A Phase 1/2a, Multicenter, Open-Label, First in Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1310 in Subjects With Advanced/Metastatic Solid Tumors
Summary
This is a dose-escalation and dose-expansion Phase 1/2a trial to evaluate the safety and tolerability of DB-1310 in subjects with advanced solid tumors.
Detailed description
This is a multicenter, open-label, multiple-dose, FIH Phase 1/2a study. Phase 1 adopts the standard "3+3" design to identify: the MTD and/or RP2D of DB-1310 as monotherapy, the RCD\_A of DB-1310 in combination with trastuzumab or approved trastuzumab biosimilar and the RCD\_B of DB-1310 in combination with Osimertinib; Phase 2a is a dose expansion phase to confirm the safety, tolerability and explore efficacy in selected malignant solid tumors treated with DB-1310 as monotherapy or in combination with trastuzumab or approved trastuzumab biosimilar or in combination with Osimertinib, or in combination with capecitabine
Arms & interventions
- DrugDB-1310
Administered I.V.
- DrugTrastuzumab
Administered I.V.
- DrugOsimertinib
Oral
- Drugcapecitabine
Oral
Outcome measures
Primary
Phase 1: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0. Percentage of participants in Part 1 with DLTs
Percentage of participants in Part 1 with DLTs
Time frame: up to 21 days after Cycle 1 Day 1
Phase 1: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0.
Percentage of participants with TEAE in Part 1 graded according to NCI CTCAE v5.0
Time frame: Up to follow-up period, approximately 1 year post-treatment
Phase 1: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
Percentage of Participants with SAEs in Part 1 graded according to NCI CTCAE v5.0
Time frame: Up to follow-up period, approximately 1 year post-treatment
Maximum Tolerated Dose (MTD) of DB-1310
MTD on the data collected during Part 1
Time frame: 12 months
Phase 1: Recommended Phase 2 Dose (RP2D) of DB-1310
RP2D of DB-1310 based on the data collected during Part 1
Time frame: 12 months
Phase 2a: Percentage of Participants with Treatment Emergent adverse events (TEAEs) as assessed by CTCAE v5.0.
Percentage of participants with TEAE in Part 2 graded according to NCI CTCAE v5.0
Time frame: Up to follow-up period, approximately 1 year post-treatment
Phase 2a: Percentage participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
Percentage of participants with SAEs in Part 2 graded according to NCI CTCAE v5.0
Time frame: Up to follow-up period, approximately 1 year post-treatment
Phase 2a: Percentage of Objective Response Rate (ORR) as assessed by RECIST 1.1.
The percentage of subjects who had a best response rating of CR and PR, for Part 2 only which was maintained ≥4 weeks
Time frame: Up to follow-up period, approximately 1 year post-treatment
Secondary
Phase 1 & Phase 2a: Pharmacokinetic-AUC
Time frame: within 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: Pharmacokinetic-Cmax
Time frame: within 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: Pharmacokinetic-Tmax
Time frame: within 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: Pharmacokinetic-T1/2
Time frame: within 8 cycles (each cycle is 21 days)
Phase 1: ORR will be determined from tumor assessments by investigator per RECIST 1.1
Time frame: with 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: duration of response (DoR) will be determined from tumor assessments by investigator per RECIST 1.1
Time frame: with 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: disease-control rate (DCR)
Time frame: with 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: progression free survival (PFS) will be determined from tumor assessments by investigator per RECIST 1.1
Time frame: with 8 cycles (each cycle is 21 days)
Phase 1 & Phase 2a: overall survival (OS)
Time frame: with 8 cycles (each cycle is 21 days)
Eligibility criteria
Study locations (15)
University of California, Davis Comprehensive Cancer Center
Sacramento, California, 95817
UCLA Hematology/Oncology - Santa Monica
Santa Monica, California, 90404
Research Site 117
Coral Gables, Florida, 33146
D&H Cancer Research Center LLC
Margate, Florida, 33063
Sarah Cannon Research Institute at Florida Cancer Specialists
Orlando, Florida, 32827
BRCR global
Plantation, Florida, 33322
Florida Cancer Specialists
Sarasota, Florida, 34232
BRCR Medical Center Inc.
Tamarac, Florida, 33321
Research Site 111
Atlanta, Georgia, 30322
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Henry Ford Health System
Detroit, Michigan, 48202
Research site 119
Florham Park, New Jersey, 07932
Carl & Edyth Lindner Center for Research & Education at The Christ Hospital and The Christ Hospital Cancer Center
Cincinnati, Ohio, 45219
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
NEXT Virginia
Fairfax, Virginia, 22031