A First-In-Human, Phase 1, Open-Label, Multicenter Study of ZW251, a Novel Glypican-3 Targeting Antibody-Drug Conjugate, in Participants With Advanced Solid Tumors, Including Hepatocellular Carcinoma
Summary
The purpose of this study is to find out if ZW251, an antibody-drug conjugate targeting glypican-3 (GPC3), is safe and can treat participants with advanced cancers, including hepatocellular carcinoma (HCC), squamous cell non-small cell lung cancer (NSCLC), or germ cell tumors (GCT).
Detailed description
Part 1 (dose escalation) of the study will evaluate the safety and tolerability of ZW251 in HCC, squamous cell NSCLC, and GCT. Part 2 (dose optimization) of the study will further assess safety and potential anti-tumor activity of the ZW251 established recommended doses in HCC.
Arms & interventions
- DrugZW251
Administered intravenously
Outcome measures
Primary
Incidence of dose-limiting toxicities (DLTs; Part 1)
Number of participants who experienced a DLT. DLTs include specifically defined adverse events (AEs) considered to be related to ZW251
Time frame: Up to 3 weeks
Incidence of AEs (Parts 1 and 2)
Number of participants who experienced AEs, adverse events of special interest, or serious adverse events
Time frame: Up to approximately 2 years
Incidence of clinical laboratory abnormalities (Parts 1 and 2)
Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline laboratory abnormality, including either hematology or chemistry. Grades are defined using National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0
Time frame: Up to approximately 2 years
Objective response rate (Part 2)
Number of participants who achieved a best overall response of either confirmed complete response (CR) or partial response (PR) during treatment according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: Up to approximately 2 years
Secondary
Objective response rate (Part 1)
Time frame: Up to approximately 2 years
Best overall response (Parts 1 and 2)
Time frame: Up to approximately 2 years
Disease control rate (Parts 1 and 2)
Time frame: Up to approximately 2 years
Duration of response (Parts 1 and 2)
Time frame: Up to approximately 2 years
Progression-free survival (Part 2)
Time frame: Up to approximately 2 years
Area under the concentration-time curve (AUC0-504) of ZW251 (Parts 1 and 2)
Time frame: Up to approximately 2 years
Maximum concentration (Cmax) of ZW251 (Parts 1 and 2)
Time frame: Up to approximately 2 years
Area under the concentration-time curve of ZW251 at steady state (AUCtau,ss; Parts 1 and 2)
Time frame: Up to approximately 2 years
Maximum concentration of ZW251 at steady state (Сmax,ss; Parts 1 and 2)
Time frame: Up to approximately 2 years
Minimal concentration of ZW251 at steady state (Сmin,ss; Parts 1 and 2)
Time frame: Up to approximately 2 years
Incidence of anti-drug antibodies (ADAs; Parts 1 and 2)
Time frame: Up to approximately 2 years
Eligibility criteria
Study locations (8)
UCSF Comprehensive Cancer Center
San Francisco, California, 94158
University of California Los Angeles - Cancer Care - Santa Monica (UCLA)
Santa Monica, California, 90404
Norton Cancer Institute
Louisville, Kentucky, 40202
START Midwest
Grand Rapids, Michigan, 49546
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Memorial Sloan Kettering Cancer Center
New York, New York, 10065-6800
MD Anderson Cancer Center
Houston, Texas, 77030
START San Antonio
San Antonio, Texas, 78229