Solid tumors occur when cells in an organ or tissue (for example in the lung or liver) start growing out of control (cancer) and form a lump or mass of cells. These solid cancers may grow very far in the general area where they started (called locally advanced) or may spread to other parts of the body (called metastatic), and doctors may not always be able to completely remove them with surgery (called unresectable). This study is a first in human (or FIH) study, which means that this is the first time that the medicine, TAK-505, is given to a smaller group of adults with solid tumors of certain cancer types, such as stomach cancer (gastric adenocarcinoma), cancer of the large bowel (colorectal cancer or CRC), lung cancer (non-small lung cell cancer or NSCLC) and cancer in the mouth, throat or voice box (head and neck squamous cell carcinoma or HNSCC). The main aims of this study are to learn how safe TAK-505 is, how well it works, how well adults with solid tumors tolerate it and to find the dose of TAK-505 that works best with the least side effects. Other aims are to learn how TAK-505 moves through the body (pharmacokinetics (PK)), if it can shrink or slow cancer (preliminary antitumor activity) and to find out if it causes the body's defense system to react to it (immunogenicity).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
151
Participants will receive TAK-505 intravenously (IV)
UCI Health
Orange, California, United States
University of California San Diego Medical Center, La Jolla
San Diego, California, United States
University of California San Francisco
San Francisco, California, United States
H Lee Moffitt Cancer Center
Tampa, Florida, United States
Univeristy of Minnesota
Minneapolis, Minnesota, United States
Icahn School of Medicine at Mount Sinai
New York, New York, United States
Cleveland Clinic Foundation
Cleveland, Ohio, United States
Sarah Cannon Research Institute SCRI
Nashville, Tennessee, United States
Tennessee Oncology
Nashville, Tennessee, United States
Mary Crowley Cancer Center
Dallas, Texas, United States
...and 5 more locations
Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs)
DLTs are defined as specific Grade 3 and 4 hematologic and hepatic nonhematologic events or any other Grade ≥3 adverse events related to treatment that occur during the DLT evaluation period after administration of TAK-505, except events that are clearly due to the underlying disease or an extraneous cause.
Time frame: From initial dose until 28 days after infusion of the first cohort dose on Cycle 1 Day 1
Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Clinically Significant Laboratory Values and Vital Signs
An Adverse Event (AE) is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of TAK-505, whether or not the occurrence is considered related to the trial intervention. 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 TAK 505. TEAEs that occur after administration of the first dose of trial intervention and through 30 days after the last dose of trial intervention will be tabulated.
Time frame: From first dose of trial intervention through 30 days after administration of the last dose of trial intervention (up to approximately 52 months)
Phase 2 Dose Expansion: Confirmed Overall Response Rate (ORR)
ORR is defined as the percentage of participants who achieve partial response (PR) or complete response (CR), as assessed by the investigator, per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)
Time frame: Up to end of study (up to approximately 52 months)
Phase 2 Dose Expansion: Number of Participants With TEAEs, Clinically Significant Laboratory Values and Vital Signs
An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of TAK-505, whether or not the occurrence is considered related to the trial intervention. 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 TAK 505. TEAEs that occur after administration of the first dose of trial intervention and through 30 days after the last dose of trial intervention will be tabulated.
Time frame: From first dose of trial intervention through 30 days after administration of the last dose of trial intervention (up to approximately 52 months)
Phase 1 and Phase 2: Maximum Observed Concentration (Cmax) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and end of infusion (EOI) except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; End of treatment (EOT) (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Time to Maximum Concentration (tmax) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Area Under the Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUC0-last) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Terminal Phase Half-Life (t1/2z) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Total Clearance After Intravenous Administration (CL) of TAK-505
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The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1 and Phase 2: Volume of Distribution at Steady State After Intravenous Administration (Vss) of TAK-505
The cycle length for each cycle is 28 days.
Time frame: Phase 1, all cycles: pre-dose and EOI except Cycles 1 and 3: Day1-pre-dose and post dose up to 168 hours; Day 15-pre-dose and EOI; EOT (up to 7 months); Phase 2, all Cycles: pre-dose, EOI and EOT (up to 9 months)
Phase 1: Confirmed ORR
ORR is defined as the percentage of participants who achieve PR or CR, as assessed by the investigator, per RECIST v 1.1.
Time frame: Up to end of study (up to approximately 52 months)
Phase 1 and Phase 2: Duration of response (DOR)
DOR is defined as the duration from the date of first documented confirmed PR or confirmed CR to the date of first documented progressive disease (PD) or death, whichever occurs first.
Time frame: From first dose until disease progression or death (up to approximately 52 months)
Phase 1 and Phase 2: Progression free survival (PFS)
PFS is defined as the duration from the date of first dose administration to the date of first documentation of PD or death, whichever occurs first.
Time frame: From first dose until disease progression or death (up to approximately 52 months)
Phase 1 and Phase 2: Overall survival (OS)
OS is defined as the duration from the date of the first dose administration to the death. Participants without documentation of death will be censored at the date last known to be alive.
Time frame: From first dose until death (up to approximately 52 months)
Phase 1 and Phase 2: Disease control rate (DCR)
DCR is defined as the percentage of participants who achieve stable disease (SD) for longer than 12 weeks, PR or CR, as assessed by the investigator, per RECIST version 1.1
Time frame: From first dose until disease progression or death (up to approximately 52 months)
Phase 1 and Phase 2: Time to response (TTR)
TTR is defined as the duration from the date of first dose administration to the date of first documented confirmed PR or confirmed CR.
Time frame: From first dose until first documented response up to end of treatment (up to approximately 52 months)
Phase 1 and Phase 2: Number of Participants Who Are Antidrug Antibody (ADA)-Positive
Time frame: From Baseline through end of treatment visit (30 days after administration of the last dose (up to approximately 52 months)
Phase 1 and Phase 2: Number of Participants With Change in Magnitude of ADA Response
Time frame: From Baseline through end of treatment visit (30 days after last dose) (up to approximately 52 months)
Phase 2 Dose Expansion: Number of Participants With CD8 T-Cell Infiltration in the Tumor Microenvironment
The T-cell infiltration levels will be calculated as a change from pre-treatment to post-treatment levels. Number of participants who express increase in T-cell infiltration levels between the pre-treatment and post-treatment tumor biopsies will be reported.
Time frame: From screening (within 28 days of the first dose of TAK-505), and then every 56 days (±5 days) from the first dose of TAK-505, and at end of treatment (up to approximately 52 months)