Ovarian Cancer Clinical Trial
Study of STRO-002, an Anti-Folate Receptor Alpha (FolRα) Antibody Drug Conjugate in Ovarian & Endometrial Cancers
Summary
Phase 1 trial to study the safety, pharmacokinetics and preliminary efficacy of STRO-002 given intravenously every 3 weeks.
Full Description
This study is a phase 1, open-label, multicenter, dose-escalation study with dose expansion to identify the maximum tolerated dose (MTD), the recommended phase 2 dose (RP2D) and to evaluate the safety, tolerability, and preliminary antitumor activity of STRO-002 in adult subjects with advanced epithelial ovarian cancer (EOC), including fallopian or primary peritoneal cancer, and endometrial cancer. Fallopian tube and primary peritoneal cancers are treated in the same manner as epithelial ovarian cancers and are thus included in this phase 1 study. Subjects enrolled in the study will be required to have progressive or recurrent disease after standard approved therapy as defined in the study eligibility criteria. The study has completed dose escalation and is currently in dose expansion, enrolling endometrial and ovarian cancer subjects.
All subjects enrolled on the study are required to have tumor tissue for determining folate receptor alpha (FolRα) expression levels, either from a prior surgery or tumor biopsy or from a biopsy performed during study screening. The testing for FolRα is done via an ICH assay. A minimum level of FolRα expression is required for enrollment for endometrial cancer but not for ovarian cancer.
Study drug, STRO-002, is administered by intravenous (IV) infusion on day 1 of 21-day cycles. Clinical evaluations and/or laboratory tests will be performed at a pre-specified schedule-weekly for cycles 1-4, and at the beginning of every cycle starting with cycle 5 as described in the schedule of assessments. Samples for PK analysis will occur at specific times on days 1, 8, and 15 of cycles 1 and 4, Day 1 of cycles 2, 3, and 5 and at the end of treatment (EOT) visit. The study requires imaging with a CT or MRI scan of the chest abdomen and pelvis at screening, every 6 weeks after enrollment for the first 18 weeks, then every 9 weeks, and at the end of treatment (EOT) visit. Additional X-rays may be required to confirm disease responses and per local institution standard of care.
Additional clinical evaluations and lab testing may occur at the discretion of the investigator.
Eligibility Criteria
Inclusion Criteria:
Age ≥ 18 years
Measurable disease per RECIST 1.1
ECOG performance status (0-1)
Life expectancy > 3 months
Pathological confirmation of disease under study (historical information, diagnosis, pathology report, etc)
Expansion Cohorts A and C: High-grade serous EOC, fallopian tube cancer or primary peritoneal cancer
Expansion Cohort B: Histologically diagnosed epithelial endometrial cancer (endometrioid and serous adenocarcinomas; undifferentiated carcinoma; mixed epithelial carcinoma; or adenocarcinoma NOS)
Relapsed and/or progressive disease
Dose Expansion Cohorts A and C (Ovarian Cancer):
Platinum resistant and received 1-3 prior regimens or
Platinum sensitive and either:
Progressed after 2 prior lines of platinum therapy (regardless of platinum status)and received 2-3 prior regimens or
Progressed after 1 line of platinum therapy and 1 line of non-platinum therapy and received a total of 2-3 prior regimens if contraindicated to receive second platinum regimen.
Dose Expansion Cohort B (Endometrial Cancer):
Relapsed or progression after at least 1 platinum-based chemotherapy regimen or 1 immunotherapy-based regimen but not to exceed more than 3 prior regimens.
Fresh or archival tumor tissue samples
Exclusion Criteria:
Low grade (grade 1) ovarian carcinoma, clear cell, mucinous and sarcomatous ovarian carcinomas (Cohort A).
Endometrial carcinosarcomas, leiomyosarcoma and stromal sarcomas (Cohort B).
Prior treatment with a FolRα-targeting ADCs or FolRα-targeting vaccines
Platinum-refractory during frontline treatment (Cohorts A and C)
Greater than 3 lines of prior treatment
History of severe allergic or anaphylactic reactions to monoclonal antibody therapy or to antibody-related fusion protein treatment
Preexisting clinically significant ocular disorders, clinically significant pre-exisiting ocular disorders, severe chronic obstructive pulmonary disease or asthma, clinically significant cardiac or cerebrovascular disease, or other significant concurrent, uncontrolled medical condition
Metastatic central nervous system or meningeal disease
Concurrent participation in another therapeutic treatment trial
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 27 Locations for this study
Tucson Arizona, 85711, United States More Info
Principal Investigator
Los Angeles California, 90095, United States More Info
Principal Investigator
San Francisco California, 94109, United States More Info
Principal Investigator
Aurora Colorado, 80012, United States More Info
Principal Investigator
Principal Investigator
New Haven Connecticut, 06520, United States More Info
Principal Investigator
Miami Florida, 33176, United States More Info
Principal Investigator
Tampa Florida, 33606, United States More Info
Principal Investigator
Augusta Georgia, 30912, United States More Info
Principal Investigator
Chicago Illinois, 60637, United States More Info
Principal Investigator
Rockville Maryland, 20850, United States More Info
Principal Investigator
Minneapolis Minnesota, 55404, United States More Info
Principal Investigator
Las Vegas Nevada, 89169, United States More Info
Principal Investigator
New York New York, 10016, United States More Info
Principal Investigator
Charlotte North Carolina, 28204, United States More Info
Principal Investigator
Cincinnati Ohio, 45267, United States More Info
Principal Investigator
Columbus Ohio, 43210, United States More Info
Principal Investigator
Philadelphia Pennsylvania, 19104, United States More Info
Principal Investigator
Philadelphia Pennsylvania, 19107, United States More Info
Principal Investigator
Greenville South Carolina, 29605, United States More Info
Principal Investigator
Nashville Tennessee, 37203, United States More Info
Principal Investigator
Fairfax Virginia, 22031, United States More Info
Principal Investigator
Spokane Washington, 99204, United States More Info
Principal Investigator
Milwaukee Wisconsin, 53226, United States More Info
Principal Investigator
Barcelona , 08035, Spain More Info
Principal Investigator
Madrid , 28027, Spain More Info
Principal Investigator
Madrid , 28046, Spain More Info
Principal Investigator
Madrid , 28050, Spain More Info
Principal Investigator
How clear is this clinincal trial information?
Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.