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This is an open-label, first-in-human (FIH), phase 1 dose-escalation and cohort expansion study of BB-1701 in subjects with locally advanced/metastatic HER2 expressing solid tumors. The study consists of 2 parts: dose-escalation (Part 1) and cohort expansion (Part 2). Part 1 consists of dose escalation cohorts for determining the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). Part 2 consists of expansion cohorts, including but not limited to breast cancer, gastric/gastroesophageal junction cancer, bladder cancer and colon cancer, for exploring 1 or more RP2Ds or schedules for expanding/deepening the information/knowledge about clinical safety, clinical pharmacokinetics and anti-tumor activity.
This is an open-label, FIH, phase 1 dose-escalation and cohort expansion study of BB-1701 in subjects with locally advanced /metastatic HER2 expressing solid tumors. The study consists of 2 parts: dose-escalation (Part 1) and cohort expansion (Part 2).
Part 1 of this study will follow accelerated titration and traditional "3 + 3" design. Part 2 is a cohort expansion study with HER2 expressing locally advanced/metastatic solid tumors.
Part 2 consists of 4 cohorts:
Cohort 1: Patients with HER2 overexpressing or positive (defined as IHC 3+ or IHC 2+/FISH positive) locally advanced or metastatic breast cancer who have progressed on prior standard therapies including anti HER2 therapy
Cohort 2: Patients with HER2 low expressing (defined as IHC 2+ /FISH negative, or IHC 1+) locally advanced or metastatic breast cancer who have progressed on prior standard therapies.
Cohort 3: Patients with HER2 overexpressing or positive (defined as IHC 3+ or IHC 2+/FISH positive) locally advanced or metastatic gastric cancer or gastroesophageal junction cancer who have progressed on prior standard therapies.
Cohort 4: Patients with HER2 overexpressing or positive (defined as IHC 3+, or IHC 2+/FISH positive) locally advanced or metastatic solid tumors (other than breast cancer and gastric or gastroesophageal junction cancer) who have progressed on prior standard therapies. Patients with HER2 mutation or amplification by NGS can also be enrolled in this cohort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Dose-escalation | Other | Eight doses levels have been selected for evaluation in the Part 1 of the study. Dose escalation decisions will be determined based on toxicities observed during the first cycle ( 21 days or 28 days). |
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| Part 2: Cohort 1 | Experimental | Breast Cancer with HER2 overexpressing or positive |
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| Part 2: Cohort 2 | Experimental | Breast Cancer with HER2 low expressing |
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| Part 2 Cohort 3 | Experimental | Gastric Cancer or gastroesophageal junction cancer with HER2 overexpressing or positive |
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| Part 2 Cohort 4 | Experimental | Solid Tumors other than Breast Cancer and Gastric Cancer with HER2 overexpressing or positive |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BB-1701 | Drug | BB-1701 will be administered as an intravenous infusion, every 3 weeks or every 4 weeks or every 6 weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events and serious adverse events | To evaluate the safety and tolerability of BB-1701 | up to 2 years |
| Number of subjects with dose limiting toxicity (DLT) | Subjects are evaluated for all study drug related and treatment emergent toxicities based on the National Cancer Institute Common Toxicity Criteria for adverse events (NCI-CTCAE) | Cycle 1. Duration of each cycle is 21 days. |
| MTD | MTD is defined as the highest dose level at which no more than 1 out of 6 subjects experiences a DLT during the first cycle. | Cycle 1. Duration of each cycle is 21 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the serum concentration time curve from time 0 extrapolated to infinity (AUC0-inf) | To characterize the pharmacokinetics (PK) of BB-1701 | Cycle 1 Day 1. Duration of each cycle is 21 days. |
| Maximum observed plasma concentration (Cmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCSF Helen Diller Family Comprehensive Cancer Center | San Francisco | California | 94158 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39036069 | Derived | Wang Y, Xia B, Cao L, Yang J, Feng C, Jiang F, Li C, Gu L, Yang Y, Tian J, Cheng X, Furuuchi K, Fulmer J, Verdi A, Rybinski K, Soto A, Albone E, Uenaka T, Gong L, Liu T, Qin Q, Wei Z, Zhou Y. Preclinical studies of BB-1701, a HER2-targeting eribulin-containing ADC with potent bystander effect and ICD activity. Antib Ther. 2024 Jun 25;7(3):221-232. doi: 10.1093/abt/tbae019. eCollection 2024 Jul. |
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To characterize the PK of BB-1701
| Pre-dose and post-dose during Cycle 1 through Cycle 8. Duration of each cycle is 21 days. |
| Incidence of anti-drug antibodies | To assess the immunogenicity of BB-1701 | Cycle 1 Day 1, Cycle 1 Day 15, and Day 1 of Cycles 2, 3, 4, 6, and 8. Duration of each cycle is 21 days. |
| Objective response | To assess the preliminary anti-tumor activity of BB-1701 | Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years) |
| Progression Free Survival | To assess the preliminary anti-tumor activity of BB-1701 | Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years) |
| Duration of Response | To assess the preliminary anti-tumor activity of BB-1701 | Every 9 weeks within 6 months and approximately every 12 weeks thereafter (up to 2 years) |
| Sarah Cannon Research |
| Nashville |
| Tennessee |
| 37203 |
| United States |
| The Regents of NEXT Virginia, LLC | Fairfax | Virginia | 22031 | United States |
| Jiangsu Province Hospital | Nanjin | Jiangsu | China |
| Tianjin Medical University Cancer Institute and Hospital | Tianjin | Tianjin Municipality | China |
| Cancer Hospital Chinese Academy of Medical Science | Beijing | 100021 | China |
| Sun Yat-sen Memorial Hospital | Guangzhou | China |
| The First Affiliated Hospital of Zhejiang University | Hangzhou | 310003 | China |
| Sir Run Run Shaw Hospital - Zhejiang University School of Medicine | Hangzhou | China |
| Zhejiang Cancer Hospital | Hanzhou | China |
| Linyi Cancer Hospital | Linyi | China |
| Hubei Cancer Hospital | Wuhan | China |