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Study to evaluate the safety and tolerability of the study drug CLN-418, to determine the maximum tolerated dose and/or recommended Phase 2 study dose of CLN-418.
This is a study to evaluate the safety and tolerability of the study drug CLN-418, and to determine the maximum tolerated dose and/or recommended Phase 2 study dose of CLN-418.
The study will also look at the anti-tumor activity, pharmacokinetics and immunogenicity of CLN-418.The study consists of 2 parts. In Part 1, patients are enrolled into different cohort doses in order to identify the appropriate recommended phase 2 dose (RP2D) or maximum tolerated dose (MTD). In Part 2, participants with metastatic / unresectable Non small cell lung cancer (NSCLC), Triple Negative Breast Cancer (TNBC) will receive the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) established in Part 1 of the study. In Part 1 and Part 2, participants will be administered treatment every 3 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CLN-418: Part 1 | Experimental | Experimental Part 1: Dose escalation Intravenous IV administrations of CLN-418 on Day 1 of each 21 day treatment cycle Dose for cohorts to be confirmed following consultation and approval by Safety Review Committee |
|
| CLN-418: Part 2 | Experimental | Experimental Part 2: Dose Expansion Treatment administered at Maximum Tolerated Dose (MTD) and / or Recommended Phase 2 Dose (RP2D) established in Part 1 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CLN-418 | Drug | Intravenous (IV) administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of subjects with dose-limiting toxicity (DLT) | Number of subjects who experienced DLT events during 21 days after first administration of CLN-418, divided by the number of DLT evaluable Subjects | From Day 1 until day 21 |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (AEs) according to Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 | Number of participants with Adverse Events (including vital signs, physical examinations, and abnormal laboratory parameters). | From signing of Informed Consent Form (ICF) till 84 days after last dose |
| Objective response rate, defined as the proportion of subjects with best overall response of complete response (CR) or partial response (PR) per RECIST 1.1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| USC Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | United States | ||
| Florida Cancer Specialists |
Data generated by this study will be considered confidential by the Investigator, except to the extent that it is included in a publication. The general strategy regarding publication of the study will be mutually agreed upon by the Investigator and Sponsor. The Sponsor reserves the right to manage the publication of all study results. The Investigator agrees that oral and written communication to third parties of any procedures or results from the study is subject to prior written consent of the Sponsor. Presentation material and/or manuscript(s) for publication will be reviewed by the Sponsor prior to submission for publication. Alterations in the material will only be made in agreement between the Investigator and the Sponsor
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Dose escalation (Part 1) followed by Dose expansion (Part 2)
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Proportion of subjects with best overall response of complete response (CR) or partial response (PR) per RECIST 1.1 |
| From time of consent until the first documented disease progression, unacceptable toxicity, withdrawal of consent, lack of treatment benefits, death or study termination whichever comes first, assessed up to 12 months |
| Duration of response | The time interval from first occurrence of a documented objective response to the time of disease progression as determined by the Investigator using RECIST 1.1 or death from any cause, whichever comes first. | From time of consent until the first documented disease progression, unacceptable toxicity, withdrawal of consent, lack of treatment benefits, death or study termination whichever comes first, assessed up to 12 months |
| Disease control rate | The proportion of subjects with a best overall response of Complete Response (CR), Partial Response (PR), or stable disease (SD). | From time of consent until the first documented disease progression, unacceptable toxicity, withdrawal of consent, lack of treatment benefits, death or study termination whichever comes first, assessed up to 12 months. |
| Duration of disease control | The time from the date of start of treatment to the date of disease progression or death for subjects who had CR or PR or SD during treatment | From time of consent until the first documented disease progression, unacceptable toxicity, withdrawal of consent, lack of treatment benefits, death or study termination whichever comes first, assessed up to 12 months. |
| Maximal tumor shrinkage | The greatest tumor shrinkage achieved at any follow-up assessment | From time of consent until the first documented disease progression, unacceptable toxicity, withdrawal of consent, lack of treatment benefits, death or study termination whichever comes first, assessed up to 12 months |
| Pharmacokinetics Analysis - Serum Concentration | Reporting of serum concentration of CLN-418 | Up to 84 days post last dose |
| Anti-drug antibodies | Measure of detectable Anti-drug antibody (ADA) and neutralizing antibodies in serum samples at specific study timepoints | Up to 84 days post last dose |
| Pharmacokinetics Analysis - Time Deviation | Reporting time deviation data of CLN-418 | Up to 84 days post last dose |
| Sarasota |
| Florida |
| 34232 |
| United States |
| Carolina BioOncology Institute - Cancer Research Centre | Huntersville | North Carolina | 28078 | United States |
| MD Anderson | Houston | Texas | 77030 | United States |
| NEXT Oncology | Irving | Texas | 75039 | United States |
| St George Private Hospital | Kogarah | New South Wales | 2217 | Australia |
| Southern Medical Day Care Centre | Wollongong | New South Wales | 2500 | Australia |