This is a Phase 1/2a, first-in-human, open-label, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of FL-301 in patients with advanced cancer.
This is a Phase 1/2a, first-in-human, open-label, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of FL-301 in patients with advanced cancer. The study will consist of 2 phases, Phase 1 and Phase 2a. In Phase 1, dose escalation will proceed according to a rule-based design methodology. Phase 1 will explore dosing in which a single dose of FL-301 is administered by intravenous (IV) infusion every 2 weeks (Q2W) in 4-week cycles. Patients with measurable advanced solid tumors expressing claudin 18.2 may be enrolled, with the cutoff levels further defined in the eligibility criteria. Dose escalation methodology (modified 3+3 design) will utilize prespecified dose increments. Once the RP2D has been established, Phase 2a will commence to explore preliminary evidence of antitumor efficacy and confirm the safety of FL-301. The dosing schedule will be explored in up to 3 separate patient groups of approximately 30 patients per group. Group 1 will include patients with pancreatic cancer; Group 2 will include patients with gastric cancer (including gastroesophageal junction \[GEJ\]); and Group 3 will include patients with any other solid tumor (primarily non-small cell lung cancer \[NSCLC\], ovarian, and cholangiocarcinoma with claudin 18.2 expression). Response and progression will be evaluated in this study using computerized tomography (CT) or magnetic resonance imaging (MRI) imaging per RECIST v1.1. Long-term follow-up (survival and disease status, as applicable) will be conducted up to 18 months or until death, start of new anticancer therapy, end of study, or withdrawal of consent, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
N = 1
N = 3-6
N = 3-6
Phase 1: The incidence of DLTs (during DLT observation period)
Determine the MTD, and/or to select an RP2D, and investigate the safety and tolerability of FL-301 in patients with advanced solid malignancies
Time frame: Up to 12 months
Phase 2a (Expansion): ORR (CR + PR) assessed centrally by RECIST v1.1
Assess the preliminary antitumor efficacy of FL-301, by central RECIST v1.1
Time frame: Up to 12 months
Phase 1: Incidence of patients with TEAEs and SAEs
Characterize the safety and tolerability of FL-301
Time frame: Up to 12 months
Phase 1: Incidence of patients who develop ADAs and neutralizing ADAs during treatment with FL-301
Characterize the immunogenicity of FL-301
Time frame: Up to 12 months
Phase 1: ORR (CR + PR), DOR, and DCR assessed locally by RECIST v1.1
Assess the preliminary antitumor efficacy of FL-301
Time frame: Up to 12 months
Phase 1: PK parameters - Cmax
Characterize the PK of FL-301
Time frame: Up to 12 months
Phase 1: PK parameters - Tmax
Characterize the PK of FL-301
Time frame: Up to 12 months
Phase 1: PK parameters - AUC (0-∞)
Characterize the PK of FL-301
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N = 3-6
N = 3-6
Pancreatic Cancer N = 30
Gastric Cancer (Including GEJ) N = 30
Other Solid Tumors N = 30
Time frame: Up to 12 months
Phase 1: PK parameters - AUC (0-τ)
Characterize the PK of FL-301
Time frame: Up to 12 months
Phase 1: PK parameters - Half-life (t1/2)
Characterize the PK of FL-301
Time frame: Up to 12 months