Before a treatment can be approved for use, clinical studies need to be done. This study is for people with certain types of cancer that have become worse and are difficult to treat. The types of cancer include testicular, ovarian, non-small cell lung cancer, and cancer of the womb (endometrial cancer). The people's cancer will have either spread to other parts of the body (metastatic) or spread to tissue close by (locally advanced). The cells from these cancers have a protein called Claudin 6 (CLDN6). These cancer cells are known as CLDN6-positive. ASP1893, the study treatment in this study is thought to bind to CLDN6 and a protein found on certain immune cells. This process "tells" the immune system to attack the tumor. The main aims of the study are to check the safety of ASP1893 in people with these types of cancer, to check if the people can tolerate ASP1893, and to find a suitable dose of ASP1893. This study will be in 2 parts. In the first part, different small groups of people with testicular cancer, ovarian cancer, non-small cell lung cancer and endometrial cancer will receive lower to higher doses of ASP1893. This will happen one group after another. People who take part in the second part of this study will receive doses of ASP1893 that worked the best in the first part of the study. Different larger groups of people with ovarian cancer, non-small cell lung cancer, and any of the other types of cancer that responded to ASP1893 in the first part of the study will be able to take part in the second part. In both parts of the study, ASP1893 will be given to people slowly through a tube into a vein. This is called an infusion. This will happen every 2 or 3 weeks. People will continue to receive ASP1893 for up to 1 year, or until their cancer gets worse or they start to have medical problems. People taking part have the option to continue with ASP1893 for another year if the study doctor decides the study treatment is still working well. People in the study can also choose to stop taking part at any time, without giving a reason. During the study, people will visit their study clinic several times for a health check. This includes standard safety checks and reporting any medical problems. Every 8 or 9 weeks, the study doctors will check if each person's cancer has stayed the same or got worse. This will be done by body scans (CT or MRI scans). People will also have their nervous system checked. This includes checking their mental status, reflexes, balance, and coordination. They will also have an eye exam. A tumor sample will be taken during the study and people will have the option of giving a tumor sample after treatment has finished. If people stop the study treatment, they will have follow-up safety checks for up to 1 year after their last dose of ASP1893.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Intravenous infusion
Incidence of Dose Limiting Toxicities (DLTs)
A DLT is defined as any event that cannot clearly be attributed to a cause other than ASP1893.
Time frame: Up to 28 days
Number of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Note: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of study intervention. This includes events related to the (study) procedures.
Time frame: Up to 26 months
Number of Participants with Serious Adverse Events (SAEs)
An SAE is any untoward medical occurrence in a patient or clinical study participant, that at any dose either results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity.
Time frame: Up to 26 months
Number of Participants with Neurological exam abnormalities
Number of participants with clinically significant neurological exam values.
Time frame: Up to 25 months
Number of Participants with Eye Exam Abnormalities
Number of participants with clinically significant eye exam values.
Time frame: Up to 25 months
Number of Participants with Laboratory Value abnormalities and/or AEs
Number of participants with potentially clinically significant laboratory values.
Time frame: Up to 26 months
Number of Participants with Vital Signs abnormalities and/or AEs
Number of participants with potentially clinically significant vital sign values.
Time frame: Up to 26 months
Number of Participants with electrocardiogram (ECG) abnormalities and/or AEs
Number of participants with potentially clinically significant ECG values.
Time frame: Up to 26 months
Number of Participants with Physical Examination (PE) abnormalities and/or AEs
Number of participants with potentially clinically significant PE values.
Time frame: Up to 25 months
Number of Participants at each grade of Eastern Cooperative Oncology Group (ECOG) performance status scores
The ECOG scale will be used to assess performance status. Scores range from 0 (fully active) to 5 (dead). Negative change scores represent an improvement. Positive scores represent a decline in performance.
Time frame: Up to 25 months
Pharmacokinetics (PK) of ASP1893 in serum: area under the concentration-time curve from the time of dosing to 14 days after dosing (AUC14d)
AUC14d will be recorded from the PK serum samples collected.
Time frame: Up to 24 months
Pharmacokinetics (PK) of ASP1893 in serum: Maximum concentration: Cmax
Cmax of ASP1893 will be recorded from the PK serum samples collected.
Time frame: Up to 24 months
Pharmacokinetics (PK) of ASP1893 in serum: Concentration immediately prior to dosing at multiple dosing (Ctrough)
Ctrough will be recorded from the PK serum samples collected.
Time frame: Up to 24 months
Objective Response Rate (ORR) of ASP1893 per immune-based Response Evaluation Criteria in Solid Tumors (iRECIST)
ORR is defined as the proportion of participants whose best overall response is a confirmed Complete Response (CR) or Partial Response (PR).
Time frame: Up to 36 months
Objective Response Rate (ORR) of ASP1893 per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
ORR is defined as the proportion of participants whose best overall response is a confirmed Complete Response (CR) or Partial Response (PR).
Time frame: Up to 36 months
Duration of Response (DOR) of ASP1893 per iRECIST
DOR is defined as the time from the date of first documented response (CR or PR that is subsequently confirmed) to the date of first documented progressive disease (PD) or death due to any cause, whichever occurs first.
Time frame: Up to 36 months
Duration of Response (DOR) of ASP1893 per RECIST v1.1
DOR is defined as the time from the date of first documented response (CR or PR that is subsequently confirmed) to the date of first documented progressive disease (PD) or death due to any cause, whichever occurs first.
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Time frame: Up to 36 months
Disease Control Rate (DCR) of ASP1893 per iRECIST
DCR is defined as the proportion of participants whose best overall response is rated as confirmed CR, PR or stable disease.
Time frame: Up to 36 months
Disease Control Rate (DCR) of ASP1893 per RECIST v1.1
DCR is defined as the proportion of participants whose best overall response is rated as confirmed CR, PR or stable disease.
Time frame: Up to 36 months
Number of Participants with Positive Anti-Drug Antibodies to ASP1893
Time frame: Up to 36 months
Changes in Levels of tumor-infiltrating CD4/CD8 lymphocytes
Proportion of participants with changes in infiltration of CD4/CD8 cells
Time frame: Up to 25 months