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Phase 1 Study of AWT020 in Advanced Cancer

PHASE1RECRUITING

The aims of this clinical trial are (1) to assess the safety of AWT020 at different dose levels; (2) to determine the pharmacokinetics and pharmacodynamics of AWT020 in subjects with locally advanced or metastatic cancer who have failed standard therapy.

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Study details:

This study will enroll subjects with locally advanced or metastatic cancer who have failed standard therapy. Subjects enrolled into this study will be assigned a dose level and receive AWT020 via intravenous infusion at a regular interval. The treatment will be continued until disease progression, withdrawal from study or death.

The primary objective is to investigate the safety of this agent. The secondary objective is to investigate the pharmacokinetics, pharmacodynamic, potential anti-tumor activity and immunogenicity of this agent.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Subject has provided informed consent prior to initiation of any study specific activities or procedures.
  • Subject must be ≥ 18 years of age or per local regulation.
  • Subjects must have a histological diagnosis of solid tumors (carcinoma or sarcoma) or malignant lymphoma, either progressive locally advanced not amenable to local therapy or metastatic, which is refractory, ineligible (in the opinion of the Investigator) or intolerant to standard therapy. Subjects with hepatocellular carcinoma must be diagnosed with dynamic CT or MRI if no tissue diagnosis is available.
  • Subject must have performance status of 0, or 1 on the ECOG performance scale.
  • Subject with adequate organ function.
  • Life expectancy is longer than three months.
  • Subject must be able to receive effective contraceptive measures.
  • Exclusion criteria

  • Subject is allergic or intolerant to either anti-PD1 or interleukin-2 therapy.
  • Subject has received prior immune-check point inhibitors and was discontinued due to greater than grade 3 toxicities.
  • Subject is receiving other investigational agent or device.
  • Subject has active infection, uncontrolled hypertension, unstable angina, uncontrolled diabetes mellitus, recent myocardial infarction, and congestive heart failure with ejection fraction less than 50%.
  • Subject has prior allogeneic stem cell or bone marrow transplant or organ transplant.
  • Subject has active central nervous system (CNS) metastases or carcinomatous meningitis.
  • Subject with HIV whose viral load is > 400 copies/mL or CD4+ T cell counts are < 350 cells/µL.
  • Subject has baseline corrected QT interval (QTc) longer than 480 ms by Fridericia formula.
  • Subject is pregnant or breast-feeding.
  • Subject has received live virus vaccine within 28 days prior to the first dose of study.
  • Any other conditions that might compromise the safety of the subject or the integrity of the study.
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2023-09-15

    Primary completion: 2025-02-15

    Study completion finish: 2025-09-15

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT06092580

    Intervention or treatment

    BIOLOGICAL: AWT020

    Conditions

    • Advanced Cancer

    Find a site

    Closest Location:

    ICON Cancer Center South Brisbane

    Research sites nearby

    Select from list below to view details:

    • ICON Cancer Center South Brisbane

      South Brisbane, Queensland, Australia

    • Southern Oncology Clinical Research Unit (SOCRU)

      Bedford Park, South Australia, Australia

    • Alfred Health

      Melbourne, Victoria, Australia

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    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/ArmIntervention/Treatment
    EXPERIMENTAL: AWT020
    • Participants receiving intravenous infusion of AWT020
    BIOLOGICAL: AWT020
    • Participants receiving AWT020 once every two weeks at designated dose levels

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Number of participants with treatment-related adverse events as assessed by CTCAE 5.0The overall safety of AWT020 in treated subjectsFrom the first infusion up to 90 days after last infusion

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Cmax of AWT020The highest serum concentration of AWT020 after infusion30 minutes after the first infusion in cycle 1 and cycle 2
    Area under the serum concentration versus time curve (AUC) of AWT020The overall exposure of AWT020 after infusionFirst infusion to the end of week 2
    Half-life of AWT020The time for the serum concentration of AWT020 to reduce by halfFirst infusion to the end of week 2
    Immunogenicity of AWT020The percentage of treated subjects to develop anti-drug antibody against AWT020Baseline to Cycle 7 Day 1 (each cycle is 28 days)
    Overall response rate in the overall populationThe proportion of subjects who achieve a confirmed complete response (CR) or partial response (PR) assessed by investigatorsDuring treatment period, an average of 6 months
    Disease control rate in the overall populationThe proportion of treated subjects who have achieved complete response, partial response and stable diseaseDuring treatment period, an average of 6 months
    Progression-free survival in the overall populationThe time from the entry of the study until progression or death from any cause, whichever occurs first.2 years
    Overall survival in the overall populationThe time from the entry of the study to the date of death due to any cause or the date of last contact5 years

    Frequently Asked Questions

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    References

    Clinical Trials Gov: Phase 1 Study of AWT020 in Advanced Cancer

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