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Breast CancerPhase 1NCT03125200

Study of ADCT-502 in Patients With Advanced Solid Tumors Withhuman Epidermal Growth Factor Receptor-2 (HER2) Expression

A Phase 1 study testing ADCT-502 in people with Breast Cancer and Non Small Cell Lung Cancer, run by ADC Therapeutics S.A. at 5 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study evaluated ADCT-502 in participants with Advanced Solid Tumors with HER2 Expression. Participants participated in a dose-escalation phase (Part 1) and were due to participate in the dose expansion phase (Part 2). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ADCT-502
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21 participants
Where
5 sitesin 2 countries
Study dates
18 May 2017to 5 Apr 2018
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Main Inclusion Criteria:

  • Male or female age 18 years or older
  • Refractory to or intolerant of existing therapy(ies) known to provide clinical benefit for their condition.
  • Eastern Cooperative Oncology Group (ECOG) performance status: Part 1: 0-2, Part 2: 0-1
  • Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue block or unstained slides to demonstrate HER2 expression.
  • Pathologic diagnosis of solid tumor malignancy that is locally advanced or metastatic at time of Screening with documented HER2 expression.
  • Part 2/Dose Expansion Only: Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
  • Absolute neutrophil count (ANC) ≥ 1500/mm3 (≥1.5× 109/L).
  • Platelet count ≥100,000 //mm3 (≥100 × 109/L).
  • Hemoglobin ≥ 9 g/L (≥5.6 mmol/L).
  • Aspartate transaminase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x upper limit of normal (ULN); or ≤ 5.0 × ULN if liver metastases are present.
  • Total bilirubin ≤ 1.5× ULN (or ≤ 3× ULN, with direct bilirubin ≤1.5 × ULN, in participants with known Gilbert syndrome).
  • Creatinine ≤ 1.5× ULN; or, if serum creatinine > 1.5 × ULN, a measured creatinine clearance must be >60mL/min/1.73m2 as calculated by the Cockcroft and Gault equation for participants to be eligible.
  • Women of childbearing potential must agree to use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the last dose of ADCT-502. Men with female partners who are of childbearing potential must agree that they or their partners will use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the participant receives his last dose of ADCT-502.

Main Exclusion Criteria:

  • Known history of ≥ Grade 3 hypersensitivity to a therapeutic antibody.
  • Known history of positive serum human anti-drug antibody (ADA) to trastuzumab.
  • Major surgical procedure or significant traumatic injury, radiotherapy, chemotherapy, targeted therapy, hormone therapy, or other anticancer therapy.
  • Failure to recover to Grade 0 or Grade 1 from acute non-hematologic toxicity due to previous therapy, prior to screening (with the exception of alopecia).
  • Central Nervous System (CNS) disease only.
  • Symptomatic CNS metastases or evidence of leptomeningeal disease.
  • Active cardiovascular disease or significant history thereof.
  • Other active disease including but not limited to ulceration of the upper gastrointestinal tract, autoimmune disease, HIV infection, active Hepatitis B virus (HBV) and hepatitis C virus (HCV) infection.
  • Breastfeeding or pregnant.
  • Other concurrent severe and/or uncontrolled medical conditions.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

United States4 sites
  • Roswell Park Cancer Institute

    Buffalo, New York, 14263

  • Memorial Sloan Kettering Memorial Hospital

    New York, New York, 10065

  • Stanford Cancer Center

    Palo Alto, California, 94304

  • South Texas Accelerated Research Therapeutics, LLC

    San Antonio, Texas, 78229

Other trials in United States

Belgium1 site
  • Medical Oncology Clinic - Institut Jules Bordet

    Brussels, 1000

Other trials in Belgium

About this study

Official title: A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-502 in Patients With Advanced Solid Tumors With HER2 Expression

This study evaluated ADCT-502 in participants with Advanced Solid Tumors with HER2 Expression. Participants participated in a dose-escalation phase (Part 1) and were due to participate in the dose expansion phase (Part 2). In Part 2, patients were due to receive the dose level identified in Part 1, but the study was terminated prior to the beginning of Part 2.

Read the detailed description

Study ADCT-502-101 was the first clinical study with ADCT-502 in participants with Advanced Solid Tumors with HER2 Expression.

ADCT-502 is an antibody drug conjugate (ADC) composed of an engineered version of the humanized monoclonal antibody trastuzumab, directed against the human HER2 receptor, conjugated to a pyrrolobenzodiazepine (PBD) dimer cytotoxin. ADCT-502 specifically binds to HER2, and once internalized, releases the PBD dimer to allow cross-linking of DNA and eventually trigger cell death.

The study had 2 parts. In Part 1 (dose escalation) participants received an infusion of ADCT-502, at escalating doses. Part 1 continued until the maximum tolerated dose or the recommended dose(s) and schedule(s) for expansion were determined. In Part 2 (expansion), participants were due to be assigned to the recommended dose level of ADCT-502 identified in Part 1 by the Dose Escalation Steering Committee, but the study was terminated prior to the beginning of Part 2.

For each participant, the study included a screening period (up to 28 days), a treatment period, and a follow-up period to assess disease progression and survival for up to 12 weeks after the last dose of study drug. The total study duration was dependent on overall participant tolerability to the study drug and response to treatment as participants were able to continue treatment until disease progression or unacceptable toxicity.

Being tested
ADCT-502
Medical subject headings
Breast Neoplasms, Carcinoma, Non-Small-Cell Lung, Urinary Bladder Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ADCT-502Drug

    Intravenous Infusion

Study groups in NCT03125200
Study groupRoleWhat they receive
ADCT-502ExperimentalPart 1 (dose escalation): Participants received an infusion of ADCT-502, at escalating doses. Part 1 continued until the maximum tolerated dose or the recommended dose(s) and schedule(s) for expansion were determined. Part 2 (expansion): Participants were due to be assigned to the recommended dose level of ADCT-502 as identified in Part 1 by the Dose Escalation Steering Committee.
Receives: Drug: ADCT-502

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Who Experienced Dose-Limiting Toxicities

    Measured: Day 1 to 3 Weeks (one cycle)

  2. Number of Participants Who Experienced a Dose-Limiting Toxicity With a CTCAE Grade of 3 or Above

    The Common Terminology Criteria For Adverse Events (CTCAE) Version 4 will be used.

    Measured: Day 1 to 3 Weeks (one cycle)

  3. Number of Participants Who Experience At Least One Treatment Emergent Adverse Event (TEAE)

    An adverse event is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  4. Number of Participants Who Experience At Least One Treatment Emergent Serious Adverse Event (SAE)

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  5. Number of Participants With Clinically Significant Clinical Laboratory Tests

    Clinical significance was determined by the investigator.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  6. Number of Participants With Clinically Significant Physical Examination Results

    Clinical significance was determined by the investigator.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  7. Number of Participants Who Experience a Clinically Significant Change in Eastern Cooperative Oncology Group (ECOG) Performance Status

    Performance status was assessed using the ECOG performance status grades. These range between Grade 0 (fully active) and Grade 5 (dead). Clinical significance was determined by the investigator.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  8. Number of Participants With Clinically Significant Vital Signs

    Vital sign measurements include arterial blood pressure, heart rate, respiratory rate, and body temperature. Clinical significance was determined by the investigator.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

  9. Number of Participants Who Experience Clinically Significant Electrocardiogram (ECG) Results

    Standard 12-lead ECG's will be used. Clinical significance was determined by the investigator.

    Measured: Day 1 to end of trial, a maximum of 168 days (+ 30 days)

Secondary outcomes (18)
  1. Overall Response Rate (ORR)

    ORR was defined as the number of participants with a best overall response of Complete Response (CR) or Partial Response (PR) at the time each participant discontinues ADCT-502. Analysis will be determined by the investigator per Response Evaluation In Solid Criteria (RECIST) version 1.1 criteria: partial response is when there is a decrease in sum of target disease ≥ 30%, and complete response is when all lesions have disappeared or all lesions have disappeared and all nodal disease is < 10 mm each.

    Measured: Screening, day 1 of cycle 3 and cycle 5, then every 4 cycles, approximately every 12 weeks

  2. Disease Control Rate (DCR)

    DCR was defined as the number of participants with a best overall response of Complete Response (CR) or Partial Response (PR), or Stable Disease (SD). Analysis will be determined by the investigator per Response Evaluation In Solid Criteria (RECIST) version 1.1 criteria: stable disease is when the change is > -30% and ≤ 20%, partial response is when there is a decrease in sum of target disease ≥ 30%, and complete response is when all lesions have disappeared or all lesions have disappeared and all nodal disease is < 10 mm each.

    Measured: Screening, day 1 of cycle 3 and cycle 5, then every 4 cycles, approximately every 12 weeks

  3. Duration of Response (DOR)

    DOR was defined among responders (CR or PR) as the time from the earliest date of first response until the first date of either disease progression or death due to any cause.

    Measured: Screening, day 1 of cycle 3 and cycle 5, then every 4 cycles, approximately every 12 weeks

  4. Progression-Free Survival (PFS)

    PFS was defined among the efficacy population as the time from first dose of study drug until the first date of either disease progression or death due to any cause.

    Measured: Screening, day 1 of cycle 3 and cycle 5, then every 4 cycles, approximately every 12 weeks

  5. Overall Survival (OS)

    Median OS was defined as the time from the beginning of study drug treatment until death due to any cause.

    Measured: Screening, day 1 of cycle 3 and cycle 5, then every 4 cycles, approximately every 12 weeks

  6. Area Under the Plasma Concentration Versus Time Curve (AUC) of ADCT-502 (Total Antibody)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  7. Area Under the Plasma Concentration Time Curve (AUC) of Drug To-antibody Ratio [DAR] ≥0

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  8. Area Under the Plasma Concentration Versus Time Curve (AUC) of PBD-conjugated Antibody (DAR ≥1)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  9. Area Under the Plasma Concentration Versus Time Curve (AUC) of Free Warhead SG3199

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  10. Maximum Observed Plasma Concentration (Cmax) for ADCT-502 (Total Antibody)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  11. Maximum Observed Plasma Concentration (Cmax) for Drug To-antibody Ratio [DAR] ≥0

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  12. Maximum Observed Plasma Concentration (Cmax) for PBD-conjugated Antibody (DAR ≥1)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  13. Maximum Observed Plasma Concentration (Cmax) for Free Warhead SG3199

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  14. Time to Reach the Maximum Plasma Concentration (Tmax) for ADCT-502 (Total Antibody)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  15. Time to Reach the Maximum Plasma Concentration (Tmax) for Drug To-antibody Ratio [DAR] ≥0)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  16. Time to Reach the Maximum Plasma Concentration (Tmax) for PBD-conjugated Antibody (DAR ≥1)

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  17. Time to Reach the Maximum Plasma Concentration (Tmax) for Free Warhead SG3199

    Measured: Before infusion, End of Infusion, and 1, 3, 6, 24, 48, 96, 168 and 336 hours post infusion for Cycle 1 & 2. Before infusion and end of infusion of Cycle 3 to disease progression, and 30 days and 12 weeks after last dose

  18. Anti-drug Antibody (ADA) Titers to ADCT-502

    Measured: Blood sample collection before start of infusion in Cycles 1 and 2, and on Day 1 starting with Cycle 3 until disease progression, 30 days and 12 weeks after last dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2017
  2. Study start18 May 2017
  3. Primary completion5 Apr 2018
  4. Study completion5 Apr 2018

Why it stopped: Safety

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03125200
Sponsor's protocol ID
ADCT-502-101
Status last verified
Jan 2021
First submitted
10 Apr 2017
Last updated
1 Feb 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ADCT-502 in people with Breast Cancer and Non Small Cell Lung Cancer, run by ADC Therapeutics S.A. at 5 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 1 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Who Experienced Dose-Limiting Toxicities (time frame: Day 1 to 3 Weeks (one cycle)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2021.

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