TTX-080-001 is a Phase 1, open label, dose escalation and dose expansion clinical study to determine the safety, tolerability, and recommended Phase 2 dose of TTX-080 monotherapy (HLA-G inhibitor) and in combination with either pembrolizumab (PD-1 inhibitor), cetuximab (EGFR inhibitor) or FOLFIRI plus cetuximab (EGFR inhibitor) in patients with advanced refractory / resistant solid malignancies including metastatic colorectal cancer (mCRC) patients.
TTX-080 is a fully human mAb designed to block the interaction of HLA-G with its known ligands, ILT2 and ILT4 molecules. The Phase 1a was an open label, multicenter, dose escalation clinical trial to determine the safety, tolerability, MTD or OBD, and the RP2D of TTX-080 when administered as a single agent. The Phase 1b is a dose expansion of TTX-080 monotherapy and in combination with either pembrolizumab or cetuximab in adult subjects with advanced refractory/resistant solid malignancies, including Head and Neck squamous cell carcinoma (HNSCC), Non-Small Cell Lung Cancer (NSCLC), Colorectal cancer (CRC), triple negative breast cancer (TNBC), renal cell carcinoma (RCC), and acral melanoma. Additionally, the Phase 1b includes randomized arms with TTX-080 in combination with FOLFIRI plus cetuximab compared to FOLFIRI plus cetuximab in metastatic Colorectal cancer. The study will seek to evaluate the pharmacokinetics and immunogenicity of TTX-080, and characterize the anti-tumor activity of TTX-080 as a monotherapy and in combination with pembrolizumab, cetuximab or FOLFIRI plus cetuximab. Only arm 9 and 10 are currently open to enrollment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
240
1. To determine the anti-tumor activity of TTX-080 by objective response rate [complete response + partial response) for each tumor arm per RECIST 1.1
Time frame: Up to 48 months
Duration of Response, Progression Free Survival per RECIST 1.1
Time frame: Up to 48 months
Overall Survival
Time frame: Up to 48 months
Adverse events (AEs) as characterized by the incidence, type, frequency, severity (graded according to NCI-CTCAE v5.0), timing, seriousness, and relationship to investigational product, and/or combination therapy, and/or individual approved therapies
Time frame: Up to 48 months
Tolerability: The number of cycles of TTX-080 received by patients before discontinuing due to unmanageable drug reactions
Time frame: Up to 48 months
Serum levels of Anti Drug Antibody against TTX-080
Time frame: Up to 48 months
Cmax: Maximum Observed Plasma Concentration for TTX-080
Time frame: Up to 48 months
Tmax: Time to Reach the Cmax for TTX-080
Time frame: Up to 48 months
AUC(0-t): Area Under the Plasma Concentration-time Curve From Zero Time to the Last Measurable Point for TTX-080
Time frame: Up to 48 months
AUC(0-Inf): Area Under the Plasma Concentration-time Curve From Zero to Infinity for TTX-080
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Specified dose on specified days
Specified dose (Q2W)
Specified dose (Q2W)
Specified dose (Q2W)
Arizona Oncology Associates
Tucson, Arizona, United States
COMPLETEDUniversity of Southern California
Los Angeles, California, United States
COMPLETEDHoag Memorial Hospital
Newport Beach, California, United States
COMPLETEDRocky Mountain Cancer Centers
Denver, Colorado, United States
RECRUITINGYale Cancer Center
New Haven, Connecticut, United States
COMPLETEDChristiana Care Helen F. Graham Cancer Center
Newark, Delaware, United States
COMPLETEDJohn Hopkins Kimmer Cancer Center
Washington D.C., District of Columbia, United States
COMPLETEDFlorida Cancer Specialists
Daytona Beach, Florida, United States
RECRUITINGFlorida Cancer Specialists
Fleming Island, Florida, United States
COMPLETEDOcala Oncology Center
Ocala, Florida, United States
RECRUITING...and 30 more locations
Time frame: Up to 48 months