Safety and Preliminary Efficacy of OBT076 in Recurrent/Metastatic CD205+ Solid Tumors

Last updated: November 22, 2024
Sponsor: Oxford BioTherapeutics Ltd
Overall Status: Active - Recruiting

Phase

1

Condition

Neuroblastoma

Neoplasms

Treatment

OBT076, a CD205-directed antibody-drug conjugate

Clinical Study ID

NCT04064359
OBT076-001
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate OBT076, which is a drug that combines an antibody with an anti-cancer drug. This class of drugs are called Antibody-Drug Conjugates (ADC). Antibodies are normally produced in the human body by the immune system to fight infections but can be designed to target cancer cells and deliver an anti-cancer drug. OBT076 is composed of an antibody that targets the CD205 protein on cancer cells and delivers an anti-cancer drug which can kill them. OBT076 is an "Investigational Drug", which means that it is still being studied and has not yet been approved by the US Food and Drug Administration (FDA), the European Medicines Agency (EMA) or any other regulatory authorities to be prescribed by doctors for the treatment of metastatic or recurrent solid tumors. The use of OBT076 in this study is investigational.

This is a Phase I research study designed to look at several dose levels of the study drug to find the highest dose level that is safe and well-tolerated (does not cause unacceptable side effects), and to examine the effects of the study drug in a small group of research participants. The study will also look at the effectiveness of OBT076 as an anti-cancer therapy. Once the optimal dose is determined and safety is assessed, additional research participants will be treated at the optimal dose level to further evaluate safety and effectiveness.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subject is ≥ 18 years of age (at the time of signing the ICF) with non-curativerecurrent and/or metastatic solid tumors for which a standard therapy is notavailable or is no longer effective.

  2. Subject has histologically and/or cytologically confirmed solid tumors.

  3. Subject with Breast cancer:

  4. Subject with hormone-receptor positive (as per local laboratory) recurrentlocally advanced or metastatic breast cancer, regardless of HER2 status, musthave received at least two prior lines of endocrine therapy in the adjuvant ormetastatic setting, either as monotherapy or in combination with targetedtherapy

  5. Subject with recurrent locally advanced or metastatic non-curative HER2negative breast cancer (based on most recently analyzed biopsy), HER2 status isdefined as per ASCO-CAP guidelines as negative, if in situ hybridization testor IHC status is 0, 1+, or 2+.

  6. Subject with triple negative breast cancer are eligible after at least oneprior line of cytotoxic chemotherapy in the metastatic setting.

  7. Subject with prior adjuvant or neoadjuvant chemotherapy allowed.

  8. Subject has received a maximum of two prior lines of cytotoxic chemotherapy in themetastatic setting. Subject who received three up to five prior lines of cytotoxicchemotherapy in the metastatic setting are eligible, if the last administration ofcytotoxic chemotherapy was at least 12 weeks prior to Cycle 1 Day 1

  9. Subject has tumor that is positive for CD205 antigen by IHC staining

  10. Subject has an ECOG performance status of 0-1.

  11. Subject has radiological documented measurable disease (i.e., at least 1 measurablelesion as per RECIST Version 1.1).

  12. Subject has adequate organ function

  13. Subject has adequate bone marrow function

  14. Subject understands and voluntarily signs an ICD prior to any study-relatedassessments/procedures are conducted.

  15. Subject is able to adhere to the study visit schedule and other protocolrequirements.

  16. Subject who is a female of childbearing potential (defined as a sexually maturewomen, has not undergone hysterectomy (the surgical removal of the uterus) orbilateral oophorectomy (the surgical removal of both ovaries) or 2) has not beennaturally postmenopausal for at least 12 consecutive months and is using anyadequate form of birth control must:

  17. Have a negative pregnancy test within 1 week before first dose of study drug.

  18. Use highly effective method(s) of birth control consistently and correctlyduring the study and for at least 4 months after the last dose of study drug.

  19. Agree to not donate eggs (ova, oocytes) for the purposes of assistedreproduction during the study and for at least 4 months after the last dose ofstudy.

  20. Agree to no plan to breastfeed and no plan to become pregnant during the studyand for at least 4 months after the last dose of study drug.

  21. Subject who is a sexually active male must agree to use a condom, not to donatesperm and have no plans to father a child during the study and for at least 4 monthsafter the last dose of study drug.

Exclusion

Exclusion Criteria:

  1. Subject has received any chemotherapy within 28 days prior to Cycle 1 Day 1.

  2. Subject has received any other systemic anticancer therapy within 28 days or 5half-lives of Cycle 1 Day 1.

  3. Subject has symptomatic visceral crisis requiring chemotherapy per Investigatorjudgment for non TNBC.

  4. Subject with colorectal cancer and pancreatic cancer are not eligible for the study.

  5. Subject with peritoneal involvement, i.e., peritoneal carcinomatosis, are noteligible for the study.

  6. Subject has not recovered from the acute toxic effects (CTCAE grade ≤ 1) of prioranticancer therapy, radiation, or major surgery/significant trauma (except alopeciaor other toxicities not considered a safety risk for the subject at theInvestigator's discretion).

  7. Subject has had major surgery within 14 days prior to starting study treatment orhas not recovered from major side effects.

  8. Subject has had radiotherapy ≤ 4 weeks prior to starting study drug.

  9. Subject has a history of, or current symptomatic brain metastasis.

  10. Subject has any other malignancy within 5 years prior to randomization

  11. Subject has a known or suspected hypersensitivity or other contraindication to anyexcipients used in the manufacture of OBT076.

  12. Subject has significant medical condition, laboratory abnormality, or psychiatricillness that would, in the Investigator's judgment, contraindicate patientparticipation in the study (e.g., history of thromboembolic event, cardiacdysfunction, chronic pancreatitis, chronic active hepatitis)

  13. Subject has severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine <7days before Cycle 1 Day 1

  14. Subject has any condition that confounds the ability to interpret data from thestudy.

  15. Subject is lactating or breastfeeding.

  16. Subject has a past medical history of or ongoing clinically relevant interstitiallung disease, drug-induced pneumonitis or severe/very severe COPD.

  17. Subject has active or chronic corneal disorder or Sjogren's syndrome.

  18. Subject has any ongoing skin disorders not controlled by specific treatment.

  19. Subject has significant active cardiac disease within the previous 6 monthsincluding unstable angina or angina requiring surgical or medical intervention,significant cardiac arrhythmia, or NYHA class 3 or 4 congestive heart failure, orpatients with QTc interval >470ms at screening.

  20. Subject has a known history or current diagnosis of HIV infection, unless on tripleantiviral treatment with undetectable viral load.

  21. Subject who is female of childbearing potential

  22. Subject who is unable or unwilling to take folic acid or vitamin B12supplementation.

  23. Subject with a history of allogeneic organ transplant.

  24. Subject with grade 3 or 4 immune-related adverse reactions during any prior line ofcheckpoint inhibitor containing therapy. Patients with immune-related thyroiditiscontrolled with substitution, or prior asymptomatic lipase increases are eligiblefor the study.

  25. Subject with active autoimmune disease or history of autoimmune disease thatrequired systemic treatment within 3 years of the start of study treatment.

Study Design

Total Participants: 200
Treatment Group(s): 1
Primary Treatment: OBT076, a CD205-directed antibody-drug conjugate
Phase: 1
Study Start date:
July 25, 2019
Estimated Completion Date:
December 31, 2027

Study Description

Study OBT076-001 is an open-label, Phase I, dose escalation and expansion clinical study of OBT076 in CD205+ve recurrent and/or metastatic solid tumors that are refractory to standard treatments, or for which a standard therapy is not available or not suitable or is no longer effective. The study will consist of four parts:

  • Part A: Dose escalation

  • Part B: OBT076 single agent expansion

  • Part C: Sequential administration of OBT076 and balstilimab

  • Part D: Combination therapy with concurrent administration of OBT076 and balstilimab

Parts A, B, C and D will consist mainly of 3 periods: Screening, Treatment and Follow-up periods. The treatment period with OBT076 consists of 21 days cycles. Approximately 200 patients will be enrolled across Parts A to D.

Connect with a study center

  • Institut Jules Bordet

    Brussels,
    Belgium

    Active - Recruiting

  • AZ Groeninge

    Kortrijk,
    Belgium

    Active - Recruiting

  • Institut Paoli Calmettes

    Marseille,
    France

    Active - Recruiting

  • GHP Saint-Joseph

    Paris,
    France

    Active - Recruiting

  • Hopital Saint Antoine

    Paris,
    France

    Active - Recruiting

  • Hopital Saint Louis

    Paris,
    France

    Active - Recruiting

  • Centre Eugène Marquis

    Rennes,
    France

    Active - Recruiting

  • ICANS - Institut de cancérologie Strasbourg

    Strasbourg,
    France

    Active - Recruiting

  • Institut Gustave Roussy - IGR

    Villejuif,
    France

    Active - Recruiting

  • University General Hospital Attikon

    Chaidari, Athens 12462
    Greece

    Active - Recruiting

  • Metropolitan Hospital

    Athens,
    Greece

    Completed

  • Sotiria General Hospital

    Athens,
    Greece

    Active - Recruiting

  • University General Hospital of Heraklion

    Heraklion,
    Greece

    Active - Recruiting

  • EuroMedica

    Thessaloniki, GR-54645
    Greece

    Active - Recruiting

  • START Barcelona HM Nou Delfos

    Barcelona, 08023
    Spain

    Active - Recruiting

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid, 28040
    Spain

    Active - Recruiting

  • University Hospital Marqués de Valdecilla

    Santander, 39008
    Spain

    Active - Recruiting

  • Bassam B. Sonbol M.D.

    Phoenix, Arizona 85084
    United States

    Active - Recruiting

  • Mayo Clinic

    Phoenix, Arizona 85084
    United States

    Active - Recruiting

  • Cedars-Sinai

    Los Angeles, California 90048
    United States

    Completed

  • UCLA

    Santa Monica, California 90404
    United States

    Completed

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Completed

  • The State University of Iowa

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • St. Elizabeth Healthcare

    Edgewood, Kentucky 41017
    United States

    Active - Recruiting

  • University of Mississippi Medical Center

    Jackson, Mississippi 39216
    United States

    Site Not Available

  • Quantum Santa Fe

    Santa Fe, New Mexico 87505
    United States

    Completed

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Completed

  • University of Pittsburgh

    Pittsburgh, Pennsylvania 15260
    United States

    Active - Recruiting

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