In this study, researchers want to learn about the safety of drug BAY2701439 and how well the drug works in patients with advanced cancer that has the protein HER2 (Human Epidermal growth factor Receptor 2) and cannot be cured by currently available treatment options. The study will include patients with HER2 expressing breast, gastric (stomach) or gastroesophageal (stomach and esophagus) cancer, as well as other cancers that have HER2. Researchers want to find the best dose of BAY2701439 for patients and look at the way the body absorbs, distributes and excretes the drug. The study drug is a type of therapy called a 'targeted alpha therapy' which uses an antibody to deliver a radioactive particle to cancer cells. BAY2701439 contains thorium-227 which emits radiation (a lot of energy that moves from one place to another with damaging effects). The thorium-227 in the drug is attached to an 'antibody' (large protein) that specifically binds to HER2 on the cancer cells and will emit its radiation in the form of alpha particles. The alpha particles are expected to damage the tumor cells and cause them to die, but spare surrounding tissue as alpha particles travel only very short distances in the body. This is the first study in humans for drug BAY2701439. Patients participating in this study will receive the drug by injection every 6 weeks a maximum 6 times. Observation after treatment last up to 3 years.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
14
Intravenous (IV) injection on Day 1 of each cycle.The duration of each cycle will be 6 weeks (42 days).
Intravenous (IV) injection on Day 1 of each cycle and 1 hour before the start of administration of BAY2701439. The duration of each cycle will be 6 weeks (42 days).
Johns Hopkins Hospital/Health System
Baltimore, Maryland, United States
Washington University School of Medicine
St Louis, Missouri, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Southampton General Hospital
Southampton, Hampshire, United Kingdom
Royal Marsden NHS Trust (Surrey)
Sutton, Surrey, United Kingdom
Dose escalation: Incidence of TEAEs including TESAEs
TEAE: Treatment-emergent adverse event TESAE: Treatment-emergent serious adverse event
Time frame: After first administration of study intervention up to 42 days after the last dose of study intervention
Dose escalation: Severity of TEAEs including TESAEs
Time frame: After first administration of study intervention up to 42 days after the last dose of study intervention
Dose escalation: Frequency of DLTs at each dose level
DLT:Dose limiting toxicity
Time frame: Up to 42 days after first administration of study intervention on cycle 1 (42 days) day 1
Dose expansion: ORR by RECIST 1.1 based on Investigator review
ORR: Objective response rate
Time frame: Up to 12 months after End of treatment
Dose expansion: Frequency of TEAEs
Time frame: After first administration of study intervention up to 42 days after the last dose of study intervention
Dose expansion: Severity of TEAEs
Time frame: After first administration of study intervention up to 42 days after the last dose of study intervention
Dose escalation: Recommended dose level(s) of BAY2701439 for the dose expansion cohorts
The dose level(s) recommended for the dose expansion cohorts will be defined after evaluation of incidence and severity of TEAEs, PK, and ORR by RECIST 1.1, collected in the cycles of treatment during the dose escalation part of the study.
Time frame: Maximum 6 cycles (each cycle is 42 days)
Dose escalation: Recommended treatment schedule of BAY2701439 for the dose expansion cohorts
The treatment schedule recommended for the dose expansion cohorts will be defined after evaluation of incidence and severity of TEAEs, PK, and ORR by RECIST 1.1, collected in the cycles of treatment during the dose escalation part of the study.
Time frame: Maximum 6 cycles (each cycle is 42 days)
Dose expansion: Recommended dose for further clinical development of BAY2701439
The dose recommended for further clinical development will be defined after evaluation of incidence and severity of TEAEs, PK, and ORR by RECIST 1.1, collected in the cycles of treatment during the dose escalation and expansion parts of the study.
Time frame: Maximum 6 cycles (each cycle is 42 days)
Cmax of thorium-227
Cmax: Maximum observed exposure
Time frame: Cycle 1 (42 days)
Cmax of radium-223
Cmax: Maximum observed exposure
Time frame: Cycle 1 (42 days)
Cmax of total antibody
Cmax: Maximum observed exposure
Time frame: Cycle 1 (42 days)
AUC(0-42 days) of thorium-227
AUC: Area under the curve
Time frame: Cycle 1 (42 days)
AUC(0-42 days) of radium-223
AUC: Area under the curve
Time frame: Cycle 1 (42 days)
AUC(0-42 days) of total antibody
AUC: Area under the curve
Time frame: Cycle 1 (42 days)
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