About this trial
This is a first in human (FIH), Phase 1 dose escalation and expansion study in select solid tumors. This study includes 2 parts: a Dose Escalation and Backfill portion (Part A) and a Dose Expansion portion (Part B).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants must have locally advanced or metatstatic disease in a select tumor type, for which no standard therapy is available.
Participants must have at least 1 measurable target lesion based on RECIST v1.1.
Participants must have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Participants must have adequate hematologic, hepatic, and renal function.
Disqualifiers
Participant's most recent systemic anti-cancer treatment was an ADC with a topoisomerase 1-inhibitor payload component.
Participant with known symptomatic central nervous system (CNS) metastases or any evidence of leptomeningeal disease or evidence of unstable CNS metastases, even if asymptomatic.
Participants with a known history of interstitial lung disease (ILD) requiring steroid treatment, or for whom suspected ILD cannot be ruled out by imaging at screening.
Participants with clinically severe pulmonary compromise due to intercurrent pulmonary illness and/or pulmonary disorder requiring supplemental oxygen or any prior pneumonectomy.
Trial design
Sequential
Treatments tested in this trial
NEOK002
DrugEscalating doses of NEOK002
NEOK002 RDE
DrugRecommended NEOK002 dose(s) for Expansion
Treatment groups
Trial outcomes
Primary outcomes
Part A: Incidence and Severity of Dose-Limiting Toxicities (DLTs)
Incidence and severity of DLTs during the first cycle of treatment in Part A
Part A: Incidence and Severity of Adverse Events (AEs)
Incidence and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) in patients in Part A
Part B: Investigator Assessment of Objective Response Rate (ORR)
Percentage of patients who achieve a confirmed objective response (ORR)
Part B: Duration of Response (DOR)
The time from the first documentation of tumor response (complete or partial) until disease progression or death.
Secondary outcomes
Part B: Incidence of AEs
Incidence of TEAEs and SAEs in participants in Part B
Maximum Concentration (Cmax) of NEOK002
Assessment of plasma pharmacokinetics (PK) parameters of NEOK002: Cmax
Terminal Elimination Half Life (T1/2) of NEOK002
Assessment of plasma PK parameters of NEOK002: T1/2
Sponsors and contacts
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