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A Study of MT-303 in Adults With Advanced or Metastatic GPC3-Expressing Cancers, Including HCC

PHASE1RECRUITING

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.

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Study details:

MT-303 will be administered intravenously with treatment provided until lack of tolerability or progression. Participants will be enrolled in sequential dose escalation cohorts with determination of dose limiting toxicities with the goal of establishing the (maximum tolerated dose) MTD and (Recommended Phase 2 dose) RP2D.

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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.
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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: 2024-07-01

    Primary completion: 2025-07-31

    Study completion finish: 2026-05-31

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT06478693

    Intervention or treatment

    DRUG: MT-303

    Conditions

    • Hepatocellular Carcinoma

    Find a site

    Closest Location:

    St Vincent's Hospital

    Research sites nearby

    Select from list below to view details:

    • St Vincent's Hospital

      Sydney, New South Wales, Australia

    • The Alfred Hospital

      Melbourne, Victoria, Australia

    • Integrated Clinical Oncology Network (ICON) Pty Ltd

      Woolloongabba, Queensland, Australia

    • Linear Clinical Research

      Murdoch, Western Australia, 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: MT-303
    • Participants will receive MT-303 through intravenous infusion.
    DRUG: MT-303
    • MT-303

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Type, incidence and severity of Adverse EventsSafety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.0Up 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 data28 days from the last dose of IMP
    Change from baseline in vital signsTemperature, weight, height, pulse rate and blood pressure will be assessedUp to 30 days from the last dose of IMP
    Change in laboratory parametersHematology, chemistry, coagulation, virology and urine analysis will be assessed.Up to 30 days from the last dose of IMP
    Change from baseline in ECG parametersNot SpecifiedScreening, Day 1 and Day 15

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    To assess the pharmacokinetics (PK) of MT-303PK parameter: Plasma concentrationsDay 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP
    To assess the pharmacokinetics (PK) of MT-303PK parameter: Area under CurveDay 1, 2, 3, 8, 15 and once every 28 days post first dose of IMP
    To assess the pharmacokinetics (PK) of MT-303PK 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-303PK 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-303PK 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-303PK 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-303PK 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 reactionNot Specifiedupto 2 years from the last dose of IMP
    To assess adverse events of special interest (AESI) by measuring cytokine release syndrome (CRS)Not SpecifiedUp 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 SpecifiedUp to 2 years from the last dose of IMP
    To assess adverse events of special interest (AESI) by measuring hypersensitivity reactionNot SpecifiedUp to 2 years from the last dose of IMP
    To assess adverse events of special interest (AESI) by checking for second primary malignancyNot Specifiedupto 2 years from the last dose of IMP

    Frequently Asked Questions

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    References

    Clinical Trials Gov: A Study of MT-303 in Adults With Advanced or Metastatic GPC3-Expressing Cancers, Including HCC

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