Safety and Preliminary Efficacy of OBT076 in Recurrent/Metastatic CD205+ Solid Tumors
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate OBT076, which is a drug that combines an antibody with an anti-cancer drug. This class of drugs are called Antibody-Drug Conjugates (ADC). Antibodies are normally produced in the human body by the immune system to fight infections but can be designed to target cancer cells and deliver an anti-cancer drug. OBT076 is composed of an antibody that targets the CD205 protein on cancer cells and delivers an anti-cancer drug which can kill them. OBT076 is an "Investigational Drug", which means that it is still being studied and has not yet been approved by the US Food and Drug Administration (FDA), the European Medicines Agency (EMA) or any other regulatory authorities to be prescribed by doctors for the treatment of metastatic or recurrent solid tumors. The use of OBT076 in this study is investigational.
This is a Phase I research study designed to look at several dose levels of the study drug to find the highest dose level that is safe and well-tolerated (does not cause unacceptable side effects), and to examine the effects of the study drug in a small group of research participants. The study will also look at the effectiveness of OBT076 as an anti-cancer therapy. Once the optimal dose is determined and safety is assessed, additional research participants will be treated at the optimal dose level to further evaluate safety and effectiveness.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 1 |
Detailed Description
Study OBT076-001 is an open-label, Phase I, dose escalation and expansion clinical study of OBT076, a CD205-directed ADC, in recurrent and/or metastatic CD205+ve solid tumors. Part A, the dose escalation phase of the study, will explore escalating IV doses to determine the maximum tolerated dose (MTD) of OBT076. Approximately 20 subjects will be included in Part A of the study. Part B, the expansion phase of the study, will further evaluate the safety and preliminary efficacy of OBT076 administered at or below the MTD in expansion cohorts. Approximately 50 subjects will be enrolled in Part B. Parts A and B will consist of 3 periods: Screening, Treatment, and Follow-up.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: OBT076 Dose Escalation and Expansion OBT076 administered intravenously (IV) every 3 weeks in escalating dose cohorts during Part A and OBT076 administered at or below the MTD in the Part B expansion cohort. |
Drug: OBT076, a CD205-directed antibody-drug conjugate
Intravenous (IV) infusion of OBT076 every 3 weeks.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Incidence of Adverse Events (AEs) as assessed by NCI CTCAE (Version 5) [1 year]
Assess incidence of all AEs by NCI CTCAE (Version 5) grades 1-5
- Percentage of subjects with dose-limiting toxicities (DLTs) as assessed by NCI CTCAE (Version 5) [1 year]
DLTs defined by NCI CTCAE (Version 5) grades 3-4, with exceptions for duration
Secondary Outcome Measures
- Clinical Benefit Ratio (CBR) [2 years]
RECIST, Version 1.1
- Overall Response Rate (ORR) [2 years]
RECIST, Version 1.1
- Duration of Response (DoR) [2 years]
Kaplan-Meier methodology
- Progression Free Survival (PFS) [2 years]
Kaplan-Meier methodology
- Overall Survival (OS) [2 years]
Kaplan-Meier methodology
- Area under the Plasma Concentration versus Time Curve (AUC) of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
- Maximum Plasma Concentration [Cmax] of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
- Time Taken to Reach the Maximum Plasma Concentration [Tmax] of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
- Half-Life [T1/2] of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
- Clearance (CL) of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
- Volume of Distribution (Vd) of OBT076 [1 year]
Statistics including number of subjects (N), mean, standard deviation, CV%, geometric mean, geometric CV%, median, minimum, and maximum will be provided for OBT076
Other Outcome Measures
- Quantification of Serum Protein [2 years]
Enzyme-linked Immunosorbant Assay (ELISA)
- Quantification of Peripheral Blood CD205+ Cells [2 years]
Flow Cytometry
- Quantification of Immune Cells (ICs) in Tumor Microenvironment (TME) [2 years]
Immunohistochemistry
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subject is ≥ 18 years of age (at the time of signing the ICF) with non-curative recurrent and/or metastatic solid tumors for which a standard therapy is not available or is no longer effective.
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Subject has histologically and/or cytologically confirmed solid tumors.
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Subject has recurrent and/or metastatic cancer (based on most recently analyzed biopsy) defined by ASCO-CAP guidelines as negative in situ hybridization test or an IHC status of 0, 1+, or 2+. If IHC is 2+, a negative in situ hybridization (FISH, CISH, or SISH) test is required by local laboratory testing.
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Prior treatment with checkpoint inhibitors is allowed.
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Subject has tumor that is positive for CD205 antigen by IHC staining
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Subject has an ECOG performance status of 0-1.
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Subject has radiological documented measurable disease (i.e., at least 1 measurable lesion as per RECIST Version 1.1).
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Subject has adequate organ function
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Subject has adequate bone marrow function
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Subject understands and voluntarily signs an ICD prior to any study-related assessments/procedures are conducted.
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Subject is able to adhere to the study visit schedule and other protocol requirements.
Exclusion Criteria:
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Subject has received any chemotherapy within 21 days prior to inclusion in the study.
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Subject has received another investigational therapy within 28 days.
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Subject has not recovered from the acute toxic effects (CTCAE grade ≤ 1) of prior anticancer therapy, radiation, or major surgery/significant trauma (except alopecia or other toxicities not considered a safety risk for the subject at the Investigator's discretion).
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Subject has had major surgery within 14 days prior to starting study treatment or has not recovered from major side effects.
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Subject has had radiotherapy ≤ 4 weeks prior to starting study drug.
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Subject has a history of, or current symptomatic brain metastasis.
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Subject has severe renal impairment (creatinine clearance < 30 mL/min).
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Subject has any other malignancy within 5 years prior to randomization
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Subject has a known or suspected hypersensitivity or other contraindication to any excipients used in the manufacture of OBT076.
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Subject has significant active cardiac disease within the previous 6 months including unstable angina or angina requiring surgical or medical intervention, significant cardiac arrhythmia, or NYHA class 3 or 4 congestive heart failure.
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Subject has a known history or current diagnosis of HIV infection, unless on triple antiviral treatment with undetectable viral load.
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Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would, in the Investigator's judgment, contraindicate subject participation in the study (e.g., history of thromboembolic event, cardiac dysfunction, chronic pancreatitis, chronic active hepatitis).
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Subject has any condition that confounds the ability to interpret data from the study.
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Subject is a female of childbearing potential.
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Subject is lactating or breastfeeding.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cedars-Sinai | Los Angeles | California | United States | 90048 |
| 2 | UCLA | Santa Monica | California | United States | 90404 |
| 3 | Moffitt Cancer Center | Tampa | Florida | United States | 33612 |
| 4 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216 |
| 5 | Quantum Santa Fe | Santa Fe | New Mexico | United States | 87505 |
| 6 | Columbia University Medical Center | New York | New York | United States | 10032 |
Sponsors and Collaborators
- Oxford BioTherapeutics Ltd
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- OBT076-001