A Global Phase 2 Study to Evaluate the Efficacy and Safety of ARX788 for Selected HER2-mutated or HER2-amplified/overexpressed Solid Tumors (ACE-Pan tumor-02)
The study will enroll subjects with HER2-mutated or HER2-amplified/overexpressed locally advanced or metastatic solid tumor cancers whose prior standard of care therapies have failed. This basket trial will evaluate ARX788 across multiple cancer populations, as defined by HER2 genetic biomarkers
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
ARX788 will be administered by intravenous (IV) infusion every 3 weeks (Q3W).
Mount Sinai Medical Center
Miami Beach, Florida, United States
AMR Kansas City
Kansas City, Missouri, United States
Objective response rate (ORR)
The confirmed objective response rate (ORR) of ARX788 by blinded independent central review (BICR) based on RECIST 1.1 in Cohorts 1-5. The ORR is defined as the number of subjects with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable subjects
Time frame: At the end of every 2 cycles (each cycle is 21 days)
Duration of Response
DOR is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for subjects with a BOR of CR or PR.
Time frame: 1 year
Best Overall Response (BOR)
BOR is defined as the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started).
Time frame: At the end of every 2 cycles (each cycle is 21 days)
Disease Control Rate (DCR)
DCR is defined as the proportion of complete response (CR), partial response (PR), and stable disease (SD) rates.
Time frame: 2 years
Progression Free Survival (PFS)
PFS is defined as the time between date of first dose of study therapy and date of progression or death.
Time frame: 2 years
Overall Survival (OS)
Overall survival (OS) is defined as the time from first dose of study therapy to the date of death (any cause).
Time frame: 2 years
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Time to Response (TTR)
Time to response (TTR) is defined as the time from the start of treatment to the first objective tumor response
Time frame: At the end of every 2 cycles (each cycle is 21 days)
Maximum serum concentration (Cmax) for ARX788, total antibody, and metabolites
Pharmacokinetic parameter maximum serum concentration (Cmax) for ARX788, total antibody, and metabolites.
Time frame: Cycle 1 and Cycle 3
Trough concentration (Ctrough) for ARX788, total antibody, and metabolites
Pharmacokinetic parameter trough concentration (Ctrough) for ARX788, total antibody, and metabolites.
Time frame: Cycle 1 and Cycle 3
Incidence of anti-drug antibodies (ADAs)
Incidence of anti-drug antibodies (ADAs) following intravenous administration of ARX788 in participants with HER2-mutated or HER2-amplified locally advanced or metastatic solid tumors.
Time frame: Predose at every cycle (each cycle is 21 days)