Clinical trial
A Phase 1b/2a Multi-center Study to Assess the Safety, Tolerability, Pharmacokinetics of CTX-009 (ABL001) in Combination With Irinotecan or Paclitaxel in Patients With Advanced or Metastatic Solid Tumors
Name
ABL001-P1bC
Description
This study is a Phase 1b/2 multi-center study to assess the safety, tolerability, pharmacokinetics of CTX-009 (ABL001) in combination with Irinotecan or Paclitaxel in patients with advanced or metastatic solid tumors.
Trial arms
Trial start
2020-06-22
Estimated PCD
2023-11-22
Trial end
2025-07-31
Status
Active (not recruiting)
Phase
Early phase I
Treatment
CTX-009 (ABL001)
CTX-009 (ABL001) will be administered biweekly.
Arms:
CTX-009 (ABL001) and Irinotecan (P1b), CTX-009 (ABL001) and Paclitaxel (P1b), CTX-009 (ABL001) and Paclitaxel (P2)
Paclitaxel
Paclitaxel will be administered weekly.
Arms:
CTX-009 (ABL001) and Paclitaxel (P1b), CTX-009 (ABL001) and Paclitaxel (P2)
Irinotecan
Irinotecan will be administered biweekly.
Arms:
CTX-009 (ABL001) and Irinotecan (P1b)
Size
92
Primary endpoint
P1b: Proportion of subjects with Dose-Limiting Toxicity (DLT)
From Day 1 until disease progression or Day 28, whichever came first
P2: Objective response rate (ORR) of CTX-009 (ABL001) in combination with paclitaxel in patients with BTC
Up to approximately 24 months
Eligibility criteria
Key Inclusion Criteria:
* P1b only: Patients with histologically or cytologically confirmed metastatic or unresectable advanced solid tumors
* P2 only: Patients with histologically or cytologically confirmed unresectable advanced, metastatic, or recurrent biliary tract cancers (including intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, gallbladder cancer, ampullary carcinoma)
* P2 only: Patients who have shown disease progress or recurrence of disease after receiving first-line or second-line systemic chemotherapy, including treatment with gemcitabine in combination with a platinum agent
* Patients aged 19 years or older
* At least one lesion measurable defined by response evaluation criteria in solid tumors (RECIST) version 1.1.
* Life expectancy ≥ 12 weeks
* ECOG performance status 0 or 1
* Women of childbearing potential must have a negative pregnancy test outcome
* Patients must provide written informed consent to voluntary participation in this study
Key Exclusion Criteria:
* History of hypersensitivity reactions to any of the components of the investigational product or other drugs of the same class (humanized/human monoclonal antibody) and irinotecan or paclitaxel
* Less than 4 weeks have elapsed since a surgery
* History of cardiac illness: New York Heart Association (NYHA) class ≥ II congestive heart failure (CHF), uncontrolled hypertension, hypertension crisis, pulmonary hypertension, myocardial infarction, uncontrolled arrhythmia, unstable angina
* Persistent, clinically significant NCI-CTCAE v5.0 Grade ≥ 2 toxicities from the previous anticancer therapy
* Severe infections or major and unhealed injury (active ulcer, untreated fracture)
* Symptomatic or uncontrolled central nervous system (CNS) metastasis
* Pregnant or lactating women or patients planning to become pregnant during the study
* Participation in another clinical trial within 30 days prior to initiation of study treatment and received an investigational drug treatment
* Administration of antiplatelets or anticoagulants within 2 weeks prior to screening
* Requiring continuous treatment with systemic NSAIDs or systemic corticosteroids
* HIV or other severe diseases that warrant the exclusion from this study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 92, 'type': 'ESTIMATED'}}
Updated at
2023-12-28
1 organization
3 products
2 indications
Organization
HandokProduct
PaclitaxelIndication
Advanced Solid TumorsIndication
Biliary Tract CancerProduct
CTX-009Product
Irinotecan