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The primary objective of this study is to evaluate the tolerability and safety profile of farletuzumab ecteribulin in participants with solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Farletuzumab Ecteribulin | Experimental | Part 1 (Dose-escalation): The initial dose level of farletuzumab ecteribulin will be 0.3 milligrams per kilogram (mg/kg) every 3 weeks in the first cohort with 1 participant for dose-limiting toxicity (DLT) evaluation. DLTs will be evaluated in successive dose level cohorts with a single participant until a drug-related Grade 2 or higher toxicity is observed. If such a toxicity is observed, the cohort will be expanded to enroll a total of 3 participants. Part 2 (Treatment Phase): farletuzumab ecteribulin will be administered every 3 weeks during the treatment phase at the dose determined in Part 1 until participants meet any of the criteria for discontinuation. Criteria for discontinuation include: withdrawal of consent, major protocol violations, unable to continue due to adverse events, pregnancy, progressive disease, Investigator decision, or infusion reactions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Farletuzumab Ecteribulin | Drug | Part 1: farletuzumab ecteribulin intravenous (IV) infusion administered every 3 weeks starting at a 0.3 mg/kg dose and successively increasing doses until DLT. Part 2: farletuzumab ecteribulin administered IV every 3 weeks at a dose determined in Part 1 until any of the criteria for discontinuation are met. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of participants with dose-limiting toxicities (DLTs) | DLTs are defined as the following occurring in Cycle 1 for which a causal relationship with study drug cannot be ruled out: febrile neutropenia, Grade 4 neutropenia persisting for more than 7 days, or neutropenia requiring hematopoietic stimulating agents, Grade 4 thrombocytopenia, or thrombocytopenia requiring platelet transfusion, Grade 4 anemia, or anemia requiring blood transfusion, Grade 3 non-hematological toxicity (except abnormal clinical laboratory values of no clinical significance, any events which can be managed and controlled to Grade 2 or less by maximal medical management, infusion reactions of Grade 3 or higher are NOT considered DLTs because they are stochastic and idiosyncratic events, not related to dose), Grade 4 non-hematological toxicity, and/or when the second treatment with farletuzumab ecteribulin is postponed more than 14 days from the scheduled day due to toxicity. DLTs will be determined by discussion between the investigator, sponsor, and medical expert. | At the end of Cycle 1 (21 days) |
| Part 1 and Part 2: Number of participants with adverse events (AEs), adverse events of interest (AEIs), and serious adverse events (SAEs) | Up to 50 months | |
| Number of participants with any clinically significant clinical laboratory test value | Clinical significance will be determined by the Investigator. | Up to 50 months |
| Number of participants with any clinically significant vital sign value | Clinical significance will be determined by the Investigator. | Up to 50 months |
| Change from Baseline in arterial oxygen saturation | Baseline; up to 50 months | |
| Change from Baseline in body weight |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Tolerated Dose (MTD) of Farletuzumab Ecteribulin | The MTD will be selected as the dose with the smallest difference between the target DLT rate of 25% and an estimate of DLT rate based on the posterior distribution of DLT rate for each dose. | 21 days following each dose level of farletuzumab ecteribulin (up to a maximum of 50 months) |
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Inclusion Criteria:
Participants who have provided voluntary written consent for participation in this clinical study.
Participants to whom the rules for complying with this clinical study have been adequately explained, and who intend to and can comply with those rules.
Male or female participants age >=20 years at the time of informed consent of screening 1 (or screening 2, in case of participants who enter this clinical study from screening 2).
Part 1 only: Participants with FRA-positive solid tumor confirmed by immunohistochemistry (IHC) assay at the central laboratory using their available tumor samples from resected specimen (i.e., surgical or excisional/incisional biopsy samples) or core needle biopsy (<=18-gauge), or participants with a histological and/or cytological diagnosis of any serous ovarian carcinoma, fallopian tube carcinoma, endometrial carcinoma, or adenocarcinoma of Non-Small Cell Lung Cancer (NSCLC), whose archival resected tumor samples (that is, surgical or excisional/incisional biopsy sample).
Part 1 only: At informed consent of screening 2, participants who failed standard therapies, or for which no appropriate treatment is available.
Participants with adequate function of major organs within 2 weeks prior to the first administration of the study drug as follows.
Participants with Performance Status score of 0-1 established by Eastern Cooperative Oncology Group.
Participants who are expected to survive for 3 months or longer after the first administration of the study drug.
Washout period required from the end of prior treatment to the first administration of the study drug will be as follows
a. Anticancer therapy
Supportive therapies
• Blood/platelet transfusion, hematopoietic stimulating agent including granulocyte colony-stimulating factor formulation: > 2 weeks.
Participants whose formalin fixed, paraffin-embedded unstained slides of tumor sample are available for IHC test at central laboratory. If applicable biopsy will be performed by excisional, incisional or needle puncture (<=18-gauge as far as possible).
Inclusion Criteria (Part 2 only)
Measurable disease meeting the following criteria:
Participants histologically diagnosed with the following ovarian carcinoma (including primary peritoneal carcinoma and fallopian tube carcinoma) or NSCLC. Participants for Cohort 1 and 3 who have archival resected tumor samples (that is, surgical or excisional/incisional biopsy sample) for IHC assay are not required to be FRA positive at the central laboratory (Screening 1 is not required). Participants for Cohort 1 and 3 who do not have archival resected tumor samples (that is, surgical or excisional/incisional biopsy sample) are required to be FRA positive at the central laboratory (Screening 1 is required). Participants for Cohort 2 and 4 are required to be FRA positive confirmed by IHC assay at the central laboratory using their available tumor samples from resected specimen (that is, surgical or excisional/incisional biopsy samples) or core needle biopsy (<=18-gauge for ovarian carcinoma and for NSCLC [adenocarcinoma and non-adenocarcinoma] as possible) (Screening 1 is required).
Participants with the following disease characteristics:
Ovarian carcinoma (including primary peritoneal carcinoma and fallopian tube carcinoma):
NSCLC:
Exclusion Criteria:
Medical history of clinically significant cardiovascular impairment:
Concomitant systemic infection requiring medical treatment.
Participants who test positive for human immunodeficiency virus (HIV antibody).
Active viral hepatitis (B or C) (*) as demonstrated by positive serology or requiring treatment.
(*) hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs)/hepatitis B core antibody (HBcAb), and anti-hepatitis C virus (HCV) antibody test. Participants who are anti-HBs/HBcAb (+) without detectable hepatitis B virus (HBV)-deoxyribonucleic acid (DNA)/HCV- ribonucleic acid (RNA) are eligible.
Note: Condom*, contraceptive sponge**, foam**, jelly**, diaphragm*, intrauterine device*, or use of oral contraception* from at least 4 weeks before starting the study treatment (*Approved drugs or certified medical devices in Japan, **Non-approved drugs or certified medical devices in Japan).
Exclusion Criteria (Part 2 only)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eisai Trial Site 5 | Matsuyama | Ehime | Japan | |||
| Eisai Trial Site 6 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41993769 | Derived | Yoshida T, Kozuki T, Ikezawa H, Yusa W, Miura T, Otake Y, Nishio M. Safety and Antitumor Activity of Farletuzumab Ecteribulin in Patients With NSCLC: Phase I Expansion Results. JTO Clin Res Rep. 2026 Jan 30;7(4):100962. doi: 10.1016/j.jtocrr.2026.100962. eCollection 2026 Apr. | |
| 41432226 | Derived | Yonemori K, Yunokawa M, Matsumoto K, Takehara K, Hasegawa K, Hirashima Y, Kato H, Ikezawa H, Otake Y, Yusa W, Miura T, Nishio S. Clinical trial of safety and antitumor activity of farletuzumab ecteribulin in patients with platinum-resistant ovarian cancer: Phase I expansion results. Int J Gynaecol Obstet. 2026 Jun;173(3):1334-1342. doi: 10.1002/ijgo.70676. Epub 2025 Dec 23. |
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| ID | Term |
|---|---|
| C536253 | Pyogenic arthritis, pyoderma gangrenosum, and acne |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000718069 | MORAb-202 |
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This is a Phase 1 study of farletuzumab ecteribulin in participants with solid tumors. This study will be conducted in 2 parts (Part 1 and Part 2). Part 1 will be the dose escalation portion of this study to evaluate dose-limiting toxicity (DLT) and to determine the maximum tolerated dose (MTD) of farletuzumab ecteribulin in participants with solid tumors. Considering efficacy, safety, and the pharmacokinetic (PK) profile, two doses may be selected from Part 1 for Part 2. Part 2 will comprise cohort expansions to further characterize the safety of farletuzumab ecteribulin and to evaluate the preliminary efficacy of farletuzumab ecteribulin in participants with FRA-positive platinum-resistant ovarian carcinoma and non-small cell lung cancer (NSCLC). The recommended dose for future studies will be determined based on the data from Part 1 and Part 2.
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|
| Baseline; up to 50 months |
| Number of participants with any clinically significant 12-lead electrocardiogram (ECG) value | Clinical significance will be determined by the Investigator. | Up to 50 months |
| Change from Baseline in the performance status (PS) score established by the Eastern Cooperative Oncology Group (ECOG) | Baseline; up to 50 months |
| Change from Baseline in serum anti-drug antibody (ADA) titer | Baseline; up to 50 months |
| Part 1 and Part 2: Maximum observed serum concentration (Cmax) of Farletuzumab Ecteribulin | Cmax is the maximum serum concentration of farletuzumab ecteribulin after administration of the drug. | Predose; end of infusion; 0.5, 1, 2, 4, and 24 hours post infusion on Day 1; on Days 4, 8, and 15; and the discontinuation and last observation visit (up to 50 months) |
| Part 1 and Part 2: Maximum serum concentration of total antibody | Predose; end of infusion; 0.5, 1, 2, 4, and 24 hours post infusion on Day 1; on Days 4, 8, and 15; and the discontinuation and last observation visit (up to 50 months) |
| Part 1 and Part 2: Plasma concentration of free eribulin | Predose; end of infusion; 0.5, 1, 2, 4, and 24 hours post infusion on Day 1; on Days 4, 8, and 15; and the discontinuation and last observation visit (up to 50 months) |
| Recommended dose (RD) of farletuzumab ecteribulin for future studies | The RD will be determined based on the MTD, efficacy, and safety data in Part 1 and Part 2. | From the date of screening until the last observation visit (up to 50 months) |
| Part 1 and Part 2: Best overall response (BOR) | BOR was based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). BORs are complete response (CR), partial response (PR), stable disease (SD), progression of disease (PD), and not evaluable (NE), where SD has to be achieved at ≥5 weeks after the first dose. CR or PR in Part 1 of this study requires no confirmation of the next response at ≥4 weeks. CR or PR in Part 2 of this study requires confirmation of the next response at ≥4 weeks. | From the date of screening until the last observation visit (up to 50 months) |
| Part 1 and Part 2: Overall response rate (ORR) | ORR is defined as the percentage of participants with BOR of CR or PR. | From the date of screening until the last observation visit (up to 50 months) |
| Part 1 and Part 2: Disease control rate (DCR) | DCR is defined as the percentage of participants with BOR of CR, PR, or SD. | From the date of screening until the last observation visit (up to 50 months) |
| Part 1 and Part 2: Clinical benefit rate (CBR) | CBR is defined as the percentage of participants with BOR of CR, PR or durable (SD) (duration of SD ≥ 23 weeks). | From the date of screening until the last observation visit (up to 50 months) |
| Part 2: Duration of Response (DOR) | DOR is defined as the time from the first documentation of CR or PR to the first documented date of event (disease progression or death from any cause, whichever occurs first). | From the date of screening until the last observation visit (up to 50 months) |
| Part 2: Progression-free survival (PFS) | PFS is defined as the time from the date of the first dose of study drug to the first documented date of event (disease progression or death from any cause, whichever occurs first). | From the date of screening until disease progression or death (up to 50 months) |
| Part 2: Overall Survival (OS) | OS is defined as the time from the date of the first dose to the date of death from any cause. For participants who are alive or unknown, OS is censored as the date of the last known alive date or the date of data cut off, whichever comes first. | From the date of screening until the last observation visit (up to 50 months) |
| Kurume |
| Fukuoka |
| Japan |
| Eisai Trial Site 8 | Sapporo | Hokkaido | Japan |
| Eisai Trial Site 4 | Akashi | Hyōgo | Japan |
| Eisai Trial Site 7 | Niigata | Niigata | Japan |
| Eisai Trial Site 3 | Hidaka | Saitama | Japan |
| Eisai Trial Site 9 | Sunto-gun | Shizuoka | Japan |
| Eisai Trial Site 1 | Chuo-ku | Tokyo | Japan |
| Eisai Trial Site 10 | Koto-Ku | Tokyo | Japan |
| Eisai Trial Site 2 | Koto-ku | Tokyo | Japan |
| 33926914 | Derived | Shimizu T, Fujiwara Y, Yonemori K, Koyama T, Sato J, Tamura K, Shimomura A, Ikezawa H, Nomoto M, Furuuchi K, Nakajima R, Miura T, Yamamoto N. First-in-Human Phase 1 Study of MORAb-202, an Antibody-Drug Conjugate Comprising Farletuzumab Linked to Eribulin Mesylate, in Patients with Folate Receptor-alpha-Positive Advanced Solid Tumors. Clin Cancer Res. 2021 Jul 15;27(14):3905-3915. doi: 10.1158/1078-0432.CCR-20-4740. Epub 2021 Apr 29. |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |