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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04618393
Registration number
NCT04618393
Ethics application status
Date submitted
18/10/2020
Date registered
5/11/2020
Titles & IDs
Public title
A Study of EMB-02 in Participants With Advanced Solid Tumors
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Scientific title
A Phase I/II Trial of EMB-02, a Bi-specific Antibody Against PD-1 and LAG-3, in Patients With Advanced Solid Tumors
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Secondary ID [1]
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EMB02X101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumors
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - EMB-02
Experimental: EMB-02 - In Phase I part: participants enrolled in the different time will receive EMB-02 once weekly (IV) at different ascending dose levels.
In Phase II part: participants will receive EMB-02 once weekly (IV) at previously defined RP2D.
Treatment: Other: EMB-02
EMB-02 is a FIT-Ig® bispecific antibody against PD-1 and LAG-3.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence and severity of adverse events as assessed by CTCAE V5.0
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Assessment method [1]
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Incidence and severity of AE.
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Timepoint [1]
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Screening up to follow-up (30 days after the last dose)
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Primary outcome [2]
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Incidence of serious adverse events (SAE)
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Assessment method [2]
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Incidence of SAE.
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Timepoint [2]
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Screening up to follow-up (30 days after the last dose)
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Primary outcome [3]
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Incidence of dose interruptions
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Assessment method [3]
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Incidence of dose interruptions of EMB-02 during treatment as a measure of tolerability.
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Timepoint [3]
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Screening up to follow-up (30 days after the last dose)
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Primary outcome [4]
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Dose intensity
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Assessment method [4]
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Actual amount of drug taken by patients divided by the planned amount.
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Timepoint [4]
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Screening up to follow-up (30 days after the last dose)
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Primary outcome [5]
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The incidence of DLTs during the first cycle of treatment.
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Assessment method [5]
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The Dose Limiting Toxicities (DLTs) are based on drug related adverse events and are specifically defined in study protocol.
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Timepoint [5]
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First infusion to the end of Cycle 1 (each cycle is 28 days)
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Primary outcome [6]
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Antitumor activity(Objective Response Rate (ORR)
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Assessment method [6]
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Measured by RECIST 1.1, only applicable in Phase II part
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Timepoint [6]
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From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
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Secondary outcome [1]
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Area under the serum concentration-time curve (AUC) of EMB-02
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Assessment method [1]
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Blood samples for serum PK analysis will be obtained (AUC).
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Timepoint [1]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [2]
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Maximum serum concentration (Cmax) of EMB-02
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Assessment method [2]
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Blood samples for serum PK analysis will be obtained (Cmax)
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Timepoint [2]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [3]
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Trough concentration (Ctrough) of EMB-02
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Assessment method [3]
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Blood samples for serum PK analysis will be obtained (Ctrough)
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Timepoint [3]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [4]
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Average concentration over a dosing interval (Css, avg)of EMB-02.
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Assessment method [4]
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Blood samples for serum PK analysis will be obtained (Css, avg).
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Timepoint [4]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [5]
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Terminal half-life (T1/2) of EMB-02
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Assessment method [5]
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Blood samples for serum PK analysis will be obtained (T1/2)
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Timepoint [5]
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Through treatment until EOT visit, expected average 6 months.
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Secondary outcome [6]
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Systemic clearance (CL) of EMB-02
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Assessment method [6]
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Blood samples for serum PK analysis will be obtained (CL).
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Timepoint [6]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [7]
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Steady state volume of distribution (Vss) of EMB-02
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Assessment method [7]
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Blood samples for serum PK analysis will be obtained (Vss).
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Timepoint [7]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [8]
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Progression free survival (PFS) of EMB-02 as assessed by RECIST 1.1
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Assessment method [8]
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Preliminary anti-tumor activity of EMB-02 will be obtained (PFS).
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Timepoint [8]
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From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
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Secondary outcome [9]
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Duration of response of EMB-02 as assessed by RECIST 1.1
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Assessment method [9]
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Preliminary anti-tumor activity of EMB-02 will be obtained (DOR).
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Timepoint [9]
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From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
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Secondary outcome [10]
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Incidence and titer of anti-drug antibodies stimulated by EMB-02
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Assessment method [10]
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Antibodies to EMB-02 will be assessed to evaluate potential immunogenicity.
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Timepoint [10]
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Up to End of Treatment Follow Up Period (30 days after the last dose)
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Eligibility
Key inclusion criteria
* Willing and able to provide written informed consent.
* Phase I: Patients with histologically or cytologically confirmed locally advanced/metastatic solid tumors and have failed (progressed on, or are intolerant of) standard therapies. Moreover, the disease should be measurable or evaluable per RECIST v1.1
* Phase II Cohort A: Patients with histologically or cytologically confirmed locally advanced/metastatic melanoma, excluding uveal melanoma. > 1 prior therapy, including prior treatment with PD-1/L1(mandatory) and/or CTLA-4 inhibitors(optional). And the disease is measurable or evaluable per RECIST v1.1
* Archival tumor samples available for retrospective analysis or biopsy will be taken.
* ECOG performance status 0 or 1 for phase I, and =2 for phase II; life expectancy > 3 Months
* Adequate organ function to participate in the trial.
* Recovery from adverse events (AEs) related to prior anticancer therapy.
* Highly effective contraception
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who have active autoimmune disease or history of autoimmune disease
* History of severe irAE.
* History of severe allergic reactions
* Use of systemic corticosteroids.
* Symptomatic central nervous system metastases.
* Patients with cardiac dysfunction
* Uncontrolled diabetes mellitus with hemoglobin A1c > 8% (via medical history)
* Prior treatment with a LAG-3 inhibitor
* Anticancer therapy or radiation < 5 half-lives or 4 weeks (whichever is shorter) prior to study treatment;
* Prior organ or stem cell/bone marrow transplant.
* Concurrent malignancy < 5 years prior to entry.
* Patients with active infections.
* Major surgery < 4 weeks or minor surgery < 2 weeks prior to study treatment
* Live virus vaccines < 30 days prior to screening
* Pregnant or breast-feeding females
* Any investigational agents or study drugs from a previous clinical study within 30 days of the first dose of study treatment
* Any other serious underlying medical conditions
* Abuse on alcohol, cannabis- derived products or other drugs
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
11/03/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
21/03/2024
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Sample size
Target
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Accrual to date
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Final
47
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Southern Medical Day Care Centre - Wollongong
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Recruitment hospital [2]
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Monash Health - Clayton
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Recruitment hospital [3]
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Peninsula & South Eastern Haematology & Oncology Group (PASO) - Frankston
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Recruitment postcode(s) [1]
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2500 - Wollongong
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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3199 - Frankston
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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Country [2]
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United States of America
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State/province [2]
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South Carolina
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Country [3]
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China
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State/province [3]
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Beijing
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Country [4]
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China
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State/province [4]
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Fujian
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Country [5]
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China
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State/province [5]
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Hebei
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Country [6]
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China
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State/province [6]
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Henan
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Country [7]
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China
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State/province [7]
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Sichuan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Shanghai EpimAb Biotherapeutics Co., Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary purpose of this study is to identify the recommended Phase 2 dose(s) (RP2Ds) and schedule assessed to be safe for EMB-02 and to characterize the safety and tolerability of EMB-02 at the RP2Ds. Pharmacokinetics (PK), immunogenicity, and the anti-tumor activity of EMB-02 will also be assessed.
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Trial website
https://clinicaltrials.gov/study/NCT04618393
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04618393