Bladder Cancer Clinical Trial

A Study of CTX-009 in Combination With Paclitaxel in Adult Patients With Unresectable Advanced, Metastatic or Recurrent Biliary Tract Cancers (COMPANION-002)

Summary

This is a multi-center, open-label, randomized, phase 2/3 trial of the bispecific antibody CTX-009 plus paclitaxel versus paclitaxel in patients with previously treated, unresectable advanced or metastatic biliary tract cancers.

View Eligibility Criteria

Eligibility Criteria

INCLUSION CRITERIA

18 years of age or older
Histologically or cytologically confirmed unresectable advanced, metastatic, or recurrent biliary tract cancers (including intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, gallbladder cancer, and ampullary carcinoma)

Patients must have radiologically documented progression after a prior gemcitabine and platinum containing chemotherapy regimen as first line therapy for locally advanced unresectable or metastatic disease.

Patients who received perioperative treatment (adjuvant and neoadjuvant) may be eligible, as determined by the Sponsor Medical Monitor.
Patients whose first line regimen was modified due to toxicity before disease progression, may be eligible, as determined by the Sponsor Medical Monitor.
At least one lesion measurable as defined by RECIST v1.1
Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1
Predicted life expectancy of at least 12 weeks

No evidence of ongoing infection and adequate biliary excretion or patients whose adequate biliary excretion can be confirmed with the following procedures:

Patients who underwent endoscopic retrograde biliary drainage (ERBD) at least 1 week before the investigational drug treatment
Patients with endobiliary stents are eligible, provided there is no evidence of obstruction
Patients free of any signs of active or suspected uncontrolled infection after a drainage procedure
Patients free of any risk of hemorrhage and with incision completely healed

Adequate bone marrow, hepatic, and renal function within 14 days of randomization as described below. (Patient must be free of G-CSF treatment and blood transfusion within 14 days prior to the lab test):

Absolute neutrophil count (ANC) ≥ 1,500/mm3
Hemoglobin ≥ 9.0 g/dL
Platelet count ≥ 100,000/mm3
Total bilirubin ≤ 1.5 X ULN
AST/ALT ≤ 3.0 X ULN (≤5 X ULN in case of hepatic metastasis)
Estimated creatinine clearance ≥ 30 mL/min based on Cockcroft-Gault
Urine protein ≤ 1+ by Dipstick (Only when urinalysis shows a protein dipstick result of > 1 positive (+), the total protein volume (<1.0 g/24hr) can be confirmed with a 24-hour urine test.)
Serum amylase and lipase level ≤ 3X ULN
Serum Albumin ≥ 3.0 g/dL
Female patients who are women of childbearing potential (WCBP) must have a negative pregnancy test (serum-hCG or urine-hCG performed at the Investigator's discretion) within 14 days of randomization
Female patients must be surgically sterile (or have a monogamous partner who is surgically sterile) or be at least 2 years postmenopausal or commit to use 2 acceptable forms of birth control (defined as the use of an intrauterine device (IUD), a barrier method with spermicide, condoms, or any form of hormonal contraceptives) or abstinence for the duration of the study and for 6 months following the last dose of study treatment. Male patients must be sterile (biologically or surgically) or commit to the use of a reliable method of birth control (condoms with spermicide) for the duration of the study and for 6 months following the last dose of study treatment.
Signed and dated Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved Informed Consent Form (ICF) before any protocol-directed screening procedures are performed

EXCLUSION CRITERIA

Patients who are eligible to be treated with a molecularly targeted therapy on a labelled regimen after receiving first-line chemotherapy. Patients who received a molecularly targeted therapy as part of their first line treatment may be eligible, as determined by the Sponsor Medical Monitor.

From the time point of screening,

Less than 4 weeks have elapsed since patients had a surgery or major procedure
Less than 2 weeks have elapsed from the last treatment date since patients had any radiation therapy
Patients with percutaneous transhepatic biliary drains (PTBD)

Prior to the initial treatment of study drug,

Less than 2 weeks have elapsed since patients had chemotherapy or hormone therapy
Less than 2 weeks have elapsed since patients had anticancer immunotherapy or investigational drug treatment
Less than 4 weeks since cryotherapy, radiofrequency ablation, anhydrous alcohol therapy, or photodynamic therapy, including TACE and TARE

A history of the following cardiovascular diseases (please, consult the Sponsor Medical Monitor for a case by case evaluation):

Congestive heart failure (CHF) that corresponds to Class II or a higher class under New York Heart Association (NYHA) classification, or less than 50% of left ventricular ejection fraction (LVEF)
Uncontrolled hypertension (SBP/DBP >140/90 mmHg) (e.g., patient with SBP/DBP >140/90 mmHg despite the best care including optimizing the anti-hypertensive medication regimen)
Patients with any history of hypertensive crisis or pre-existing hypertensive encephalopathy
Pulmonary hypertension
Myocardial infarction
Uncontrolled arrhythmia
Unstable angina
Patients with any significant vascular diseases (e.g., aortic aneurysm requiring surgery or recent peripheral artery thrombosis) within 6 months prior to the initial treatment of the investigational product
History of hypersensitivity reactions to any components of the investigational product or other drugs of the same class (humanized/human monoclonal antibody drugs) or paclitaxel
Patients with contraindications to paclitaxel therapy
Patients with persistent, clinically significant toxicities (excluding hair loss) from previous anticancer treatment that corresponds to Grade 2 or a higher grade under NCI-CTCAE v5.0
Symptomatic or uncontrolled central nervous system (CNS) metastasis (However, patients with asymptomatic CNS metastasis that have been treated with either surgery or radiation can participate provided that systemic corticosteroid treatment was discontinued at least 4 weeks prior to screening and that the patient is radiologically and neurologically stable or improving)

A history of the following hemorrhage-related or gastroenterological disease:

Active hemorrhage, hemorrhagic diathesis, coagulopathy or tumor in great arteries
History of clinically significant gastroenterological disease, such as peptic ulcer, GI bleeding, GI or non-GI fistula, perforation, abdominal abscess, clinical symptoms, and signs of GI obstruction, need for parenteral hydration or nutrition, or inflammatory bowel disease (IBD)

Current or recent (within 10 days prior to study treatment) use of full-dose oral or parenteral anticoagulants or thrombolytic agents for therapeutic (as opposed to prophylactic) purpose will be excluded.

a. Prophylactic (i.e., for the patency of venous access devices) use of low molecular weight heparin (i.e., enoxaparin 40 mg/day) is allowed if patient has INR < 2 or aPTT
Patients with current or recent (within 10 days of study treatment) use of aspirin (>81 mg/day), or other nonsteroidal anti-inflammatory drugs (NSAIDs), or other antiplatelets (i.e., dipyramidole, ticlopidine, clopidogrel, and cilostazol) will be excluded.
Severe infection requiring ongoing systemic antibiotics, antivirus drugs, etc., or other uncontrolled acute active infectious diseases
Patients with evidence of active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Patients with positive HBsAg and/or detectable HBV DNA are eligible only if adequately controlled on antiviral therapy according to institutional standards and liver function eligibility criteria are also met. HCV patients showing sustained viral response or patients with immunity to HBV infection may enroll.

Patients with other severe diseases or uncontrolled illnesses that warrant the exclusion from the study (permitted only if medically controlled) including but not limited to:

Pre-existing hemoptysis (≥ 1/2 teaspoon of bright red blood per episode) within 28 days prior to screening
Major, unhealed injury, active ulcer, or untreated fracture
Pre-existing conditions of cerebrovascular incident (ischemic or hemorrhagic stroke), transient ischemic attack or subarachnoid hemorrhage within 6 months prior to screening.
Moderate to severe ascites and/or pleural effusion. However, enrollment is permitted for patients with ascitic fluid as long as paracentesis is not required to improve the condition.
Interstitial lung disease or pulmonary fibrosis
Patients expected to require anticancer treatment other than the investigational product during the clinical study
Pregnant or lactating patients, or patients planning to become pregnant during the clinical study
A history of primary malignancy other than BTC will be excluded, except for malignancies with a negligible risk of metastasis or death (e.g., 5-year OS rate >90%). Prior malignancy history will be evaluated on a case-by-case basis by the Sponsor Medical Monitor.
Clinically significant abnormal ECG findings or history determined as clinically significant by the Investigator
QT interval (Fridericia's formula) (QTcF) interval > 450msec at the time of screening

Study is for people with:

Bladder Cancer

Phase:

Phase 2

Estimated Enrollment:

150

Study ID:

NCT05506943

Recruitment Status:

Recruiting

Sponsor:

Compass Therapeutics

Check Your Eligibility

Let’s see if you might be eligible for this study.

What is your age and gender ?

Submit

There are 34 Locations for this study

See Locations Near You

Mayo Clinic Arizona
Phoenix Arizona, 85054, United States More Info
Clinical Trials Referral Office
Contact
855-776-0015
Mitesh Borad, MD
Principal Investigator
University of Arizona
Tucson Arizona, 85724, United States More Info
Brianna Loughran
Contact
[email protected]
Prisca Zimmerman
Contact
[email protected]
Rachna T Shroff, MD
Principal Investigator
University of Southern California Norris Comprehensive Cancer Center
Los Angeles California, 90033, United States More Info
Carryl Du Bois
Contact
[email protected]
Charlean Ketchens
Contact
[email protected]
Anthony El-Khoueiry, MD
Principal Investigator
Stanford Medicine Cancer Center
Palo Alto California, 94305, United States More Info
Yasmeen Ahmed
Contact
[email protected]
Gregory Heestand, MD
Principal Investigator
University of California San Francisco
San Francisco California, 94143, United States More Info
Quincy Harris
Contact
[email protected]
Maxine Hamilton
Contact
[email protected]
Katie Kelley, MD
Principal Investigator
Rocky Mountain Cancer Centers, LLP
Aurora Colorado, 80012, United States More Info
Jennifer Hege
Contact
[email protected]
Sujatha Nallapareddy, MD
Principal Investigator
University of Florida
Gainesville Florida, 32611, United States More Info
Allison Springer, MEd
Contact
[email protected]
Ilyas Sahin, MD
Principal Investigator
Mayo Clinic Jacksonville
Jacksonville Florida, 32224, United States More Info
Clinical Trials Referral Office
Contact
855-776-0015
Umair Majeed, MD
Principal Investigator
AdventHealth Orlando
Orlando Florida, 32804, United States More Info
Mohamedtaki Tejani, MD
Principal Investigator
Northwestern University
Chicago Illinois, 60611, United States More Info
Mohammed Abdulrahman Mohammed
Contact
[email protected]
Anastasia Papaioannou
Contact
630-938-2085
[email protected]
Aparna Kalyan, MD
Principal Investigator
University of Chicago
Chicago Illinois, 60637, United States More Info
Hang Chang
Contact
773-702-3482
[email protected]
Chih-Yi (Andy) Liao, MD
Principal Investigator
Ochsner Clinic Foundation
New Orleans Louisiana, 70121, United States More Info
Elise Curry, CRC
Contact
504-842-8084
[email protected]
Nancy Perez, CRC
Contact
504-842-0179
[email protected]
Lingling Du, MD
Principal Investigator
Johns Hopkins University
Baltimore Maryland, 21287, United States More Info
GI Clinical Trials
Contact
[email protected]
Nilofer Azad, MD
Principal Investigator
Massachusetts General Hospital
Boston Massachusetts, 02141, United States More Info
Joanna Caufield, RN
Contact
[email protected]
Ashley O'Meara
Contact
[email protected]
Priyadarshini Pathak, MD
Principal Investigator
Mayo Clinic Rochester
Rochester Minnesota, 55905, United States More Info
Clinical Trials Referral Office
Contact
855-776-0015
Nguyen Tran, MD
Principal Investigator
Washington University School of Medicine, Siteman Cancer Center
Saint Louis Missouri, 63110, United States More Info
David Timm
Contact
314-215-7337
[email protected]
Olivia Aranha, MD
Principal Investigator
Rutgers Cancer Institute
New Brunswick New Jersey, 08854, United States More Info
Lead Clinical Research Coordinator
Contact
[email protected]
Back-Up Clinical Research Coordinator
Contact
[email protected]
Howard Hochster, MD
Principal Investigator
The University of New Mexico
Albuquerque New Mexico, 87131, United States More Info
Ursa Brown-Glaberman, MD
Principal Investigator
Memorial Medical Center
Las Cruces New Mexico, 88011, United States More Info
Ursa Brown-Glaberman, MD
Principal Investigator
Montefiore Medical Center
Bronx New York, 10461, United States More Info
Chika Ekweghariri
Contact
[email protected]
Fernand Bteich, MD
Principal Investigator
Roswell Park
Buffalo New York, 14263, United States More Info
Mary Lynne Tarquini
Contact
[email protected]
Sarah Chatley
Contact
[email protected]
Renuka Iyer, MD
Principal Investigator
Columbia University
New York New York, 10032, United States More Info
Nurse Navigators
Contact
212-342-5162
[email protected]
Ruth White, MD
Principal Investigator
Gabrail Cancer Center
Canton Ohio, 44718, United States More Info
Nashat Gabrail
Contact
[email protected]
Nashat Y Gabrail, MD
Principal Investigator
Cleveland Clinic
Cleveland Ohio, 44195, United States More Info
Cancer Center Hotline
Contact
866-223-8100
Suneel Kamath, MD
Principal Investigator
University of Tennessee Medical Center
Knoxville Tennessee, 37920, United States More Info
Dani Joyner, BSN, RN, OCN
Contact
865-305-3565
[email protected]
Saikrishna Gadde, MD
Principal Investigator
SCRI Oncology Partners
Nashville Tennessee, 37203, United States More Info
AskSarah
Contact
844-482-4812
Meredith P Pelster, MD
Principal Investigator
Texas Oncology - Austin
Austin Texas, 78705, United States More Info
Jennifer Rowan
Contact
[email protected]
Vivian Cline, MD
Principal Investigator
Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas Texas, 75246, United States More Info
Christine Terraciano
Contact
[email protected]
Andrew Scott Paulson, MD
Principal Investigator
Texas Oncology - Dension
Denison Texas, 75020, United States More Info
Jayne Mettetal
Contact
[email protected]
Amir Faridi, MD
Principal Investigator
The University of Texas MD Anderson Cancer Center
Houston Texas, 77030, United States More Info
Zishuo Ian Hu, MD
Principal Investigator
Texas Oncology - San Antonio
San Antonio Texas, 78217, United States More Info
Shannon Syring
Contact
[email protected]
Nathan Shumway, DO
Principal Investigator
Texas Oncology - Northeast Texas
Tyler Texas, 75702, United States More Info
Shelly K Maxfield
Contact
[email protected]
Donald A Richards, MD, PhD
Principal Investigator
Virginia Mason Franciscan Health
Seattle Washington, 98101, United States More Info
Cancer Clinical Research Unit Research hotline
Contact
206-287-6270
Bruce Lin
Principal Investigator
Northwest Cancer Specialists, P.C.
Vancouver Washington, 98684, United States More Info
Jennifer Thompson
Contact
[email protected]
David P Cosgrove, MD
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Bladder Cancer

Phase:

Phase 2

Estimated Enrollment:

150

Study ID:

NCT05506943

Recruitment Status:

Recruiting

Sponsor:


Compass Therapeutics

How clear is this clinincal trial information?

×

Introducing, the Journey Bar

Use this bar to access information about the steps in your cancer journey.