Phase 1 trial to study the safety, pharmacokinetics and preliminary efficacy of STRO-002 given intravenously every 3 weeks.
This study is a phase 1, open-label, multicenter, dose-escalation study with dose expansion to identify the maximum tolerated dose (MTD), the recommended phase 2 dose (RP2D) and to evaluate the safety, tolerability, and preliminary antitumor activity of STRO-002 in adult subjects with advanced epithelial ovarian cancer (EOC), including fallopian or primary peritoneal cancer, and endometrial cancer. Fallopian tube and primary peritoneal cancers are treated in the same manner as epithelial ovarian cancers and are thus included in this phase 1 study. Subjects enrolled in the study will be required to have progressive or recurrent disease after standard approved therapy as defined in the study eligibility criteria. The study has completed dose escalation and is currently in dose expansion, enrolling endometrial and ovarian cancer subjects. All subjects enrolled on the study are required to have tumor tissue for determining folate receptor alpha (FolRα) expression levels, either from a prior surgery or tumor biopsy or from a biopsy performed during study screening. The testing for FolRα is done via an ICH assay. A minimum level of FolRα expression is required for enrollment for endometrial cancer but not for ovarian cancer. Study drug, STRO-002, is administered by intravenous (IV) infusion on day 1 of 21-day cycles. Clinical evaluations and/or laboratory tests will be performed at a pre-specified schedule-weekly for cycles 1-4, and at the beginning of every cycle starting with cycle 5 as described in the schedule of assessments. Samples for PK analysis will occur at specific times on days 1, 8, and 15 of cycles 1 and 4, Day 1 of cycles 2, 3, and 5 and at the end of treatment (EOT) visit. The study requires imaging with a CT or MRI scan of the chest abdomen and pelvis at screening, every 6 weeks after enrollment for the first 18 weeks, then every 9 weeks, and at the end of treatment (EOT) visit. Additional X-rays may be required to confirm disease responses and per local institution standard of care. Additional clinical evaluations and lab testing may occur at the discretion of the investigator.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
intravenous antibody drug conjugate
Part 1: Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability of STRO-002)
Incidence of adverse events (AEs) observed across STRO-002 dose levels
Time frame: 18 months
Part 1: Define the recommended phase 2 dose (RP2D) of STRO-002
Frequency of dose-limiting toxicity and exposure across STRO-002 dose levels
Time frame: 18 months
Part 1: Define the maximum tolerated dose (MTD) of STRO-002
Frequency of dose-limiting toxicity and exposure across STRO-002 dose levels
Time frame: 18 months
Part 2: Evaluate preliminary anti-tumor activity (ovarian, Fallopian and primary peritoneal cancer patients)
Objective response rate per RECIST 1.1
Time frame: 24 months
Part 2: Evaluate preliminary anti-tumor activity (endometrial cancer patients)
Objective response rate per RECIST 1.1
Time frame: 24 months
Part 1: Characterize the pharmacokinetics (PK) of STRO-002 by measuring the maximum plasma concentration (Cmax)
Measurement of maximum plasma concentration after the administration of STRO-002
Time frame: 18 months
Part 1: Characterize the PK of STRO-002 by measuring the half-life (t1/2) of STRO-002
Measurement of terminal half-life of STRO-002 after the administration of STRO-002
Time frame: 18 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Masking
NONE
Enrollment
136
Arizona Oncology - Tucson
Tucson, Arizona, United States
UCLA Jonsson Comprehensive Cancer Center Clinical Research Unit
Los Angeles, California, United States
Sutter Health- Palo Alto Medical Foundation
San Francisco, California, United States
Rocky Mountain Cancer Center
Aurora, Colorado, United States
Yale School of Medicine
New Haven, Connecticut, United States
Miami Cancer Institue, Baptist Health South Florida
Miami, Florida, United States
University of South Florida
Tampa, Florida, United States
Augusta Oncology
Augusta, Georgia, United States
University of Chicago
Chicago, Illinois, United States
Maryland Oncology Hematology
Rockville, Maryland, United States
...and 17 more locations
Part 1: Characterize the PK of STRO-002 measuring the total area under the concentration versus time curve from zero to infinity (AUCinf)
Measurement of AUC to infinity (AUCinf)
Time frame: 18 months
Part 1: Characterize the PK of STRO-002 by measuring the clearance (CL)
Measurement of total body clearance
Time frame: 18 months
Part 1: Characterize the PK of STRO-002 by measuring the the steady state volume of distribution (Vss)
Measurement of steady state volume of distribution
Time frame: 18 months
Part 1: Assess the formulation of anti-drug antibodies to STRO-002
Circulating anti-drug antibodies (ADAs) formed to STRO-002
Time frame: 18 months
Part 2: Further evaluate the incidence of Treatment-Emergent Adverse Events (Safety and Tolerability of STRO-002)
Number of patients with abnormal laboratory values and/or adverse events related to STRO-002 treatment
Time frame: 24 months
Part 2: Evaluate preliminary anti-tumor efficacy with a time-to-event analysis of duration of response (DOR) in patients treated with STRO-002
Duration of response per RECIST 1.1
Time frame: 24 months
Part 2: Evaluate preliminary anti-tumor efficacy with a time-to-event analysis of progression-free survival (PFS) in patients treated with STRO-002
Progression-free survival per RECIST 1.1
Time frame: 24 months
Part 2: Evaluate preliminary effect of STRO-002 treatment on CA-125 levels
Response assessment based on the Gynecologic Cancer Intergroup (GCIG) criteria
Time frame: 24 months
Part 2: Characterize the PK of STRO-002 by measuring the maximum plasma concentration (Cmax)
Measurement of maximum plasma concentration (Cmax) after the administration of STRO-002
Time frame: 24 months
Part 2: Characterize the PK of STRO-002 by measuring the area under the plasma concentration versus time curve (AUC)
Measurement of AUC to infinity (AUC inf)
Time frame: 24 months
Part 2: Characterize the PK of STRO-002 by measuring the clearance (CL)
Measurement of total body clearance
Time frame: 24 months