A Study to Evaluate ELU001 in Patients With Solid Tumors That Overexpress Folate Receptor Alpha (FRα)

NCT05001282TerminatedPHASE1, PHASE2INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Elucida Oncology

Enrollment

79

Start Date

2021-09-13

Completion Date

2024-06-07

Study Type

INTERVENTIONAL

Official Title

Dose Escalation and Expansion Clinical Study to Evaluate the Safety and Efficacy of ELU001 in Subjects Who Have Advanced, Recurrent or Refractory FRα Overexpressing Tumors

Interventions

ELU001

Conditions

Ovarian CancerOvarian NeoplasmsOvarian CarcinomaEndometrial CancerOvary CancerOvary NeoplasmOvary DiseaseOvary MetastasisOvarian DiseasesOvarian Cancer StageOvarian Epithelial CancerOvarian AdenocarcinomaOvarian Serous AdenocarcinomaOvarian Neoplasm EpithelialOvarian Cancer RecurrentEndometrial DiseasesEndometrial AdenocarcinomaEndometrial CarcinosarcomaEndometrial Clear Cell AdenocarcinomaEndometrioid AdenocarcinomaEndometrial NeoplasmsEndometrial Cancer RecurrentEndometrioid TumorFallopian Tube CancerPeritoneal Cancer

Eligibility

Age Range

18 Years+

Sex

ALL

Key Inclusion Criteria:

Patients must meet the following criteria to enroll in this study:

* Part 1 Documented diagnosis of ovarian cancer, endometrial cancer, colorectal cancer, gastric cancer, gastroesophageal junction cancer, triple negative breast cancer, non-small cell lung cancer, or cholangiocarcinoma
* Part 2 Ovarian Cancer or Endometrial Cancer
* No other meaningful life-prolonging therapy option available
* Must provide archival tumor tissue or a newly obtained tumor biopsy specimen prior to the first dose of ELU001 for folate receptor alpha (FRα) expression analysis. Previous FRα expression test results may be used in certain circumstances
* Adequate organ function
* Measurable disease, or in the absence of measurable disease, non-measurable disease as per Response evaluation criteria in solid tumors (RECIST) v1.1
* Part 1: Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2; Part 2: ECOG performance status of 0 or 1.
* Recovered from previous surgeries
* Agree to highly effective contraception, not to get pregnant, or for men, not father a child during study participation

Key Exclusion Criteria:

Patients who meet any of the following are not eligible to enroll in this study:

* Clinically significant eye disorders
* Taken any treatments that use the protein folate receptor alpha or FRα to work
* Taken any other experimental treatments
* History of significant cardiac issues or other cancers within 3 years.
* Significant anemia, significant neutropenia, or significant thrombocytopenia (e.g., not enough platelets in your blood - platelets held stop bleeding in your body)
* Detectable viral load for HIV (human immunodeficiency virus), hepatitis B or C.
* If you are pregnant.
* Part 1: Cannot have active autoimmune diseases such as rheumatoid arthritis, SLE (systemic lupus erythematosus), ulcerative colitis, Crohn's Disease, MS (multiple sclerosis), ankylosing spondylitis, thyroiditis that require treatments that suppress your immune system.
* Part 1: if your cancer has spread to your brain.
* Part 2: You can have cancer that has spread to your brain but there are exceptions. The cancer in your brain cannot be causing any symptoms, it cannot be larger than 3 cm, there can be no evidence on a scan that shows your brain tissue has shifted from its expected position inside the skull (called "herniation") or be bleeding in the skull or brain itself (called "hemorrhage").

Outcome Measures

Primary Outcomes

Part 1 Dose Escalation: The Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of ELU001 for IV infusion in patients with over-expressing Folate Receptor Alpha tumors.

To determine the MTD and/or RP2D of ELU001 in patients with over-expressing Folate Receptor Alpha tumors. When at least 2 out of 6 patients in a given dose-level experience a dose-limiting toxicity (DLT), the dose is considered to have exceeded the MTD. The MTD, therefore, is defined as the previous highest tested dose of ELU001 that did not cause a DLT in the first cycle of treatment. In the event of emerging data during Part 1, the Sponsor may, in consultation with a dose-level safety review group, decide to define a recommended dose for expansion (in for Part 2) (RP2D) instead of the MTD. DLTs are defined as a treatment-emergent adverse event (TEAE) or abnormal laboratory value related to ELU001 treatment that result in a failure to meet the criteria for re-treatment.

Time frame: 28 days

Part 2 Dose Expansion: To determine overall response rate (ORR) (complete response [CR] + partial response [PR]) of ELU001 for IV infusion in patients with over-expressing Folate Receptor Alpha tumors, per RECIST v1.1.

Percentage of Participants with confirmed objective response as assessed by the investigator and per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 CR is defined as the disappearance of all target or non-target lesions. PR is defined as at least 30 percent (%) decrease in the sum of the longest diameters (SoD) of target lesions, taking as reference the baseline SoD.

Time frame: First dose of study drug until responses of CR or PR, assessed up to 12 months.

Secondary Outcomes

Part 1 Dose Escalation: To determine overall response rate (ORR) (complete response [CR] + partial response [PR]) of ELU001 for IV infusion in patients with over-expressing Folate Receptor Alpha tumors, per RECIST v1.1.

Percentage of Participants with confirmed objective response as assessed by the investigator and per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 CR is defined as the disappearance of all target or non-target lesions. PR is defined as at least 30 percent (%) decrease in the sum of the longest diameters (SoD) of target lesions, taking as reference the baseline SoD.

Time frame: First dose of study drug until responses of CR or PR, assessed up to 12 months.

Part 1 and Part 2: To determine Duration of Response (DOR) of ELU001 for IV infusion in patients with over-expressing Folate Receptor Alpha tumors.

Time Measurement: DOR will begin at the date that a response has been identified (stable disease, partial response, or complete response) until the date of progressive disease (PD). PD is defined of at least a 20% increase in the sum of the longest diameters of the target lesions from data of initial response.

Time frame: Date of first response (CR or PR) until the date of disease progression or up to 12 months, whichever occurs first.

Part 1 and Part 2: Number of participants with adverse events as assessed by CTCAE v5.0 Safety Evaluations.

The number of participants Frequency/severity of abnormalities in vital signs measurements, physical examination findings, changes in clinical laboratory parameters, and incidence of adverse events after taking ELU001.

Time frame: First dose of study drug up to 28 days after the last dose of study drug or up to 12 months, whichever occurs first.

Locations

Mayo Clinic - Phoenix, AZ, Phoenix, United States

Providence Medical Foundation, Fullerton, United States

Mayo Clinic - Jacksonville, FL, Jacksonville, United States

D&H Cancer Research Center, Margate, United States

Sarah Cannon Research Institute at Florida Cancer Specialists, Orlando, United States

Hope and Healing Cancer Services, Hinsdale, United States

OSF Saint Francis Medical Center, Peoria, United States

Mayo Clinic - Rochester, MN, Rochester, United States

Memorial Sloan Kettering Cancer Center, New York, United States

Duke University Medical Center - Duke Cancer Institute, Durham, United States

Cleveland Clinic, Cleveland, United States

Thomas Jefferson University, Sidney Kimmel Cancer Center, Philadelphia, United States

Women & Infants Hospital of Rhode Island, Providence, United States

Avera Cancer Institute, Sioux Falls, United States

Sarah Cannon Research Institute at Tennessee Oncology, Nashville, United States

Mary Crowley Cancer Research, Dallas, United States

New Experimental Therapeutics of San Antonio (NEXT Oncology), San Antonio, United States

Fred Hutchinson Cancer Center, Seattle, United States

A Study to Evaluate ELU001 in Patients With Solid Tumors That Overexpress Folate Receptor Alpha (FRα)