Advanced Solid TumorPhase 1/2NCT04441099
NBE-002 in Patients With Advanced Solid Tumors
A Phase 1/2 study testing NBE-002 in people with Advanced Solid Tumor and Advanced Cancer, run by NBE-Therapeutics AG at 3 sites in United States.
Trial summary
This first-in-human study will evaluate the recommended dose for further clinical development, safety, tolerability, anti-tumor activity, immunogenicity, pharmacokinetics and pharmacodynamics of NBE-002, a novel anti-ROR1 antibody-drug conjugate, in patients with advanced solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumor, Advanced Cancer, Triple Negative Breast Cancer
- What is being tested?
- NBE-002
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- 3 sitesUnited States
- Study dates
- 19 Jun 2020to 14 Aug 2023
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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
Who may be able to join
- Written informed consent
- Age ≥18 years
- Phase 1, DEC and SEC: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma), who have progressive disease, have undergone systemic therapy for advanced disease, and for whom no standard therapy is available
- Phase 2, EC1: patients with histologically or cytologically confirmed advanced triple-negative breast cancer, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
- Phase 2, EC2: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma) other than TNBC, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
- Availability of pretreatment tumor tissue
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- Phase 1, DEC and SEC: at least one measurable or non-measurable lesion as per RECIST v1.1
- Phase 2, EC1 and EC2: at least one measurable lesion as per RECIST v1.1
- Phase 1, DEC and SEC: Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
- Phase 2, EC1 and EC2: ECOG performance status of 0 or 1
- Adequate function of bone marrow, liver, kidneys, heart; adequate coagulation profile
- Both male and female patients must agree to use effective contraceptive methods
- Women of child-bearing potential (WCBP) must have a negative serum pregnancy test
- Patients must be willing and able to sign the informed consent form, and to adhere to the study visit schedule and other protocol requirements
Who cannot join
- Prior treatment with any agent targeting ROR1
- Presence of active central nervous system (CNS) metastasis
- Persistent toxicities from previous systemic anti-neoplastic treatments of Grade > 1 (or Grade > 2 for neurotoxicity)
- Systemic anti-neoplastic therapy within five half-lives or four weeks (six weeks for nitrosourea and mitomycin-C), whichever is shorter, prior to first dose of the study drug
- Wide-field radiotherapy within four weeks, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within two weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
- Major surgery within four weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
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- Prior allogeneic bone marrow transplantation
- Significant cardiac disease
- History of thromboembolic or cerebrovascular events within six months prior to first dose of the study drug
- Acute and/or clinically significant bacterial, fungal or viral infection
- Concomitant use of systemic steroids at dose of >10 mg of prednisone or its equivalent per day
- Concurrent participation in another investigational clinical trial
- Pregnant or breast-feeding females
- Other conditions that prevent the patient from giving informed consent or participating in the trial, or that may increase the risk associated with the study participation, or that may interfere with the interpretation of the study results
- Prior history of malignancy other than inclusion diagnosis within three years prior to first dose of the study drug
- Prior treatment with cumulative lifetime dose of anthracycline
Trial locations and contacts
3 sites in 1 country.
United States3 sites
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Sarah Cannon Research Institute - TN Oncology
Nashville, Tennessee, 37203
NEXT Oncology
San Antonio, Texas, 78229
About this study
Official title: A First-in-Human, Phase 1/2 Study of NBE-002, an Anti-ROR1 Antibody Drug Conjugate, in Patients With Advanced Solid Tumors
This first-in-human study will evaluate the recommended dose for further clinical development, safety, tolerability, anti-tumor activity, immunogenicity, pharmacokinetics and pharmacodynamics of NBE-002, a novel anti-ROR1 antibody-drug conjugate, in patients with advanced solid tumors.
- Being tested
- NBE-002
- Keywords
- ROR1, Antibody-drug Conjugate, Carcinoma, Cancer, Solid Tumor, Sarcoma, Triple Negative Breast Cancer
- Medical subject headings
- Triple Negative Breast Neoplasms, Carcinoma, Neoplasms, Sarcoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NBE-002Drug
NBE-002 will be given intravenously on Day 1 of repeated 28-day cycles.
| Study group | Role | What they receive |
|---|---|---|
| Dose-escalation Cohort (DEC) | Experimental | Escalating doses of NBE-002 depending on cohort at enrollment. Receives: Drug: NBE-002 |
| Safety-expansion Cohort (SEC) | Experimental | Dose to be determined based on DEC. Receives: Drug: NBE-002 |
| Expansion Cohort 1 (EC1) | Experimental | Dose to be determined based on DEC and SEC. Receives: Drug: NBE-002 |
| Expansion Cohort 2 (EC2) | Experimental | Dose to be determined based on DEC and SEC. Receives: Drug: NBE-002 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recommended Phase 2 Dose (RP2D) (Phase 1)
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Measured: Up to 48 months
Anti-tumor Activity (Phase 2)
Anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Measured: Up to 60 months
Secondary outcomes (4)
Incidence of Adverse Events (Safety and Tolerability)
Safety and tolerability profile will be assessed by Common Terminology Criteria for Adverse Events v5.0 and summarized by type, frequency, and severity of adverse events
Measured: Up to 60 months
Preliminary Anti-tumor Activity (Phase 1)
Preliminary anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
Measured: Up to 48 months
Concentrations of NBE-002
Pharmacokinetic profile will be characterized by concentrations of NBE-002
Measured: Up to 60 months
Concentrations of NBE-002-reactive antibodies
Immunogenicity profile will be characterized by concentrations of NBE-002-reactive antibodies
Measured: Up to 60 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2020
- Study start19 Jun 2020
- Primary completion14 Aug 2023
- Study completion14 Aug 2023
Why it stopped: End of Program
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Solid TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 12 participants (actual)
Sponsor and investigators
- Lead sponsor
- NBE-Therapeutics AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Cmed Clinical Services
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04441099
- Sponsor's protocol ID
- NBE-002-01
- Status last verified
- Jul 2023
- First submitted
- 18 Jun 2020
- Last updated
- 7 Sep 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A First-in-Human, Phase 1/2 Study of NBE-002, an Anti-ROR1 Antibody Drug Conjugate, in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT04441099
- Acronym / sponsor ID
- NBE-002-01
- Keywords
- ROR1, Antibody-drug Conjugate, Carcinoma, Cancer, Solid Tumor, Sarcoma, Triple Negative Breast Cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: End of Program
- Enrolment
- 12 participants (actual)
- Lead sponsor
- NBE-Therapeutics AGIndustry (pharma, biotech, devices)
- Collaborators
- Cmed Clinical Services
- Study start
- 19 Jun 2020 (actual)
- Primary completion
- 14 Aug 2023 (actual)
- Study completion
- 14 Aug 2023 (actual)
- First posted
- 22 Jun 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This first-in-human study will evaluate the recommended dose for further clinical development, safety, tolerability, anti-tumor activity, immunogenicity, pharmacokinetics and pharmacodynamics of NBE-002, a novel anti-ROR1 antibody-drug conjugate, in patients with advanced solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Dose-escalation Cohort (DEC) | Experimental | Drug: NBE-002Escalating doses of NBE-002 depending on cohort at enrollment. |
| Safety-expansion Cohort (SEC) | Experimental | Drug: NBE-002Dose to be determined based on DEC. |
| Expansion Cohort 1 (EC1) | Experimental | Drug: NBE-002Dose to be determined based on DEC and SEC. |
| Expansion Cohort 2 (EC2) | Experimental | Drug: NBE-002Dose to be determined based on DEC and SEC. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Written informed consent
- Age ≥18 years
- Phase 1, DEC and SEC: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma), who have progressive disease, have undergone systemic therapy for advanced disease, and for whom no standard therapy is available
- Phase 2, EC1: patients with histologically or cytologically confirmed advanced triple-negative breast cancer, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
- Phase 2, EC2: patients with histologically or cytologically confirmed advanced solid tumor (carcinoma or sarcoma) other than TNBC, who have progressive disease, and have undergone no more than three prior lines of systemic therapy for advanced disease
Key exclusion criteria (16 listed)
- Prior treatment with any agent targeting ROR1
- Presence of active central nervous system (CNS) metastasis
- Persistent toxicities from previous systemic anti-neoplastic treatments of Grade > 1 (or Grade > 2 for neurotoxicity)
- Systemic anti-neoplastic therapy within five half-lives or four weeks (six weeks for nitrosourea and mitomycin-C), whichever is shorter, prior to first dose of the study drug
- Wide-field radiotherapy within four weeks, or focal radiation for analgesic purpose or for lytic lesions at risk of fracture within two weeks prior to first dose of the study drug, or no recovery from side effects of such intervention
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NBE-002NBE-002 will be given intravenously on Day 1 of repeated 28-day cycles. | Drug | Dose-escalation Cohort (DEC), Expansion Cohort 1 (EC1), Expansion Cohort 2 (EC2), Safety-expansion Cohort (SEC) |
Primary outcome
Recommended Phase 2 Dose (RP2D) (Phase 1)
Time frame: Up to 48 months
The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
Anti-tumor Activity (Phase 2)
Time frame: Up to 60 months
Anti-tumor activity will be assessed by Response Evaluation Criteria in Solid Tumours (RECIST) v1.1
4 secondary outcomes
Incidence of Adverse Events (Safety and Tolerability)
Time frame: Up to 60 months
Preliminary Anti-tumor Activity (Phase 1)
Time frame: Up to 48 months
Concentrations of NBE-002
Time frame: Up to 60 months
Concentrations of NBE-002-reactive antibodies
Time frame: Up to 60 months
Results and safety
The study was stopped early (reason given: End of Program). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Sep 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing NBE-002 in people with Advanced Solid Tumor and Advanced Cancer, run by NBE-Therapeutics AG at 3 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 16 exclusion criteria. 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 7 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. 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 combined 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.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: End of Program). Results are not available in the source record.
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?
Recommended Phase 2 Dose (RP2D) (Phase 1) (time frame: Up to 48 months). The study lists 2 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 7 Sep 2023.