About this trial
This clinical trial is designed to evaluate the safety, pharmacokinetics, pharmacodynamics, and preliminary efficacy of MT-304 in adults with advanced HER2-expressing solid tumors. The main questions it aims to answer are:
* What is the safety profile of MT-304 when administered alone or with nivolumab? * What is the recommended Phase 2 dose (RP2D) of MT-304?
Participants will:
* Receive MT-304 alone (every 14 days) or with nivolumab (every 28 days). * Attend regular clinic visits for assessments and monitoring. * Continue treatment until disease progression, unacceptable toxicity, or study discontinuation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18 years or above
Histologically confirmed diagnosis of metastatic or advanced epithelial cancer expressing HER2 (Note: Participants with other tumor types expressing HER2 may be considered pending discussion with the Medical Monitor).
Measurable lesion per RECIST 1.1 criteria.
Eastern Cooperative Oncology Group (ECOG) performance status Grade of 0 or 1.
Disqualifiers
Known active CNS metastasis and/or carcinomatous meningitis.
Any acute illness including fever.
History of symptomatic congestive heart failure
History of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
Trial design
Sequential
Treatments tested in this trial
MT-304
DrugSafety, tolerability, and pharmacokinetics will be evaluated.
MT-304 + Nivolumab
DrugCombination therapy begins after monotherapy dose clearance by the Safety Review Committee.
Treatment groups
Trial outcomes
Primary outcomes
Type, incidence and severity of Adverse Events
Safety and tolerability profile assessed by the Common Terminology Criteria for Adverse Events v5.
Number of Participants With Change From Baseline in Vital Signs (Composite Safety Outcome)
Body temperature, body weight, pulse rate, and blood pressure (systolic and diastolic) assessed collectively; participants with clinically significant changes in any vital sign parameter will be summarized as a composite safety outcome.
Number of Participants With Abnormal Clinical Laboratory Parameters (Composite Safety Outcome)
Hematology, clinical chemistry, coagulation, virology testing, and urinalysis assessed collectively; participants with abnormalities in any laboratory parameter will be summarized as a composite safety outcome.
Number of Participants With Change From Baseline in ECG Parameters (Composite Safety Outcome)
PR interval, QRS duration, QT interval, corrected QT interval (QTc), and heart rate assessed collectively from 12-lead ECG recordings; participants with clinically significant changes in any ECG parameter will be summarized as a composite safety outcome.
Secondary outcomes
Pharmacokinetics (PK)
PK Parameter: Maximum plasma concentration (Cmax)
Pharmacokinetics (PK)
PK parameter: Area under Curve
Pharmacokinetics (PK)
PK parameter: Time of maximum observed plasma concentration (tmax)
Pharmacokinetics (PK)
PK parameter:Terminal half-life (t½)
Sponsors and contacts
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Myeloid Therapeutics
Lead sponsor
CREATE Medicines
Collaborator