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The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose of TAB08 when administered intravenously (i.v.) to patients with advanced solid malignancies.
This is an open-label, multi-center, sequential groups, dose escalation study of TAB08 in patients with metastatic or unresectable advanced solid malignancies. The study will consist of 2 parts: a dose-escalation part with a standard "3+3" design, followed by a dose-expansion part once the maximum tolerated dose (MTD) has been determined.
Patients must have documented recurrent or refractory solid tumors; patients enrolled in the dose-expansion part of the trial must have least one lesion that may qualify as a target lesion based on the RECIST 1.1 criteria. Following the provision of signed informed consent, patients will be screened for entry into the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAB08( Theralizumab) | Experimental | TAB08 will be administered i.v. over 1 hour weekly for 3 weeks followed by 3 weeks of no treatment; with 6 weeks interval between start of each treatment cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAB08 | Drug | The initial dose of TAB08 will be 1 µg/kg TAB08 will be administered i.v. over 1 hour weekly for 3 weeks followed by 3 weeks of no treatment; with 6 weeks interval between start of each treatment cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of cases of the Dose-limiting toxicity (DLT) | DLT assessment will be performed within first 2 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (including local reactions) frequency, seriousness and severity | Through study completion, not less than 8 weeks | |
| TAB08 concentrations in peripheral blood | First 4 weeks of TAB08 administration |
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Inclusion Criteria:
Subjects or their authorized representatives must be able to provide written informed consent.
Subjects must have histological or cytological evidence of a solid neoplasm for which standard therapy has failed or does not exist or is not available for patient due to any reason.
Subjects enrolled in the expansion cohort must have at least one measurable evaluable lesion.
Subjects must have ECOG (Eastern Cooperation Oncology Group) performance status of 0 or 1.
Subjects must be ≥ 18 years of age.
Subjects must have adequate organ function, as defined by the following criteria:
At least 2 weeks or at least 5 half-lives must have elapsed since prior treatment with chemotherapy, targeted therapy, radiotherapy, immunotherapy, or investigational anti-cancer therapy prior to study drug administration. The maximum washout period will not exceed 4 weeks. .
Subjects must have recovered from the effects of any prior surgery, radiotherapy, localized therapy, or systemic therapy to Grade 1 or lower (except alopecia or anemia - Grade 2 permitted).
Subjects have a life expectancy ≥ 3 months at study entry.
Women of childbearing potential and men with partners of childbearing potential must agree to abstain from sexual intercourse or use an effective form of contraception.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniil G Nemenov, MD | Theramab LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GBU Ryazanskoy Oblasti "Oblastnoy klinicheckiy oncologicheskiy dispanser" | Ryazan | Russia |
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| ID | Term |
|---|---|
| C509303 | TGN-1412 |
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| Tumor response to TAB08 according to immune-related Response Criteria in Solid Tumors (irRECIST) | Through study completion, not less than 12 weeks |
| Change of T-lymphocytes subsets in absolute count (number of cells per mL) in peripheral blood at designated timepoints comparing to Baseline. | Through study completion, not less than 8 weeks |
| Change of T-lymphocytes subsets in percent in peripheral blood at designated timepoints comparing to Baseline. | Through study completion, not less than 8 weeks |
| Change of cytokines concentrations (in micrograms/mL) in peripheral blood at designated timepoints comparing to Baseline. | Through study completion, not less than 8 weeks |