A Phase 1/2 Clinical Trial to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of ENV-501 in Patients With HER3-Expressing Solid Tumors

Study Purpose

This study is a Phase 1/2, first-in-human, open-label, clinical trial to assess the safety, tolerability, pharmacokinetics and preliminary efficacy of ENV-501 in patients with advanced-stage, relapsed and/or refractory human epidermal growth factor receptor 3 (HER3)-expressing solid tumors. The study consists of 2 phases: a dose escalation phase (Phase 1) and a dose expansion phase (Phase 2). The primary objectives of Phase 1 are to characterize the overall safety and tolerability profile of increasing doses of ENV-501 in patients with advanced-stage solid tumors and identify the recommended Phase 2 dose (RP2D) of ENV-501. During Phase 1, successive cohorts of patients will receive escalating doses of ENV-501. The results of the dose escalation will determine the RP2D and dosing schedule of ENV-501 to be administered in the Phase 2 part of the study. The primary objective of Phase 2 is to evaluate the preliminary clinical efficacy of ENV-501 in dose expansion cohorts.

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 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Body weight ≥ 40 kg.
  • - Willing and able to provide signed written informed consent before any study-related screening procedures are performed.
  • - Patients with histologically or cytologically confirmed diagnosis of advanced-stage or metastatic HER3+ solid tumors that are relapsed or refractory to or ineligible for standard therapy, or for whom no standard therapy is available; or the patient has documented their refusal of standard of care therapies.
These include the following: 1. Unresectable or metastatic cutaneous melanoma (HER3+) 2. Locally advanced or metastatic mutated EGFR (mEGFR) NSCLC (HER3+) 3. Unresectable, locally advanced or metastatic hormone receptor (HR)+/human epidermal growth factor receptor 2 (HER2)- breast cancer (HER3+)
  • - If molecular pathology report to confirm HER3+ status is not available, willingness to undergo fresh tumor biopsy for assessment of HER3+ status.
  • - Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2.
  • - Contraceptive requirements: 1.
Women of childbearing potential (WOCBP) must use contraception from at least 28 days prior to study start, during the study, and for at least 6 months after the last dose of study drug. 2. Males who are sexually active with partner(s) who are WOCBP must agree to use a male condom with spermicide beginning at study start, during the study and for at least 6 months after the last dose of study drug.
  • - Females must: 1.
Agree to not donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for at least 6 months after the last dose of study drug. 2. Agree to not breastfeed and do not plan to become pregnant during the study and for at least 6 months after the last dose of study drug.
  • - Males must: 1.
Agree to not donate sperm beginning at study start, during the study, and for at least 6 months after the last dose of study drug. 2. Agree to not plan to father a child beginning at study start, during the study, and for at least 6 months after last dose of study drug.
  • - Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

Exclusion Criteria:

  • - Any of the following treatment interventions within the specified time frame prior to study drug administration at study start: 1.
Any anti-tumor-directed drug therapy within 21 days or 5 times the elimination half-life (whichever is shorter). 2. Treatment with investigational drugs within 21 days. 3. Major surgery within 21 days. 4. Radiation therapy ≤4 weeks or radiotherapy that included >30% of the bone marrow. 5. Autologous or allogeneic stem cell transplantation or allogeneic tissue/organ transplant within 3 months. 6. CYP3A4 strong inhibitor (including any prescription or non-prescription drugs or herbal supplements) ≤4 half-lives. 7. CYP3A4 strong inducer ≤4 half-lives. 8. OATP1B inhibitor (including any prescription or non-prescription drugs or herbal supplements) ≤4 half-lives.
  • - Prior treatment with a HER3-targeted ADC or any exatecan- or exatecan-derivative-conjugated ADC inhibitor as last line of therapy.
  • - Prior treatment with a topoisomerase I inhibitor as last line of therapy.
  • - Primary immune deficiency (e.g. congenital syndromes).
  • - Active and uncontrolled infections requiring intravenous antibiotic or antiviral treatment within 2 weeks prior to study start.
  • - Known/suspected hypersensitivity against ENV-501, human or humanized immunoglobulin Gs (IgGs), or their ingredients.
  • - History of noninfectious or drug-induced pneumonitis or interstitial lung disease (ILD).
  • - Known seropositivity (except after vaccination or confirmed cure for hepatitis) for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV).
  • - Leptomeningeal disease, symptomatic or uncontrolled (active) brain metastasis (note: brain metastases not requiring steroids or anti-epileptic therapy are allowed if stable for ≥4 weeks prior to study start and patient is neurologically stable).
  • - Pregnant or WOCBP who have a positive b-human chorionic gonadotropin (HCG) test result at Screening or within 7 days prior to study start.
  • - Patients with second malignancies that are active (uncontrolled, metastatic) or requiring therapy.
  • - Patient who is an immediate family member (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study site or the Sponsor.

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.

NCT06956690
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/Phase 2
Lead Sponsor

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

Endeavor Biomedicines, Inc.
Principal Investigator

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

Lisa Lancaster, M.D.
Principal Investigator Affiliation Endeavor Biomedicines
Agency Class

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

Industry
Overall Status Recruiting
Countries Australia, United States
Conditions

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

Melanoma (Skin), Non Small Cell Lung Cancer, Breast Cancer
Arms & Interventions

Arms

Experimental: ENV-501

ENV-501 intravenous injection once every 3 weeks; successive cohorts will receive escalating doses of ENV-501 until the RP2D is reached

Interventions

Biological: - ENV-501

ENV-501 is a HER3-targeted antibody-drug conjugate (ADC) with a humanized monoclonal antibody (mAb) conjugated with a chemotherapeutic payload via a linker.

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.

Research Site, La Jolla 5363943, California 5332921

Status

Recruiting

Address

Research Site

La Jolla 5363943, California 5332921, 92093

Site Contact

Endeavor Clinical Trials

[email protected]

1-858-727-3199

Research Site, Farmington Hills 4992523, Michigan 5001836

Status

Recruiting

Address

Research Site

Farmington Hills 4992523, Michigan 5001836, 48334

Site Contact

Endeavor Clinical Trials

[email protected]

1-858-727-3199

International Sites

Research Site, Campbelltown 2172586, New South Wales 2155400, Australia

Status

Recruiting

Address

Research Site

Campbelltown 2172586, New South Wales 2155400, 2560

Site Contact

Endeavor Clinical Trials

[email protected]

1-858-727-3199

Research Site, Miranda 2157495, New South Wales 2155400, Australia

Status

Recruiting

Address

Research Site

Miranda 2157495, New South Wales 2155400, 2228

Site Contact

Endeavor Clinical Trials

[email protected]

1-858-727-3199

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