This is a first-in-human Phase 1b, 2-part, multicenter open-label clinical study to evaluate safety and efficacy of a Nectin-4 radiopharmaceutical (\[225Ac\]Ac-AKY-1189) in patients with locally advanced or metastatic solid tumors and to establish the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose.
This study consists of two parts (Part 1 and 2). Part 1 is the dose escalation portion of the study, which will investigate ascending doses of \[225Ac\]Ac-AKY-1189 (up to 6 cycles) in patients with locally advanced or metastatic solid tumors. The aim of Part 1 is to determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose. Part 2 will be the dose expansion portion of the study and will enroll locally advanced or metastatic solid tumor patients who are identified as Nectin-4 positive by \[64Cu\] Cu-AKY-1189. Part 2 aims to further assess the efficacy of \[225Ac\]Ac-AKY-1189 at the RP2D in 3 different cohorts of patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
150
\[225Ac\]Ac-AKY-1189 Injection
\[64Cu\]Cu-AKY-1189 Injection
City of Hope
Duarte, California, United States
RECRUITINGHoag Memorial Hospital Presbyterian
Irvine, California, United States
RECRUITINGBiogenix Molecular, LLC
Miami, Florida, United States
RECRUITINGUniversity of Iowa
Iowa City, Iowa, United States
RECRUITINGBAMF Health
Grand Rapids, Michigan, United States
RECRUITINGIcahn School of Medicine at Mt. Sinai
New York, New York, United States
RECRUITINGMD Anderson Cancer Center
Houston, Texas, United States
RECRUITINGPart 1: Number of Patients with Dose-Limiting Toxicities
• Dose-limiting toxicities (DLTs) is defined as any predefined AE occurring during the DLT observation period, except those that are clearly and incontrovertibly due to extraneous circumstances. The number of patients who experience a DLT in Part 1, will be reported by dose level.
Time frame: From enrollment to the end of Cycle 1 (each cycle is 28 days)
Part 1: Occurence of Adverse Events by Severity
• An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of patients experiencing an AE in Part 1 will be reported.
Time frame: Up to the End of Treatment (30 days after the last dose)
Part 2: Objective Response Rate (ORR)
• Objective response rate is defined as the percentage of patients who achieved a best overall response of confirmed Complete Response (CR) or Partial Response (PR), as determined by the investigator based on RECIST 1.1, by tumor types.
Time frame: Up to 30 days following last administration
Part 1: Objective Response Rate (ORR)
• Objective response rate is defined as the percentage of patients who achieved a best overall response of confirmed Complete Response (CR) or Partial Response (PR), as determined by the investigator based on RECIST 1.1, by dose level.
Time frame: Up to 30 days following last adminstration
Part 2: Occurence of Adverse Events by Severity
• An AE is defined as any untoward medical occurrence in a participant administered study drug, which does not necessarily have to have a causal relationship with the study drug. The number of patients experiencing an AE in Part 2 will be reported.
Time frame: Up to End of Treatment (30 days after the last dose)
Part 1 and 2: Duration of Response (DOR)
• Duration of Response (DoR) was defined as the time from the date of the first documentation of objective response (complete response \[CR\] or partial response \[PR\]) to the date of the first objective documentation of progressive disease (PD) or death due to any cause.
Time frame: Up to 5 years after first administration
Part 1 and 2: Progression-Free Survival (PFS)
• PFS is defined as the time from treatment initiation to the first documented disease progression per RECIST 1.1 or death due to any cause, whichever occurs first.
Time frame: Up to 5 years after first administration
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