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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. | ||
Rinatabart Sesutecan (Rina-S, PRO1184, GEN1184) for Advanced Solid Tumors (GCT1184-01/ PRO1184-001) (RAINFOL-01) Phase I, Phase II 764
Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable).
Phase 1/2 Study of Rina-S in Patients With Locally Advanced and/or Metastatic Solid Tumors
- 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)
Phase II
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
| Groupe de participants/Bras | Intervention/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 |
| Critères d'évaluation | Description de la mesure | Période |
|---|---|---|
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) |
| Critères d'évaluation | Description de la mesure | Période |
|---|---|---|
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 |
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.
Arizona
California
Florida
Georgia
Kansas
Maryland
Massachusetts
Michigan
Minnesota
New Jersey
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Tennessee
Texas
Utah
Virginia
Washington
Beijing Municipality
China
Chongqing Municipality
Hunan
Jiangxi
Jilin
Shanghai Municipality
Sichuan
Zhejiang
Fukushima
Gunma
Hokkaido
Hyōgo
Saitama
Shizuoka
Tokyo
Yamagata