Phase Ib/II, Open-Label Study of EMB-01 in Patients With Advanced/Metastatic Gastrointestinal Cancers
Summary
This study is to evaluate the safety and antitumor activity of EMB-01 in advanced/metastatic gastrointestinal cancers, including gastric cancer, hepatocellular cancer, cholangiocarcinoma and colorectal cancer.
Detailed description
This is an open-label, Phase Ib/II, multi-stage study of EMB-01 in patients with advanced gastrointestinal tumors including gastric cancer, hepatocellular cancer, cholangiocarcinoma cancer and colorectal cancer, who have EGFR/cMET gene alterations or protein over expression and progressed on available standard therapies and for whom no standard therapy exists that would confer clinical benefit. All patients will be prescreened for cMET and EGFR genetic alterations and protein expression. Only those who met the molecular pre-screening criteria will proceed to clinical screening to determine the eligibility. The study will consist of Phase Ib part and Phase II part, both phases will consist of a molecular prescreening period, screening period, treatment period, safety follow-up period, and disease progression follow-up.
Arms & interventions
- DrugEMB-01
EMB-01 at the RP2D of 1600 mg will be administered as an IV infusion once weekly (QW) throughout the study. One cycle is defined as 4 weeks (4 doses).
Outcome measures
Primary
Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Time frame: Phase 1b, screening up to follow-up (30 days after the last dose)
Best Overall Response (BOR) as assessed by RECIST v1.1
Best Overall Response (BOR) as assessed by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Objective Response Rate (ORR) as assessed by RECIST v1.1
Objective Response Rate (ORR) as assessed by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1
Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Disease Control Rate (DCR) as assess by RECIST v1.1
Disease Control Rate (DCR) as assess by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Progression-Free Survival (PFS) as assess by RECIST v1.1
Progression-Free Survival (PFS) as assess by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Maximum serum concentration (Cmax) of EMB-01
Maximum serum concentration (Cmax) of EMB-01
Time frame: Phase Ib only, up to 3 months after first study drug administration
Trough serum concentration (Ctrough) of EMB-01
Trough serum concentration (Ctrough) of EMB-01
Time frame: Phase Ib only, predose, through treatment completion, an average of 1 year
Area under the concentration-time curve from time 0 (pre-dose) to the time of the dosing interval (AUC0-t)
Area under the concentration-time curve from time 0 (pre-dose) to the time of the dosing interval (AUC0-t)
Time frame: Phase Ib only, up to 3 months after first study drug administration
Area under the concentration-time curve from time 0 to infinity (AUC0-inf)
Area under the concentration-time curve from time 0 to infinity (AUC0-inf)
Time frame: Phase Ib only, up to 3 months after first study drug administration
Elimination half-life (T1/2)
Elimination half-life (T1/2)
Time frame: Phase Ib only, up to 3 months after first study drug administration
Systemic clearance (CL)
Systemic clearance (CL)
Time frame: Phase Ib only, up to 3 months after first study drug administration
Apparent volume of distribution at steady-state (Vss)
Apparent volume of distribution at steady-state (Vss)
Time frame: Phase Ib only, up to 3 months after first study drug administration
Accumulation Ratio (AR) after multiple dosing
Accumulation Ratio (AR) after multiple dosing
Time frame: Phase Ib only, up to 3 months after first study drug administration
Incidence of positive ADA
Incidence of positive ADA
Time frame: Phase Ib only, up to the 30-day safety follow-up visit after EOT
Clinical benefit rate(CBR) as assess by RECIST v1.1
Clinical benefit rate(CBR) as assess by RECIST v1.1
Time frame: Phase II, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Secondary
Number of participants with Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Time frame: Phase II, screening up to follow-up (30 days after the last dose)
Maximum serum concentration (Cmax) of EMB-01
Time frame: Phase II, up to 3 months after first study drug administration
Trough serum concentration (Ctrough) of EMB-01
Time frame: Phase II, predose, through treatment completion, an average of 1 year
Incidence of positive ADA
Time frame: Phase II , up to the 30-day safety follow-up visit after EOT
Best Overall Response (BOR) as assessed by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Objective Response Rate (ORR) as assessed by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Duration of Response (DoR) as assess by RECIST v1.1 as assess by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Disease Control Rate (DCR) as assess by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Progression-Free Survival (PFS) as assess by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Clinical benefit rate(CBR) as assess by RECIST v1.1
Time frame: Phase Ib, from the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months
Eligibility criteria
Study locations (1)
MD Anderson Cancer Center
Houston, Texas, 77030