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Trial Title: SynKIR-110 for Mesothelin Expressing Ovarian Cancer, Cholangiocarcinoma or Mesothelioma

NCT ID: NCT05568680

Condition: Ovarian Cancer
Cholangiocarcinoma Recurrent
Mesothelioma, Malignant

Conditions: Official terms:
Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Cholangiocarcinoma
Mesothelioma
Mesothelioma, Malignant

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: SynKIR-110, Autologous T cells Transduced with Mesothelin KIR-CAR
Description: Autologous T cells Transduced with Mesothelin KIR-CAR
Arm group label: SynKIR-110

Summary: This first-in-human (FIH) trial is designed to assess the safety, feasibility, and potential activity of a single intravenous (IV) dose of SynKIR-110 administered to subjects with mesothelin-expressing advanced ovarian cancer, mesothelioma, and cholangiocarcinoma.

Detailed description: This is a Phase 1, FIH, multicenter, open-label, dose-escalation pilot study of a single IV gravity drip infusion of SynKIR-110 in subjects with advanced, mesothelin-expressing tumors (ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or mesothelioma). Up to 42 subjects will be assessed to determine the safety and feasibility of treatment with SynKIR-110. Informed consent will be obtained from subjects prior to participation in this study. The study includes an enrollment screening period (which includes pre-leukapheresis safety/eligibility and leukapheresis visits), treatment period (administration of non-myeloablative lymphodepleting chemotherapy followed by a single infusion of investigational product), and a 12-month follow-up period or until disease progression. Subjects will be followed for 12 months or until confirmed disease progression, whichever occurs first, at which point they will be invited to participate in a long-term safety follow-up study. Up to 6 cohorts of 3 to 6 subjects per cohort will be treated to determine the safety and feasibility of treatment with SynKIR-110. Doses will be escalated following a standard 3 + 3 design until either an MTD or MFD is reached. An additional 6 to 9 subjects will be treated at the MTD/MFD to further assess safety and potential activity of SynKIR-110.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Pathologically confirmed recurrent or relapsed advanced ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or epithelial mesothelioma (pleural or peritoneal) after at least 1 prior line of systemic therapy for advanced disease - Adult 18 years of age or older. - Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. - Has at least 1 measurable lesion by iRECIST for ovarian cancer or cholangiocarcinoma or lesions measurable for mRECIST for mesothelioma. - Satisfactory Blood coagulation parameters - Satisfactory organ and bone marrow function Exclusion Criteria: - Active invasive cancers other than mesothelioma, cholangiocarcinoma, and ovarian unless surgically and medically cured without evidence of recurrent disease for 5 years. - History of T or B cell malignancies or previous gene-engineered T cell therapies. - Sarcomatoid/biphasic mesothelioma. - Pulmonary exclusions - Have acquired hereditary, congenital immunodeficiency or have recognized immunodeficiency disease - Active hepatitis B, active hepatitis C, or any HIV infection at the time of screening - Active autoimmune disease

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Kansas Cancer Center

Address:
City: Westwood
Zip: 66205
Country: United States

Status: Recruiting

Contact:
Last name: Nurse Navigation

Phone: 913-945-7552
Email: CTNurseNav@kumc.edu

Contact backup:
Last name: Raed Al-Rajabi, MD

Facility:
Name: University of Pennsylvania

Address:
City: Philadelphia
Zip: 19104
Country: United States

Status: Recruiting

Contact:
Last name: Andrea Standish

Phone: 215-662-2419
Email: andrea.standish@pennmedicine.upenn.edu

Contact backup:
Last name: Janos Tanyi, MD, PhD

Facility:
Name: MD Anderson Cancer Center

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

Status: Recruiting

Contact:
Last name: Rachelle David, BSN,RN

Phone: 281-684-5271
Email: rsdavid@mdanderson.org

Contact backup:
Last name: Mehmet Altan, MD

Facility:
Name: University of Wisconsin Carbone Cancer Center

Address:
City: Madison
Zip: 53792
Country: United States

Status: Recruiting

Contact:
Last name: Cancer Connect

Phone: 800-622-8922
Email: earlyphase@cancer.wisc.edu

Contact backup:
Last name: Zhubin Gahvari, MD

Start date: March 30, 2023

Completion date: December 2027

Lead sponsor:
Agency: Verismo Therapeutics
Agency class: Industry

Source: Verismo Therapeutics

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05568680

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