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Phase 1 Clinical Trial to Evaluate the Safety and Anti-Tumor Activity of AB-201

PHASE1NOT_YET_RECRUITING

This clinical trial will enroll subjects with HER2+ solid tumors and is conducted in two phases, which are phase 1a and phase 1b. The primary objective of phase 1 is to determine the safety and tolerability of AB-201 in subjects with advanced HER2+ solid tumors.

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Study details:

This is a Phase 1, multicenter study designed to evaluate the safety, tolerability, and efficacy of AB-201 in subjects with advanced HER2+ solid tumors (specifically, breast and gastric/GEJ cancers). The Phase 1 will be conducted in two parts, an initial dose escalation stage followed by a dose expansion stage. Study participation for each subject begins with up to 28 days (1 month) of screening following written informed consent, then lymphodepletion treatment, followed by AB-201.

Up to 3 doses of AB-201 may be administered. All subjects will be monitored for a total duration of 18 months of follow up from the first dose administration of AB-201.

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Eligibility criteria

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

Inclusion criteria

  • ECOG performance status 0 to 1.
  • Histologically confirmed HER2 expressed breast or gastric/GEJ cancer IHC ≥ 2+ within 6 months prior to study entry.
  • Confirmed diagnosis of an advanced/unresectable or metastatic HER2+ breast or gastric/GEJ cancer that is refractory to, or intolerable of standard treatment, or for which no standard treatment is available.
  • Must have received prior cancer therapy: Subjects with breast cancer must have received ≥ 3 prior systemic therapies; subjects with gastric/GEJ cancer must have received ≥ 2 prior systemic therapy(ies); subjects with IHC 3+ or IHC 2+/ISH+ cancers must have received previous treatment with a HER2-targeting therapy.
  • Exclusion criteria

  • Known past or current malignancy other than inclusion diagnosis.
  • Known clinically significant cardiac disease.
  • Active central nervous system (CNS) metastases, or involvement of the CNS, unless there is a history of at least 3 months of sustained remission.
  • Unresolved toxicities from prior anticancer therapy.
  • Ongoing uncontrolled systemic infections requiring antibiotic, anti-fungal, or anti-viral therapy.
  • History of sensitivity or intolerance to cyclophosphamide or fludarabine.
  • Currently Pregnant or lactating
  • Severe disease progression or health deterioration within 2 weeks prior to lymphodepletion regimen.
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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: 2024-10-31

    Primary completion: 2027-04-01

    Study completion finish: 2029-02-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT06341647

    Intervention or treatment

    DRUG: AB-201

    DRUG: Cyclophosphamide

    DRUG: Fludarabine

    Conditions

    • Breast Cancer
    • Gastric Cancer
    • Gastroesophageal Junction Adenocarcinoma

    Find a site

    Closest Location:

    Peter MacCallum Cancer Centre

    Research sites nearby

    Select from list below to view details:

    • Peter MacCallum Cancer Centre

      Melbourne, Victoria, Australia

    • The Alfred Hosptial

      Melbourne, Victoria, Australia

    • Austin Hosptial

      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: Phase 1a Dose Escalation
    • * Dose Escalation of AB-201 in advanced metastatic breast cancer, gastric or gastroesophageal junction adenocarcinoma with HER2 overexpression
    • * Interventions:
    • * Drug: AB-201
    • * Drug: Cyclophosphamide
    • * Drug: Fludarabine
    DRUG: AB-201
    • NK Cell Therapy
    EXPERIMENTAL: Phase 1b Dose Expansion
    • * Dose Confirmation of AB-201 in advanced metastatic breast cancer, gastric or gastroesophageal junction adenocarcinoma with HER2 overexpression
    • * Interventions:
    • * Drug: AB-201
    • * Drug: Cyclophosphamide
    • * Drug: Fludarabine
    DRUG: AB-201
    • NK Cell Therapy

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Incidence, severity, seriousness, and dose relationship of Adverse Events [Safety & Tolerability]Adverse events and laboratory abnormalities will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0.up to 18 months per patient
    Determination of Recommended Phase 2 Dose (RP2D)Assessment of Dose-Limiting Toxicities(DLTs), pharmacokinetics (PK), safety, and objective response rate (ORR) per the Response Evaluation Criteria for Solid Tumors (RECIST) v1.1 in subjects with HER2+ breast cancer and gastric/GEJ cancer. PK: Monitor persistence of AB-201 in subjects samples collected prior to and following AB-201 administration.up to 18 months per patient

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    To determine the preliminary efficacy, by the objective response rate (ORR) per the Response Evaluation Criteria for Solid Tumors (RECIST) v1.1, of AB-201 in subjects with advanced HER2+ solid tumorsThe proportion of subjects who experienced an PR or CR, as assessed by investigators per RECIST v1.1.up to 18 months per patient

    Frequently Asked Questions

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    References

    Clinical Trials Gov: Phase 1 Clinical Trial to Evaluate the Safety and Anti-Tumor Activity of AB-201

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