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Part 1
• To determine the safety and tolerability of TRK-950 in patients with advanced solid tumors
Part 2
• To determine the safety and tolerability of TRK-950 in combination with nivolumab(NIVO) in patients with advanced solid tumors eligible for NIVO therapy
Part 3
• To determine the efficacy of TRK-950 in patients with advanced/recurrent unresectable melanoma, who received prior chemotherapy with dacarbazine(DTIC) and for whom no standard therapy exists
This is an open-label phase I/II study and consists of three parts. In Part 1, patients with histologically and cytologically confirmed locally advanced or metastatic solid tumors who have been refractory or intolerant to standard therapies or for whom no standard therapy exists will receive two dose level of TRK-950. In Part 2, patients with histologically and cytologically confirmed locally advanced or metastatic solid tumors who are eligible for standard therapy with NIVO 240 mg alone administered at 2-week intervals will receive two dose level of TRK-950 in combination with Nivolumab. In Part 3, patients with histologically confirmed locally advanced unresectable or metastatic melanoma (excluding uveal melanoma), who received prior chemotherapy with DTIC and for whom no standard therapy exists will receive one dose level of TRK-950. The objectives of this study are to determine the safety, tolerability, pharmacokinetic (PK) profile and the incidence of the development of anti-drug antibodies (ADA) and neutralizing antibodies (NAb) against TRK-950.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 : TRK-950 | Experimental |
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| Part 2 Cohort 1: TRK-950+Nivolumab | Experimental |
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| Part 2 Cohort 2: TRK-950+Nivolumab | Experimental |
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| Part 3: TRK-950 | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TRK-950 | Biological | 5 or 10 mg/kg administered intravenously over 60 minutes (weekly) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with dose-limiting toxicities (DLTs) (Part 1 and 2) | Number of participants with DLTs will be determined. | Up to Day 28 |
| Number of participants with adverse events (AEs) (Part 1 and 2) | Number of participants with AEs will be assessed. | through study completion, an average of 1 year |
| Number of participants with adverse events of special interest (AESIs) (Part 1 and 2) | Number of participants with AESIs will be assessed. | through study completion, an average of 1 year |
| Number of participants with serious adverse events (SAEs) (Part 1 and 2) | Number of participants with SAEs will be assessed. | through study completion, an average of 1 year |
| Objective response rate (ORR) (Part 3) | Objective response rate (ORR) is defined as the percentage of patients who achieved either complete response (CR) or partial response (PR) as assessed by independent central review (ICR) per RECIST Version 1.1. | Up to approximately 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration curve (AUC) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year | |
| Maximum plasma concentration (Cmax) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
Patients with active, uncontrolled bacterial, viral, or fungal infection requiring systemic therapy
Pregnant women (including those who are considered possibly pregnant based on history taking, etc. by physician) or breastfeeding women (interrupting breastfeeding to enroll is also not allowed)
Patients who are unwilling or unable to comply with the protocol specified procedures
Patients who are positive for human immunodeficiency virus (HIV) antibody
Patients who meet any of the following conditions on hepatitis B virus (HBV) and hepatitis C virus (HCV) testing
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Toray Contact for Clinical Trial Information | Contact | +81467-32-9948 | npdd-clinical.toray.mb@mail.toray |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nagoya City University Hospital | Recruiting | Nagoya | Aichi-ken | 467-8602 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41979863 | Derived | Koyama T, Yonemori K, Sato J, Katsuya Y, Okada M, Yoshida T, Okano F, Yamamoto N. A phase I study of TRK-950, an Anti-CAPRIN-1 antibody, as monotherapy and in combination with nivolumab in Japanese patients with advanced solid tumors. Invest New Drugs. 2026 Apr 14. doi: 10.1007/s10637-026-01609-z. Online ahead of print. | |
| 37082579 |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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| TRK-950 | Biological | 10 mg/kg administered intravenously over 60 minutes (weekly) |
|
| TRK-950 | Biological | 20 mg/kg administered intravenously over 60 minutes (bi-weekly) |
|
| Nivolumab | Drug | 240 mg administered intravenously over 30 minutes (bi-weekly) |
|
| TRK-950 | Biological | 10 mg/kg administered Intravenously over 60 minutes (weekly) |
|
| Time to maximum plasma concentration (Tmax) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year |
| Terminal elimination half life (t1/2) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year |
| Total body clearance (CL) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year |
| Apparent volume of distribution (Vd) of TRK-950 (Part 1 and 2) | through study completion, an average of 1 year |
| Area under the concentration curve (AUC) of Nivolumab (Part 2 only) | through study completion, an average of 1 year |
| Overall survival (OS) (Part 3) | Overall survival (OS) is defined as time from the first date of TRK-950 administration until the date of death due to any cause. | Up to approximately 12 months |
| Progression-free survival (PFS) (Part 3) | Progression-free survival (PFS) is defined as time from the first date of TRK-950 administration until progression per RECIST Version 1.1, or death due to any cause. | Up to approximately 12 months |
| Best overall response (BOR) (Part 3) | Best overall response (BOR) is defined as the best response among all responses at each time point from the first date of TRK-950 administration until progression per RECIST Version 1.1. | Up to approximately 12 months |
| Disease control rate (DCR) (Part 3) | Disease control rate (DCR) is defined as the percentage of patients with BOR of CR or PR or stable disease (SD) per RECIST Version 1.1. | Up to approximately 12 months |
| Duration of response (DOR) (Part 3) | Duration of response (DOR) is defined as the duration between the date of first documented response (CR or PR) and the date of progression per RECIST Version 1.1, or death due to any cause. | Up to approximately 12 months |
| Tumor change rate (Part 3) | Tumor change rate is defined as the percentage change in the sum of the longest diameters of target lesions, as assessed per RECIST Version 1.1, compared to baseline obtained at screening. | Up to approximately 12 months |
| National Hospital Organization Kyushu Cancer Center | Recruiting | Fukuoka | Fukuoka | 811-1395 | Japan |
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| Sapporo Medical University Hospital | Recruiting | Sapporo | Hokkaido | 060-8543 | Japan |
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| Kumamoto University Hospital | Recruiting | Kumamoto | Kumamoto | 860-8556 | Japan |
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| Shinshu University Hospital | Recruiting | Matsumoto | Nagano | 390-8621 | Japan |
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| Niigata Cancer Center Hospital | Recruiting | Niigata | Niigata | 951-8566 | Japan |
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| Saitama Medical University International Medical Center | Recruiting | Hidaka | Saitama | 350-1298 | Japan |
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| Shizuoka Cancer Center | Recruiting | Nagaizumi-chō | Shizuoka | 411-8777 | Japan |
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| National Cancer Center Hospital | Recruiting | Chuo Ku | Tokyo | 104-0045 | Japan |
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| Keio University Hospital | Recruiting | Shinjuku-Ku | Tokyo | 160-8582 | Japan |
|
| Okano F, Saito T, Minamida Y, Kobayashi S, Ido T, Miyauchi Y, Wasai U, Akazawa D, Kume M, Ishibashi M, Jiang K, Aicher A, Heeschen C, Yonehara T. Identification of Membrane-expressed CAPRIN-1 as a Novel and Universal Cancer Target, and Generation of a Therapeutic Anti-CAPRIN-1 Antibody TRK-950. Cancer Res Commun. 2023 Apr 18;3(4):640-658. doi: 10.1158/2767-9764.CRC-22-0310. eCollection 2023 Apr. |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |