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Locally Advanced or Metastatic Solid TumorsPhase 1/2NCT06293651

Clinical Trial to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of DA-4505 as a Single Agent and in Combination With Pembrolizumab in Adult Patients With Locally Advanced or Metastatic Solid Tumors

A Phase 1/2 study testing DA-4505 and DA-4505 + Pembrolizumab in people with Locally Advanced or Metastatic Solid Tumors, run by Dong-A ST Co., Ltd. at 2 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This study is an Open-Label, Phase 1/2a, First-in-Human, Dose-Escalation, Dose-Expansion, and Proof-of-Concept Study to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of DA-4505 as a Single Agent and in Combination With Pembrolizumab in Adult Patients With Locally Advanced or… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
DA-4505 and DA-4505 + Pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
125 participants
Where
2 sitesSouth Korea
Study dates
18 Apr 2024to Oct 2029
Phase
Phase 1/2

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

  • Aged 18 and older.
  • Capable of giving signed informed consent.
  • Diagnosed with particular disease characteristics.
  • Expected survival ≥ 3 months.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
  • A female patient is eligible to participate if she is not pregnant or breastfeeding.
  • A male patient is eligible to participate if he agrees to remain abstinent or use a male condom when having sexual intercourse with a WOCBP, or if he has had a bilateral vasectomy.
  • Have measurable disease by revised RECIST v1.1 criteria.

Who cannot join

  • Inability to take oral medications or gastrointestinal abnormalities potentially impacting absorption.
  • Current enrollment or past participation in another clinical trial.
  • Unresolved adverse reactions (except alopecia) from previous cancer-directed therapy.
  • Use of cancer-directed therapies, including chimeric antigen receptor T cell therapy.
  • Autologous transplantation within 60 days.
  • Prior allogeneic transplantation.
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  • Major surgery within 30 days, or unresolved complications after a major or minor surgery.
  • History of or currently active cardiovascular disease.
  • Clinically significant respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders.
  • History of other malignancy.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Hye-yeong Han contact

hyhan@donga.co.kr

South Korea2 sites, 2 recruiting
  • Asan Medical Center

    Seoul

    Recruiting
  • Severance Hospital

    Seoul

    Recruiting

Other trials in South Korea

About this study

Official title: an Open-Label, Phase 1/2a, First-in-Human Study to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of DA-4505 as a Single Agent and in Combination With Pembrolizumab in Adult Patients With Locally Advanced or Metastatic Solid Tumors

This study is an Open-Label, Phase 1/2a, First-in-Human, Dose-Escalation, Dose-Expansion, and Proof-of-Concept Study to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of DA-4505 as a Single Agent and in Combination With Pembrolizumab in Adult Patients With Locally Advanced or Metastatic Solid Tumors.

Being tested
DA-4505, DA-4505 + Pembrolizumab

What participants receive

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

  • DA-4505Drug

    Phase 1a: Dose escalation Phase 1b: OBD and MTD Phase 2a: RP2D

  • DA-4505 + PembrolizumabDrug

    Phase 1a/b: OBD, MTD of DA-4505 + 200mg of Pembrolizumab Phase 2a: RP2D of DA-4505 + 200mg of Pembrolizumab

Study groups in NCT06293651
Study groupRoleWhat they receive
MonotherapyExperimentalPhase 1a: Dose escalation Phase 1b: Dose expansion Phase 2a: Pharmacodynamic Biomarkers
Receives: Drug: DA-4505
Combination with PembrolizumabExperimentalPhase 1a: Dose escalation Phase 1b: Dose expansion Phase 2a: Proof of concept Phase 2a: Pharmacodynamic Biomarkers
Receives: Drug: DA-4505 + Pembrolizumab

What is being measured

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

  1. Proportion of adverse events (AEs) meeting protocol-defined dose-limiting toxicity(DLT) criteria

    The recommended Phase 2 dose(RP2D) will be the optimal biological dose (OBD) based on consideration of safety and tolerability information along with all available pharmacokinetic (PK), pharmacodynamic (PD), and efficacy data.

    Measured: Cycle 1(21 days) in dose escalation

  2. PK parameters for DA-4505 (Peak Plasma Concentration (Cmax))

    Determine DA-4505 Cmax

    Measured: Day 1 and 2 of first 2 cycles (every 21 days)

  3. PK parameters for DA-4505 (Area Under the Curve (AUC))

    Determine DA-4505 AUC

    Measured: Day 1 and 2 of first 2 cycles (every 21 days)

  4. PK parameters for DA-4505 (half-life (t1/2))

    Determine DA-4505 half-life (t1/2).

    Measured: Day 1 and 2 of first 2 cycles (every 21 days)

  5. Response per revised "Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1)

    To determine the anti-tumor activity of both DA-4505 as a single agent and in combination with pembrolizumab

    Measured: approximately 12 months

Timeline

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

  1. First posted5 Mar 2024
  2. Study start18 Apr 2024
  3. Primary completionJan 2026 (estimated)
  4. Study completionOct 2029 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
125 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06293651
Sponsor's protocol ID
DA4505_AMST_I/IIa
Status last verified
Feb 2025
First submitted
15 Feb 2024
Last updated
12 Feb 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

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