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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05725291
Registration number
NCT05725291
Ethics application status
Date submitted
2/02/2023
Date registered
13/02/2023
Titles & IDs
Public title
AMT-116 in Patients With Advanced Solid Tumors
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Scientific title
First-in-Human, Phase 1 Study of AMT-116 in Patients With Advanced Solid Tumors
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Secondary ID [1]
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AMT-116-01
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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 Tumor
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AMT-116
Experimental: AMT-116 Dose Escalation -
Treatment: Drugs: AMT-116
Administered intravenously
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Intervention code [1]
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Treatment: Drugs
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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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Recommended Phase 2 Dose (RP2D)
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Assessment method [1]
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The RP2D will be determined using dose limiting toxicities (DLTs) and all other available study data
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Timepoint [1]
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Up to 24 months
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Primary outcome [2]
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Maximum Tolerated Dose (MTD)
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Assessment method [2]
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The MTD will be determined using DLTs
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Timepoint [2]
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Up to 24 months
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Primary outcome [3]
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Type, incidence and severity of Adverse Events
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Assessment method [3]
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Safety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.0
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Timepoint [3]
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Up to 24 months
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Secondary outcome [1]
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Overall Response Rate (ORR) according to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
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Assessment method [1]
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Proportion of patients achieving Complete Response (CR) or Partial Response (PR)
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Timepoint [1]
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Up to 24 months
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Secondary outcome [2]
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Disease Control Rate (DCR) according to the RECIST v1.1
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Assessment method [2]
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Proportion of patients achieving CR, PR or Stable Disease (SD)
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Timepoint [2]
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Up to 24 months
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Secondary outcome [3]
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Progression-free Survival (PFS)
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Assessment method [3]
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Time from date of start of treatment to date of the first progression or death, whichever occurs first.
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Timepoint [3]
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Up to 24 months
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Secondary outcome [4]
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Concentration of anti-drug antibodies (ADA)
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Assessment method [4]
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Immunogenicity profile characterized by concentration of ADAs
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Timepoint [4]
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Up to 24 months
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Secondary outcome [5]
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Maximum observed concentration (C[max])
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Assessment method [5]
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Pharmacokinetic profile characterized by the maximum observed concentration (C\[max\]) of AMT-116
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Timepoint [5]
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Up to 24 months
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Secondary outcome [6]
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Area under the curve (AUC)
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Assessment method [6]
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Pharmacokinetic profile characterized by the area under the curve (AUC) of AMT-116
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Timepoint [6]
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Up to 24 months
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Secondary outcome [7]
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Terminal half-life (t[1/2])
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Assessment method [7]
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Pharmacokinetic profile characterized by the terminal half-life (t\[1/2\]) of AMT-116
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Timepoint [7]
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Up to 24 months
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Secondary outcome [8]
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Time to maximum concentration (Tmax)
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Assessment method [8]
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Pharmacokinetic profile characterized by the time to maximum concentration (Tmax) of AMT-116
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Timepoint [8]
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Up to 24 months
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Eligibility
Key inclusion criteria
Key
* Patients must be willing and able to sign the ICF, and to adhere to the study visit schedule and other protocol requirements.
* Age =18 years (at the time consent is obtained).
* Patients with histologically confirmed, unresectable advanced solid tumor. Preferred tumor types include head and neck, non-small cell lung, esophageal, pancreatic, large cell lung, colorectal, cervical, breast, bladder, gastric, biliary tract, skin squamous cell, liver, and basal cell cancer.
* Patients who have undergone at least one systemic therapy and have radiologically or clinically determined progressive disease during or after most recent line of therapy, and for whom no further standard therapy is available, or who are intolerable to standard therapy.
* Patients must have at least one measurable lesion as per RECIST version 1.1.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
* Both male and female patients must agree to use effective contraceptive methods.
* Patients must have adequate organ function.
* Women of child-bearing potential (WCBP) must have a negative serum pregnancy test.
* Male patients must agree to use a latex condom, even if they had a successful vasectomy, while on study treatment and for at least 12 weeks after the last dose of the IMP.
* Male patients must agree not to donate sperm, and female patients must agree not to donate eggs, while on study treatment and for at least 12 weeks after the last dose of the IMP.
* Availability of tumour tissue sample (either an archival specimen or a fresh biopsy material) at screening.
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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
* Prior therapy with ADC based on Top1 inhibitor.
* Central nervous system (CNS) metastasis.
* Active or chronic skin disorder requiring systemic therapy.
* History of Steven's Johnson's syndrome or Toxic Epidermal Necrolysis syndrome.
* Active ocular conditions requiring treatment or close monitoring, including, but not limited to: macular degeneration, papilledema, active diabetic retinopathy with macular oedema, wet age-related macular degeneration requiring intravitreal injections, or uncontrolled glaucoma.
* Persistent toxicities from previous systemic anti-neoplastic treatments of Grade >1.
* Systemic anti-neoplastic therapy within five half-lives or 21 days, whichever is shorter, prior to first dose of the IMP.
* Radiotherapy to lung field at a total radiation dose of =20 Gy within 6 months, wide-field radiotherapy (e.g., > 30% of marrow-bearing bones) within 28 days.
* Major surgery (not including placement of vascular access device or tumor biopsies) within 28 days prior to the first dose of the IMP, or no recovery from side effects of such intervention.
* Prior allogeneic or autologous bone marrow transplantation.
* Significant cardiac disease, such as recent (within six months prior to first dose of the IMP) myocardial infarction or acute coronary syndromes (including unstable angina pectoris), congestive heart failure (New York Heart Association class III or IV), uncontrolled hypertension, uncontrolled cardiac arrhythmias.
* Pregnant or breast-feeding females.
Note: Other protocol defined Inclusion/Exclusion criteria apply.
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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
Recruiting
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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
28/06/2023
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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
30/07/2025
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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ICON Cancer Centre - Brisbane
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Recruitment postcode(s) [1]
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- Brisbane
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Multitude Therapeutics Inc.
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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
This first-in-human study will evaluate the Maximum Tolerated Dose (MTD) / the Recommended Phase 2 Dose (RP2D), safety, tolerability, anti-tumor activity, pharmacokinetics, pharmacodynamics and immunogenicity of AMT-116, in Patients with Advanced Solid Tumors
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Trial website
https://clinicaltrials.gov/study/NCT05725291
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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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Jermaine Coward
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Address
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ICON Cancer Centre
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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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Shuang Leng
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Address
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Country
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Phone
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+61 411818616
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Fax
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Email
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[email protected]
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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/NCT05725291