Ovarian Cancer Clinical Trial

Study of Upifitamab Rilsodotin in Combination With Other Agent(s) in Participants With High-grade Serous Ovarian Cancer

Summary

Phase 1/2 safety study of the antibody-drug conjugate (ADC) XMT-1536 (upifitamab rilsodotin) administered as an intravenous infusion once every four weeks in combination with other agent(s) in participants with high-grade serous ovarian cancer (HGSOC, including fallopian tube and primary peritoneal cancer). This study has an umbrella design. The trial consists of dose escalation (DES) and expansion (EXP) portions for specific combinations outlined in various modules. In addition to safety assessments, the pharmacokinetics of the drug will be assessed along with ADC activity.

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Full Description

This trial is an open-label, multi-center Phase 1 study of upifitamab rilsodotin administered as an intravenous infusion once every 28 days in combination with platinum-containing agents in patients with high-grade serous ovarian cancer (HGSOC, including fallopian tube and primary peritoneal cancer). This study has an umbrella design. The trial consists of dose escalation (DES) and expansion (EXP) portions. The primary objective of the dose escalation (DES) portion is to establish the maximum tolerated dose (MTD) for upifitamab rilsodotin in combination with other agent(s). In the EXP portion of the trial, participants will initiate treatment at the MTD determined in the DES for the combination. The other agent(s) in this first combination-specific module, Module A (UPGRADE-A) is carboplatin.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Participant must be at least 18 years of age, and female; Participant must be able to understand the study procedures and agree to participate in the study by providing informed consent

Participants must have a histological diagnosis of metastatic or recurrent high-grade serous ovarian cancer, which includes fallopian tube, or primary peritoneal cancer.
Participant has received 1 to 3 prior lines of therapy for their ovarian cancer; non-platinum-based chemotherapy regimens is permitted provided it is not the most recent line of therapy. They must have platinum-sensitive recurrent disease
Participant must have an ECOG performance status 0 or 1
Participant must have measurable disease as per RECIST v1.1
Tumor sample must be provided, either an archival tumor tissue block or slides or, if not available, a tumor tissue block or slides from a new tumor biopsy obtained through a low-risk, medically routine procedure.
Participants with toxicity from prior therapy or surgical procedures must have recovered to ≤ Grade 1. Participants with alopecia, stable immune-related toxicity such as hypothyroidism on hormone replacement, adrenal insufficiency treated with ≤10 mg daily prednisone (or equivalent), after prior taxane therapy are exceptions to this criterion and may qualify for this study.
Participants must have cardiac left ventricular ejection fraction (LVEF) ≥50% or ≥ the institution's lower limit of normal as measured by either Echo or MUGA scan
Participants must have adequate organ function within 14 days prior to enrollment
A female participant is eligible to participate if she is not pregnant or breastfeeding, if she is not a woman of childbearing potential (WOCBP), or if she is a WOCBP potential and using a contraceptive method that is highly effective.

Exclusion Criteria:

Participant has known sensitivity to any of the study medications, or components thereof, or a history of drug or allergy that contraindicates their participation
Participant is unable or unlikely to comply with dosing schedule and study evaluations.
Participant has a prior hypersensitivity reaction to carboplatin requiring desensitization or discontinuation.
Participant has prior platelet or neutrophil toxicity to carboplatin-containing therapy requiring dose reduction to AUC <5 mg x mLmin in the most recent regimen containing carboplatin
Known history of CTCAE version 5.0 Grade 4 thrombocytopenia OR history of bleeding in association with any grade thrombocytopenia
Participant has had major surgery within 28 days of starting study treatment, systemic anticancer therapy within the lesser of 28 days or 5 half-lives of the prior therapy before starting study treatment (14 days or 5 half-lives for small molecule targeted therapy), or recent radiation therapy with unresolved toxicity or within a time window of potential toxicity
Participant has received prior treatment with mirvetuximab soravtansine or another ADC containing an auristatin or maytansinoid payload.
Participant has untreated CNS metastases (including new and progressive brain metastases), history of leptomeningeal metastasis, or carcinomatous meningitis.
Has a diagnosis of additional malignancy that required treatment within 2 years prior to screening, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix
Participant is unwilling to be transfused with blood components.
Participant is receiving concurrent anti-cancer therapy (e.g. chemotherapy, radiation therapy, biologic therapy, immunotherapy, hormonal therapy, investigational therapy).

Study is for people with:

Ovarian Cancer

Phase:

Phase 1

Estimated Enrollment:

48

Study ID:

NCT04907968

Recruitment Status:

Recruiting

Sponsor:

Mersana Therapeutics

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There are 12 Locations for this study

See Locations Near You

Arizona Oncology Associates, PC - HOPE (USOR)
Tucson Arizona, 85701, United States More Info
Stacey Kimbell
Contact
Joseph Buscema
Principal Investigator
Lahey Clinic
Burlington Massachusetts, 01805, United States
START Midwest
Grand Rapids Michigan, 49546, United States More Info
Katie Robinson
Contact
Nehal Lakhani, MD
Principal Investigator
Memorial Sloan Kettering
New York New York, 10021, United States More Info
Caitlin Kaczynski
Contact
Claire Friedman
Principal Investigator
The Ohio State University Wexner Medical Center
Columbus Ohio, 43210, United States More Info
Delrina Crump
Contact
John Hays
Principal Investigator
Willamette Valley Cancer Institute and Research Center
Eugene Oregon, 97401, United States More Info
Jeanne Schaffer
Contact
Charles K Anderson
Principal Investigator
University of Pittsburgh Medical Center
Pittsburgh Pennsylvania, 15106, United States More Info
Gwendolyn Illar
Contact
Timothy Burns
Principal Investigator
Greenville Hospital System University Medical Center
Greenville South Carolina, 29605, United States More Info
Patty Phillips
Contact
Gerry Hendricks
Contact
Jeffery Edenfield, MD
Principal Investigator
SCRI Tenessee Oncology
Nashville Tennessee, 37011, United States More Info
Joshua Gash
Contact
Erika Hamilton
Principal Investigator
University of Utah Huntsman Cancer Institute
Salt Lake City Utah, 84112, United States More Info
Anne Fitzgerald
Contact
Theresa Werner, MD
Principal Investigator
The Rector and Visitors of the University of Virginia
Charlottesville Virginia, 22903, United States More Info
Chrystal Axford
Contact
Linda Duska
Principal Investigator
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Roanoke Virginia, 24014, United States

How clear is this clinincal trial information?

Study is for people with:

Ovarian Cancer

Phase:

Phase 1

Estimated Enrollment:

48

Study ID:

NCT04907968

Recruitment Status:

Recruiting

Sponsor:


Mersana Therapeutics

How clear is this clinincal trial information?

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