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| Name | Class |
|---|---|
| Novotech (Australia) Pty Limited | INDUSTRY |
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This study will evaluate the safety, tolerability, and efficacy of XYA02 in participants with advanced solid tumors.
XYA02 is an antibody drug conjugate (ADC) being developed for the treatment of malignant tumors. This is a first-in-human, dose-escalating clinical study divided into 2 parts: the Dose Escalation Part (Part 1) and the Dose Expansion Part (Part 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | Participants with locally advanced, relapsed, or refractory tumors who will receive an intravenous (IV) infusion of XYA02. |
|
| Dose Expansion | Experimental | Multiple expansion cohorts targeting various advanced solid tumors who will receive an intravenous (IV) infusion of XYA02. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XYA02 | Biological | IV infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Treatment Emergent Adverse Events of XYA02 | Frequency of Treatment Emergent Adverse Events [Safety and Tolerability] | From enrollment for a minimum of 16 weeks |
| Duration of Treatment Emergent Adverse Events of XYA02 | Length of duration of Treatment Emergent Adverse Events (start date to end date) [Safety and Tolerability] | From enrollment for a minimum of 16 weeks |
| Severity of Treatment Emergent Adverse Events of XYA02 | Severity by grading of Treatment Emergent Adverse Events [Safety and Tolerability] | From enrollment for a minimum of 16 weeks |
| Determine the Maximum Tolerated Dose (MTD) of XYA02 | Frequency of DLT occurring during participant exposure to XYA02 | From enrollment to a minimum of 16 weeks per participant |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-tumor activity of XYA02 | Objective Response Rate (ORR) as measured by RECIST 1.1 criteria | Measured at 6-week intervals for 6 months post enrollment and up to 2 years |
| Anti-tumor activity of XYA02 |
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Inclusion Criteria:
10. Total bilirubin ≤1.5 × ULN at Screening; in patients with a documented history of Gilbert syndrome ≤3 × ULN.
11. At least 28 days from treatment with monoclonal antibody-based therapies at Screening.
12. At least 5 half-lives from treatment with chemotherapy and small molecule inhibitors at Screening. 13. At least 28 days from experimental therapies not covered above at Screening.
14. At least 28 days from radiation to more than 30% of the bone marrow or a wide field of radiation at Screening. Radiotherapy with a limited field of radiation for palliation within 14 days of the first dose of study drug is acceptable. (In case of patients treated with radiotherapy, previously irradiated lesions should not be considered a target lesion on computed tomography [CT] unless evidence of regrowth/disease progression has been documented.) 15. At least 28 days from major surgery or significant trauma with recovery of AEs to NCI-CTCAE Grade 1 or baseline at Screening.
16. Availability of archival tissue or, if unavailable, will be willing to undergo a tumor biopsy if a low-risk biopsy procedure is feasible at Screening. 17. Has a life expectancy of ≥ 3 months at Screening.
Additional Inclusion Criteria for Phase 1 (Dose Escalation and Backfill):
18. Has pathologically documented advanced, relapsed, or refractory NSCLC (non-squamous), ovarian (high grade serous), gastric/esophageal/GEJ adenocarcinoma, or CRC at Screening. 19. Patient must have progressed on, have relapsed after, be refractory to, or be intolerant of at least 1 prior systemic therapy, without available subsequent standard of care and have no satisfactory alternative treatment options. No more than 4 prior lines of systemic therapy for advanced, relapsed, or refractory disease in NSCLC and ovarian and no more than 3 prior lines of systemic therapy in gastric/esophageal/GEJ adenocarcinoma or CRC (excluding adjuvant chemotherapy).
Additional Inclusion Criteria for Phase 2 (Dose Expansion):
20. Cohorts for 5 different prioritized tumor types and 1 basket cohort that are advanced/unresectable or metastatic at Screening according to the following criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tiffany Sepp | Contact | 617-710-0770 | clinicaltrial@xyonetx.com | |
| Anshu Goyal | Contact | 917-445-1846 | clinicaltrial@xyonetx.com |
| Name | Affiliation | Role |
|---|---|---|
| Patrick A Zweidler-McKay, MD/PhD | XYone Therapeutics, Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chris O'Brien Life House | Sydney | New South Wales | Australia | |||
| Westmead Hospital |
Individual participant data (IPD) will not be made available to researchers outside the primary research group. This is a small sample size study especially in the dose escalation phase. Given the small sample size and corresponding risk of participant re-identification, the proprietary nature of data supporting ongoing clinical development, and the Sponsor's obligations to participants under the terms of the informed consent, individual-level data will not be shared. Aggregate study results will be made publicly available through posting of results on ClinicalTrials.gov in accordance with applicable regulations, publication in peer-reviewed scientific journals, and presentations at scientific conferences.
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Open label study: Part 1 of the study will be dose escalation (determine MTD) and Part 2 of the study will be dose expansion.
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Time to response
| Measured at 6-week intervals for 6 months post enrollment and up to 2 years |
| Anti-tumor activity of XYA02 | Duration of response | Measured at 6-week intervals for 6 months post enrollment and up to 2 years |
| Anti-tumor activity of XYA02 | Progression free survival | Measured at 6-week intervals for 6 months post enrollment and up to 2 years |
| Determine the PK profile of XYA02 | Measure the clearance of XYA02 | PK sampling Cycles 1 and 3 (each cycle is 21 days) at Pre-dose, End of Infusion, 2 hours (h), 4h, 6h, 24h, 48h, 168h, 336h up to 12 weeks |
| Determine the PK profile of XYA02 | Measure the clearance of XYA02 | PK sampling Cycles 2, 4, and subsequent cycles (each cycle is 21 days) at Pre-dose and End of Infusion for a minimum of 16 weeks |
| Determine the PK profile of XYA02 | Measure the area under the curve (AUC) of XYA02 | PK sampling Cycles 1 and 3 (each cycle is 21 days) at Pre-dose, End of Infusion, 2 hours (h), 4h, 6h, 24h, 48h, 168h, 336h up to 12 weeks |
| Determine the PK profile of XYA02 | Measure the area under the curve (AUC) of XYA02 | PK sampling Cycles 2, 4, and subsequent cycles (each cycle is 21 days) at Pre-dose and End of Infusion for a minimum of 16 weeks |
| Determine the PK profile of XYA02 | Measure the maximum plasma drug concentration (Cmax) of XYA02 | PK sampling Cycles 1 and 3 (each cycle is 21 days) at Pre-dose, End of Infusion, 2 hours (h), 4h, 6h, 24h, 48h, 168h, 336h up to 12 weeks |
| Determine the PK profile of XYA02 | Measure the maximum plasma drug concentration (Cmax) of XYA02 | PK sampling Cycles 2, 4, and subsequent cycles (each cycle is 21 days) at Pre-dose and End of Infusion for a minimum of 16 weeks |
| Determine the PK profile of XYA02 | Measure the elimination half-life of XYA02 | PK sampling Cycles 1 and 3 (each cycle is 21 days) at Pre-dose, End of Infusion, 2 hours (h), 4h, 6h, 24h, 48h, 168h, 336h up to 12 weeks |
| Determine the PK profile of XYA02 | Measure the elimination half-life of XYA02 | PK sampling Cycles 2, 4, and subsequent cycles (each cycle is 21 days) at Pre-dose and End of Infusion for a minimum of 16 weeks |
| Evaluate the immunogenicity of XYA02 | Measure the antidrug antibodies (ADA) | ADA sampling pre-dose of every cycle (each cycle is 21 days) up to minimum of 16 weeks |
| Evaluate biomarkers of response of XYA02 | Measure the MUC1 expression | Biomarker sampling for MUC1 pre-dose of every cycle (each cycle is 21 days) up to minimum of 16 weeks |
| Evaluate biomarkers of response of XYA02 | Measure the CA 15-3 | Biomarker sampling for CA 15-3 pre-dose of every cycle (each cycle is 21 days) up to minimum of 16 weeks |
| Evaluate biomarkers of response of XYA02 | Measure the CA-125 | Biomarker sampling for CA-125 pre-dose of every cycle (each cycle is 21 days) up to minimum of 16 weeks |
| Evaluate biomarkers of response of XYA02 | Measure the circulating tumor DNA (ctDNA) | Biomarker sampling for ctDNA pre-dose of every cycle (each cycle is 21 days) up to minimum of 16 weeks |
| Sydney |
| New South Wales |
| Australia |
| Monash Medical Centre | Melbourne | Victoria | Australia |
| Peter MacCallum Cancer Centre | Melbourne | Victoria | Australia |
| Linear Clinical Research | Perth | Western Australia | Australia |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D010051 | Ovarian Neoplasms |
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004701 | Endocrine Gland Neoplasms |
| 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 |
| 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 |
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