Clinical trial

A First-in-human, Dose-escalation Followed by Expansion Study to Assess the Safety and Preliminary Efficacy of a Bispecific Antibody OT-A201 as Monotherapy and in Combination Therapy in Patients With Selected Hematological Malignancies and Solid Tumors

Name
A20101
Description
This phase 1 study is aimed at establishing the safety basis of OT-A201 in the treatment of hematological malignancies and solid tumors. In the dose of escalation part it is to characterize the overall safety and tolerability profile and determine the recommended dose(s) of OT-A201 as monotherapy, and in various combination regimens. Preliminary information about anti-cancer activity will be further explored in the expansion part of the study.
Trial arms
Trial start
2023-07-10
Estimated PCD
2027-01-01
Trial end
2027-07-01
Status
Recruiting
Phase
Early phase I
Treatment
OT-A201
OT-A201 IV infusion qw or q2w
Arms:
OT-A201 in combination with a specific agent, OT-A201 in combination with bevacizumab, OT-A201 in combination with iMiD, OT-A201 in combination with paclitaxel, OT-A201 monotherapy
IMids
Combination regimen for hematological malignancy Lenalidomide: 25 mg on Days 1 to 21 of each 28-day cycle; or Pomalidomide: 4 mg on Days 1 to 21 of each 28-day cycle
Arms:
OT-A201 in combination with iMiD
Other names:
lenalidomide, pomalidomide
Bevacizumab
Combination regimen for solid tumor Bevacizumab: 10 mg/m² q2w
Arms:
OT-A201 in combination with bevacizumab
Paclitaxel
Combination regimen for solid tumor Paclitaxel: 175 mg/m² q3w
Arms:
OT-A201 in combination with paclitaxel
TBD Compound
Combination regimen for hematological malignancy
Arms:
OT-A201 in combination with a specific agent
Size
150
Primary endpoint
Maximum tolerated dose(s) (MTD) and recommended dose(s) of OT-A201
28 days
Safety profile of OT-A201
6 months
Eligibility criteria
Main Inclusion Criteria: * Histologically or cytologically confirmed relapsed/refractory hematological malignancy or advanced/metastatic solid cancer * Measurable disease * Have had all available therapeutic standards for their disease * Willingness to undergo baseline biopsy/bone marrow aspiration in case biopsy was not collected after completion of the most recent prior therapy * ECOG performance status ≤ 1 * Life expectancy \> 3 months as assessed by the investigator * Acceptable clinical lab results Main Exclusion Criteria: * Systemic steroids at a daily dose of \> 10 mg of prednisone or equivalent within 28 days before study treatment. Transient use of steroids for other medical condition may be allowed * Ongoing immune-related adverse events irAEs and or AEs ≥ grade 2 from previous therapies not resolved except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy * Within 4 weeks of major surgery * Documented history of active autoimmune disorder requiring systemic immunosuppressive therapy within the last 12 months * Prior solid organ transplant * Primary or secondary immune deficiency * Active and uncontrolled infection requiring intravenous antibiotic or antiviral treatment * Seropositive (except after vaccination or confirmed cure for hepatitis) for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) * Clinically significant disease
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Monotherapy dose escalation followed by dose confirmation of combination regimens.\n\nFurther expansion of each groups.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 150, 'type': 'ESTIMATED'}}
Updated at
2023-07-24

1 organization

5 products

2 indications

Product
IMids
Indication
Solid Tumor
Product
Paclitaxel
Product
OT-A201