A First-in-Human, Open-label, Phase 1/2 Clinical Trial to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of HMBD-501 in Patients With Advanced-Stage, Relapsed/Refractory HER3-Expressing Solid Tumors
Summary
This study is a Phase 1/2, first-in-human, open-label, clinical trial to assess the safety, tolerability, pharmacokinetics and preliminary efficacy of HMBD-501 in patients with advanced-stage, relapsed and/or refractory human epidermal growth factor receptor 3 (HER3)-expressing solid tumors. The study consists of 2 phases: a dose escalation phase (Phase 1) and a dose expansion phase (Phase 2). The primary objectives of Phase 1 are to characterize the overall safety and tolerability profile of increasing doses of HMBD-501 in patients with advanced-stage solid tumors and identify the recommended Phase 2 dose (RP2D) of ENV-501. During Phase 1, successive cohorts of patients will receive escalating doses of HMBD-501. The results of the dose escalation will determine the RP2D and dosing schedule of HMBD-501 to be administered in the Phase 2 part of the study. The primary objective of Phase 2 is to evaluate the preliminary clinical efficacy of HMBD-501 in dose expansion cohorts.
Arms & interventions
- BiologicalENV-501
ENV-501 is a HER3-targeted antibody-drug conjugate (ADC) with a humanized monoclonal antibody (mAb) conjugated with a chemotherapeutic payload via a linker.
Outcome measures
Primary
Phase 1 (Dose Escalation): Frequency of treatment-emergent adverse events
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Objective Response Rate (ORR)
Objective Response is defined as Complete Response (CR) or Partial Response (PR) by investigator assessment, measured by revised Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1).
Time frame: through study completion, an average of 6 months
Secondary
Phase 1 (Dose Escalation): Disease Control Rate (DCR)
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): Objective Response Rate (ORR)
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): maximum blood concentration (Cmax) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): time of maximum blood concentration (Tmax) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): absorption to time t (AUC0-t) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): absorption to end of the dosing period (AUC0-tau) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): total absorption (AUC0-infinity) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): drug half-life (t1/2) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): minimum blood concentration (Cmin) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): rate of clearance (CL) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): steady-state volume of distribution (Vss) after a single dose
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Phase 1 (Dose Escalation): Cmax at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): Tmax at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): AUC0-t at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation):AUC0-tau at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): t1/2 at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): Cmin at steady state
Time frame: through study completion, an average of 6 months
Phase 1 (Dose Escalation): accumulation ratio at steady state
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Disease Control Rate (DCR)
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Duration of Response (DoR)
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Progression-free Survival (PFS)
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Frequency of treatment-emergent adverse events
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Cmax at steady state
Time frame: through study completion, an average of 6 months
Phase 2 (Dose Expansion): Cmin at steady state
Time frame: through study completion, an average of 6 months
Eligibility criteria
Study locations (5)
Research Site
La Jolla, California, 92093
Research Site
Indianapolis, Indiana, 46250
Research Site
Farmington Hills, Michigan, 48334
Research Site
Dallas, Texas, 75230
Research Site
San Antonio, Texas, 78229