Phase
Condition
Esophageal Cancer
Squamous Cell Carcinoma
Nasopharyngeal Cancer
Treatment
BL-B01D1
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion criteria:
Signed the informed consent voluntarily and agreed to follow the programrequirements 2) Either sex 3) Age: ≥18 years 4) Has a life expectancy of ≥3 months
Has histologically documented, incurable, locally advanced or metastaticepithelial origin malignant cancer, priority to include the following tumor types:NSCLC, HER2 - breast cancer, esophageal cancer, SCLC, NPC, and HNSCC 6) Agree toprovide archived tumor samples (tissue block or slides) from primary or metastaticsites within 2 years. In the event that no archival tissue is available a freshtissue biopsy is highly encouraged but not mandatory.
Has at least one measurable lesion based on RECIST V1.1 8) Has an EasternCooperative Oncology Group performance status (ECOG PS) 0 to 1 9) Toxicity ofprevious antitumor therapy has returned to level ≤1 as defined by NCI-CTCAE V5.0 (except for asymptomatic laboratory abnormalities such as elevated ALP,hyperuricemia, elevated serum or plasma amylase/lipase, and elevated blood glucose;except for toxicity that the investigator determined to have no safety risk, such asalopecia, grade 2 peripheral neurotoxicity, hypothyroidism stabilized by hormonereplacement therapy, etc.) 10) Has no serious cardiac dysfunction, left ventricularejection fraction ≥50% 11) Has adequate organ function before registration, definedas: a) Marrow Function: Absolute neutrophil count (ANC) ≥1.2×109 /L, Platelet count ≥100×109 /L, Hemoglobin (Hb) ≥90 g/L b) Hepatic function: Total bilirubin(TBIL≤1.5ULN, AST and ALT without liver metastasis ≤2.5 ULN, AST and ALT with livermetastasis ≤5.0 ULN c) Renal function: Creatinine clearance ≥50 mL/min (According tothe Cockcroft and Gault equation) 12) Coagulation function: international normalizedratio (INR) ≤1.5×ULN, and activated partial thromboplastin time (APTT) ≤1.5 ULN 13)Urinary protein ≤2+ or ≤1000mg/24 hours 14) Sexually active fertile subjects andtheir partners must agree to use highly effective methods of contraception duringthe course of the study and for 7 months for females and 4 months for males afterthe last dose of study treatment. An additional contraceptive method, such as abarrier method like a condom is required.
Women of childbearing potential (WOCBP) must have a negative serum pregnancy test atscreening and must be nonlactating. Female subjects are considered WOCBP unless oneof the following criteria are met: documented permanent sterilization (hysterectomy,bilateral salpingectomy, or bilateral oophorectomy) or documented postmenopausalstatus (defined as 12 months of amenorrhea in a woman >45 years old in the absenceof other biological or physiological causes. In addition, females <55 years old musthave a serum follicle stimulating hormone (fsh) level > 40 mIU/mL to confirmmenopause.
For subjects with NSCLC:
a) Evidence of documented EGFR TKI-sensitizing deletion mutation in EGFR Exon 19 (ex19del) or leucin-arginine substitution point mutation in EGFR Exon 21 (ex21L858R), the serine-isoleucine mutation in EGFR Exon 20 (ex20S768I), the leucine-glutamine substitution mutation in Exon 21 (ex21L861Q), or the glycine substitution (with alanine, cysteine, or serine) mutation in Exon 18 (ex18G719X) at or after the time of disease diagnosis and prior to initiation of treatment.
- For Triple-Negative Breast Cancer (TNBC, HER2-/HR-):
a) Histologically or cytologically confirmed and documented locally advanced, recurrent inoperable or metastatic TNBC
Exclusion
Exclusion criteria:
Chemotherapy, biological therapy, immunotherapy, radical radiotherapy, targetedtherapy (including small molecule inhibitor of tyrosine kinase), and otheranti-tumor therapy within 2 weeks or 5 half-lives (whichever is shorter) prior tothe first administration; major surgery within 4 weeks prior to the firstadministration; mitomycin and nitrosoureas treatment within 6 weeks prior to thefirst administration
Subjects with history of severe heart disease, such as: symptomatic congestive heartfailure (CHF) ≥ Grade 2 (CTCAE 5.0), New York Heart Association (NYHA) ≥ Grade 2heart failure, history of transmural myocardial infarction, unstable angina pectorisetc;
Subjects with prolonged QT interval (QTc >470 msec), complete left bundle branchblock, Grade 3 atrioventricular block
Active autoimmune diseases and inflammatory diseases, such as: systemic lupuserythematosus, psoriasis requiring systemic treatment, rheumatoid arthritis,inflammatory bowel disease and Hashimoto's thyroiditis, etc., except for Type Idiabetes, hypothyroidism that can be controlled only by standard of care treatment,and skin diseases that do not require systemic treatment (such as vitiligo,psoriasis)
Other malignant tumors were diagnosed within 5 years prior to the firstadministration with the following exceptions: basal cell carcinoma of the skin,squamous cell carcinoma of the skin and/or carcinoma in situ after radical resection
Subjects with poorly controlled hypertension by two kinds of antihypertensive drugs (systolic blood pressure>150 mmHg or diastolic blood pressure>100 mmHg)
Subjects have Grade 3 lung disease defined according to NCI-CTCAE v5.0, a history ofinterstitial lung disease (ILD)/ pneumonitis
Unstable thrombotic events such as deep vein thrombosis, arterial thrombosis, andpulmonary embolism requiring therapeutic intervention within the previous 6 monthsbefore screening; Infusion set-related thrombosis is excluded
Patients with primary tumors in the central nervous system (CNS) and active oruntreated CNS metastases and/or carcinomatous meningitis should be excluded.Patients with previously treated brain metastases may participate provided they areclinically stable for at least 4 weeks and have no evidence of new or enlargingbrain metastases and no requirements for corticosteroids 14 days prior to dosingwith the investigational product (IP). Patients on low dose corticosteroids (<20 mgprednisone or equivalent/day) may participate.
Subjects who have a history of allergies to recombinant humanized antibodies orhuman-mouse chimeric antibodies or any of the components of BL-B01D1
Subjects have a history of autologous or allogeneic stem cell transplantation (Allo-HSCT)
Has received treatment with anthracyclines with a cumulative dose exceeding 360mg/m2
Subjects with ≥ Grade 2 hypokalemia (low concentration of potassium in the blood)according to CTCAE v5.0 (Grade 1: subject asymptomatic with potassium levels <LLN - 3.0 mmol/L or equivalent)
Known Human immunodeficiency virus antibody (HIVAb) positive, active tuberculosis,active Hepatitis B virus infection (HBV-DNA copy number> the lower limit ofdetection) or active Hepatitis C virus infection (HCV antibody positive and HCV-RNA > the lower limit of detection)
Subjects with active infections requiring systemic treatment, such as severepneumonia, bacteremia, sepsis.
Received an investigational drug within 4 weeks, or two half-lives (whichever islonger) prior to first dose of study treatment
Subjects who are pregnant or breastfeeding
Other conditions that the investigator believes may make the subject not suitablefor participating in this clinical trial.
For subjects with NSCLC:
Prior therapy with any ADC targeting EGFR and/or HER3 or containing atopoisomerase 1 inhibitor payload
Participants treated with more than two systemic chemotherapies prior torandomization. NOTE: Progression of disease within 12 months after receivingneoadjuvant and adjuvant chemotherapies is considered 1 prior systemicchemotherapy
Previously documented EGFR Exon 20 insertion mutations as primary EGFRmutations
For Triple-Negative Breast Cancer (TNBC, HER2-/HR-):
Prior therapy with any ADC targeting EGFR and/or HER3 or containing atopoisomerase 1 inhibitor payload Note: For TNBC dose expansion cohort, if fewsubjects without prior ADC therapy targeting HER3 and EGFR or with a topo Iinhibitor can be enrolled, then subjects with prior ADCs with these targets orpayload may be enrolled upon consultation with the sponsor
Participants treated with more than two systemic chemotherapies prior torandomization. NOTE: Progression of disease within 12 months after receivingneoadjuvant and adjuvant chemotherapies is considered 1 prior systemicchemotherapy
Study Design
Study Description
Connect with a study center
SystImmune Recruiting Site
Madrid, 28050
SpainSite Not Available
Beverly Hills Cancer Center
Beverly Hills, California 90211
United StatesActive - Recruiting
City of Hope Cancer Center
Duarte, California 91010
United StatesActive - Recruiting
SystImmune Recruiting Site
Duarte, California 91010
United StatesSite Not Available
SystImmune Recruiting Site
Orange, California 92868
United StatesActive - Recruiting
University of California Irvine Medical Center
Orange, California 92868
United StatesActive - Recruiting
UCLA Santa Monica
Santa Monica, California 90404
United StatesActive - Recruiting
University of Colorado Cancer Center
Aurora, Colorado 80045
United StatesActive - Recruiting
SystImmune Recruiting Site
Boulder, Colorado 80045
United StatesSite Not Available
Yale University, Yale Cancer Center
New Haven, Connecticut 06520
United StatesActive - Recruiting
Georgetown University Medical Center
Washington, District of Columbia 20007
United StatesActive - Recruiting
Sylvester Comprehensive Cancer Center
Miami, Florida 33125
United StatesActive - Recruiting
SystImmune Recruiting Site
Miami, Florida 33125
United StatesActive - Recruiting
Sara Cannon Research Institute Lake Nona
Orlando, Florida 32827
United StatesActive - Recruiting
Hematology - Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida 34952
United StatesActive - Recruiting
Hematology/Oncology Associates of Treasure Coast
Port Saint Lucie, Florida 34952
United StatesActive - Recruiting
SystImmune Recruiting Center
Port Saint Lucie, Florida 34952
United StatesActive - Recruiting
SystImmune Recruiting Site
Port Saint Lucie, Florida 34952
United StatesActive - Recruiting
Northwestern University Feinberg School of Medicine
Chicago, Illinois 60611
United StatesActive - Recruiting
University of Iowa Hospital and Clinics
Iowa City, Iowa 52242
United StatesActive - Recruiting
Norton Cancer Institute
Louisville, Kentucky 40202
United StatesActive - Recruiting
SystImmune Recruiting Site
Louisville, Kentucky 40202
United StatesSite Not Available
Dana-Farber Cancer Institute
Boston, Massachusetts 02215
United StatesActive - Recruiting
Massachusetts General Hospital
Boston, Massachusetts 02114
United StatesActive - Recruiting
SystImmune Recruiting Site
Boston, Massachusetts 02215
United StatesSite Not Available
SystImmune Recruiting Site
Hackensack, New Jersey 07601
United StatesSite Not Available
Memorial Sloan Kettering Cancer Center Head Neck Services
New York, New York 10065
United StatesActive - Recruiting
SystImmune Recruiting Center
New York, New York 10065
United StatesActive - Recruiting
SystImmune Recruiting Site
New York, New York 10065
United StatesActive - Recruiting
PRISMA Health/ITOR
Greenville, South Carolina 29605
United StatesActive - Recruiting
Prisma Health Cancer Institute
Greenville, South Carolina 29605
United StatesActive - Recruiting
SystImmune Recruiting Center
Greenville, South Carolina 29605
United StatesActive - Recruiting
SystImmune Recruiting Site
Greenville, South Carolina 29605
United StatesActive - Recruiting
Sarah Cannon - Tennessee Oncology
Nashville, Tennessee 37203
United StatesActive - Recruiting
SystImmune Recruiting Center
Nashville, Tennessee 37203
United StatesActive - Recruiting
SystImmune Recruiting Site
Nashville, Tennessee 37203
United StatesActive - Recruiting
SystImmune Recruiting Center
Dallas, Texas 75230
United StatesActive - Recruiting
SystImmune Recruiting Site
Dallas, Texas 75230
United StatesSite Not Available
Oncology Consultants, P.A.
Houston, Texas 77030
United StatesActive - Recruiting
SystImmune Recruiting Center
Houston, Texas 77030
United StatesActive - Recruiting
SystImmune Recruiting Site
Houston, Texas 77030
United StatesActive - Recruiting
University of Texas M.D. Anderson Cancer Center
Houston, Texas 77030
United StatesActive - Recruiting
SystImmune Recruiting Site
Fairfax, Virginia 22031
United StatesActive - Recruiting
Virginia Cancer Specialists
Fairfax, Virginia 22031
United StatesActive - Recruiting
University of Washington Fred Hutchinson
Seattle, Washington 98109
United StatesActive - Recruiting
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