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A Study of ZW191 in Participants With Solid Tumors

PHASE1RECRUITING

The purpose of this study is to find out if ZW191 is safe and can treat participants with advanced cancers, including ovarian, endometrial, and non-small cell lung cancers.

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Study details:

Part 1 of the study will evaluate the safety and tolerability of ZW191. Part 2 of the study will further evaluate safety and explore the potential anti-tumor activity of ZW191.

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Eligibility criteria

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

Inclusion criteria

  • Pathologically or cytologically confirmed diagnosis of cancers with evidence of locally advanced (unresectable), recurrent and/or metastatic disease.
  • Measurable disease per RECIST v1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
  • Adequate cardiac function: Cardiac left ventricular function, as defined by left ventricular ejection fraction (LVEF) ≥ 50% as determined by either echocardiogram (ECHO) or multigated acquisition scan (MUGA).
  • Other adequate organ function.
  • Exclusion criteria

  • Known additional malignancy that is progressing or requires active treatment or may interfere with study endpoints.
  • Has received prior Topoisomerase I inhibitor(TOPO1i) antibody drug conjugate treatment, regardless of washout period.
  • Acute or chronic uncontrolled renal disease, pancreatitis, or liver disease.
  • Severe chronic or active infections (including known active SARS-CoV-2 infection) requiring systemic therapy, including antibacterial, antifungal, or antiviral therapy.
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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: 2024-10-30

    Primary completion: 2026-12-01

    Study completion finish: 2027-01-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT06555744

    Intervention or treatment

    DRUG: ZW191

    Conditions

    • Advanced Solid Tumors

    Find a site

    Closest Location:

    Linear Clinical Research

    Research sites nearby

    Select from list below to view details:

    • Linear Clinical Research

      Nedlands, Not Specified, 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: ZW191
    • Not Specified
    DRUG: ZW191
    • Administered intravenously

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Incidence of dose-limiting toxicities (DLTs; Part 1)Number of participants who experienced a DLT. DLTs include specifically defined adverse events (AEs) considered to be related to ZW191Up to 3 weeks
    Incidence of adverse events (AEs; Parts 1 and 2)Number of participants who experienced AEs, adverse events of special interest (AESIs), or serious adverse events (SAEs)Up to approximately 2 years
    Incidence of clinical laboratory abnormalities (Parts 1 and 2)Number of participants who experienced a maximum severity of Grade 3 or higher post-baseline laboratory abnormality, including either hematology or chemistry. Grades are defined using National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE), version 5.0Up to approximately 2 years
    Confirmed objective response rate (Part 2)Number of participants who achieved a best overall response of either confirmed complete response (CR) or partial response (PR) during treatment according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1Up to approximately 2 years

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Confirmed objective response rate (Part 1)Number of participants who achieved a best overall response of either confirmed CR or PR during treatment according to RECIST v1.1Up to approximately 2 years
    Clinical benefit rate (Parts 1 and 2)Number of participants who achieved a best response of CR, PR, non-CR/non-progressive disease (PD), or stable disease (SD) lasting at least 180 days per RECIST v1.1Up to approximately 2 years
    Duration of response (DOR; Part 2)The time from the first objective response (CR or PR) to the first documented PD per RECIST v1.1 or death within 30 days of last dose of study treatment from any cause. Only participants who achieve a confirmed response will be included in the analysisUp to approximately 2 years
    Disease control rate (DCR; Part 2)Number of participants who achieved a best response of CR, PR, non-CR/non-PD (for participants who have only non-target lesions), or SD during treatment per RECIST v1.1Up to approximately 2 years
    Progression-free survival (PFS; Part 2)The time from the first dose of study treatment to the date of first documented PD per RECIST v1.1 or death from any causeUp to approximately 2 years
    Best overall response (BOR; Part 2)Not SpecifiedUp to approximately 2 years
    Serum or plasma concentration and PK parameters of ZW191 (Parts 1 and 2)Maximum serum concentration and trough concentration of ZW191Up to approximately 2 years
    Incidence of anti-drug antibodies (ADAs; Parts 1 and 2)Number of participants who develop ADAsUp to approximately 2 years

    Frequently Asked Questions

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    References

    Clinical Trials Gov: A Study of ZW191 in Participants With Solid Tumors

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