A Phase 1, First-in-Human (FIH), Open-Label, Dose-Escalation and Dose Expansion Study of the Peptide Drug Conjugate (PDC), TS-104, as a Monotherapy in Subjects with Select Advanced Solid Tumors. The main goals of this study are to: * Find the recommended dose of TS-104 that can safely be given to participants * Learn more about the side effects of TS-104 * Learn more about the effectiveness of TS-104 * Learn more about the pharmacokinetics of TS-104
This study is testing an investigational drug called TS-104 in participants with select advanced solid tumors that have not responded to other treatments. The main purpose is to find out whether TS-104 is safe and how well it is tolerated. It will also study whether TS-104 works to treat solid tumors. TS-104 is a peptide-drug conjugate that delivers the anticancer drug monomethyl auristatin E (MMAE) to tumors using a targeting peptide that binds to certain integrins commonly found on solid tumors The study has two parts: 1. Dose Escalation: when doses of TS-104 are gradually increased are tested to find an appropriate dose. Dose escalation will enroll participants with advanced solid tumors in Head \& Neck Squamous Cell Carcinoma (HNSCC), Non-Smal Cell Lung Cancer (NSCLC), Esophageal, Gastric, Ovarian, and Endometrial. 2. Dose Expansion: when a specific dose or doses will be tested in more participants. TS-104 will be given on one of two schedules: twice every three weeks (a 21-day treatment cycle) or once every two weeks (a 28-day treatment cycle).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
74
TS-104 is a peptide-drug conjugate that delivers the anticancer drug MMAE to tumors using a targeting peptide that binds to certain integrins commonly found on solid tumors.
Number of Participants with Adverse Events Following Administration of TS-104
To assess safety and tolerability. Safety reported as incidence of adverse events using CTCAE v6.0 criteria.
Time frame: From the first dose of TS-104 until 28 days after the last dose of TS-104 (up to 26 months)
Number of Participants with Dose Limiting Toxicities (DLTs) from TS-104
Number of participants who experience TS-104 dose limiting toxicities.
Time frame: Up to 21 days (for 2Q3W regimen) or Up to 28 days (for Q2W regimen) from the first dose
Objective Response Rate (ORR)
Percentage of participants achieving a best overall response of complete response (CR) or partial response (PR), as assessed by RECIST v1.1
Time frame: Every six weeks from the first dose of TS-104 for the first 8 cycles, and then every 8 weeks beginning with Cycle 10 until disease progression or death. (up to 26 months)
Duration of Response (DOR)
Time from first documented CR or PR to first documented disease progression or death from any cause, among subjects who achieve an objective response
Time frame: Every six weeks from the first dose for the first 8 cycles, and then every 8 weeks beginning with Cycle 10 until disease progression or death.
Progression-Free Survival (PFS)
Time from first dose of study drug to first documented disease progression or death from any cause, whichever occurs first
Time frame: Every six weeks from the first dose for the first 8 cycles, and then every 8 weeks beginning with Cycle 10 until disease progression or death.
Overall Survival (OS)
Time from first dose of study drug to death from any cause
Time frame: From first dose until death or study completion, assessed up to approximately 12 months
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