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Trial Title: A Study of ZW171 in Participants With Advanced or Metastatic Mesothelin-expressing Cancers

NCT ID: NCT06523803

Condition: Mesothelin-expressing Advanced Cancers

Conditions: Keywords:
Advanced or Metastatic Cancers
ADC
Antibody drug conjugate

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: Drug
Intervention name: ZW171
Description: Administered per protocol requirements
Arm group label: ZW171

Summary: This study is being done to find out if ZW171 is safe and can treat participants with advanced (locally advanced [inoperable] and/or metastatic) mesothelin-expressing cancers.

Detailed description: Part 1 of the study will evaluate the safety and tolerability of ZW171. Part 2 of the study will evaluate the anti-tumor activity of ZW171 while continuing to evaluate the safety and tolerability.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Pathologically confirmed diagnosis of cancers with evidence of locally advanced (unresectable) and/or metastatic disease. Cancers that are refractory to all available standard of care (SOC) treatment, cancers for which no SOC treatment is available, or the participant cannot tolerate or refuses SOC therapy. - An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1. - Adequate cardiac left ventricular function, as defined by left ventricular ejection fraction ≥ 50% as determined by either echocardiogram or multigated acquisition scan. - Adequate organ function. Exclusion Criteria: - Known additional malignancy that is progressing or that has required active treatment. - Undergone prior allogenic tissue (e.g., hematopoietic stem cell) or solid organ transplantation within the last 5 years. - Ongoing, clinically significant toxicity (Grade ≥ 2) associated with prior cancer therapies, with the exception of alopecia. - Advanced/metastatic, symptomatic, visceral spread, at risk of life-threatening complications in the short-term (including participants with massive uncontrolled effusion [pleural, pericardial], pulmonary lymphangitis, active unresolved bowel obstruction, massive ascites [requiring paracentesis >2 times within 2 weeks prior to the first dose], and over 50% liver involvement). - Acute or chronic uncontrolled renal disease, pancreatitis, or liver disease (with exception of participants with Gilbert's Syndrome, asymptomatic gall stones, liver metastases, or stable chronic liver disease per investigator assessment). - Active or recurrent clinically significant autoimmune disease requiring systemic high-dose corticosteroids or immunosuppressive drugs.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Southern California - Norris Comprehensive Cancer Center

Address:
City: Los Angeles
Zip: 90089
Country: United States

Status: Recruiting

Investigator:
Last name: Diana Hanna, MD
Email: Principal Investigator

Facility:
Name: Norton Cancer Institute

Address:
City: Louisville
Zip: 40202
Country: United States

Status: Recruiting

Investigator:
Last name: John Hamm, MD
Email: Principal Investigator

Facility:
Name: Sarah Cannon Research Institute

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Investigator:
Last name: Melissa Johnson, MD
Email: Principal Investigator

Start date: September 30, 2024

Completion date: December 2027

Lead sponsor:
Agency: Zymeworks BC Inc.
Agency class: Industry

Source: Zymeworks BC Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06523803

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