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This study is a Phase 1 and pharmacologic open-label dose-escalation trial using a "3+3" design. Successive cohorts of three or more patients will be treated at escalating doses until a maximum tolerated dose is identified. Once the maximum tolerated dose is identified, an Expansion Cohort will be enrolled at that dose to further characterize safety and pharmacologic endpoints. Additional arms will be enrolled to explore the combination of MM-302 with trastuzumab or trastuzumab plus cyclophosphamide in patients with advanced HER2 positive breast cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MM-302 | Experimental |
| |
| MM-302 in Combination with Trastuzumab | Experimental |
| |
| MM-302 in Combination with Trastuzumab q3w | Experimental |
| |
| MM-302 in Combination with Trastuzumab and Cyclophosphamide | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MM-302 Monotherapy | Drug | Escalating doses of MM-302 as a single agent |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The severity and the number of adverse events related to escalating doses of the MM-302. | 12 months | |
| The severity and the number of adverse events related to escalating doses of the MM-302 in combination with trastuzumab with or without cyclophosphamide | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate of MM-302 | 12 months | |
| The pharmacokinetics of MM-302 as determined by measuring AUC, Tmax and Cmax | 12 months | |
| Immunogenicity of MM-302 by confirming whether MM-302 elicits an immune response or not |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Francisco | San Francisco | California | United States | |||
| University of Indiana |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28298546 | Derived | Lee H, Shields AF, Siegel BA, Miller KD, Krop I, Ma CX, LoRusso PM, Munster PN, Campbell K, Gaddy DF, Leonard SC, Geretti E, Blocker SJ, Kirpotin DB, Moyo V, Wickham TJ, Hendriks BS. 64Cu-MM-302 Positron Emission Tomography Quantifies Variability of Enhanced Permeability and Retention of Nanoparticles in Relation to Treatment Response in Patients with Metastatic Breast Cancer. Clin Cancer Res. 2017 Aug 1;23(15):4190-4202. doi: 10.1158/1078-0432.CCR-16-3193. Epub 2017 Mar 15. |
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| MM-302 in combination with trastuzumab |
| Drug |
Escalating MM-302 at an every 4 week dosing schedule, while the dose of trastuzumab is fixed at an every 2 week dosing schedule |
|
|
| MM-302 in combination with trastuzumab q3w | Drug | Escalating MM-302 at an every 3 week dosing schedule, while the dose of trastuzumab is fixed at an every 3 week dosing schedule |
|
|
| MM-302 in combination with trastuzumab and cyclophosphamide | Drug | Escalating MM-302 at an every 3 week dosing schedule, while the dose of trastuzumab and cyclophosphamide is fixed at an every 3 week dosing schedule |
|
|
| 12 months |
| Indianapolis |
| Indiana |
| United States |
| Dana Farber Cancer Center | Boston | Massachusetts | United States |
| Karmanos Cancer Center | Detroit | Michigan | United States |
| Washington University | St Louis | Missouri | United States |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C000624282 | gancotamab |
| D000068878 | Trastuzumab |
| D003520 | Cyclophosphamide |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
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