First in Human Study of TORL-2-307-MAB in Participants With Advanced Cancer

Sponsor
TORL Biotherapeutics, LLC (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05159440
Collaborator
Translational Research in Oncology (Other)
70
1
2
46.8
1.5

Study Details

Study Description

Brief Summary

This first-in-human study will evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of TORL-2-307-MAB in patients with advanced cancer

Study Design

Study Type:
Interventional
Anticipated Enrollment :
70 participants
Allocation:
Non-Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, First in Human, Dose-Escalation Study of TORL-2-307-MAB in Participants With Advanced Cancer
Actual Study Start Date :
Jan 20, 2022
Anticipated Primary Completion Date :
Dec 15, 2024
Anticipated Study Completion Date :
Dec 15, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Monotherapy Dose Dose Finding - Part 1

TORL-2-307-MAB

Drug: TORL-2-307-MAB
monoclonal antibody

Experimental: Expansion as Monotherapy - Part 2

TORL-2-307-MAB

Drug: TORL-2-307-MAB
monoclonal antibody

Outcome Measures

Primary Outcome Measures

  1. Incidence and severity of adverse events and serious adverse events [up to 2 years]

    Incidence and severity of adverse events, serious adverse events, according to NCI-CTCAE Version 5.0

  2. Maximum Tolerated Dose (MTD) [28 Days]

    Highest administered dose with < 33% participants experiencing dose limiting toxicity (DLT) in the first 6 DLT evaluable participants

  3. Recommended Phase 2 Dose (RP2D) [up to 2 years]

    Based on the maximum tolerated dose, cumulative safety, and pharmacokinetic data

Secondary Outcome Measures

  1. Objective Response Rate (ORR) [up to 2 years]

    Percentage of participants with best response of complete response (CR) or partial response (PR) according to RECIST 1.1

  2. Duration of Response (DOR) [up to 2 years]

    Time from CR or PR to objective disease progression or death to any cause

  3. Progression Free Survival (PFS) [up to 2 years]

    PFS is defined as the time from the start of the treatment until objective disease progression or death from any cause

  4. Time to Response (TTR) [up to 2 years]

    Time from start of treatment to complete response or partial response

  5. 1 Year Overall Survival (1YOS) [1 year]

    Proportion of participants alive at 1 year from the start of treatment to death from any cause

  6. 2 Year Overall Survival (2YOS) [2 years]

    Proportion of participants alive at 2 years from the start of treatment to death from any cause

  7. Number of anti-drug antibody (ADA) Positive Participants [up to 2 years]

    Immunogenicity will be measured by the number of participants that are ADA positive.

  8. Maximum Serum Concentration of TORL-2-307-MAB (Cmax) [21 days]

    PK assessment

  9. Minimum Serum Concentration of TORL-2-307-MAB (Cmin) [21 days]

    PK assessment

  10. Maximum Serum Concentration of TORL-2-307-MAB at Steady State (Cmax,ss) [63 days]

    PK assessment

  11. Minimum Serum Concentration of TORL-2-307-MAB at Steady State (Cmin,ss) [63 days]

    PK assessment

  12. Time of Maximum Serum Concentration of TORL-2-307-MAB (Tmax) [21 days]

    PK assessment

  13. Time of Minimum Serum Concentration of TORL-2-307-MAB (Tmin) [21 days]

    PK Assessment

  14. Time of Minimum Serum Concentration of TORL-2-307-MAB at Steady State (Tmin,ss) [63 days]

    PK Assessment

  15. Terminal Half-life (t1/2) of Serum TORL-2-307-MAB [63 days]

    PK Assessment

  16. Area under the Serum Concentration-Time curve from the time of dosing to the last measurable concentration (AUClast) for TORL-1-23 [21 days]

    PK Assessment

  17. Area under the Serum Concentration-Time curve from the time of dosing extrapolated to time infinity (AUCinf) for TORL-1-23 [63 days]

    PK Assessment

  18. Apparent volume of distribution during the terminal phase (Vz) of TORL-2-307-MAB [63 days]

    PK Assessment

  19. Clearance (CL) of TORL-2-307-MAB [63 days]

    PK Assessment

  20. Accumulation ratio (Rac) of TORL-2-307-MAB [63 days]

    PK Assessment

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Advanced solid tumor

  • Measurable disease, per RECIST v1.1

  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1

  • Adequate organ function

Exclusion Criteria:
  • Has not recovered [recovery is defined as NCI CTCAE, version 5.0, grade ≤1] from the acute toxicities of previous therapy, except treatment-related alopecia or laboratory abnormalities otherwise meeting eligibility requirements

  • Received prior chemotherapeutic, investigational, or other therapies for the treatment of cancer within 14 days with small molecule and within 28 days with biologic before the first dose of TORL-2-307-MAB

  • Progressive or symptomatic brain metastases

  • Serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection

  • History of significant cardiac disease

  • History of myelodysplastic syndrome (MDS) or AML

  • History of another cancer within 3 years before Day 1 of study treatment, with the exception of basal or squamous cell carcinoma of the skin that has been definitively treated. A history of other malignancies with a low risk of recurrence, including appropriately treated ductal carcinoma in situ (DCIS) of the breast and prostate cancer with a Gleason score less than or equal to 6, are also not excluded

  • If female, is pregnant or breastfeeding

Contacts and Locations

Locations

Site City State Country Postal Code
1 UCLA - JCCC Clinical Research Unit Los Angeles California United States 90095

Sponsors and Collaborators

  • TORL Biotherapeutics, LLC
  • Translational Research in Oncology

Investigators

  • Study Director: Stephen Letrent, PharmD, PhD, TORL Biotherapeutics, LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
TORL Biotherapeutics, LLC
ClinicalTrials.gov Identifier:
NCT05159440
Other Study ID Numbers:
  • TORL2307MAB-001
First Posted:
Dec 16, 2021
Last Update Posted:
Feb 8, 2022
Last Verified:
Jan 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Feb 8, 2022