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TTX-080-001 is a Phase 1, open label, dose escalation and dose expansion clinical study to determine the safety, tolerability, and recommended Phase 2 dose of TTX-080 monotherapy (HLA-G inhibitor) and in combination with either pembrolizumab (PD-1 inhibitor), cetuximab (EGFR inhibitor) or FOLFIRI plus cetuximab (EGFR inhibitor) in patients with advanced refractory / resistant solid malignancies including metastatic colorectal cancer (mCRC) patients.
TTX-080 is a fully human mAb designed to block the interaction of HLA-G with its known ligands, ILT2 and ILT4 molecules. The Phase 1a was an open label, multicenter, dose escalation clinical trial to determine the safety, tolerability, MTD or OBD, and the RP2D of TTX-080 when administered as a single agent. The Phase 1b is a dose expansion of TTX-080 monotherapy and in combination with either pembrolizumab or cetuximab in adult subjects with advanced refractory/resistant solid malignancies, including Head and Neck squamous cell carcinoma (HNSCC), Non-Small Cell Lung Cancer (NSCLC), Colorectal cancer (CRC), triple negative breast cancer (TNBC), renal cell carcinoma (RCC), and acral melanoma. Additionally, the Phase 1b includes randomized arms with TTX-080 in combination with FOLFIRI plus cetuximab compared to FOLFIRI plus cetuximab in metastatic Colorectal cancer. The study will seek to evaluate the pharmacokinetics and immunogenicity of TTX-080, and characterize the anti-tumor activity of TTX-080 as a monotherapy and in combination with pembrolizumab, cetuximab or FOLFIRI plus cetuximab. Only arm 9 and 10 are currently open to enrollment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1a, Monotherapy Dose Escalation | Experimental |
| |
| Phase 1b, Dose Expansion: TTX-080 in combination with pembrolizumab (HNSCC) | Experimental | Arm 1 will enroll subjects with advanced/metastatic, prior checkpoint inhibitor treated Head and Neck Squamous Cell Carcinoma (HNSCC) [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 in combination with cetuximab (HNSCC) | Experimental | Arm 2 will enroll subjects with advanced/metastatic Head and Neck Squamous Cell Carcinoma (HNSCC) [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 monotherapy (CRC) | Experimental | Arm 3 will enroll subjects with advanced/metastatic colorectal cancer (CRC) [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 in combination with cetuximab (CRC), prior anti-EGFR therapy | Experimental | Arm 4 will enroll subjects with advanced/metastatic MSI-L/MSS, KRAS wild-type colorectal cancer (CRC) who have progressed on a prior anti-EGFR therapy [Closed] |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TTX-080 | Drug | Variable dose (Q3W) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| 1. To determine the anti-tumor activity of TTX-080 by objective response rate [complete response + partial response) for each tumor arm per RECIST 1.1 | Up to 48 months |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Response, Progression Free Survival per RECIST 1.1 | Up to 48 months | |
| Overall Survival | Up to 48 months | |
| Adverse events (AEs) as characterized by the incidence, type, frequency, severity (graded according to NCI-CTCAE v5.0), timing, seriousness, and relationship to investigational product, and/or combination therapy, and/or individual approved therapies |
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Abbreviated Inclusion Criteria:
Abbreviated Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tizona Therapeutics, Inc. | Contact | 888-585-2990 | clinicaltrials@tizonatx.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arizona Oncology Associates | Completed | Tucson | Arizona | 85711 | United States | |
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| Phase 1b, Dose Expansion: TTX-080 in combination with cetuximab (CRC), no prior anti-EGFR therapy | Experimental | Arm 5 will enroll subjects with advanced/metastatic MSI-L/MSS, KRAS wild type colorectal cancer (CRC) who have not received a prior anti-EGFR therapy [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 monotherapy (NSCLC) | Experimental | Arm 6 will enroll subjects with advanced/metastatic non-small cell lung cancer (NSCLC) [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 in combination with pembrolizumab (NSCLC) | Experimental | Arm 7 will enroll subjects with advanced/metastatic prior checkpoint inhibitor treated non-small cell lung cancer (NSCLC) [Closed] |
|
| Phase 1b, Dose Expansion: TTX-080 as monotherapy OR in combination with pembrolizumab | Experimental | Arm 8: TTX-080 monotherapy:
Arm 8: TTX-080 in combination with pembrolizumab: • Advanced/metastatic triple-negative breast cancer (estrogen and progesterone receptor negative and HER2 negative) who has received a prior checkpoint inhibitor [Closed] |
|
| TTX-080 in combination with FOLFIRI plus cetuximab | Experimental | Arm 9: TTX-080 in combination with FOLFIRI plus cetuximab Randomized Arms in subjects with metastatic RAS, BRAF and HER2 wild type colorectal cancer (CRC) who have been received oxaliplatin and 5-FU based chemotherapy in the first line or adjuvant (relapse within 6 months) setting. Prior bevacizumab allowed. No prior EGFR inhibitor. |
|
| FOLFIRI plus cetuximab | Experimental | Arm 10: FOLFIRI plus cetuximab Randomized Arms in subjects with metastatic RAS, BRAF and HER2 wild type colorectal cancer (CRC) who have been received oxaliplatin and 5-FU based chemotherapy in the first line or adjuvant (relapse within 6 months) setting. Prior bevacizumab allowed. No prior EGFR inhibitor. |
|
| TTX-080 |
| Drug |
Specified dose (Q3W) |
|
| pembrolizumab | Drug | Specified dose (Q3W) |
|
| cetuximab | Drug | Specified dose on specified days |
|
| FOLFIRI | Drug | Specified dose (Q2W) |
|
| cetuximab | Drug | Specified dose (Q2W) |
|
| TTX-080 | Drug | Specified dose (Q2W) |
|
| Up to 48 months |
| Tolerability: The number of cycles of TTX-080 received by patients before discontinuing due to unmanageable drug reactions | Up to 48 months |
| Serum levels of Anti Drug Antibody against TTX-080 | Up to 48 months |
| Cmax: Maximum Observed Plasma Concentration for TTX-080 | Up to 48 months |
| Tmax: Time to Reach the Cmax for TTX-080 | Up to 48 months |
| AUC(0-t): Area Under the Plasma Concentration-time Curve From Zero Time to the Last Measurable Point for TTX-080 | Up to 48 months |
| AUC(0-Inf): Area Under the Plasma Concentration-time Curve From Zero to Infinity for TTX-080 | Up to 48 months |
| University of Southern California |
| Completed |
| Los Angeles |
| California |
| 90033 |
| United States |
| Hoag Memorial Hospital | Completed | Newport Beach | California | 92663 | United States |
| Rocky Mountain Cancer Centers | Recruiting | Denver | Colorado | 80218 | United States |
|
| Yale Cancer Center | Completed | New Haven | Connecticut | 06511 | United States |
| Christiana Care Helen F. Graham Cancer Center | Completed | Newark | Delaware | 19713 | United States |
| John Hopkins Kimmer Cancer Center | Completed | Washington D.C. | District of Columbia | 20016 | United States |
| Florida Cancer Specialists | Recruiting | Daytona Beach | Florida | 32117 | United States |
|
| Florida Cancer Specialists | Completed | Fleming Island | Florida | 32003 | United States |
| Ocala Oncology Center | Recruiting | Ocala | Florida | 34474 | United States |
|
| AdventHealth Research Institute | Completed | Orlando | Florida | 32804 | United States |
| Illinois Cancer Specialists | Completed | Arlington Heights | Illinois | 60005 | United States |
| University of Illinois | Completed | Chicago | Illinois | 60612 | United States |
| Indiana University | Completed | Indianapolis | Indiana | 46202 | United States |
| Norton Cancer Institute | Completed | Louisville | Kentucky | 40241 | United States |
| American Oncology Partners, P.A. - The Center for Cancer & Blood Disorders | Recruiting | Bethesda | Maryland | 20817 | United States |
|
| Maryland Oncology Hematology | Recruiting | Silver Spring | Maryland | 20904 | United States |
|
| Dana-Farber Cancer Institute | Completed | Boston | Massachusetts | 02215 | United States |
| START Midwest | Recruiting | Grand Rapids | Michigan | 49546 | United States |
|
| Regions Hospital Cancer Care Center | Recruiting | Saint Paul | Minnesota | 55101 | United States |
|
| Washington University in St Louis | Completed | St Louis | Missouri | 63110 | United States |
| Nebraska Cancer Center Oncology Hematology West P.C. | Recruiting | Omaha | Nebraska | 68130 | United States |
|
| Rutgers Cancer Institute of New Jersey | Recruiting | New Brunswick | New Jersey | 08903 | United States |
|
| Icahn School of Medicine at Mount Sinai | Completed | New York | New York | 10029 | United States |
| Stony Brook University | Completed | Stony Brook | New York | 11794 | United States |
| University of Cincinnati | Recruiting | Cincinnati | Ohio | 45267 | United States |
|
| Zangmeister Cancer Center | Completed | Columbus | Ohio | 43219 | United States |
| The University of Toledo | Completed | Toledo | Ohio | 43606 | United States |
| University of Oklahoma | Recruiting | Oklahoma City | Oklahoma | 73104 | United States |
|
| University of Pittsburgh Medical Center | Completed | Pittsburgh | Pennsylvania | 15232 | United States |
| Medical University of South Carolina | Completed | Charleston | South Carolina | 29425 | United States |
| Sarah Cannon Research Institute | Recruiting | Nashville | Tennessee | 37203 | United States |
|
| Vanderbilt - Ingram Cancer Center | Completed | Nashville | Tennessee | 37232 | United States |
| Texas Oncology - Dallas | Recruiting | Dallas | Texas | 75246 | United States |
|
| START Dallas | Recruiting | Fort Worth | Texas | 76104 | United States |
|
| The University of Texas MD Anderson Cancer Center | Completed | Houston | Texas | 77030 | United States |
| Texas Oncology - Paris | Recruiting | Paris | Texas | 75460 | United States |
|
| NEXT Oncology | Completed | San Antonio | Texas | 78229 | United States |
| NEXT Oncology Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
|
| Northwest Medical Specialties | Completed | Tacoma | Washington | 98405 | United States |
| Northwest Cancer Specialists | Completed | Vancouver | Washington | 98684 | United States |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D010051 | Ovarian Neoplasms |
| D016889 | Endometrial Neoplasms |
| D002583 | Uterine Cervical Neoplasms |
| D007680 | Kidney Neoplasms |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D011471 | Prostatic Neoplasms |
| D015179 | Colorectal Neoplasms |
| D013274 | Stomach Neoplasms |
| D001943 | Breast Neoplasms |
| D001749 | Urinary Bladder Neoplasms |
| D000077192 | Adenocarcinoma of Lung |
| D008545 | Melanoma |
| D009362 | Neoplasm Metastasis |
| D002292 | Carcinoma, Renal Cell |
| D064726 | Triple Negative Breast Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D014594 | Uterine Neoplasms |
| D014591 | Uterine Diseases |
| D002577 | Uterine Cervical Diseases |
| D014571 | Urologic Neoplasms |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D005834 | Genital Neoplasms, Male |
| D005832 | Genital Diseases, Male |
| D011469 | Prostatic Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D013272 | Stomach Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001745 | Urinary Bladder Diseases |
| D000230 | Adenocarcinoma |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| D000068818 | Cetuximab |
| C480833 | IFL protocol |
| 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 |
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