The goal of study: The study has two parts: Part 1 Dose Escalation and Part 2 Dose Expansion. In Part 1, a few participants will receive the lowest dose of study drug. The study team will make sure it is safe and tolerated before enrolling new participants at a higher dose of study drug. There will be up to six or more dose levels of study drug tested (called cohorts). Which dose you receive will depend on how many participants have taken part in the study before you. The purpose of Part 1 of the study is to evaluate the safety of the study drug at different dose levels, to understand what your body does to the study drug, and to find the best dose of study drug in people who have advanced solid tumor cancers. In Part 2, participants will receive the best dose level that was determined in Part 1 of the study. The purpose of Part 2 of the study is to evaluate the safety of the study drug at the dose level determined in Part 1, to understand what your body does to the study drug, and to see how your cancer responds to the study drug. Participants will: Participants will have 17 or more visits to the study centre. This study has a screening phase of up to 28 days , and a treatment phase with cycles of 21 days each. Participants will also have an End of Treatment (EOT) visit 21 days after the final study drug treatment, and a Follow-up visit 30 days after the EOT visit . Participants will be contacted by telephone every 3 months after the Follow-up visit to check on the wellbeing and record any new anticancer therapy they may have started.
DM002, a bispecific antibody-drug conjugate (ADC) developed using fully human antibodies with a common light chain, which targets MUC1 and HER3. DM002 is sterile yellowish-green lyophilized powder for intravenous (IV) infusion. Subjects with solid malignant tumors will be treated with DM002 IV on Day 1 once every 3 weeks (Q3W) (dose adjustments may be required depending on the safety profile and PK data of each dose).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
280
An IV infusion of DM002 will be administrated approximately 30-60 min on D1 once Q3W
University of California San Francisco Cancer Center
San Francisco, California, United States
RECRUITINGCarolina BioOncology Institute, LLC
Huntersville, North Carolina, United States
RECRUITINGUniversity of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, United States
RECRUITINGThe University of Texas, MD Anderson Cancer Center
Houston, Texas, United States
RECRUITINGScientia Clinical Research
Randwick, New South Wales, Australia
RECRUITINGCancer Care Wollongong
Wollongong, New South Wales, Australia
RECRUITINGSouthern Oncology Clinical Research Unit
Adelaide, South Australia, Australia
RECRUITINGDose-limiting Toxicities (DLTs) of DM002
Incidence of DLTs of DM002 will be determined. A dose-limiting toxicity (DLT) is defined as grade 3 neurological toxicities (e.g. chemical meningitis) or other grade 4 toxicities.
Time frame: 12 months
Maximum tolerated dose (MTD) for DM002
The MTD of DM002 will be determined. The MTD is defined as the dose where 0/3 or 1/6 patients experienced a DLT with at least two patients encountering DLT at the higher dose.
Time frame: 12 months
Area Under the Curve(AUC,ng·h/mL)
Area under the plasma concentration-time curve from time zero extrapolated to infinity, calculated by linear up/log down trapezoidal summation.
Time frame: 12 months
Maximum (peak) plasma concentration (Cmax, ng/mL)
Maximum concentration, obtained directly from the observed concentration versus time data.
Time frame: 12 months
Time to maximum (peak) concentration (Tmax, h)
Time to Cmax
Time frame: 12 months
Trough concentration (Ctrough, ng/mL)
The lowest plasma concentration reached before the next dose.
Time frame: 12 months
Objective response rate (ORR)
ORR is defined as the number of patients with at least a confirmed complete response (CR) or partial response (PR), based on the best objective response values while on treatment using RECIST version 1.1
Time frame: 12 months
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