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Trial Title: A Study of Vobramitamab Duocarmazine in Participants With Metastatic Castration Resistant Prostate Cancer and Other Solid Tumors

NCT ID: NCT05551117

Condition: Castration-Resistant Prostatic Cancer
Androgen-Independent Prostatic Cancer
Androgen-Insensitive Prostatic Cancer
Androgen-Resistant Prostatic Cancer
Hormone Refractory Prostatic Cancer
Anal Cancer
Anal Neoplasm
Carcinoma, Squamous Cell of Head and Neck
Head and Neck Squamous Cell Carcinoma
Laryngeal Squamous Cell Carcinoma
Oral Squamous Cell Carcinoma
Malignant Melanoma
Melanoma
Non-small Cell Lung Cancer
Non-small Cell Carcinoma
Small-cell Lung Cancer
Small Cell Carcinoma

Conditions: Official terms:
Carcinoma
Lung Neoplasms
Prostatic Neoplasms
Melanoma
Carcinoma, Squamous Cell
Small Cell Lung Carcinoma
Squamous Cell Carcinoma of Head and Neck
Anus Neoplasms
Carcinoma, Small Cell
Prostatic Neoplasms, Castration-Resistant

Study type: Interventional

Study phase: Phase 2

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: vobramitamab duocarmazine 2.0 mg (Arm A)
Description: 2.0 mg/kg intravenous (IV) every 4 weeks
Arm group label: Part 1: MGC018 2.0 mg (Arm A)

Other name: MGC018

Intervention type: Biological
Intervention name: vobramitamab duocarmazine 2.7 mg (Arm B)
Description: 2.7 mg.kg IV every 4 weeks
Arm group label: Part 1: MGC018 2.7 mg (Arm B)

Other name: MGC018

Intervention type: Biological
Intervention name: vobramitamab duocarmazine
Description: 2.7 mg.kg IV every 4 weeks
Arm group label: Part 2: Anal cancer cohort
Arm group label: Part 2: HNSCC cohort
Arm group label: Part 2: Melanoma cohort
Arm group label: Part 2: SCLC cohort
Arm group label: Part 2: Squamous NSCLC cohort

Other name: MGC018

Intervention type: Drug
Intervention name: Abiraterone
Description: 1000 mg once daily
Arm group label: Part 1: Control Arm

Intervention type: Drug
Intervention name: Enzalutamide
Description: 160 mg daily
Arm group label: Part 1: Control Arm

Summary: Study CP-MGC018-03 is an open-label, two-part, Phase 2 study. Part 1 of the study will enroll participants with metastatic castration-resistant prostate cancer (mCRPC) previously treated with one prior androgen receptor axis-targeted therapy (ARAT). ARAT includes abiraterone, enzalutamide, or apalutamide. Participants may have received up to 1 prior docetaxel-containing regimen, but no other chemotherapy agents. This part of the study will assess the efficacy and tolerability of vobramitamab duocarmazine (MGC018) in two experimental arms (2.0 mg/kg every 4 weeks [Q4W] and 2.7 mg/kg Q4W) . Approximately 100 participants will be randomized 1:1. Part 2 of the study will enroll participants with locally advanced or metastatic squamous cell carcinoma (SCC) of the anus, melanoma, head and neck squamous cell carcinoma (HNSCC), squamous non-small cell lung carcinoma (NSCLC), and small cell lung carcinoma (SCLC). Participants must have progressive following at least 1 prior line of standard chemotherapy for advanced or metastatic disease. Participants will receive vobramitamab docarmazine at a dose of 2.7 mg/kg every 4 weeks. Up to 200 participants may be enrolled in Part 2. In both parts, vobramitamab duocarmazine will be administered intravenously (IV) in clinic on Day 1 of each 4-week cycle. Vobramitamab duocarmazine will be administered until criteria for treatment discontinuation are met. Participants will undergo regular testing for signs of disease progression using computed tomography (CT) scans, magnetic resonance imaging (MRI), bone scans, and prostate-specific antigen (PSA) blood tests. Routine examinations and blood tests will be performed and evaluated by the study doctor.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Part 1 only: Histologically confirmed adenocarcinoma of the prostate without evidence of neuroendocrine differentiation, signet cell, or small cell features. - Part 2 only: Histologically confirmed SCC or the anus, melanoma, HNSCC, squamous NSCLC, or SCLC. - Part 1 only: Received 1 prior ARAT for metastatic or non-metastatic, castration-sensitive or castration-resistant prostate cancer. A second ARAT regimen of <60 days used as bridging to lutetium-177 is permitted. - Part 2 only: At least 1 prior line of systemic therapy for unresectable or metastatic disease and no more than 2 prior lines of cytotoxic chemotherapy. Participants with HNSCC or melanoma must have received prior PD-1 or PD-L1 inhibitor for advanced or metastatic disease. - All participants must have ≥ 1 metastatic lesion, according to RECIST 1.1 or PCWG3 criteria, that is present on magnetic resonance imaging (MRI), computed tomography (CT), or bone scan obtained ≤ 28 days prior to initiation of study treatment. - All participants must have tumor progression, according to disease-specific criteria, following their most recent anti-cancer therapy. - All participants must have and available archival or formalin-fixed paraffin-embedded (FFPE) tumor tissue sample for participants with metastasis to internal organs - All participants have acceptable physical condition and laboratory values. - All participants of childbearing potential must agree to use highly effective methods of birth control. - All participants must not be pregnant, planning to be pregnant, or breastfeeding. Exclusion Criteria: - Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures. - Part 1 only: Received >1 prior taxane-containing regimen for prostate cancer. A second taxane regimen of <60 days used as bridging for lutetium-177 is permitted. - Part 1 only: Received >3 total prior therapies for mCRPC - Part 1 only: Participants with known BRCA or ATM mutation (germline or somatic) are not eligible unless they received prior treatment with a PARP inhibitor where available, indicated and tolerated. - Another hematologic or solid tumor ≥ stage 1 malignancy that completed surgery, last dose of radiotherapy, or last dose of systemic anti-cancer therapy ≤ 2 years from first dose of study treatment. Participants who had curative therapy for non-melanomatous skin cancer or for localized malignancy are eligible. - Untreated, symptomatic central nervous system (CNS) metastasis. - Prior treatment with any B7-H3 targeted agent for cancer, - Contradictions to the use of corticosteroid treatment - Prior stem cell, tissue, or solid organ transplant. - Part 1 only: Use of products that have published anti-prostate cancer activity or are known to decrease PSA.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Compassionate Cancer Care Medical Group

Address:
City: Fountain Valley
Zip: 92708
Country: United States

Facility:
Name: University of California Los Angeles (UCLA) Community Cancer Care

Address:
City: Los Angeles
Zip: 90095
Country: United States

Facility:
Name: The University of Florida Health System - UF Health Urology - Jacksonville

Address:
City: Jacksonville
Zip: 32209
Country: United States

Facility:
Name: Mid Florida Hematology and Oncology Center

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

Facility:
Name: Pontchartrain Cancer Center

Address:
City: Covington
Zip: 70433
Country: United States

Facility:
Name: The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Address:
City: Baltimore
Zip: 21231
Country: United States

Facility:
Name: Barbara Ann Karmanos Cancer Institute - Hudson-Webber Cancer Research Center

Address:
City: Detroit
Zip: 48201
Country: United States

Facility:
Name: Masonic Cancer Center, University of Minnesota

Address:
City: Minneapolis
Zip: 55455
Country: United States

Facility:
Name: Gabrail Cancer Center

Address:
City: Canton
Zip: 44718
Country: United States

Facility:
Name: VA Portland Health Care Services

Address:
City: Portland
Zip: 97239
Country: United States

Facility:
Name: Carolina Urologic Research Center

Address:
City: Myrtle Beach
Zip: 29572
Country: United States

Facility:
Name: University of Virginia Comprehensive Cancer Center

Address:
City: Charlottesville
Zip: 22908
Country: United States

Facility:
Name: Virginia Cancer Specalists

Address:
City: Fairfax
Zip: 22031
Country: United States

Facility:
Name: Fred Hutchinson Cancer Center

Address:
City: Seattle
Zip: 98109
Country: United States

Facility:
Name: Ramsay Health Care - Westmead Private Hospital

Address:
City: Westmead
Zip: 2145
Country: Australia

Facility:
Name: The University of Queensland (UQ) - Princess Alexandra Hospital (PAH)

Address:
City: Woolloongabba
Zip: 4102
Country: Australia

Facility:
Name: Cabrini Health- Malvern

Address:
City: Malvern
Zip: 3144
Country: Australia

Facility:
Name: Peter MacCallum Cancer Centre

Address:
City: Melbourne
Zip: 3000
Country: Australia

Facility:
Name: Cliniques Universitaires Saint-Luc

Address:
City: Woluwe-Saint-Lambert
Zip: 1200
Country: Belgium

Facility:
Name: (Grand Hopital de Charleroi) GHDC

Address:
City: Charleroi
Zip: 6000
Country: Belgium

Facility:
Name: Centre Hospitalier de Ardenne - Libramont - Clinique du Sein

Address:
City: Libramont
Zip: 6800
Country: Belgium

Facility:
Name: Centre Hospitalier Universitaire (CHU) - Universite Catholique de Louvain (UCL) - Namur - Site Godinne (Cliniques Universitaires UCL de Mont-Godinne)

Address:
City: Godinne
Zip: 5300
Country: Belgium

Facility:
Name: Algemeen Ziekenhuis Maria Middelares

Address:
City: Gent
Zip: 9000
Country: Belgium

Facility:
Name: Centre Antoine-Lacassagne

Address:
City: Nice Cedex 2
Zip: 06189
Country: France

Facility:
Name: Institut de Cancerologie Strasbourg Europe (ICANS)

Address:
City: Strasbourg
Zip: 67200
Country: France

Facility:
Name: Institut Bergonié

Address:
City: Bordeaux
Zip: 33076
Country: France

Facility:
Name: Institut régional du Cancer de Montpellier - ICM Val d'Aurelle

Address:
City: Montpellier
Zip: 34298
Country: France

Facility:
Name: Hôpital d'Instruction des Armées Bégin

Address:
City: Saint-Mandé
Zip: 94160
Country: France

Facility:
Name: Hopital Foch

Address:
City: Suresnes
Zip: 92150
Country: France

Facility:
Name: Centre Hospitalier Privé Saint-Grégoire

Address:
City: Saint-Grégoire
Zip: 35760
Country: France

Facility:
Name: Clinique Victor Hugo

Address:
City: Le Mans
Zip: 72000
Country: France

Facility:
Name: Gustave Roussy

Address:
City: Villejuif
Zip: 94800
Country: France

Facility:
Name: CHRU Brest

Address:
City: Brest
Zip: 29200
Country: France

Facility:
Name: Institut Mutualiste Montsouris

Address:
City: Paris
Zip: 75014
Country: France

Facility:
Name: AOU San Luigi Gonzaga Oncology Department

Address:
City: Orbassano
Zip: 10049
Country: Italy

Facility:
Name: Ospedale dell'Angelo

Address:
City: Mestre
Zip: 30174
Country: Italy

Facility:
Name: Radiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, University of Florence

Address:
City: Florence
Zip: 50134
Country: Italy

Facility:
Name: Istituto Oncologico Veneto

Address:
City: Padova
Zip: 35128
Country: Italy

Facility:
Name: Azienda Provinciale per i Servizi Sanitari - Presidio Ospedaliero S. Chiara

Address:
City: Trento
Zip: 38122
Country: Italy

Facility:
Name: Kyungpook National University Chilgok Hospital

Address:
City: Bugok
Zip: 41404
Country: Korea, Republic of

Facility:
Name: National Cancer Center

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

Facility:
Name: Chonnam National University Hospital

Address:
City: Gwangju
Zip: 61469
Country: Korea, Republic of

Facility:
Name: Seoul National University Hopital

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Facility:
Name: Yonsei University Health System, Severance Hospital

Address:
City: Seoul
Zip: 03722
Country: Korea, Republic of

Facility:
Name: Samsung Meical Cemter

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

Facility:
Name: Ewha Womans University Mokdong Hospital

Address:
City: Seoul
Zip: 07985
Country: Korea, Republic of

Facility:
Name: Asan Medical Center

Address:
City: Seoul
Zip: 5505
Country: Korea, Republic of

Facility:
Name: Szpital im. Fryderyka Chopina

Address:
City: Otwock
Zip: 05-400
Country: Poland

Facility:
Name: Magodent Szpital Elblaska

Address:
City: Warszawa
Zip: 01-748
Country: Poland

Facility:
Name: Medical Concierge Centrum Medyczne

Address:
City: Warszawa
Zip: 02-798
Country: Poland

Facility:
Name: Grochowski Hospital

Address:
City: Warszawa
Zip: 04-073
Country: Poland

Facility:
Name: Przychodnia Lekarska "KOMED"

Address:
City: Konin
Zip: 62-500
Country: Poland

Facility:
Name: Szpital Wojewodzki im. Mikolaja Kopernika

Address:
City: Koszalin
Zip: 75-581
Country: Poland

Facility:
Name: Hospital Universitari Parc Taulí

Address:
City: Sabadell
Zip: 08208
Country: Spain

Facility:
Name: Hospital Universitario Virgen del Rocio

Address:
City: Sevilla
Zip: 41013
Country: Spain

Facility:
Name: Hospital Del Mar

Address:
City: Barcelona
Zip: 08003
Country: Spain

Facility:
Name: Hospital Clinic de Barcelona

Address:
City: Barcelona
Zip: 08036
Country: Spain

Facility:
Name: Hospital de la Santa Creu I Sant Pau

Address:
City: Barcelona
Zip: 08036
Country: Spain

Facility:
Name: Hospital Universitario Lucus Augusti

Address:
City: Lugo
Zip: 27002
Country: Spain

Facility:
Name: Hospital Universitario 12 de Octubre

Address:
City: Madrid
Zip: 28041
Country: Spain

Facility:
Name: The Royal Marsden NHS Trust

Address:
City: Sutton
Zip: SM2 5PT
Country: United Kingdom

Facility:
Name: Oxford University Hospitals NHS- Churchill Hospital

Address:
City: Oxford
Zip: OX3 7LE
Country: United Kingdom

Start date: June 13, 2023

Completion date: February 2025

Lead sponsor:
Agency: MacroGenics
Agency class: Industry

Source: MacroGenics

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05551117

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