A Study of MT-303 in Adults With Advanced or Metastatic GPC3-Expressing Cancers, Including HCC
This is a multicenter, open-label, Phase 1, first-in-human, dose-escalation study designed to assess the safety, tolerability and define the RP2D of MT-303 in participants with advanced hepatocellular carcinoma expressing GPC3.
Study details:
Participants will be enrolled into one of two treatment modules:. * Module 1 (Monotherapy): Participants will receive MT-303. * Module 2 (Combination therapy): Participants will receive MT-303 in combination with atezolizumab + bevacizumab (Atezo/Bev).
In Module 1 (Monotherapy), participants will receive MT-303 across five dose-escalation cohorts and in Module 2 (Combination therapy), participants will receive MT-303 in combination with Atezo/Bev across five dose-escalation cohorts. Additional cohorts in both modules may be scheduled based on emerging safety and PK data. Participants will be sequentially enrolled into Cohorts 1 through 5.
Both modules will be enrolled concurrently, with Module 2 dosing beginning at one dose level below the known safe dose in Module 1. Safety Review Committee decisions will be informed by all available safety data from Modules 1 and 2.
Eligibility criteria
Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.
Inclusion criteria
- Aged 18 years or older
- Histological diagnosis of advanced/recurrent or metastatic and/or unresectable HCC. [Note: participants with other tumor types expressing GPC3 may be eligible pending a discussion with the Medical Monitor]
- Measurable lesion per RECIST 1.1 criteria
- Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1
- Child-Pugh score: Class A
- Adequate organ function
Exclusion criteria
- Known active central nervous system (CNS) metastasis and/or carcinomatous meningitis.
- Any acute illness including active infection
- History of liver transplantation or on waiting list
- Participants with untreated or incompletely treated varices with bleeding or high risk for bleeding
- Uncontrolled pleural effusion, pericardial effusion, or ascites
- History of symptomatic congestive heart failure
- History of chronic or recurrent (within the last year) severe autoimmune or immune mediated disease requiring steroids or other immune-suppressive treatments.
Eligibility
Age eligible for study : NA
Healthy volunteers accepted : No
Gender eligible for study: ALL
Things to know
Study dates
Study start:
Primary completion:
Study completion finish:
Study type
TREATMENT
Phase
- PHASE1
Study ID
NCT06478693
Intervention or treatment
DRUG: MT-303
Conditions
- Hepatocellular Carcinoma
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Research sites nearby
Closest Location:
St Vincent's Hospital
Select from list below to view details:
St Vincent's Hospital
Sydney, New South Wales, Australia
Integrated Clinical Oncology Network (ICON) Pty Ltd
Woolloongabba, Queensland, Australia
The Alfred Hospital
Melbourne, Victoria, Australia
Linear Clinical Research
Murdoch, Western Australia, Australia
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Who is running the clinical trial?
Myeloid Therapeutics
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
| Participant Group/Arm | Intervention/Treatment |
|---|---|
EXPERIMENTAL: MT-303
| Drug: MT-303 |
EXPERIMENTAL: MT-303 + Atezolizumab + Bevacizumab
| Drug: MT-303 +Atezolizumab + Bevacizumab |
What is the study measuring?
Primary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| Type, incidence and severity of Adverse Events | Safety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.0 | Up to 2 years from the last dose of Investigational Medicinal Product (IMP) |
| Recommended Phase 2 Dose (RP2D) | The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data | 28 days from the last dose of IMP |
| Change from baseline in vital signs | Temperature, weight, height, pulse rate and blood pressure will be assessed | Up to 30 days from the last dose of IMP |
| Change in laboratory parameters | Hematology, chemistry, coagulation, virology and urine analysis will be assessed. | Up to 30 days from the last dose of IMP |
| Change from baseline in ECG parameters | Not Specified | Screening, Day 1 and Day 15 |
Secondary Outcome
| Measure | Description | Time Frame |
|---|---|---|
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Plasma concentrations | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Area under Curve | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Time of maximum observed plasma concentration (tmax) | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Plasma Clearance (CL) | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Volume of Distribution (Vd) | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: Mean residence time (MRT) | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess the pharmacokinetics (PK) of MT-303 | PK parameter: terminal rate constant (λz) | Day 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP |
| To assess adverse events of special interest (AESI) by measuring infusion reaction | Not Specified | upto 2 years from the last dose of IMP |
| To assess adverse events of special interest (AESI) by measuring cytokine release syndrome (CRS) | Not Specified | Up to 2 years from the last dose of IMP |
| To assess adverse events of special interest (AESI) by measuring immune effector cell-associated neurotoxicity syndrome (ICANS) | Not Specified | Up to 2 years from the last dose of IMP |
| To assess adverse events of special interest (AESI) by measuring hypersensitivity reaction | Not Specified | Up to 2 years from the last dose of IMP |
| To assess adverse events of special interest (AESI) by checking for second primary malignancy | Not Specified | upto 2 years from the last dose of IMP |
References
Clinical Trials Gov: A Study of MT-303 in Adults With Advanced or Metastatic GPC3-Expressing Cancers, Including HCCOther trials to consider
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