contact 503-215-2614 Christina.Lopez4@providence.org | |
United States, Texas | |
Mary Crowley Cancer Research Centers - Medical City | Recruiting |
Dallas, Texas, United States, 75230 | |
Contact: Amy Jordan 972-566-3000 referral@marycrowley.org | |
The University of Texas MD Anderson Cancer Center | Recruiting |
Houston, Texas, United States, 77030 | |
Contact: Jordi Rodon Ahnert, M.D., PhD 713-563-1930 | |
South Texas Accelerated Research Therapeutics, LLC (START) | Recruiting |
San Antonio, Texas, United States, 78229 | |
Contact: Isabel Jimenez, RN, MSN 210-593-5265 isabel.jimenez@startsa.com | |
United States, Virginia | |
Virginia Cancer Specialist | Recruiting |
Fairfax, Virginia, United States, 22031 | |
Contact: Alexander Spira, MD, PhD,FACP 703-280-5390 Alexander.Spira@usoncology.com |
Study Chair: | Jordi Rodon Ahnert, MD, PhD | MD Anderson |
Tracking Information | |||||
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First Submitted Date ICMJE | July 6, 2018 | ||||
First Posted Date ICMJE | July 26, 2018 | ||||
Last Update Posted Date | January 12, 2021 | ||||
Actual Study Start Date ICMJE | July 16, 2018 | ||||
Estimated Primary Completion Date | April 2021 (Final data collection date for primary outcome measure) | ||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE | Same as current | ||||
Change History | |||||
Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE | Same as current | ||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||
Descriptive Information | |||||
Brief Title ICMJE | Study of A166 in Patients With Relapsed/Refractory Cancers Expressing HER2 Antigen or Having Amplified HER2 Gene | ||||
Official Title ICMJE | A Phase I-II, FIH Study of A166 in Locally Advanced/Metastatic Solid Tumors Expressing Human Epidermal Growth Factor Receptor 2 (HER2) or Are HER2 Amplified That Did Not Respond or Stopped Responding to Approved Therapies | ||||
Brief Summary | Open-label, Phase I-II, first-in-human (FIH) study for A166 monotherapy in HER2-expressing or amplified patients who progressed on or did not respond to available standard therapies. Patients must have documented HER2 expression or amplification. The patient must have exhausted available standard therapies. Patients will receive study drug as a single IV infusion. Cycles will continue until disease progression or unacceptable toxicity. | ||||
Detailed Description | This is an open-label, Phase I-II, first-in-human (FIH) study for A166 as monotherapy in HER2-expressing patients who progressed on or did not respond to available standard therapies. Patients enrolled in this Phase III study must have documented HER2 positivity defined as positive on in situ hybridization (ISH) or next-generation sequencing (NGS) or HER2 expression, defined as at least 1+ by validated immunohistochemistry (IHC) test. The patient must be, in the judgment of the investigator, an appropriate candidate for experimental therapy after available standard therapies have ceased to provide clinical benefit for their disease. Patients will receive study drug as a single IV infusion at the prescribed dose level in each treatment cycle. Cycles will continue until disease progression or unacceptable toxicity. The study is divided into 2 parts (Phase I and Phase II). | ||||
Study Type ICMJE | Interventional | ||||
Study Phase ICMJE | Phase 1 Phase 2 |
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Study Design ICMJE | Allocation: Non-Randomized Intervention Model: Sequential Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE | Drug: A166
A166 is an Antibody Drug Conjugate (ADC) targeting HER2 expressing cancer cells.
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Study Arms ICMJE |
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Publications * | Not Provided | ||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||
Recruitment Status ICMJE | Recruiting | ||||
Estimated Enrollment ICMJE |
82 | ||||
Original Estimated Enrollment ICMJE | Same as current | ||||
Estimated Study Completion Date ICMJE | December 2021 | ||||
Estimated Primary Completion Date | April 2021 (Final data collection date for primary outcome measure) | ||||
Eligibility Criteria ICMJE |
Inclusion Criteria: Phase I Patients must meet the following criteria for inclusion into the study:
Phase II Patients must meet the following criteria for inclusion into the study:
Exclusion Criteria: Phase I:
Phase II:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years and older (Adult, Older Adult) | ||||
Accepts Healthy Volunteers ICMJE | No | ||||
Contacts ICMJE |
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Listed Location Countries ICMJE | United States | ||||
Removed Location Countries | |||||
Administrative Information | |||||
NCT Number ICMJE | NCT03602079 | ||||
Other Study ID Numbers ICMJE | KlusPharma | ||||
Has Data Monitoring Committee | No | ||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Responsible Party | Klus Pharma Inc. | ||||
Study Sponsor ICMJE | Klus Pharma Inc. | ||||
Collaborators ICMJE | Not Provided | ||||
Investigators ICMJE |
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PRS Account | Klus Pharma Inc. | ||||
Verification Date | January 2021 | ||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |