This is a phase 1/1b study of TTX-030 in combination therapy, an antibody that inhibits CD39 enzymatic activity, leading to accumulation of pro-inflammatory adenosine triphosphate (ATP) and reduction of immunosuppressive adenosine, which may change the tumor microenvironment and promote anti-tumor immune response. This trial will study the safety, tolerability, pharmacokinetics, pharmacodynamics and anti-tumor activity of TTX-030 in combination with immunotherapy and/or standard chemotherapies.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
185
Dose and schedule per protocol
Dose and schedule per protocol
Dose and schedule per protocol
Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
A DLT was defined as the occurrence of any of the following toxicities within the DLT Evaluation Period if judged by the Investigator and Sponsor to be possibly, probably, or definitely related to TTX-030 or budigalimab.
Time frame: 7 day load + 1 cycle (1 cycle is 28 days)
The Incident of Adverse Events
Number of study subjects experiencing adverse events (AEs) and serious adverse events (SAEs). Safety profile will be assessed through laboratory evaluations, vital signs, and physical examinations.
Time frame: Through study completion, an average of 1 year
Confirmed Objective Response Rate (ORR)
ORR is defined as the proportion of subjects with CR or PR.
Time frame: Through study completion, an average of 1 year
Best Response (BOR)
The BOR was defined as the best response (in the order of CR, PR, stable disease, and PD) by RECIST 1.1 documented from first dose until the end of study, first disease progression, death, or start of new anticancer therapy, whichever was earliest.
Time frame: Through study completion, an average of 1 year
Duration of Response (DOR)
DoR will be defined as the duration from the first documentation of objective response to the first documented disease progression or death due to any cause, whichever occurs first.
Time frame: Through study completion, an average of 1 year
Disease Control Rate (DCR)
DCR is defined as the proportion of subjects with CR, PR, or SD per RECIST 1.1
Time frame: Through study completion, an average of 1 year
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Dose and schedule per protocol
Dose and schedule per protocol
Dose and schedule per protocol
Dose and schedule per protocol
Dose and schedule per protocol
HonorHealth Research Institute
Scottsdale, Arizona, United States
City of Hope Medical Center Clinical Trials Office
Duarte, California, United States
University of Southern California
Los Angeles, California, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
UCLA Hematology/Oncology
Los Angeles, California, United States
Chao Family Comprehensive CC, UCI
Orange, California, United States
UC Davis Comprehensive Cancer Center
Sacramento, California, United States
Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine
Miami, Florida, United States
Ocala Oncology Center PL
Ocala, Florida, United States
Orlando Health UF Health Cancer Center
Orlando, Florida, United States
...and 22 more locations
Progression-free Survival (PFS)
PFS is measured from documentation of progression or death from any cause, whichever occurs first
Time frame: Through study completion, an average of 1 year
Overall Survival (OS)
OS was defined as the time interval from the first dose of study treatment to death from any cause. Participants who were lost to follow-up or survived until the end of the study were censored at the last date that they were known to be alive. Medians, Q1, and Q3 of OS and the proportion of participants who were alive at 3, 6, 9, and 12 months from Study Day 1 were derived using KM methods.
Time frame: Through study completion, an average of 1 year
Pharmacokinetics (PK)
Serum concentrations of TTX-030 will be tabulated
Time frame: Cycles 1-4 (each cycle is 21-28 days)