2.1 Primary Objectives 1. To measure the human dosimetry of 64Cu-DOTA-U3-1287 in subjects with advanced solid tumors (Cohort 1 only) 2. To calculate HER3 receptor occupancy (via quantification of the tumor-localized PET signal produced by 64Cu-DOTA-U3-1287 in the absence and presence of competing unlabeled U3-1287 in subjects with advanced solid tumors (Cohorts 2 through 5)) 3. To determine the safety and tolerability of 64Cu-DOTA-U3-1287 (all cohorts) 2.2 Secondary Objectives 1. To determine the relationship between U3-1287 serum concentration and HER3 receptor occupancy (as measured by PET/CT) in subjects with advanced solid tumors 2. To measure the tumor response rate as defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1) in subjects with advanced solid tumors treated with U3-1287 (Part 2 only) 3. To characterize the PK exposure of U3 1287 when administered intravenously to patients with advanced solid malignancies. 4. To measure the rate of anti-U3-1287 human antibody development in subjects with advanced solid tumors treated with U3 1287 monotherapy 2.3 Exploratory Objectives 1. To assess tumor volume changes after U3-1287 treatment by CT or magnetic resonance imaging (MRI) (Part 2 only) 2. To assess blood, body fluid/tissue, and tumor specimens for potential biomarkers (e.g., proteins and transcripts) that predict response to U3-1287 3. To obtain tumor samples for DNA extraction for analysis of potential predictors of response to U3-1287 and any related genes as suggested by emerging data
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Washington University School of Medicine
St Louis, Missouri, United States
Human dosimetry of 64Cu-DOTA-U3-1287 in subjects with advanced solid tumors (Cohort 1 only)
Measurement of the human dosimetry at 3 hours post dose, 24 hours post dose and 48 hours post dose.
Time frame: 2 days
HER3 receptor occupancy (via quantification of the tumor-localized PET signal produced by 64Cu-DOTA-U3-1287 in the absence and presence of competing unlabeled U3-1287 in subjects with advanced solid tumors (Cohorts 2 through 5))
Calculation of HER3 receptor occupancy (via quantification of the tumor-localized PET signal produced by 64Cu-DOTA-U3-1287 in the absence and presence of competing unlabeled U3-1287
Time frame: 9 days
Safety and tolerability of 64Cu-DOTA-U3-1287 (all cohorts)
Based on adverse events according to NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0
Time frame: From first receiving study treatment until the 8-week follow-up after the conclusion of treatment or death
Relationship between U3-1287 serum concentration and HER3 receptor occupancy in subjects with advanced solid tumors
Measured by PET/CT at 24 hours post dose Day 1 and 24 hours post dose Day 8
Time frame: 9 days
Tumor response rate in subjects with advanced solid tumors treated with U3-1287 (Part 2 only)
Defined by Response Evaluation Criteria in Solid Tumors (RECIST 1.1. Screening, after two dose (6 weeks) of U3-1287 during Part 2, and every 9 weeks thereafter.
Time frame: Followed for 8 weeks following last administration of study or until death, whichever occurs first
PK exposure of U3-1287 when administered intravenously to patients with advanced solid malignancies.
Cohort 1 Part 1 = Day 1 predose, end of infusion, hour 3, 24 hours, 48 hours, and 72 hours. Cohort 1 Part 2 = Day 8 predose, 5 minutes pre-end of infusion, hour 6, day 9, day 15, day 22, and then every 3 weeks. Cohorts 2-5 Part 1 = Day 1 predose, end of infusion, 24 hours, Day 8 predose, end of infusion, and Day 9. Cohorts 2-5 Part 2 = Day 29 predose, end of infusion, Day 30, and every 3 weeks.
Time frame: Various timepoints depending on cohort
Rate of anti-U3-1287 human antibody development in subjects with advanced solid tumors treated with U3-1287 monotherapy
Pre-infusion on Day 1 of every cycle and end of study treatment visit. For patients positive for anti-U3-1287 neutralizing antibody on the serum sample drawn at the final visit, additional serum samples should be obtained until the level returns to baseline (or becomes negative) or up to 1 year from the last dose of study drug or if the patient starts another therapy for his/her cancer, whichever occurs first.
Time frame: Up to 1 year from the last dose of study drug
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