A Phase I, First in Human Study of CBA-1205, Anti-DLK1 Monoclonal Antibody in Patients With Advanced Solid Tumors, Hepatocellular Carcinoma (HCC), Melanoma, and Pediatric Cancer

Study Purpose

In this first-in-human, muticenter, non-randomized, open-label, standard 3+3 dose escalation Phase I study encompasses 5 parts (Part 1-5). The purpose of this FIH study is to evaluate the safety and tolerability profile of CBA-1205.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 2 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

(Part 1-4)
  • - Patients who provide voluntary written informed consent to participate in the study.
  • - Patients with an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of≤1.
  • - Patients with preserved renal function as evidenced by laboratory data obtained within 7 days before enrollment (creatinine: ≤ ULN ×1.5) - Patients who meet the following laboratory criteria of bone marrow function as evidenced by laboratory data obtained within 7 days before enrollment: Neutrophil count;≥1500/μL, Platelet count; ≥75000/μL, Hemoglobin;≥9.0 g/dL.
  • - Patients having Solid Tumors with no standard therapy available or refractory or intolerable to standard therapy (Part2, 3) - Patients with Child-Pugh A or B (Part2, 3) - Patients with Malignant Melanoma who are refractory or intolerant to standard therapy (Part 4)

    Inclusion Criteria:

    (Part 5) - Patients who provide voluntary written informed consent to participate in the study from both the subject (if aged 16 years or older) and their legal representatives.
  • - Japanese patients aged 2 years or older and under 20 years at the time of informed consent.
  • - Patients with a Lansky Performance Status (LPS) of ≥70 (for patients aged 15 years or younger) or a Karnofsky Performance Status (KPS) of ≥70 (for patients aged 16 years or older) - Patients with preserved renal function as evidenced by laboratory data obtained within 7 days before enrollment (eGFR ≥60 mL/min/1.73 m²) - Pediatric patients with cancers with no standard therapy available or refractory or intolerable to the standard therapy.

Exclusion criteria:

(Part1-5)
  • - Patients who have undergone major surgery within 28 days before enrollment.
  • - Patients who have received anticancer treatment with surgical therapy, radiation therapy, and/or drug therapy within 14 days before enrollment.
  • - Patients who have received anticancer treatment with immune checkpoint inhibitor, etc. within 28 days before enrollment.
  • - Patients with Grade 2 or higher concurrent disease or prior therapy-related toxicity.
  • - Patients who have received any other investigational product within 28 days before enrollment.
  • - Patients with current or previous inadequately controlled or clinically significant cardiac disease.
- Patients who, in the opinion of the investigator or subinvestigator, is not appropriate

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06636435
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Chiome Bioscience Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Japan
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Solid Tumors, Hepatocellular Carcinoma (HCC), Malignant Melanoma, Pediatric Cancer
Study Website: View Trial Website
Additional Details

To evaluate safety and efficacy of CBA-1205 in the following five parts in a stepwise manner: Part 1.

  • - In Part 1, safety and tolerability in patients with Solid Tumor where no standard treatment is available, or who are intolerable or non-responder to the standard treatment will be evaluated.
Initial dose for Part 2 will be determined. Part 2.
  • - In Part 2, safety and tolerability in patients with advanced and/or recurrent Hepatocellular Carcinoma which are unresectable, or who are intolerable or non-responder to the standard treatment will be evaluated.
Recommended dose in this population will be determined. Part 3.
  • - In Part 3, safety and efficacy at the recommended dose in patients with advanced and/or recurrent Hepatocellular Carcinoma which are unresectable, or who are intolerable or non-responder to the standard treatment will be evaluated.
Part 4.
  • - In Part 4, safety and efficacy in patients with Malignant Melanoma who are refractory or intolerant to standard therapy.
Part 5.
  • - In Part 5, safety, tolerability and the recommended dose of the study drug in patients with Pediatric Cancer where no standard treatment is available, or who are intolerable or non-responder to the standard treatment will be evaluated.
PK analysis

Arms & Interventions

Arms

Experimental: CBA-1205: Part 1

CBA-1205 injection is administered at 2-week intervals in seven cohorts (0.1, 0.3, 1, 3, 10, 20, 30 mg/kg) in patients with solid tumor. Note: In the study treatment period, CBA-1205 is intravenously administered at 2-week intervals in a 28-day cycle.

Experimental: CBA-1205: Part 2

CBA-1205 (20, 30 mg/kg) injection is administered at 2-week intervals in 28-day cycles in patients with HCC . Note: The study drug is administered at 2-week intervals until any of the criteria for discontinuation of study treatment are met.

Experimental: CBA-1205: Part 3

CBA-1205 injection is administered at 2-week intervals in 28-day cycles in patients with HCC. Note: The study drug is administered at 2-week intervals until any of the criteria for discontinuation of study treatment are met.

Experimental: CBA-1205 : Part 4

CBA-1205 injection is administered at 2-week intervals in 28-day cycles in patients with Malignant Melanoma. Note: The study drug is administered at 2-week intervals until any of the criteria for discontinuation of study treatment are met.

Experimental: CBA-1205: Part 5

CBA-1205 injection is administered at 2-week intervals in 28-day cycles in patients with Pediatric Cancer. Note: The study drug is administered at 2-week intervals until any of the criteria for discontinuation of study treatment are met.

Interventions

Drug: - CBA-1205 Part 1

CBA-1205: 0.1, 0.3, 1, 3, 10, 20, 30 mg/kg (Intravenous solution)

Drug: - CBA-1205 Part 2

CBA-1205: 20 mg/kg and 30 mg/kg (Intravenous solution)

Drug: - CBA-1205 Part 3

CBA-1205: 30 mg/kg (Intravenous solution)

Drug: - CBA-1205 Part 4

CBA-1205: 20 mg/kg (Intravenous solution)

Drug: - CBA-1205 Part 5

CBA-1205: 10 mg/kg (The initial cohort, Intravenous solution)

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

National Cancer Center Hospital East, Kashiwa 1859924, Chiba 2113014, Japan

Status

Recruiting

Address

National Cancer Center Hospital East

Kashiwa 1859924, Chiba 2113014, 277-8577

Kanagawa Cancer Center, Yokohama 1848354, Kanagawa 1860291, Japan

Status

Recruiting

Address

Kanagawa Cancer Center

Yokohama 1848354, Kanagawa 1860291, 241-8515

Niigata 1855431, Niigata 1855429, Japan

Status

Recruiting

Address

Niigata University Medical and Dental Hospital

Niigata 1855431, Niigata 1855429, 951-8520

National Cancer Center Hospital, Chūō 13353695, Tokyo 1850144, Japan

Status

Recruiting

Address

National Cancer Center Hospital

Chūō 13353695, Tokyo 1850144, 104-0045

University of Yamanashi Hospital, Chūō 11612585, Yamanashi 1848649, Japan

Status

Recruiting

Address

University of Yamanashi Hospital

Chūō 11612585, Yamanashi 1848649, 409-3898

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