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NCT06515613PHASE1Recruiting

A Phase 1 Study of CTIM-76 in Patients With Recurring Ovarian Cancer and Other Advanced Solid Tumors

Context Therapeutics Inc.

Start Date

7/10/2024

Completion Date

12/31/2028

Summary

This is a Phase 1a/1b, open-label, dose escalation and expansion study to evaluate the safety and efficacy of CTIM-76 (study drug), a CLDN6-directed T cell-engaging bispecific antibody , in participants with platinum-refractory/resistant ovarian cancer (PRROC) and other advanced CLDN6-positive solid tumors (i.e., testicular and endometrial).

Detailed Description

The phase 1a dose escalation portion of the trial will enroll participants with PRROC, testicular, or endometrial cancer into one of approximately 9 dose escalation cohorts to assess safety, tolerability and to determine the recommended dose for expansion (RDE). CTIM-76 is to be administered once according to the dose and schedule of the assigned cohort. Participants will be dosed until documentation of disease progression, unacceptable toxicity, or participant/physician decision. The phase 1b dose expansion phase will first evaluate CTIM-76 in PRROC at minimum, 2 dose levels and/or dosing schedules will be evaluated (n=20 response evaluable participants in each cohort) in the dose expansion phase of the trial. . This is to enable dose- and exposure-response analyses. The expansion doses/dosing schedules for Phase 1b will be determined by Sponsor in conjunction with Safety Review Committee (SRC) based upon all available safety, pharmacokinetic (PK), pharmacodynamic (PD), biomarker and preliminary efficacy data from Phase 1a. The selection of the RP2D will be based on the totality of data from Phase 1b.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Participants with CLDN6 positive platinum resistant/refractory ovarian, advanced testicular or advanced endometrial cancer. * Participants with measurable disease per RECIST 1.1. * ECOG 0, 1, or 2 and life expectancy of ≥ 12 weeks. * Participants with adequate organ function. Exclusion Criteria: * Evidence of central nervous system metastases, leptomeningeal disease or spinal cord compression. * Uncontrolled significant active infection or any medical or other condition that in opinion of the Investigator would preclude the participant's participation in the study. * Concurrent participation in another investigational clinical trial.

Interventions

DRUG

CTIM-76

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Conditions

Platinum-resistant Ovarian CancerTesticular CancerEndometrial Cancer

Locations

University of Arkansas Winthrop P. Rockefeller Cancer Institute

Little Rock, Arkansas 72205

United States

Precision NextGen Oncology & Research Center

Beverly Hills, California 90212

United States

SCRI at Denver Health

Denver, Colorado 80218

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02215

United States

John Theurer Cancer Center

Hackensack, New Jersey 07601

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10021

United States

Duke Cancer Institute

Durham, North Carolina 27710

United States

Gabrail Cancer Center

Canton, Ohio 44718

United States

Providence Cancer Institute of Oregon

Portland, Oregon 97213

United States

Fox Chase Cancer Center

Philadelphia, Pennsylvania 19111

United States

Women & Infants Hospital of Rhode Island

Providence, Rhode Island 02905

United States

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee 37232

United States

SCRI at Mary Crowley

Dallas, Texas 75230

United States

University College London Hospital

London,

United Kingdom