This is an open-label, first-in-human (FIH), phase 1 dose-escalation and cohort expansion study of BB-1701 in subjects with locally advanced/metastatic HER2 expressing solid tumors. The study consists of 2 parts: dose-escalation (Part 1) and cohort expansion (Part 2). Part 1 consists of dose escalation cohorts for determining the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). Part 2 consists of expansion cohorts, including but not limited to breast cancer, gastric/gastroesophageal junction cancer, bladder cancer and colon cancer, for exploring 1 or more RP2Ds or schedules for expanding/deepening the information/knowledge about clinical safety, clinical pharmacokinetics and anti-tumor activity.
This is an open-label, FIH, phase 1 dose-escalation and cohort expansion study of BB-1701 in subjects with locally advanced /metastatic HER2 expressing solid tumors. The study consists of 2 parts: dose-escalation (Part 1) and cohort expansion (Part 2). Part 1 of this study will follow accelerated titration and traditional "3 + 3" design. Part 2 is a cohort expansion study with HER2 expressing locally advanced/metastatic solid tumors. Part 2 consists of 4 cohorts: Cohort 1: Patients with HER2 overexpressing or positive (defined as IHC 3+ or IHC 2+/FISH positive) locally advanced or metastatic breast cancer who have progressed on prior standard therapies including anti HER2 therapy Cohort 2: Patients with HER2 low expressing (defined as IHC 2+ /FISH negative, or IHC 1+) locally advanced or metastatic breast cancer who have progressed on prior standard therapies. Cohort 3: Patients with HER2 overexpressing or positive (defined as IHC 3+ or IHC 2+/FISH positive) locally advanced or metastatic gastric cancer or gastroesophageal junction cancer who have progressed on prior standard therapies. Cohort 4: Patients with HER2 overexpressing or positive (defined as IHC 3+, or IHC 2+/FISH positive) locally advanced or metastatic solid tumors (other than breast cancer and gastric or gastroesophageal junction cancer) who have progressed on prior standard therapies. Patients with HER2 mutation or amplification by NGS can also be enrolled in this cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
117
BB-1701 will be administered as an intravenous infusion, every 3 weeks or every 4 weeks or every 6 weeks.
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States
Sarah Cannon Research
Nashville, Tennessee, United States
The Regents of NEXT Virginia, LLC
Fairfax, Virginia, United States
Jiangsu Province Hospital
Nanjin, Jiangsu, China
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, China
Cancer Hospital Chinese Academy of Medical Science
Beijing, China
Sun Yat-sen Memorial Hospital
Guangzhou, China
The First Affiliated Hospital of Zhejiang University
Hangzhou, China
Sir Run Run Shaw Hospital - Zhejiang University School of Medicine
Hangzhou, China
Zhejiang Cancer Hospital
Hanzhou, China
...and 2 more locations
Number of subjects with adverse events and serious adverse events
To evaluate the safety and tolerability of BB-1701
Time frame: up to 2 years
Number of subjects with dose limiting toxicity (DLT)
Subjects are evaluated for all study drug related and treatment emergent toxicities based on the National Cancer Institute Common Toxicity Criteria for adverse events (NCI-CTCAE)
Time frame: Cycle 1. Duration of each cycle is 21 days.
MTD
MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle.
Time frame: Cycle 1. Duration of each cycle is 21 days.
Area under the serum concentration time curve from time 0 extrapolated to infinity (AUC0-inf)
To characterize the pharmacokinetics (PK) of BB-1701
Time frame: Cycle 1 Day 1. Duration of each cycle is 21 days.
Maximum observed plasma concentration (Cmax)
To characterize the PK of BB-1701
Time frame: Pre-dose and post-dose during Cycle 1 through Cycle 8. Duration of each cycle is 21 days.
Incidence of anti-drug antibodies
To assess the immunogenicity of BB-1701
Time frame: Cycle 1 Day 1, Cycle 1 Day 15, and Day 1 of Cycles 2, 3, 4, 6, and 8. Duration of each cycle is 21 days.
Objective response
To assess the preliminary anti-tumor activity of BB-1701
Time frame: Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years)
Progression Free Survival
To assess the preliminary anti-tumor activity of BB-1701
Time frame: Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years)
Duration of Response
To assess the preliminary anti-tumor activity of BB-1701
Time frame: Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.