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Trial Title: To Evaluate the Efficacy, Safety, Tolerability and Pharmacokinetic Profile of ABN401 in Patients With Advanced Solid Tumors Harboring c-MET Dysregulation

NCT ID: NCT05541822

Condition: Advanced Solid Tumors

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
c-MET

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: ABN401
Description: Tablets Route of Administration: Oral
Arm group label: Cohort 1: ABN401

Summary: ABN401-003 is a Phase 2 clinical study to assess efficacy, safety, tolerability and pharmacokinetic profile of ABN401 in specific populations of advance solid tumors with c-MET alterations as monotherapy.

Detailed description: This study will start with one cohort. Two additional cohorts are under consideration and the study will be a parallel cohort expansion study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Male or female ≥ 18 years of age or designated age of majority according to the regulatory authorities, whichever is higher. 2. Eastern Cooperative Oncology Group (ECOG) performance status (PS), 0 or 1. 3. Have a life expectancy of at least 3 months. 4. Diagnosis: 1. must have histologically or cytologically confirmed NSCLC, advanced, recurrent, or metastatic, 2. For Cohort 1: MET exon 14 skipping suspected by local or central biomarker assessment. [local testing is accepted for eligibility; all patients will have confirmation by central laboratory, but this result is not necessary for eligibility; local molecular pathology result will suffice]. This testing can be from archival or fresh tissue sample and/or blood specimen; any sample, any test positive subjects are eligible. 5. Treatment experience a. Cohort 1: Anti-tumor treatment naïve subject upon refusal to receive 1st line standard of care, or not tolerated to 1st line standard of care, or progressed after standard of care with no greater than 2 prior treatment regimens (neoadjuvant, adjuvant, and maintenance therapies do not qualify as separate treatment regimens). 6. At least one measurable lesion per response evaluation criteria in solid tumors (RECIST) 1.1, with the exception of bone-only disease (i.e., non-measurable disease per RECIST 1.1) with at least 1 radiological non-target lesion. 7. If not menopausal or surgically sterile, willing to practice at least one of the following highly effective methods of birth control for at least a (partner's) menstrual cycle before and for 3 months after study drug administration: 1. Barrier type devices (examples are condom, diaphragm, and contraceptive sponge) used only in combination with a spermicide 2. Sexual intercourse with vasectomized male/sterilized female partner, 3. Hormonal female contraceptive (oral, parenteral, intravaginal, implantable, or transdermal) for at least 3 consecutive months prior to investigational product administration (when not clinically contraindicated as in breast, ovarian and endometrial cancers), 4. Use of an intrauterine contraceptive device. Note: Abstinence, the rhythm method, and/or contraception by the partner are not acceptable methods of birth control 8. Resolution of prior-therapy-related AEs (including immune-related AEs but excluding alopecia) to ≤ Grade 1 per CTCAE v 5.0, and no treatment for these AEs for at least 2 weeks prior to the time of enrollment. Alopecia, sensory neuropathy Grade ≤ 2, or other Grade ≤ 2 AEs not constituting a safety risk based on investigator's judgment are acceptable. 9. Adequate organ function as indicated by laboratory values. 10. Tissue and blood specimens 1. Willing to undergo a new biopsy or have available archival formalin-fixed, paraffin-embedded tumor tissue specimen. The archival tissue must be: - collected after progression from most recent prior systemic anti-cancer treatment, OR - tissue samples collected prior to previous lines of treatment, 2. ALL subjects must undergo blood sample for biomarker assessment. 11. Able and willing to comply with the protocol and the restrictions and assessments therein. Exclusion Criteria: 1. Previous severe hypersensitivity reaction to any component of study drug(s). 2. Prior therapy a. Previous treatment with c-MET inhibitors or hepatocyte growth factor (HGF)-targeting therapy. 3. Genetic analysis results: a. Cohort 1: Existing genetic data from the patient's tumor tissue showing known molecular alterations which would make them eligible for targeted therapies (e.g., EGFR mutations, ALK rearrangements, KRAS mutation, ROS1 translocation, BRAF mutation, RET alteration, and NTRK fusion, etc.). 4. Chronic inflammatory liver condition. History or clinical evidence of any significant liver or biliary pathology including cirrhosis, infectious disease, inflammatory conditions, steatosis, or cholangitis (including ascending cholangitis, primary sclerosing cholangitis, obstruction, perforation, fistula of biliary tract, spasm of sphincter of Oddi, biliary cyst or biliary atresia). 5. Presence or history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis 6. Impairment of GI function or GI disease that may significantly alter the absorption of ABN401 (e.g., ulcerative diseases, uncontrolled nausea, uncontrolled vomiting, uncontrolled diarrhea, or malabsorption syndrome) 7. Prior organ or stem cell transplant. 8. Known active infection with human immunodeficiency virus (HIV), human T-cell leukemia virus, type (HTLV-1), hepatitis B virus (HBV), or hepatitis C virus (HCV), unless the patients fall into below categories (patients fall into one of the a, b, c category are eligible to participate) a. HIV - CD4+ cells ≥ 350 cells/µL - No history of AIDS - No history of opportunistic infection in the past 12 months b. HCV - Undetectable viral load (Participants positive for hepatitis C antibody are eligible only if polymerase chain reaction is negative for hepatitis C RNA) c. HBV - Concurrent HBV treatment and undetectable viral load (Participants with a past or resolved hepatitis B infection defined as the presence of hepatitis B core antibody [anti-HBc] and absence of hepatitis B surface antigen are eligible) 9. Symptomatic ascites or pleural effusion, unless clinically stable for at least two weeks following treatment for these conditions (including therapeutic thoraco- or paracentesis). 10. Known active central nervous system (CNS) primary tumor or metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to first dose of ABN401, have no evidence of new or enlarging brain metastases and are off steroids for at least 15 days prior to first dose of ABN401. 11. Presence or history of a malignant disease other than disease to be treated in current protocol that has been diagnosed and/or required therapy within the past 3 years. Exceptions to this exclusion include the following: completely resected basal cell and squamous cell skin cancers, indolent malignancies that currently do not require treatment, and completely resected carcinoma in situ of any type. 12. Active infection requiring therapy. However, subject with minor infections requiring oral antibiotics, (e.g., urinary tract infection, Upper respiratory tract infection, etc.) could be eligible based on investigator's judgement. 13. Use of systemic corticosteroids > 10 mg/day prednisone or equivalent within 30 days or other immunosuppressive drugs within 30 days prior to first drug administration. 14. Patients receiving treatment with medications that meet one of the following criteria and that cannot be discontinued at least 1 week prior to the start of treatment with ABN401 and for the duration of the study - Strong and moderate inhibitors/inducers of P-glycoprotein - Strong and moderate inhibitors/inducers of CYP3A4 - Proton pump inhibitors (PPI) 15. Has received or will receive a live vaccine within 30 days prior to the first administration of study medication. Seasonal flu vaccine that does not contain live vaccine are permitted. 16. Received an investigational product or treated with an investigational device within 30 days prior to first ABN401 administration. 17. Has been receiving: radiotherapy, chemotherapy, or molecularly-targeted agents or tyrosine kinase inhibitors within 2 weeks (4 weeks in case of thoracic radiotherapy to lung fields) or 5 half-lives (whichever is longer) of the start of study treatment; immunotherapy/monoclonal antibodies within 3 weeks of the start of study treatment; nitrosoureas, antibody-drug conjugates, or radioactive isotopes within 6 weeks of the start of study treatment; 7-day washout is permitted for palliative radiation (i.e. limited field, ≤ 14-day course of radiotherapy) to non-CNS lesions. 18. History or clinical evidence of any surgical or medical condition which the investigator judges as likely to interfere with the results of the study or pose an additional risk in participating e.g., rapidly progressive or uncontrolled disease involving a major organ system-vascular, cardiac, pulmonary, gastrointestinal, gynecologic, hematologic, neurologic, neoplastic, renal, endocrine, autoimmune or an immunodeficiency, or clinically significant active psychiatric or abuse disorders. 19. Is a regular user (including "recreational use") of any illicit drugs or had a recent history (within the last year) of substance abuse (including alcohol). 20. Pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study. 21. Patients with a corrected QT interval (using Fridericia's correction formula) (QTcF) of > 470 msec (females) and > 450 msec (males).

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Cancer Care of North Florida, PA (Lake City Cancer Care, LLC) - Medical Oncology

Address:
City: Lake City
Zip: 32024-3456
Country: United States

Status: Recruiting

Contact:
Last name: Waseemulla Khan

Phone: 386-755-1655
Email: wkhan@cancercareofnorthflorida.com

Contact backup:
Last name: Lilibeth Macias

Phone: (386) 755-1655

Phone ext: 6200
Email: LMacias@cancercareofnorthflorida.com

Facility:
Name: Mid Florida Center

Address:
City: Orange City
Zip: 32763-8316
Country: United States

Status: Recruiting

Contact:
Last name: Santosh Nair

Phone: 386-538-3169
Email: drsmnair@aorcorp.com

Contact backup:
Last name: Kiran Penta

Phone: (386) 538-3169
Email: kiran@aorcorp.com

Facility:
Name: The Henry Ford Cancer Institute

Address:
City: Detroit
Zip: 48202
Country: United States

Status: Not yet recruiting

Facility:
Name: The University of Texas MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030-4000
Country: United States

Status: Recruiting

Contact:
Last name: Le Xiuning

Phone: 713-561-2486
Email: XLe1@mdanderson.org

Contact backup:
Last name: Patti Smithwick

Phone: (713) 561-2486
Email: pjsmithwick@mdanderson.org

Facility:
Name: National Cancer Center

Address:
City: Goyang-si
Zip: 10408
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Ji-Youn Han

Phone: +82319201154
Email: jymama@ncc.re.kr

Contact backup:
Last name: Ji Won Yoo

Phone: 82-10-5620-5953
Email: jiwonyoo@ncc.re.kr

Facility:
Name: Ajou University Hospital

Address:
City: Suwon
Zip: 16499
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Yong Won Choi

Phone: 82-31-219-4267
Email: dreamliebe@hanmail.net

Contact backup:
Last name: Yerim Jung

Phone: 82-10-2465-5345
Email: 114907@aumc.ac.kr

Facility:
Name: Boramae Medical Center

Address:
City: Dongjak
Zip: 07061
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Jin-Soo Kim

Phone: 82-2-870-3875
Email: gistmd@gmail.com

Contact backup:
Last name: Youahn Seo

Phone: 82-2-870-3875
Email: uahn57@naver.com

Facility:
Name: Severance Hospital

Address:
City: Sinchon-dong
Zip: 03776
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Hye Ryun Kim

Phone: 82-2-2228-8173
Email: nobelg@yuhs.ac

Contact backup:
Last name: Bo Hyun An

Phone: 82-2-2228-8173
Email: scbha@yuhs.ac

Facility:
Name: Chungbuk National University Hospital

Address:
City: Cheongju-si
Zip: 28645
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Ki Hyeong Lee

Phone: 82-43-269-6015
Email: kihlee@chungbuk.ac.kr

Contact backup:
Last name: Inyoung Jeong

Phone: 82-10-5579-7261
Email: jeonginyoung22@gmail.com

Facility:
Name: Gachon University Gil Medical Center

Address:
City: Incheon
Zip: 21565
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Young Saing Kim

Phone: +82-10-3475-2435
Email: zoomboom@gilhospital.com

Contact backup:
Last name: Hyerim Choi

Phone: +82-10-9930-7579
Email: jasmin993075@naver.com

Facility:
Name: Gyeongsang National University Hospital

Address:
City: Jinju-si
Zip: 52728
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Gyeong-won Lee

Phone: +82-55-750-9454
Email: brightree24@gmail.com

Contact backup:
Last name: Soon Ha Kim

Phone: 82-10-9079-8069
Email: soonha109@naver.com

Facility:
Name: Seoul National University Bundang Hospital

Address:
City: Seongnam-si
Zip: 13620
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Yu Jung Kim

Phone: +82-31-787-7041
Email: cong1005@gmail.com

Contact backup:
Last name: Bora Yoon

Phone: +82-10-2351-0197
Email: purplegirl33@naver.com

Facility:
Name: Korea University Anam Hospital

Address:
City: Seoul
Zip: 02841
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Yoon Ji Choi

Phone: 82-2-920-6079
Email: yj_choi@korea.ac.kr

Contact backup:
Last name: Woo-seon Lim

Phone: 82-2-920-6079
Email: happyseony@kumc.or.kr

Facility:
Name: Kangbuk Samsung Hospital

Address:
City: Seoul
Zip: 03181
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Yun-Gyoo Lee

Phone: 82-2-2001-1859
Email: yungyoolee@gmail.com

Contact backup:
Last name: Nara Shin

Phone: 82-10-6788-3022
Email: snr150604@daum.net

Facility:
Name: Asan Medical Center

Address:
City: Seoul
Zip: 05505
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Daeho Lee

Phone: +82230103214
Email: leedaeho@amc.seoul.kr

Contact backup:
Last name: Hajin Lee

Phone: 82-10-4692-2292
Email: a01046922292@gmail.com

Facility:
Name: Samsung Medical Center

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Se-hoon Lee

Phone: +82234101132
Email: sehoon.lee@samsung.com

Contact backup:
Last name: SooJung Lee

Phone: +82-10-8906-9965
Email: sj62.lee@samsung.com

Facility:
Name: The Catholic University of Korea, Seoul St Mary's Hospitals

Address:
City: Seoul
Zip: 06591
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Jin-Hyoung Kang

Phone: +82225613238
Email: oncologykang@naver.com

Contact backup:
Last name: Joo Yeon Kim

Phone: 82-10-3537-3359
Email: jyn1023@naver.com

Facility:
Name: The Catholic University of Korea St Vincents Hospital

Address:
City: Suwon
Zip: 16248
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Byoung-Yong Shim

Phone: +82-31-249-8455
Email: shimby@catholic.ac.kr

Contact backup:
Last name: Yunhwa Kim

Phone: 82-10- 2953- 5676
Email: xxx1205xxx@naver.com

Facility:
Name: China Medical University Hospital

Address:
City: Taichung
Zip: 404
Country: Taiwan

Status: Recruiting

Contact:
Last name: Te-Chun Hsia

Phone: +886 4-22065866
Email: d1914@mail.cmuh.org.tw

Contact backup:
Last name: Shu Yin Liao

Phone: +886-972-723899
Email: asd911102@yahoo.com.tw

Facility:
Name: Chi Mei Hospital, Liouying

Address:
City: Tainan City
Zip: 736
Country: Taiwan

Status: Recruiting

Contact:
Last name: Shang-Wen Chen

Phone: +886 6-6226999

Phone ext: 73232
Email: saintwin.chen@gmail.com

Contact backup:
Last name: Olivia Chen

Phone: +886-6-6226999

Phone ext: 73232
Email: hospital77649@gmail.com

Facility:
Name: National Cheng Kung University Hospital

Address:
City: Tainan
Zip: 704
Country: Taiwan

Status: Recruiting

Contact:
Last name: Chun-Hui Lee

Phone: +886 972-401657

Phone ext: 3042
Email: chunhui811012@gmail.com

Contact backup:
Last name: Pei-Hsuan Lin

Phone: +886-6-2353535

Phone ext: 3042
Email: linpei1029@gmail.com

Facility:
Name: National Taiwan University Hospital

Address:
City: Taipei City
Zip: 100
Country: Taiwan

Status: Recruiting

Contact:
Last name: Chih-Hsin Yang

Phone: +886 2-23123456

Phone ext: 67511
Email: chihyang@ntu.edu.tw

Contact backup:
Last name: Ya-Ying Bai

Phone: +886-2-23123456

Phone ext: 67855
Email: yaying0508@ntuh.gov.tw

Facility:
Name: National Taiwan University Cancer Center (NTUCC)

Address:
City: Taipei
Zip: 10052
Country: Taiwan

Status: Recruiting

Contact:
Last name: Yang Chih-Hsin

Phone: +886-2-23123456

Phone ext: 67855
Email: chihyang@ntu.edu.tw

Contact backup:
Last name: Ya-Ying Bai

Phone: +886-2-23123456

Phone ext: 67855
Email: yaying0508@ntuh.gov.tw

Facility:
Name: Taipei Veterans General Hospital

Address:
City: Taipei
Zip: 112
Country: Taiwan

Status: Recruiting

Contact:
Last name: Yuh-Min Chen

Phone: +886 2-28757865
Email: ymchen@vghtpe.gov.tw

Contact backup:
Last name: Yu-Ching Fang

Phone: +886-2-28712121

Phone ext: 82872
Email: fangyaixian0928@gmail.com

Start date: January 17, 2023

Completion date: August 2025

Lead sponsor:
Agency: Abion Inc
Agency class: Industry

Source: Abion Inc

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05541822

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