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L'essai clinique NCT05579366 (RAINFOL-01) pour High Grade Epithelial Ovarian Cancer, Cancer ovarien séreux de haut grade, Carcinome Péritonéal Primaire, Cancer de la trompe de Fallope, Cancer de l'endomètre, Cancer du poumon non à petites cellules, Epidermal Growth Factor Receptor (EGFR)-Mutated Non-Small Cell Lung Cancer (NSCLC), Mésothéliome, Adénocarcinome du Sein, Cancer du sein triple négatif, Hormone Receptor-positive/Her2 Negative Breast Cancer, Platinum-resistant Ovarian Cancer (PROC), Platinum Sensitive Ovarian Cancer (PSOC), Primary Refractory Ovarian Cancer, Cancer de l'utérus est en recrutement. Consultez la vue en carte du Radar des Essais Cliniques et les outils de découverte par IA pour tous les détails, ou posez vos questions ici.
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Rinatabart Sesutecan (Rina-S, PRO1184, GEN1184) for Advanced Solid Tumors (GCT1184-01/ PRO1184-001) (RAINFOL-01) Phase I, Phase II 764

En recrutement
Les détails de l'essai clinique sont principalement disponibles en anglais. Cependant, l'IA Trial Radar peut vous aider ! Cliquez simplement sur 'Expliquer l'étude' pour voir et discuter des informations sur l'étude dans la langue sélectionnée.
L'essai clinique NCT05579366 (RAINFOL-01) est conçu pour étudier le traitement de High Grade Epithelial Ovarian Cancer, Cancer ovarien séreux de haut grade, Carcinome Péritonéal Primaire, Cancer de la trompe de Fallope, Cancer de l'endomètre, Cancer du poumon non à petites cellules, Epidermal Growth Factor Receptor (EGFR)-Mutated Non-Small Cell Lung Cancer (NSCLC), Mésothéliome, Adénocarcinome du Sein, Cancer du sein triple négatif, Hormone Receptor-positive/Her2 Negative Breast Cancer, Platinum-resistant Ovarian Cancer (PROC), Platinum Sensitive Ovarian Cancer (PSOC), Primary Refractory Ovarian Cancer, Cancer de l'utérus. Il s'agit d'une étude interventionnel en Phase I Phase II. Son statut actuel est : en recrutement. L'étude a débuté le 7 décembre 2022 et vise à recruter <stro...Afficher plus
Résumé succinct
This study will test the safety, including side effects, and determine the characteristics of a drug called Rina-S in participants with solid tumors.

Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable).

Description détaillée
This is a Phase 1/2 study of Rina-S; also known as GEN1184, formerly known as PRO1184, a folate receptor alpha (FRα) targeted antibody-drug conjugate, to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor activity of Rina-S in participants with selected locally advanced and/or metastatic solid tumors, including epithelial ovarian cancer, endometrial cancer, breast cancer, non-small cell lung canc...Afficher plus
Titre officiel

Phase 1/2 Study of Rina-S in Patients With Locally Advanced and/or Metastatic Solid Tumors

Pathologies
High Grade Epithelial Ovarian CancerCancer ovarien séreux de haut gradeCarcinome Péritonéal PrimaireCancer de la trompe de FallopeCancer de l'endomètreCancer du poumon non à petites cellulesEpidermal Growth Factor Receptor (EGFR)-Mutated Non-Small Cell Lung Cancer (NSCLC)MésothéliomeAdénocarcinome du SeinCancer du sein triple négatifHormone Receptor-positive/Her2 Negative Breast CancerPlatinum-resistant Ovarian Cancer (PROC)Platinum Sensitive Ovarian Cancer (PSOC)Primary Refractory Ovarian CancerCancer de l'utérus
Autres identifiants de l'étude
  • RAINFOL-01
  • GCT1184-01
  • CTR20230813 (Identifiant de registre) (Chinadrugtrials.org.cn)
  • jRCT2051250094 (Identifiant de registre) (Japan Registry for Clinical Trials (jRCT))
  • PRO1184-001 (Autre Identifiant) (Other Sponsor Identifier)
Numéro NCT
Date de début (réel)
2022-12-07
Dernière mise à jour publiée
2026-03-03
Date de fin (estimée)
2027-10
Inscription (estimée)
764
Type d'étude
Interventionnel
PHASE
Phase I
Phase II
Statut
En recrutement
Mots clés
antibody-drug conjugate
folate receptor alpha
folate receptor
solid tumor
ovarian cancer
primary peritoneal carcinoma
fallopian tube cancer
endometrial cancer
non-small cell lung cancer
mesothelioma
breast cancer
triple negative breast cancer
hormone receptor-positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer
topoisomerase I inhibitor
PROC
epidermal growth factor receptor (EGFR)-mutated NSCLC
Objectif principal
Traitement
Méthode d'allocation
Non randomisé
Modèle d'intervention
Séquentiel
Masquage
Aucun (ouvert)
Bras / Interventions
Groupe de participants/BrasIntervention/Traitement
ExpérimentalPart A, B, C, F, G, H, I, J and K
Rina-S monotherapy in Part A and at the recommended dose in Parts B, C, F, G, H, I, J and K.
Rina-S
Intravenous infusion of Rina-S
ExpérimentalPart D1
Rina-S in combination with carboplatin
Rina-S
Intravenous infusion of Rina-S
Carboplatine
Carboplatin intravenous infusion
ExpérimentalPart D2 and I
Rina-S in combination with bevacizumab
Rina-S
Intravenous infusion of Rina-S
Bevacizumab
Bevacizumab intravenous infusion
ExpérimentalPart D3 and D4
Rina-S in combination with pembrolizumab
Rina-S
Intravenous infusion of Rina-S
Pembrolizumab
Pembrolizumab intravenous infusion
Critère principal d'évaluation
Critères d'évaluationDescription de la mesurePériode
Parts A, B, and D - Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability]
Through end of treatment, up to approximately 1 year.
Parts A, and D - Dose Limiting Toxicity (DLT)
The proportion of participants experiencing DLT.
At the end of Cycle 1 (each cycle is 21 days)
Parts C, F, G, H, I, and J- Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR, Parts C, E, and F) or Investigator (Part G, I, and J) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Participants who achieve partial response (PR) or complete response (CR) per RECIST v1.1 criteria.
Through end of treatment, up to approximately 1 year.
Part K (US Participants Only) - Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Findings by Holter
Cycles 1 to 3 (each cycle is 21 days)
Critère secondaire d'évaluation
Critères d'évaluationDescription de la mesurePériode
Parts A, B, and D - Best Overall Response (BOR)
Participants who achieve CR or PR. Best response as assessed by the investigator per RECIST v1.1 criteria for all tumor types other than pleural mesothelioma which will use modified RECIST (mRECIST) v1.1.
Up to approximately 1 year.
Parts A, B, and D - ORR
Participants who achieve PR or CR per RECIST v1.1 criteria.
Up to approximately 1 year.
Parts A, B, and D - Disease Control Rate (DCR)
Participants who achieve stable disease, PR or CR per RECIST v1.1 criteria.
Up to approximately 1 year.
Parts A, B, C, D, F, G, H, I, and J - Progression-Free Survival (PFS)
Time from start of treatment to first documented disease progression or death
Through end of treatment, up to approximately 1 year.
Parts C, F, G, H, I and J - Overall survival (OS)
Time from the start of study treatment to the date of death from any cause
Up to approximately 2 years.
Parts A, B, C, D, F, H, I and J - Duration of Objective Response (DOR)
Time from the first documentation of an objective tumor response (CR or PR) to the first documented tumor progression or death
From date of enrollment until the date of first documented disease progression or date of study withdrawal, whichever came first, assessed up to 12 months.
Parts A, B, and D - Peak Plasma Concentration (Cmax) for Rina-S
Measurement of maximum plasma concentration after the administration of Rina-S.
Through end of treatment, up to approximately 1 year.
Parts A, B, and D - Area Under the Plasma Concentration Versus Time Curve (AUC) for Rina-S
Measurement of AUC after the administration of Rina-S.
Through end of treatment, up to approximately 1 year.
Parts A, B, and D -Time to Reach Cmax (Tmax) for Rina-S
Through end of treatment, up to approximately 1 year
Parts A, B, and D - Trough Concentrations (Ctrough) for Rina-S
Through end of treatment, up to approximately 1 year
Parts A, B, and D - Apparent Terminal Half-life (t1/2) for Rina-S
Through end of treatment, up to approximately 1 year
Parts C, D, H and J - CA-125 Response Determined Using the Gynecologic Cancer Intergroup (GCIG) Criteria
Through end of treatment, up to approximately 1 year
Parts C, F, H, I, J, and K - Number of Participants with Type, Incidence, Severity, Seriousness as per Common Terminology Criteria for Adverse Events (CTCAE) v5.0, and Relatedness of Adverse Events (AEs)
Through end of treatment, up to approximately 1 year
Assistant à la participation
Critères d'éligibilité

Âges éligibles
Adulte, Adulte âgé
Âge minimum
18 Years
Sexes éligibles
Tous

Part A and B:

  • Histologically or cytologically confirmed metastatic or unresectable solid malignancy including ovarian cancer (must have epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer), endometrial cancer, non-small cell lung cancer (Part A), EGFR-mutated NSCLC (Part B), breast cancer (hormone receptor positive, HER2-negative and triple-negative) (Part A), mesothelioma or cervical cancer (Part B).
  • Previously received therapies known to confer clinical benefit.
  • Measurable disease per RECIST v1.1 for all tumor types other than pleural mesothelioma which will use mRECIST v1.1 at baseline.

Part C and H:

Participants must have histologically or cytologically confirmed metastatic or unresectable epithelial ovarian cancer as specified below.

  • High grade serous ovarian cancer, primary peritoneal cancer, or fallopian tube cancer (excluding endometrioid, clear cell carcinomas, mucinous, low grade, and those with a sarcomatous or neuroendocrine element)
  • Participants must have received up to 3 prior lines of therapy. Participants may have had up to to 4 prior lines of therapy are allowed if MIRV is locally approved and was used as the last line of therapy. Participants must have progressed radiographically on or after their most recent line of therapy.
  • Participants must have platinum-resistant ovarian cancer.
  • Participants must have received prior bevacizumab or approved biosimilar.
  • Participants with known or suspected deleterious germline or somatic BRCA mutations (as determined by Food and Drug Administration \[FDA\]-approved test in a Clinical Laboratory Improvement Amendments \[CLIA\]-certified laboratory; or locally approved equivalent) and who achieved a complete or partial response to platinum-based chemotherapy must have been treated with a poly ADP-ribose polymerase (PARP) inhibitor as maintenance treatment.
  • Measurable disease per the RECIST v1.1 at baseline.

Part D:

Cohort D1:

  • Participants must have platinum-sensitive ovarian cancer.
  • Participants must have received 1 to 3 prior lines of therapy.

Cohort D2:

  • Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer.

  • Participants with primary platinum-refractory ovarian cancer must have received ≤2 prior lines of therapy. Primary platinum-refractory ovarian cancer is defined as a lack of response or by progression within 91 days after completing front-line platinum containing therapy.

  • Participants must have received 1 to 3 prior lines of therapy for platinum-resistant ovarian cancer (PROC), and up to 4 prior lines of therapy for platinum-sensitive ovarian cancer (PSOC). Prior treatments may have included bevacizumab, PARP inhibitor, and MIRV.

    • Participants with PSOC must have disease progression on or after maintenance treatment, or at least 6 months (>183 days) or more from the last dose of platinum-based therapy.

Cohort D3 and D4:

• Endometrial cancer (any subtype excluding sarcoma).

Part F and G:

  • Participants must have histologically or cytologically confirmed EC.
  • Recurrent progressive EC (any subtype excluding neuroendocrine tumors, carcinosarcoma, or endometrial sarcoma) following prior therapy.
  • Participants must have received 1 to 3 prior lines of therapy, and must have progressed radiographically on or after their most recent line of therapy:
  • Participants must have received prior platinum-based chemotherapy and a programmed death-ligand 1 (PD-\[L\])1 inhibitor.
  • Participants who progress >12 months after completion of prior adjuvant or neoadjuvant platinum-based chemotherapy must receive 1 additional cytotoxic systemic treatment prior to enrollment in this study.
  • Hormonal therapy alone (i.e., without chemotherapy) will not be counted as a separate line of therapy.
  • Measurable disease per the RECIST Version 1.1 at baseline.

Part I:

  • Participants must have histologically or cytologically confirmed high grade serous or endometrioid epithelial ovarian cancer, fallopian tube cancer and primary peritoneal cancer (excluding clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies or low grade/borderline ovarian tumors).
  • Participants must have platinum sensitive ovarian cancer.
  • Measurable disease per the RECIST Version 1.1 at baseline.

Part J:

  • Participants must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element.
  • Measurable disease per the RECIST Version 1.1 at baseline.

Part K:

  • Participants must have histologically or cytologically confirmed metastatic or unresectable ovarian cancer (must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element).
  • Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer.
  • Measurable disease per the RECIST Version 1.1 at baseline.

  • History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids within the past 2 years, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
  • Prior therapy with a topoisomerase 1 inhibitor-based antibody drug conjugate.

Note: Other protocol-defined inclusion/exclusion may apply.

Contact central de l'étude
Contact: Genmab Trial Information, +4570202728, [email protected]
67 Centres de l'étude dans 3 pays

Arizona

USOR HonorHealth, Phoenix, Arizona, 85016, United States
En recrutement
USOR Arizona Oncology Associates, Tucson, Arizona, 85711, United States
En recrutement

California

University of California Los Angeles Medical Center, Los Angeles, California, 90095, United States
En recrutement
University of California, San Diego; Moores Cancer Center, San Diego, California, 92093, United States
En recrutement
USOR Sansum Clinic, Santa Barbara, California, 93105, United States
En recrutement
Providence Medical Foundation, Santa Rosa, California, 95403, United States
En recrutement

Florida

USOR Florida Cancer Specialists South, Fort Myers, Florida, 33908, United States
En recrutement
USOR Florida Cancer Specialists North, St. Petersburg, Florida, 33709, United States
En recrutement
USOR Florida Cancer Specialists East, West Palm Beach, Florida, 33401, United States
En recrutement

Georgia

Augusta University Georgia Cancer Center, Augusta, Georgia, 30912, United States
En recrutement

Kansas

University of Kansas Medical Center (KUMC), Westwood, Kansas, 66205, United States
En recrutement

Maryland

USOR Maryland Oncology Hematology, Rockville, Maryland, 20850, United States
En recrutement

Massachusetts

Massachusetts General Hospital, Boston, Massachusetts, 02114, United States
En recrutement
Dana Farber Cancer Institute, Boston, Massachusetts, 02215, United States
En recrutement

Michigan

Karmanos Cancer Institute, Detroit, Michigan, 48085, United States
En recrutement
START Midwest, Grand Rapids, Michigan, 49503, United States
En recrutement

Minnesota

USOR Minnesota Oncology Hematology, Maplewood, Minnesota, 55109, United States
En recrutement

New Jersey

MD Anderson Cancer Center at Cooper- Two Cooper Plaza, Camden, New Jersey, 08103, United States
En recrutement

Ohio

Ohio State University Comprehensive Cancer Center (OSUCCC)- The James Cancer Hospital and Solove Research Institute, Columbus, Ohio, 43210, United States
En recrutement

Oklahoma

University of Oklahoma - Health Sciences Center, Oklahoma City, Oklahoma, 73104, United States
En recrutement

Oregon

USOR Oncology Associates of Oregon, P.C., Eugene, Oregon, 97401, United States
En recrutement
Compass Oncology - Rose Quarter, Portland, Oregon, 97227, United States
En recrutement

Pennsylvania

USOR Alliance Cancer Specialist, Doylestown, Pennsylvania, 18901, United States
En recrutement
Allegheny Health Network, Pittsburgh, Pennsylvania, 15224, United States
En recrutement

Rhode Island

Women and Infants Hospital of Rhode Island, Providence, Rhode Island, 02905, United States
En recrutement

Tennessee

Sarah Cannon Research Institute at Tennessee Oncology, Nashville, Tennessee, 37203, United States
En recrutement
Tennessee Oncology, Nashville, Tennessee, 37203, United States
En recrutement

Texas

USOR Texas Oncology, Abilene, Texas, 79606, United States
En recrutement
Texas Oncology - Central / South Texas, Austin, Texas, 78758, United States
En recrutement
Mary Crowley Cancer Research, Dallas, Texas, 75521, United States
En recrutement
USOR Texas Oncology, Fort Worth, Texas, 76104, United States
En recrutement
Texas Oncology - Northeast TX, Tyler, Texas, 75702, United States
En recrutement
USOR Texas Oncology Gulf Coast, Woodland, Texas, 77380, United States
En recrutement

Utah

START Mountain Region, West Valley City, Utah, 84119, United States
En recrutement

Virginia

USOR Virginia Cancer Specialists, Fairfax, Virginia, 22031, United States
En recrutement
USOR Virginia Oncology Associates, Norfolk, Virginia, 23502, United States
En recrutement

Washington

Swedish Cancer Institute, Seattle, Washington, 98104, United States
En recrutement

Beijing Municipality

Cancer hospital, Chinese Academy of Medical Sciences, Beijing, Beijing Municipality, China
En recrutement

China

Fujian Cancer Hospital, Fujian, China, China
En recrutement
Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, China, China
En recrutement
Second Affiliated Hospital of Zhengzhou University, Henan, China, China
En recrutement
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei, China, China
Pas encore en recrutement
Second Hospital of Shanxi Medical University, Shanxi, China, China
En recrutement
Shanxi Cancer Hospital, Shanxi, China, China
Pas encore en recrutement
Liaoning Cancer Hospital & Institute, Shengyang, China, China
Pas encore en recrutement
Tianjin Cancer Hospital, Tianjin, China, China
En recrutement

Chongqing Municipality

Chongqing University Cancer Hospital, Chongqing, Chongqing Municipality, China
En recrutement

Hunan

Hunan Cancer Hospital - Phase 1, Changsha, Hunan, China
En recrutement
Hunan Cancer Hospital - Thoracic Medicine Dept II, Changsha, Hunan, China
En recrutement

Jiangxi

Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi, China
En recrutement

Jilin

Jilin Cancer Hospital, Changchun, Jilin, China
En recrutement

Shanghai Municipality

Obstetrics & Gynecology Hospital of Fudan University, Chengdu, Shanghai Municipality, China
En recrutement
Fudan University Shanghai Cancer Center - Gynecologic Oncology, Shanghai, Shanghai Municipality, China
En recrutement
Fudan University Shanghai Cancer Center- Phase 1, Shanghai, Shanghai Municipality, China
En recrutement
Shanghai East Hospital, Shanghai, Shanghai Municipality, China
En recrutement

Sichuan

Sichuan Cancer Hospital, Shanghai, Sichuan, China
En recrutement

Zhejiang

Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China
En recrutement

Fukushima

Fukushima Medical University Hospital, Fukushima, Fukushima, Japan
En recrutement

Gunma

Gunma Prefectural Cancer Center, Ōta, Gunma, Japan
En recrutement

Hokkaido

Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan
En recrutement

Hyōgo

Hyogo Cancer Center, Akashi, Hyōgo, Japan
En recrutement

Saitama

Saitama Medical University-International Medical Center, Hidaka, Saitama, Japan
En recrutement

Shizuoka

Shizuoka Cancer Center, Nagaizumi-chō, Shizuoka, Japan
En recrutement

Tokyo

Cancer Institute Hospital of JFCR, Koto, Tokyo, Japan
En recrutement
Keio University Hospital, Shinjuku-ku, Tokyo, Japan
En recrutement
National Cancer Center Hospital, Tokyo, Tokyo, Japan
En recrutement

Yamagata

Yamagata University Hospital, Yamagata, Yamagata, Japan
En recrutement