This study is a Phase 1b/2 multi-center study to assess the safety, tolerability, pharmacokinetics of CTX-009 (ABL001) in combination with Irinotecan or Paclitaxel in patients with advanced or metastatic solid tumors.
Phase 1b Study: Indication of phase 1b study is the advanced or metastatic solid tumors (including, but not limited to, colorectal cancer, gastric cancer, and ovarian cancer). Phase 2 Study: Indication of phase 2 study is unresectable advanced, metastatic or recurrent biliary tract cancer (BTC) (including intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, gallbladder cancer, and ampullary carcinoma).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
41
CTX-009 (ABL001) will be administered biweekly.
Paclitaxel will be administered weekly.
Irinotecan will be administered biweekly.
Seoul National University Bundang Hospital
Seongnam-si, South Korea
Asan Medical Center
Seoul, South Korea
Samsung Medical Center
Seoul, South Korea
Seoul National University Hospital
Seoul, South Korea
P1b: Proportion of subjects with Dose-Limiting Toxicity (DLT)
Number of subjects who experience DLT events during 28 days after first administration of CTX-009 (ABL001) and Irinotecan/Paclitaxel, divided by the number of DLT-evaluable subjects
Time frame: From Day 1 until disease progression or Day 28, whichever came first
P2: Objective response rate (ORR) of CTX-009 (ABL001) in combination with paclitaxel in patients with BTC
The proportion of subjects whose best overall response (BOR) is assessed to be complete response (CR) or partial response (PR) as per Independent Radiology Center's review
Time frame: Up to approximately 24 months
Adverse Events (AEs)
Severity of AEs will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
Time frame: Up to approximately 24 months
Pharmacokinetics (PK) of CTX-009 (ABL001)
Serum concentrations of CTX-009 (ABL001) will be collected and analyzed to evaluate the PK of CTX-009 (ABL001)
Time frame: Up to approximately 24 months
Objective response rate (ORR)
Proportion of subject with best overall response of complete response (CR) or partial response (PR) as per investigator's review
Time frame: Up to approximately 24 months
Disease control rate (DCR)
Proportion of subjects with a best overall response of complete response (CR), partial response (PR) or stable disease (SD)
Time frame: Up to approximately 24 months
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Time to treatment failure (TTF)
Time interval from 1st administration of CTX-009 (ABL001) to the time of disease progression or discontinuation of CTX-009 (ABL001) due to whatever reason, whichever comes first
Time frame: Up to approximately 24 months
Duration of response (DOR)
Time interval from first occurrence of a documented objective response to the time of disease progression
Time frame: Up to approximately 24 months
Progression-free survival (PFS)
The time from the initiation of treatment to the first radiologic assessment that confirms progression of tumor or to death
Time frame: Up to approximately 24 months
P2: Survival rate
The proportion of subjects who have survived at 6 months and 12 months from the initiation of treatment
Time frame: 6 months and 12 months
P2: Overall survival (OS)
Time from the initiation of treatment to death
Time frame: Up to approximately 24 months