A Phase 1, Open Label, Dose-Escalation and Expansion Study to Evaluate the Safety, Pharmacokinetics and Initial Therapeutic Activity of AVA6000, a Novel FAP-activated Doxorubicin Prodrug Administered Intravenously in Patients With Locally Advanced or Metastatic Selected Solid Tumours

Who is this study for? Patients with locally advanced or metastatic selected solid tumors
What treatments are being studied? AVA6000
Status: Recruiting
Location: See all (9) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This is a first-in-human (FIH), Phase 1 open-label, multicentre dose escalation study investigating AVA6000 monotherapy administered intravenously in patients with locally advanced (unresectable) or metastatic solid tumours that are likely to be FAP positive. The study consists of an initial Phase 1a dose escalation portion and a subsequent Phase 1b dose expansion portion upon completion of the dose escalation portion.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• The patient has been fully informed about the study and has signed the Informed Consent Form.

• Male or female patients, ≥ 18 years of age.

• a) Phase 1a: patients with tumours reported to be FAP positive with histological or cytological confirmation of a locally advanced (unresectable) and/or metastatic:

• a. salivary gland, urothelial, ovarian, or breast carcinoma, who have either relapsed or progressed on SoC treatment or are intolerant or nonamenable to SoC treatment; OR b. soft-tissue sarcoma who: i. is treatment naïve in the locally advanced (unresectable) or metastatic setting and anthracycline naïve (any setting) and would otherwise be a candidate for doxorubicin hydrochloride treatment; OR ii. has received a total doxorubicin dose of \< 150mg/m2 (any setting (\< 2 cycles of 75 mg/m2 Q21 days) and has discontinued due to intolerance or toxicity related to doxorubicin

• b) Phase 1b: patients with histological or cytological confirmation of a locally advanced (unresectable) and/or metastatic tumour of one of the following types:

‣ high grade soft tissue sarcoma: histologically proven locally advanced or metastatic, unresectable progressive or recurrent DDLS or UPS who have received 0 or 1 prior lines of therapy in the locally advanced or metastatic setting

‣ SGC: Locally advanced or metastatic salivary gland confirmed by histopathology that cannot be completely resected by surgery who have received 0 or 1 prior lines of therapy in the locally advanced or metastatic setting. In addition, patients with adenoid cystic carcinoma subtypes must not have received prior cytotoxic therapy for locally advanced or metastatic disease. Adenoid cystic carcinoma subtype to be capped at 15 patients (assuming cohort of approximately 30 patients)

‣ TNBC: Locally advanced or metastatic triple negative breast cancer confirmed by histopathology who have received up to 2 lines of prior therapy in the locally advanced or metastatic setting. BRCA with PD-L1 negative

• In Phase 1b, patients must meet the following additional criteria:

• Patients must demonstrate (as documented, per the investigator's assessment), radiological disease progression over the 6 months (±2 months) prior to screening. However, this requirement does not apply if the patient is newly diagnosed, recurrent or newly metastatic.

⁃ Patients must have measurable disease per RECIST.

⁃ Patients with high grade soft tissue sarcoma or salivary gland cancer must not have previously received an anthracycline-based therapy.

⁃ Patients with TNBC may receive up to 250mg/m2 of prior doxorubicin (or an equivalent anthracycline). Prior anthracycline based therapy must have been completed at least 6 months before the planned Cycle 1 Day 1 AVA6000 infusion. Prior anthracycline use must have been in the adjuvant or neoadjuvant setting only.

⁃ Patients must provide at least 1 tissue sample collection, either archival or fresh tissue (approximately 10 slides) unless the biopsy is medically not able to be performed or the principal investigator deems it is not medically feasible.

• Has a life expectancy of ≥12 weeks, in the opinion of the investigator.

• Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.

• Has recovered from all acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedure (must have resolved to CTCAE grade ≤1 or returned to baseline, except alopecia and peripheral neuropathy, which can be up to CTCAE grade 2).

• Has adequate haematological function (applies only to patients not receiving therapeutic anticoagulation; patients receiving therapeutic anticoagulation should be on a stable dose):

‣ Absolute Neutrophil count (ANC) of ≥1.5 × 109 cells/L.

⁃ Haemoglobin ≥9.0 g/dL.

⁃ Platelet count of ≥75,000/µL.

⁃ International normalised ratio (INR) and activated partial thromboplastin time (aPTT) ≤1.5 times the upper limit of normal (ULN).

• Has adequate liver function:

‣ Total bilirubin below ULN (except for patients with Gilbert's Syndrome who must have a total bilirubin \<3 × ULN).

⁃ Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN (in patients with liver metastases, \<5 × ULN is allowed).

⁃ Alkaline phosphatase (ALP) \<5 × ULN in patients with documented liver or bone metastases, or ALP \< 2 × ULN in patients without documented metastases.

⁃ Has adequate renal function (creatinine clearance ≥50 mL/min by Cockcroft-Gault formula) or patients with normal plasmatic creatinine despite creatinine clearance \< 50 mL/min as per Cockcroft-Gault formula are eligible for the study.

⁃ Women of childbearing potential (WOCBP) and women who have ≤ 2 years amenorrhea after start of menopause: has a negative serum pregnancy test within 7 days prior to Cycle 1 Day 1.

⁃ Contraception requirements:

∙ Female patients of childbearing potential must agree to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method (Pearl Index failure rate \<1% per year) during the treatment period and for at least 6 months after the last dose of study drug.

‣ Male patients with female partners of childbearing potential must agree to using 2 acceptable methods of contraception (Pearl Index failure rate \<1% per year), including a barrier method (with or without spermicide) during the treatment period and for at least 6 months after the last dose of study drug.

‣ Male patients must agree to refrain from sperm donation during the treatment period and for at least 6 months after the last dose of study drug.

⁃ All patients should have peripheral veins or central line that are, in the opinion of the Investigator or delegate, suitable for peripheral or central intravenous infusion of AVA6000.

⁃ The patient is willing and able to comply with the protocol, including any PK blood sampling requirements and agrees to return to hospital for follow-up visits and examinations.

Locations
United States
New York
Memorial Sloan Kettering Cancer Center
RECRUITING
New York
Texas
University of Texas MD Anderson Cancer Center
NOT_YET_RECRUITING
Houston
Washington
Fred Hutchinson Cancer Center
RECRUITING
Seattle
Other Locations
United Kingdom
The Beatson West of Scotland Cancer Centre, NHS Greater Glasgow & Clyde
RECRUITING
Glasgow
St James's University Hospital, The Leeds Teaching Hospitals NHS Trust
RECRUITING
Leeds
The Royal Marsden, NHS Foundation Trust
RECRUITING
London
The Christie NHS Foundation Trust
RECRUITING
Manchester
The Freeman Hospital, Newcastle-upon-Tyne NHS Foundation Trust
RECRUITING
Newcastle Upon Tyne
Weston Park Cancer Centre, Sheffield Teaching Hospitals NHS Foundation Trust
NOT_YET_RECRUITING
Sheffield
Contact Information
Primary
Avacta Life Sciences
clinicaltrials@avacta.com
+44 (0)1904 21 7070
Time Frame
Start Date: 2021-07-16
Estimated Completion Date: 2026-08-15
Participants
Target number of participants: 158
Treatments
Experimental: AVA6000 Phase 1a Dose Escalation Q3W
Patients in this arm will receive escalating doses of AVA6000 following a 3+3 design, Q3W until disease progression, unacceptable toxicities, withdrawal from treatment for other reasons, reaching maximum lifetime cumulative exposure to doxorubicin (or other anthracyclines), or death, whichever occurs first.
Experimental: AVA6000 Phase 1a Dose Escalation Q2W
Patients in this arm will receive escalating doses of AVA6000 following a 3+3 design, Q2W until disease progression, unacceptable toxicities, withdrawal from treatment for other reasons, reaching maximum lifetime cumulative exposure to doxorubicin (or other anthracyclines), or death, whichever occurs first.
Experimental: AVA6000 Phase 1b Dose Expansion
Patients in this arm will receive AVA6000 at the recommended dose for expansion, until disease progression, unacceptable toxicities, withdrawal from treatment for other reasons, reaching maximum lifetime cumulative exposure to doxorubicin (or other anthracyclines), or death, whichever occurs first.
Sponsors
Leads: Avacta Life Sciences Ltd

This content was sourced from clinicaltrials.gov