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This is a multicenter, open-label, multiple-dose, FIH Phase 1a/1b study. Phase 1a adopts an accelerated titration design and a BOIN design to identify the MTD or MAD of DB-1317; Phase 1b includes up to 3 randomized dose expansion cohorts to further evaluate the safety, tolerability and preliminary efficacy of DB-1317 in selected solid tumors and to identify optimal RP2D.
Phase 1a (Dose Escalation and Backfilling)
Approximately 5 increasing dose levels of DB-1317 dosing every 3 weeks (Q3W) will be evaluated using an accelerated titration design at the first dose level, followed by a BOIN design at subsequent dose levels with the oversight of a Safety Monitoring Committee (SMC). For safety reasons, in any dose level of the dose escalation where a number of participants ≥ 2, a staggered dosing is required. The second participant in each dose level should start dosing no sooner than at least 24 hours after the initial dosing of the first participant. If no safety concerns arise during these 24 hours, the remaining participants can be enrolled into the same dose level with no additional staggering required. Each dose level will be subject to the DLT assessment. After completing the 21-day DLT observation period (Cycle 1), participants will continue to the next treatment cycle and receive DB-1317 on Day 1 of each cycle in the same dose level cohort. Participants who complete the DLT observation period are not allowed to switch to a higher dose level (i.e., intra-participant escalation is not allowed) unless it is deemed necessary and strongly recommended by the investigator with a written approval by the Sponsor.
Phase 1b (Dose Expansion)
Upon completion of the Phase 1a dose escalation, following determination of MTD or MAD, and at the Sponsor's discretion, -one randomized expansion cohort and two single arm expansion cohorts will be opened each enrolling one of the selected solid tumor types, if preliminary anti-tumor activities in these tumor types are observed in Phase 1a part. GC is the tumor type pre-selected for the randomized expansion cohort CRC and PDAC are the two tumor types pre-selected for the single arm expansion cohorts based on ADAM9 expressing data, in vivo anti-tumor activities in non-clinical tumor models, and consideration of unmet medical needs. The final selection of tumor type(s) to be enrolled in the Phase 1b cohorts will be determined by Sponsor based on emerging data from Phase 1a part. Approximately -80 participants will be enrolled in the randomized expansion cohort and randomly assigned in a 1:1 ratio to two dose levels (approximately 40 each) . Approximately 40 participants will be enrolled in each single arm expansion cohort at a selected dose level, and 160 participants will be enrolled in Phase 1b. Dose levels used in Phase 1b part will be determined by Sponsor and SMC based on Phase 1a data. Based on new emerging data from the study, Sponsor may explore other randomized cohorts with other tumor types.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DB-1317 Dose Level 1 | Experimental | Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 1 on Day 1 of each cycle Q3W |
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| DB-1317 Dose Level 2 | Experimental | Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 2 on Day 1 of each cycle Q3W |
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| DB-1317 Dose Level 3 | Experimental | Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 3 on Day 1 of each cycle Q3W |
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| DB-1317 Dose Level 4 | Experimental | Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 4 on Day 1 of each cycle Q3W |
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| DB-1317 Dose Level 5 | Experimental | Enrolled Subjects will receive a single-dose of DB-1317 at Dose Level 5 on Day 1 of each cycle Q3W |
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| DB-1317 Dose Expansion 1 | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DB-1317 | Drug | Administered I.V. |
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| Measure | Description | Time Frame |
|---|---|---|
| Phase 1a: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0. Percentage of participants in Part 1 with DLTs | Percentage of participants in Phase 1a with DLTs | up to 21 days after Cycle 1 Day 1 |
| Phase 1a: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0. | Percentage of participants with TEAEs in Phase 1a graded according to NCI CTCAE v5.0 | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0. | Percentage of Participants with SAEs in Phase 1a graded according to NCI CTCAE v5.0 | Up to follow-up period, approximately 1 year post-treatment |
| Maximum Tolerated Dose (MTD) of DB-1317 | MTD on the data collected during Phase 1a | Up to the completion of Phase 1a (assessed up to 12 months) |
| Recommended Phase 1b Dose (RP2D) of DB-1317 | RP2D of DB-1317 based on the data collected during Phase 1a | Up to the completion of Phase 1a (assessed up to 12 months) |
| Phase 1b: Percentage of Participants with Treatment Emergent adverse events (TEAEs) as assessed by CTCAE v5.0. | Percentage of participants with TEAEs in Phase 1b graded according to NCI CTCAE v5.0 | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1b: Percentage of participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1a: Objective response rate (ORR) | ORR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a: duration of response (DoR) |
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Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Junhua Gao | Contact | 01067228087 | junhua.gao@dualitybiologics.com | |
| Michael Sun | Contact | michael.sun@dualitybiologics.com |
| Name | Affiliation | Role |
|---|---|---|
| Lily Hu | DualityBio Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| USA04-0 | Recruiting | Los Angeles | California | 90025 | United States | |
| Site USA06-0 |
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Subjects with advanced/unresectable, or metastatic Gastric cancer (GC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317 |
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| DB-1317 Dose Expansion 2 | Experimental | Subjects with advanced/unresectable, or metastatic colorectal cancer (CRC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317 |
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| DB-1317 Dose Expansion 3 | Experimental | Subjects with advanced/unresectable, or metastatic pancreatic ductal adenocarcinoma (PDAC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1317 |
|
Percentage of participants with SAEs in Phase 1b graded according to NCI CTCAE v5.0 |
| Up to follow-up period, approximately 1 year post-treatment |
| Phase 1b: Objective Response Rate (ORR) as determined by investigator | Phase 1b: Objective Response Rate (ORR) as determined by investigator per RECIST 1.1 in non-CRPC. The percentage of participants who had a best response rating of CR and PR, for Part 2 only which was maintained ≥4 weeks | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1b: duration of response (DoR) | DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1b: disease-control rate (DCR) | DCR will be determined from tumor assessments by investigator per response | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1b: Time to Response (TTR) | TTR will be determined from tumor assessments by investigator per response | Up to follow-up period, approximately 1 year post-treatment |
DoR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) |
| Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a: disease-control rate (DCR) | DCR will be determined from tumor assessments by investigator per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a: Time to Response (TTR) | TTR will be determined from tumor assessments by investigator per response evaluation TTR criteria in solid tumors version 1.1 (RECIST v1.1) | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a & Phase 1b: Progression Free Survival (PFS) | PFS will be determined from tumor assessments by investigator per response evaluation PFS criteria in solid tumors version 1.1 (RECIST v1.1) | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a & Phase 1b: Overall Survival (OS) | OS is defined as the time from date of first dose to the date of death. | From date of first dose until the date of death or lost to follow up, approximately 1 year post-treatment |
| Phase 1a: Prostate-specific antigen (PSA) | Time to PSA progression, PSA50 response rate and PSA90 response rate, duration of PSA response in CRPC subjects. | From date of first dose until the date of first PSA progression, approximately 1 year post-treatment |
| Phase 1a & Phase 1b: Pharmacokinetic-AUC | Area under the concentration-time curve from time 0 to infinity of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003 | within 3 cycles (each cycle is 21 days) |
| Phase 1a & Phase 1b: Pharmacokinetic-Cmax | Maximum observed plasma concentration (Cmax) of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003 | within 3 cycles (each cycle is 21 days) |
| Phase 1a & Phase 1b: Pharmacokinetic-Tmax | Time to Cmax of DB-1317 ADC, total anti-Adam 9 antibody, and unconjugated P1003 | within 3 cycles (each cycle is 21 days) |
| Phase 1a & Phase 1b: Pharmacokinetic-Cthrough | Trough concentration | within 6 cycles (each cycle is 21 days) |
| Phase 1a & Phase 1b: Anti-drug antibody (ADA) prevalence | Percentage of participants who are ADA positive at any point | Up to follow-up period, approximately 1 year post-treatment |
| Phase 1a & Phase 1b: ADA incidence | Percentage of participants having treatment-emergent ADA | Up to follow-up period, approximately 1 year post-treatment |
| Recruiting |
| Pittsburgh |
| Pennsylvania |
| 15232 |
| United States |
| USA02-0 | Recruiting | Houston | Texas | 77030 | United States |
| USA03-0 | Recruiting | San Antonio | Texas | 78229 | United States |
| USA01 | Recruiting | Fairfax | Virginia | 22031 | United States |
| AUS01-0 | Recruiting | Randwick | New South Wales | 2031 | Australia |