About this trial
This is a Phase 1/2a dose escalation and expansion study to determine the safety, tolerability, and preliminary clinical activity of 177LuBetaBart, a lutetium-labeled anti-B7-H3 monoclonal antibody, in patients with relapsed/refractory, locally advanced inoperable, or metastatic solid tumors
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants ≥ 18 years of age.
Participants with a documented history of histopathologically confirmed CRPC*, CRC, NSCLC, SCLC, HNSCC, ovarian cancer, cervical cancer, endometrial cancer, TNBC, or ESCC.
Participants must have documented disease progression during or after their most recent line of anticancer therapy. Participants must be refractory to or intolerant of standard of care therapy or have no standard of care therapy available that is likely to provide clinical benefit.
Must have at least 1 measurable target lesion according to RECIST v1.1.
Disqualifiers
History of prior organ transplant.
Any other known, active malignancy, except for treated cervical intraepithelial neoplasia, or non-melanoma skin cancer.
Have any medical condition that would, in the Investigator's judgment, prevent the participant's full participation in the clinical study due to safety concerns or compliance with clinical study procedures.
Residual toxicity ≥ Grade 2 from prior anti-cancer therapy
Trial design
Single group
Treatments tested in this trial
177Lu-BetaBart
Drug177Lu-BetaBart administered intravenously (IV) every 6 weeks at escalating doses
BetaBart + unlabeled BetaBart
Drug177Lu-BetaBart + unlabeled BetaBart administered intravenously (IV) every 6 weeks at escalating doses
Treatment groups
Trial outcomes
Primary outcomes
Safety and Tolerability of 177LuBetaBart
TEAEs as defined by CTCAE v5.0
To assess the preliminary anti-tumor activity of 177Lu-BetaBart at the RP2D
ORR per RECIST v1.1 and iRECIST
To assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants at the RP2D
Proportion of participants who achieve a best response of PSA50
Secondary outcomes
To assess the preliminary anti-tumor activity of 177Lu-BetaBart
ORR per RECIST v1.1 and iRECIST
To assess preliminary anti-tumor activity, as defined by biochemical response, in CRPC participants
Proportion of participants who achieve a best response of PSA50
Assess biodistrubution, PK, and radiation dosimetry of 177Lu-BetaBart
Absorbed Radiation doses in critical organs
Effect of Co-injection of unlabeled BetaBart on biodistribution of radiolabeled 177Lu-BetaBart
Absorbed Radiation doses in critical organs
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Radiopharm Theranostics, Ltd
Lead sponsor
Medpace, Inc.
Collaborator