The goal of this clinical trial is to define a safe and effective dose of CRB-701 for participants with solid tumors that are expressing a protein called nectin-4. The main questions it aims to answer are: What is the the safe and effective dose of CRB-701? What cancers can be treated effectively with CRB-701? Participants will be asked to attend clinic and be given a intravenous infusion of CRB-701. They will have blood tests, CT or MRI Scans, and other assessments to measure whether CRB-701 has an effect on tumors.
This is a three-part open-label, Phase 1/2 clinical trial designed to evaluate the safety, PK, and efficacy of CRB-701 in participants with advanced solid tumors expressing nectin-4. Part A will include solid tumor types known to express nectin-4. Dose escalation will be guided by the Bayesian optimal interval (BOIN) design to determine the Maximum Tolerated Dose (MTD) of CRB-701. Four (4) dose groups are pre-determined. Dose escalation/de-escalation decisions are made based on the occurrence of DLT. Part B will evaluate two dose levels of CRB-701 alone and in combination with anti-PD-1 by using a time-to-event Bayesian optimal Phase 2 study design to optimize the dose of CRB-701 in one or more separate cohorts of participants with nectin-4-positive tumors. During Part C, the recommended dose level of CRB-701 for further exploration defined in Part B will explore CRB-701 alone or combined with anti-PD-1 in up to seven separate cohorts of participants with advanced tumors known to express Nectin-4.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
348
Part A: To confirm the safety and tolerability and determine MTD and PADR for CRB-701
Occurrence of Dose Limiting Toxicities as defined in the protocol
Time frame: 21 days
Part B & C: To evaluate efficacy in terms of Objective Response Rate (ORR)
ORR is the percentage of participants that achieve a response (CR + PR) using RECIST 1.1
Time frame: Up to 6 months
Parts A, B, & C: To characterize the safety profile of CRB-701
Numbers of treatment emergent adverse events with severity determined using NCI CTCAE v5.0 after single or multiple doses of CRB-701 or single and multiple doses of CRB-701 and an anti-PD-(L)1 therapy
Time frame: Up to 6 months
Maximum observed plasma concentration of CRB-701 [total ADC] (Cmax)
Maximum observed plasma concentration of total ADC after single and multiple doses
Time frame: Approximately 9 weeks
Maximum observed plasma concentration of free MMAE (Cmax)
Maximum observed plasma concentration of free MMAE after single and multiple doses
Time frame: Approximately 9 weeks
Part B & C : To evaluate efficacy in terms of Disease Control Rate (DCR)
DCR is the sum of percentage of participants meeting the definition of Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at least 4 months using RECIST 1.1
Time frame: Up to 6 months
Maximum observed plasma concentration of Total CRB-701 antibody [Tab] (Cmax)
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O'Neal Comprehensive Cancer Center at University of Alabama-Birmingham
Birmingham, Alabama, United States
RECRUITINGCity of Hope Cancer Center
Duarte, California, United States
RECRUITINGMoores Cancer Centre at UC San Diego Health
San Diego, California, United States
RECRUITINGHelen Diller Family Comprehensive Cancer Center - UCSF
San Francisco, California, United States
RECRUITINGRocky Mountain Cancer Centres
Denver, Colorado, United States
ACTIVE_NOT_RECRUITINGYale Cancer Center
New Haven, Connecticut, United States
RECRUITINGFlorida Cancer Specialists
Orlando, Florida, United States
RECRUITINGUniversity of Chicago
Chicago, Illinois, United States
RECRUITINGHope and Healing Cancer Center
Hinsdale, Illinois, United States
ACTIVE_NOT_RECRUITINGDana-Faber Cancer Institute
Boston, Massachusetts, United States
RECRUITING...and 31 more locations
Maximum observed plasma concentration of free MMAE after single and multiple doses
Time frame: Approximately 9 weeks
Time to reach Cmax of Total CRB-701 [Total ADC] (Tmax)
The amount of time to reach Cmax after single and multiple dose administration of CRB-701 (Total ADC)
Time frame: Approximately 9 weeks
Time to reach Cmax of free MMAE (Tmax)
The amount of time to reach Cmax after single and multiple dose administration of free MMAE
Time frame: Approximately 9 weeks
Time to reach Cmax of Total CRB-701 antibody [Tab] (Tmax)
The amount of time to reach Cmax after single and multiple dose administration of Tab
Time frame: Approximately 9 weeks
Time to reach Cmax of Total CRB-701 antibody [Tab] (Cmax)
Maximum observed plasma concentration of free MMAE after single and multiple doses
Time frame: Approximately 9 weeks
Total Area Under the plasma concentration-time curve of Total CRB-701 [total ADC] (AUC)
Maximum observed plasma concentration of free MMAE after single and multiple doses
Time frame: Approximately 9 weeks
Total Area Under the plasma concentration-time curve of free MMAE (AUC)
Area under the plasma concentration versus time curve after single and multiple dose administration of free MMAE
Time frame: Approximately 9 weeks
Total Area Under the plasma concentration-time curve of Total CRB-701 antibody [Tab] (AUC)
Area under the plasma concentration versus time curve after single and multiple dose administration of Tab
Time frame: Approximately 9 weeks