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The primary objectives of this study are to evaluate the safety and tolerability of TGW101 and determine the recommended dosing regimen(s) for further study. The secondary objectives are to assess pharmacokinetics and preliminary antitumor activity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TGW101: Dose Escalation Cohorts | Experimental | Escalating doses of TGW101-anti-drug conjugate (ADC) will be administered via intravenous (IV) infusion followed by administration of TRG001. The treatment period continues until a reason for permanent discontinuation of treatment occurs. |
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| TGW101: Enrichment Cohorts | Experimental | During Dose Escalation, additional participants may be enrolled to permit further evaluation of TGW101 to support selection of the optimal recommended dosing regimen(s) for expansion (RDE[s]). At the discretion of the Safety Oversight Committee (SOC), enrollment in enrichment cohorts may be limited to specific tumor type(s) based on assessment of clinical activity by the Sponsor in the dose escalation portion, and other nonclinical, translational, and clinical data. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TGW101 | Drug | TGW101 is a combination product comprising a chemically cleavable diabody drug conjugate (TGW101-ADC) and a corresponding small molecule chemical trigger (TRG001) administered separately. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Experiencing Adverse Events (AEs) | Up to approximately 10 months | |
| Number of Participants Experiencing Dose-limiting Toxicities (DLTs) | Up to Day 21 | |
| Number of Participants Experiencing Cycle Delay | Up to approximately 10 months | |
| Number of Participants Experiencing Dose Reduction | Up to approximately 10 months | |
| RDE of TGW101 | Up to approximately 10 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUClast) of TGW101-ADC and TRG001 | Up to approximately 10 months | |
| Area Under the Concentration-time Curve From Time Zero to the end of the Dosing Interval (AUCtau) of TGW101-ADC and TRG001 |
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Inclusion Criteria:
Written informed consent prior to any study procedures.
Males or females 18 years or older.
Histologically or cytologically confirmed diagnosis of a solid tumor malignancy listed below, with radiographic evidence of disease progression based on Response Evaluation Criteria in Solid Tumors (RECIST v1.1), or for castration resistant prostate cancer (CRPC), Prostate Cancer Clinical Trials Working Group 3, after most recent treatment and locally advanced or metastatic disease at Screening:
Refractory disease, intolerance to, or documented refusal of available standard therapy(ies) known to provide clinical benefit for the participant's solid tumor malignancy per Investigator judgment.
At least 1 measurable lesion per RECIST v1.1 except for participants with bone-only metastatic disease.
Biopsy pretreatment; if not possible, archival tissue block (preferred) or unstained formalin-fixed paraffin-embedded slides required.
Eastern Cooperative Oncology Group Performance Status 0-1.
Life expectancy of > 3 months in the opinion of the Investigator.
Adequate hepatic, hematologic, and renal function.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tagworks Pharmaceuticals | Contact | Please email | clinicaltrials@tagworkspharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Honor Health | Recruiting | Scottsdale | Arizona | 85258 | United States | |
| Massachusetts General Hospital |
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| Up to approximately 10 months |
| Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Maximum Concentration (Cmax) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Trough Concentration (Ctrough) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Time to Maximum Concentration (Tmax) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Apparent Terminal Elimination Half-life (t1/2) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Steady-state Volume of Distribution (Vss) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Clearance (CL) of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Accumulation Index of TGW101-ADC and TRG001 | Up to approximately 10 months |
| Overall Response Rate (ORR) | Up to approximately 10 months |
| Duration of Response (DOR) | Up to approximately 10 months |
| Progression-free Survival (PFS) | Up to approximately 10 months |
| Overall Survival (OS) | Up to approximately 10 months |
| Number of Participants Experiencing Antidrug Antibodies (ADAs) Against TGW101-ADC | Up to approximately 10 months |
| Recruiting |
| Boston |
| Massachusetts |
| 02114 |
| United States |
| Fox Chase Cancer Center | Recruiting | Philadelphia | Pennsylvania | 19111 | United States |
| University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| NEXT Dallas | Recruiting | Irving | Texas | 75039 | United States |
| NEXT San Antonio | Recruiting | San Antonio | Texas | 78229 | United States |
| NEXT Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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