EMB-01 in Patients With Advanced/Metastatic Gastrointestinal Cancers

Last updated: August 22, 2024
Sponsor: Shanghai EpimAb Biotherapeutics Co., Ltd.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasm Metastasis

Stomach Cancer

Digestive System Neoplasms

Treatment

EMB-01

Clinical Study ID

NCT05176665
EMB01X201
  • Ages > 18
  • All Genders

Study Summary

This study is to evaluate the safety and antitumor activity of EMB-01 in advanced/metastatic gastrointestinal cancers, including gastric cancer, hepatocellular cancer, cholangiocarcinoma and colorectal cancer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Molecular Pre-screening Inclusion criteria

  1. cMET amplification in tumor sample; OR

  2. cMET overexpression in tumor sample; OR

  3. EGFR overexpression in tumor sample; OR

  4. Other EGFR or cMET gene alteration in blood sample (circulating tumor DNA, ctDNA).

In Phase II, CRC patients must provide blood sample for NGS test, but may not provide tumor samples at prescreening visit. CRC patients don't need to meet the above criteria of EGFR/cMET amplification, overexpression or gene aberration.

Screening Inclusion Criteria

  1. Able to understand and willing to sign the Informed Consent Form (ICF).

  2. Histologically/cytologically confirmed advanced/metastatic gastric cancer, HCC, BTC,and colorectal cancer with measurable disease (RECIST V1.1). To be eligible,patients must meet following criteria:

  3. Have failed all standard of care therapies known to confer clinical benefit.Patients who is not tolerable on standard of care therapies, or no standard ofcare therapies available, or refused standard of care therapies are eligible.

  4. Have measurable disease as defined by RESIST v 1.1.

  5. Archival tumor tissue (formalin-fixed or paraffin-embedded, collected within 1 year)or a new biopsy collected in the molecular pre-screening visit.

  6. Must have adequate organ function.

  7. Regarding prior anti-tumor therapy:

  8. Patients who have received any anticancer drugs approved or investigational,including chemotherapy, immune therapy, hormonal therapy (Exceptions:hormone-replacement therapy, testosterone or oral contraceptives), biologictherapy, must have stopped treatment at least 4 weeks or within 5 half -liveswhichever shorter before first dose of EMB-01.

  9. Local radiotherapy or radiation therapy for bone metastases must have stopped 2weeks before first dose of EMB-01. No therapeutic radiopharmaceuticals aretaken within 8 weeks before first dose of EMB-01.

  10. Patients who have received prior targeted therapies must have stopped treatmentfor at least 4 weeks or within 5 half-lives, whichever is shorter before firstdose of EMB-01.

  11. Female patient with fertility or male patient whose partner has fertility should useone or more contraceptive methods for contraception starting from screening periodand continue throughout the study treatment and for 3 months.

  12. ECOG score ≤1.

Exclusion

Exclusion Criteria:

Molecular Pre-screening Exclusion Criteria

Subject who meets any of the following criteria can't be proceeded to clinical screening:

  1. Patients who are unwilling to sign the molecular pre-screening ICF.

  2. Patients for whom the results of central laboratory testing do not meet themolecular pre-screening inclusion criteria.

  3. Patients with a documented gene alteration including but not limited to HER2, KRAS,NRAS, BRAF, NTRK, ALK, RET, ROS1, and FGFR, etc. that is known to confer resistanceto EGFR and/or cMET inhibitors.* * In Phase II, CRC patients with activated KRAS,NRAS or BRAF mutation should be excluded, but patients with other gene alterationsdo not need to be excluded.

Screening Exclusion Criteria

  1. Life expectancy < 3 months.

  2. Patients with primary central nervous system (CNS) malignancy or symptomatic CNS (leptomeningeal or brain) metastases are not allowed. Patients with asymptomatic CNSmetastases are eligible.

  3. Pregnant or nursing females.

  4. Patients who have had major surgery within the 28 days from the screening. Surgicalwounds must be completely healed.

  5. Any other serious underlying medical (e.g. uncontrolled diabetes mellitus, activeuncontrolled infection, active gastric ulcer, uncontrolled seizures, cerebrovascularincidents, gastrointestinal bleeding, severe signs and symptoms of coagulation andclotting disorders, cardiac conditions), psychiatric, psychological, familial orgeographical condition that, in the judgment of the investigator, may interfere withthe planned staging, treatment and follow-up, affect patient compliance or place thepatient at high risk from treatment-related complications.

Study Design

Total Participants: 152
Treatment Group(s): 1
Primary Treatment: EMB-01
Phase: 1/2
Study Start date:
October 21, 2021
Estimated Completion Date:
December 31, 2025

Study Description

This is an open-label, Phase Ib/II, multi-stage study of EMB-01 in patients with advanced gastrointestinal tumors including gastric cancer, hepatocellular cancer, cholangiocarcinoma cancer and colorectal cancer, who have EGFR/cMET gene alterations or protein over expression and progressed on available standard therapies and for whom no standard therapy exists that would confer clinical benefit. All patients will be prescreened for cMET and EGFR genetic alterations and protein expression. Only those who met the molecular pre-screening criteria will proceed to clinical screening to determine the eligibility. The study will consist of Phase Ib part and Phase II part, both phases will consist of a molecular prescreening period, screening period, treatment period, safety follow-up period, and disease progression follow-up.

Connect with a study center

  • Beijing cancer Hospital

    Beijing, Beijing 100142
    China

    Active - Recruiting

  • Nanfang Hospital

    Guangzhou, Guangdong 510515
    China

    Active - Recruiting

  • Hunan Cancer Hospital

    Changsha,
    China

    Active - Recruiting

  • West China Hospital, Sichuan University

    Chengdu,
    China

    Active - Recruiting

  • The Sixth Affiliated Hospital of Sun Yat-Sen University

    Guangzhou,
    China

    Active - Recruiting

  • Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

    Hangzhou,
    China

    Active - Recruiting

  • Harbin Medical University Cancer Hospital

    Harbin,
    China

    Active - Recruiting

  • Shandong Cancer Hospital

    Jinan,
    China

    Active - Recruiting

  • Gansu Provincial Hospital

    Lanzhou,
    China

    Active - Recruiting

  • The Affiliated hospital of Qingdao University

    Qingdao,
    China

    Site Not Available

  • Fudan University Shanghai Cancer Center

    Shanghai,
    China

    Active - Recruiting

  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an,
    China

    Site Not Available

  • First Affiliated Hospital of Zhengzhou University

    Zhengzhou,
    China

    Active - Recruiting

  • Gabrail Cancer Center Research

    Canton, Ohio 44718
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

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