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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04844073




Registration number
NCT04844073
Ethics application status
Date submitted
30/03/2021
Date registered
14/04/2021
Date last updated
30/04/2024

Titles & IDs
Public title
A Study of TAK-186 (Also Known as MVC-101) in Adults With Advanced or Metastatic Cancer
Scientific title
A Phase 1/2, First-in-Human, Open-Label, Dose-Escalation Study of TAK-186 (Also Known as MVC-101), An EGFR x CD3 COnditional Bispecific Redirected Activation (COBRA) Protein in Patients With Unresectable Locally Advanced or Metastatic Cancer
Secondary ID [1] 0 0
CP-MVC-101-01
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Squamous Cell Cancer of Head and Neck (SCCHN) 0 0
Non-small Cell Lung Cancer (NSCLC) 0 0
Colorectal Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Non melanoma skin cancer
Skin 0 0 0 0
Other skin conditions
Cancer 0 0 0 0
Head and neck

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - TAK-186

Experimental: Dose Escalation Phase - TAK-186 initial 60 minutes infusion and 30 minutes subsequent infusions on Day 1 of every week in Dose Escalation Phase. Participants may receive additional treatment with TAK-186. Dose escalation will be carried out in sequential cohorts of escalating doses.

Experimental: Cohort Expansion Phase: NSCLC - Participants with non-small cell lung cancer (NSCLC) will be randomized to receive low dose or high dose of RDE of TAK-186 infusion on Day 1 of every week during Dose Expansion Phase of the study. Participants may receive additional treatment with TAK-186. Based on the results for this cohort additional cohorts for HNSCC and CRC, may be enrolled.


Treatment: Drugs: TAK-186
TAK-186 IV infusion.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants with Treatment Emergent Adverse Events (TEAEs)
Timepoint [1] 0 0
From the signing of ICF through 30 days after the last dose of study drug for non immune-related AEs, and through 90 days after the last dose of study drug for immune-related AEs (Up to approximately 13 months)
Primary outcome [2] 0 0
Number of Participants with Cytokine Release Syndrome/Infusion Reactions
Timepoint [2] 0 0
From the signing of ICF through 30 days after the last dose of study drug (Up to approximately 13 months)
Primary outcome [3] 0 0
Number of Participants with a Dose-Limiting Toxicity (DLT)
Timepoint [3] 0 0
DLT Evaluation Period (up to Day 28) in Dose Escalation Phase
Secondary outcome [1] 0 0
Recommended Phase 2 Dose (RP2D)
Timepoint [1] 0 0
Up to approximately 13 months
Secondary outcome [2] 0 0
Cmax: Maximum Observed Plasma Concentration of TAK-186
Timepoint [2] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [3] 0 0
Tmax: Time of First Occurrence of Maximum Observed Plasma Concentration (Cmax) of TAK-186
Timepoint [3] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [4] 0 0
AUCtau: Area Under the Plasma Concentration-time Curve for a Dosing Interval for TAK-186
Timepoint [4] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [5] 0 0
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to Last Quantifiable Concentration for TAK-186
Timepoint [5] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [6] 0 0
AUCinf: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-186
Timepoint [6] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [7] 0 0
Ctrough: Trough Plasma Concentration of TAK-186
Timepoint [7] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [8] 0 0
CL: Clearance of TAK-186
Timepoint [8] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [9] 0 0
Vss: Volume of Distribution at Steady State for TAK-186
Timepoint [9] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [10] 0 0
t1/2: Terminal Half-Life of TAK-186
Timepoint [10] 0 0
Pre-dose and at multiple time points post-dose on Days 1, 2, 8, 9, 10, 15, 22, 29, 36, 43, 50 up to end of treatment (Up to 13 months)
Secondary outcome [11] 0 0
Number of Participants with Anti-drug Antibodies (ADA) in Plasma for TAK-186
Timepoint [11] 0 0
Up to approximately 13 months
Secondary outcome [12] 0 0
Preliminary Anti-tumor Activity of TAK-186 in Participants with Advanced Cancer Based on Tumor Protein Marker Changes in Serum
Timepoint [12] 0 0
Up to approximately 13 months
Secondary outcome [13] 0 0
Objective Response Rate (ORR)
Timepoint [13] 0 0
Up to approximately 13 months
Secondary outcome [14] 0 0
Duration of Response
Timepoint [14] 0 0
Up to approximately 13 months
Secondary outcome [15] 0 0
Progression-free Survival (PFS)
Timepoint [15] 0 0
Up to approximately 13 months
Secondary outcome [16] 0 0
Overall Survival (OS)
Timepoint [16] 0 0
Up to approximately 13 months

Eligibility
Key inclusion criteria
Key

- Eastern Cooperative Oncology Group (ECOG) performance status of = 1

- Ability to provide informed consent and documentation of informed consent before
initiation of any study-related tests or procedures that are not part of standard of
care for the participant's disease. Participants must also be willing and able to
comply with study procedures, including the acquisition of specified research
specimens.

- Life expectancy = 12 weeks

- Measurable disease as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
criteria and documented by Computed tomography (CT) and/or magnetic resonance imaging
(MRI). The definitions for measurable lesions are the same whether conventional and
modified RECIST criteria are applied. Cutaneous or subcutaneous lesions must be
measurable by calipers. Lesions to be used as measurable disease for the purpose of
response assessment must either a) not reside in a field that has been subjected to
prior radiotherapy, or b) have demonstrated clear evidence of radiographic progression
since the completion of prior radiotherapy and before study enrollment or c) have been
radiated at least 6 months before study enrollment.

- Tumor Histology Types:

- Participants with pathologically proven, unresectable, locally advanced or metastatic
solid tumors that based on literature reports are considered to express EGFR. During
cohort expansion, participants with locally advanced or metastatic solid tumors
expressing EGFR including advanced or metastatic NSCLC, CRC, and HNSCC are eligible
for enrollment.

* Tumors During Cohort Expansion:

- Participants with pathologically proven, unresectable, locally advanced or metastatic
solid tumors that based on literature reports are considered to express EGFR are
eligible for enrollment:

- NSCLC: locally advanced or metastatic NSCLC that has progressed during or
following treatment with platinum-based chemotherapy, a checkpoint inhibitor
(unless known to be PD-L1 negative), or targeted therapy (for participants with a
known actionable mutation).

- CRC: locally advanced or metastatic CRC that has progressed after systemic
therapies, including irinotecan, oxaliplatin, an anti-EGFR inhibitor (if K-RAS or
N-RAS is WT), a checkpoint inhibitor (if MSI-H), and a VEGF inhibitor (if locally
approved and accessible as a standard-of-care).

- HNSCC: HNSCC that has progressed during or following treatment with a checkpoint
inhibitor (unless ineligible, e.g, PD-L1 negative) and platinum-based
chemotherapy (unless ineligible for or intolerant to platinum-based chemotherapy)
with or without cetuximab for metastatic or recurrent disease.

1. Participants with salivary gland tumors will not be considered as having
HNSCC.

2. Participants who refuse surgery for potentially curable disease where the
surgery or radiotherapy could result in severe morbidity are eligible. The
reason for the refusal will be captured in the electronic case report form
(eCRFs).

- Archival Tissue:

- Participants must allow acquisition of existing formalin-fixed paraffin-embedded
(FFPE) archival tumor sample, either a block or unstained slides. Participants who
provide fresh pretreatment biopsy samples will not be required to submit archival
tumor samples.

- Tumor Biopsy:

• Participants must be willing to consent to mandatory pretreatment (during
screening) and on-treatment fresh tumor biopsies for cohort expansion phase and
backfill in dose escalation. Once the target number of biopsies have been
collected, additional paired pretreatment and on-treatment biopsies will not be
required; sample collection will be optional after this time point. For fresh
tumor biopsies, the lesion must be accessible (those occurring outside the brain
or those that are accessible by an interventional or endoscopic procedure) for a
low-risk biopsy procedure that does not place the participant at an unjustifiable
risk in the opinion of the investigator. Participants who have an archived biopsy
specimen available that was obtained up to 90 days prior to treatment initiation
and have received no other treatment from the time of biopsy until the start of
treatment with TAK-186, may submit that archived specimen in lieu of a
pretreatment biopsy upon agreement from the sponsor.

- Laboratory Features:

- Acceptable laboratory parameters as follows:

1. Albumin = 3.0 g/dL

2. Platelet count = 75 × 103/µL

3. Hemoglobin = 9.0 g/dL

4. Absolute neutrophil count = 1.0 × 103/µL

5. Alanine aminotransferase (ALT)/aspartate aminotransferase (AST) = 3.0 × upper
limit of normal (ULN); for participants with hepatic metastases, ALT/AST = 5 ×
ULN

6. Total bilirubin = 1.5 × ULN, except participants with Gilbert's syndrome, who may
enroll if the conjugated bilirubin is within normal limits.

7. Creatinine clearance of = 30 mL/minute using Cockcroft-Gault equation.

- Reproductive Features:

- WOCBP must have a negative serum pregnancy test performed within 72 hours before the
initiation of study drug administration. WOCBP must use 1 form of highly effective
method and 1 additional effective (barrier) method of contraception at the same time
throughout the study, starting at screening through 90 days after the last dose of
TAK-186. Contraception methods may be considered highly effective if they can achieve
a failure rate of less than 1% per year when used consistently and correctly.

- Male participants with partners of childbearing potential must use barrier
contraception during the entire study treatment period through 120 days after the last
dose of study drug and must not donate sperm during this period. In addition, male
participants should also have their partners use contraception (as documented for
female participants) for the same period of time.

* Previous Checkpoint Inhibitor Therapy:

- Participants who have previously received an immune checkpoint before enrollment must
have checkpoint inhibitor immune-related toxicity resolved to either Grade = 1 or
baseline

- Symptomatic central nervous system (CNS) metastases must have been treated, be
asymptomatic for = 14 days, and meet the following criteria at the time of enrollment:

1. No concurrent treatment for CNS disease (e.g., surgery, radiation,
corticosteroids = 10 mg prednisone per day or equivalent).

2. No concurrent leptomeningeal disease or spinal cord compression.

Key
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Participants with a history of known autoimmune disease with the exceptions of:

1. Vitiligo.

2. Psoriasis not requiring systemic treatment for > 1 year before receiving TAK-186.

3. History of Graves' disease in participants now euthyroid for > 4 weeks.

4. Hypothyroidism managed by thyroid replacement.

5. Alopecia.

6. Well-controlled diabetes type 1.

- Major surgery or traumatic injury within 8 weeks before first dose of TAK-186.

- Unhealed wounds from surgery or injury.

- Radiation therapy < 2 weeks before initiation of TAK-186.

- Treatment with > 10 mg per day of prednisone (or equivalent) or other
immune-suppressive drugs within the 7 days before the initiation of study drug.
Steroids for topical, ophthalmic, inhaled, or nasal administration are allowed.

- Prior therapy within the following timeframe before the planned start of TAK-186 as
follows:

1. Cytotoxic chemotherapy, small molecule inhibitors, radiation, interventional
radiology procedure, or similar investigational therapies: = 2 weeks or 5
half-lives, whichever is shorter.

2. Monoclonal antibodies, antibody-drug conjugates, radioimmunoconjugates, or
similar investigational therapies: = 4 weeks.

3. Concurrent use of hormones either to maintain castrate levels of testosterone in
participants with castration-sensitive prostate cancer or for non-cancer-related
conditions (e.g., insulin for diabetes, hormone replacement therapy) is
acceptable. Bisphosphonates are permitted for supportive care of bone metastases
(e.g., breast or prostate cancer) or osteoporosis.

- Clinically significant cardiovascular or vascular disease including:

1. Myocardial infarction or unstable angina < 6 months before the initiation of
study drug.

2. Clinically significant cardiac arrhythmia (e.g., with potential for hemodynamic
instability).

3. Uncontrolled hypertension: systolic blood pressure > 180 mmHg; diastolic blood
pressure > 100 mmHg.

4. Pulmonary embolism, stroke, or transient ischemic attack < 6 months before
initiation of TAK-186.

5. QTcF (QT interval by Fridericia correction) prolongation > 480 msec.

6. Congestive heart failure (New York Heart Association Class III or IV).

7. Pericarditis or clinically significant pericardial effusion.

8. Myocarditis.

9. Vasculitis not resolved < 6 months before TAK-186 initiation.

- Clinically significant gastrointestinal disorders including:

1. Gastrointestinal perforation < 6 months before study drug administration.
Participants must have documented evidence (e.g., upper endoscopy, colonoscopy)
of completely healed area of prior perforation.

2. Gastrointestinal bleeding < 2 months before study drug administration.
Participants must have documented evidence (e.g., upper endoscopy, colonoscopy)
of completely healed area of prior bleeding.

3. Pancreatitis < 6 months before the initiation of study drug. Participants must
have a CT scan negative for evidence of remaining disease or normal pancreatic
enzyme levels for > 4 weeks before the initiation of TAK-186.

4. Diverticulitis flare < 2 months before study drug administration. Participants
must have a CT scan negative for evidence of remaining disease before the
initiation of TAK-186.

5. History of Crohn's disease or ulcerative colitis.

- Inflammatory process that has not resolved for = 4 weeks from the date of first study
dose. Participants with chronic low-grade inflammatory processes such as
radiation-induced pneumonitis are excluded regardless of duration.

- Clinically significant pulmonary compromise (e.g., requirement for supplemental oxygen
on a continuous basis).

- Active viral, bacterial, or systemic fungal infection requiring parenteral treatment
within 7 days before the initiation of study drug. Systemic antiviral, antifungal, or
antibacterial therapy must be completed > 1 week before the initiation of study drug.
Antimicrobial prophylaxis (e.g., for Pneumocystis carinii infection) may continue the
antimicrobial for that purpose.

- Vaccination with any live virus vaccine within 4 weeks before the initiation of study
drug administration or vaccination with other vaccines 2 weeks before the initiation
of study drug administration. Inactivated annual influenza vaccination is allowed.

- Participants who are known to be human immunodeficiency virus positive or who are
known to be hepatitis B or C positive. Participants treated for hepatitis C must have
viral titers of 0 for = 2 years to be eligible. Participants with hepatitis B having
undetectable or = 500 IU hepatitis B viral titers are eligible. Participants with
hepatocellular carcinoma (HCC) known history of hepatitis B are excluded, regardless
of hepatitis B viral titers.

- Second primary invasive malignancy not in remission for = 3 years. Exceptions include
non-melanoma skin cancer, cervical carcinoma in situ, localized prostate cancer
(Gleason score = 7), resected melanoma in situ, or any malignancy considered to be
indolent and never having required therapy, excluding indolent lymphoid malignancies.

- Any serious underlying medical or psychiatric condition that would preclude
understanding and rendering of informed consent or impair the ability of the
participant to receive or tolerate the planned treatment.

- Known hypersensitivity to TAK-186 (or any excipient [trehalose, histidine, arginine,
or polysorbate-80] contained in the drug or diluent formulation) known
hypersensitivity to tocilizumab.

- Investigative site personnel or sponsor personnel directly affiliated with this study
or known hypersensitivity to tocilizumab.

- Prisoners or other individuals who are involuntarily detained.

- Any medical or non-medical issue that would contraindicate the participant's
participation in the study or confound the results of the study.

- Female participants who are breastfeeding.

Study design
Purpose of the study
Treatment
Allocation to intervention
N/A
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Other
Other design features
Phase
Phase 1/Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
8/03/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/11/2026
Actual
Sample size
Target
258
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
Chris O'Brien Lifehouse - Camperdown
Recruitment hospital [2] 0 0
Scientia Clinical Research Limited, Corner High & Avoca Street, 5th Floor, Bright Building - Randwick
Recruitment hospital [3] 0 0
Southern Oncology Clinical Research Unit, 1 Flinders Drive - Bedford Park
Recruitment hospital [4] 0 0
Monash Health, Monash Medical Center, 246 Clayton Road - Clayton
Recruitment hospital [5] 0 0
The Alfred Hospital - Melbourne
Recruitment hospital [6] 0 0
Austin Hospital, 145 Studley Road, Intensive Care Unit - Heidelberg
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
2031 - Randwick
Recruitment postcode(s) [3] 0 0
5042 - Bedford Park
Recruitment postcode(s) [4] 0 0
3168 - Clayton
Recruitment postcode(s) [5] 0 0
3004 - Melbourne
Recruitment postcode(s) [6] 0 0
3084 - Heidelberg
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Colorado
Country [3] 0 0
United States of America
State/province [3] 0 0
Connecticut
Country [4] 0 0
United States of America
State/province [4] 0 0
District of Columbia
Country [5] 0 0
United States of America
State/province [5] 0 0
Indiana
Country [6] 0 0
United States of America
State/province [6] 0 0
Minnesota
Country [7] 0 0
United States of America
State/province [7] 0 0
South Dakota
Country [8] 0 0
United States of America
State/province [8] 0 0
Texas
Country [9] 0 0
Korea, Republic of
State/province [9] 0 0
Seoul

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Takeda
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The main aim of this study is to check for side effects and tolerability of TAK-186 (also
known as MVC-101) in adults with unremovable advanced or metastatic cancer. Another aim is to
characterize and evaluate the activity of TAK-186 (MVC-101).

Participants may receive treatment throughout the study for a maximum of 13 months and will
be followed up at 30 days and 90 days and then every 12 weeks for up to 48 weeks after the
last treatment.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04844073
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Study Director
Address 0 0
Takeda
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Takeda Contact
Address 0 0
Country 0 0
Phone 0 0
+1-877-825-3327
Fax 0 0
Email 0 0
[email protected]
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04844073