About this trial
The first part of the study (phase Ia - dose escalation) will evaluate the safety and tolerability and identify the dose-limiting toxicities (DLTs) of PM54.
The second part of the study (phase Ib - safety run-in and expansion) will be to reassess the maximum tolerated dose (MTD) defined in the Phase Ia stage in a framework of more extensive premedication, and to evaluate the antitumor activity of PM54 according to the RECIST v.1.1 (or mRECIST v.1.1 in case of MPM) and/or serum markers as appropriate, in patients with selected advanced solid tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntarily signed and dated written informed consent, obtained prior to any specific study procedure.
Age ≥18 years.
Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1.
Genitourinary tract tumors: urothelial carcinoma, clear cell renal carcinoma and prostate adenocarcinoma.
Disqualifiers
Uncontrolled arterial hypertension despite optimal management (≥160/100 mmHg).
Presence of clinically relevant valvular disease.
History of long QT syndrome.
Corrected QT interval (QTcF, Fridericia correction) ≥450 ms on screening ECG.
Trial design
Sequential
Treatments tested in this trial
PM54
DrugPM54 powder for concentrate for solution for infusion (3 mg/vial) is a sterile, preservative-free, lyophilized white to yellowish cake in a single-dose vial for reconstitution prior to intravenous infusion. Each vial contains 3 mg PM54. Route of administration: Intravenous infusion
Treatment groups
Trial outcomes
Primary outcomes
Phase 1a (dose escalation) and Phase1b (safety run-in): Dose-limiting toxicities (DLTs)
Phase 1a (dose escalation) and Phase1b (safety run-in): Treatment-emergent Adverse Events (TEAEs)
Phase 1a (dose escalation) and Phase1b (safety run-in): Drug-related Adverse Events (AEs)
Phase 1a (dose escalation) and Phase1b (safety run-in): Drug-related deaths
Secondary outcomes
Phase 1b (expansion): Adverse events (AEs)
AEs will be graded according to the NCI-CTCAE v.5.
Phase 1b (expansion): Treatment discontinuation
Phase 1b (expansion): Dose reductions
Phase 1b (expansion): Treatment delays due to adverse events (AEs)