RecruitingPhase 1NCT05377996

A Study of XMT-1660 in Participants With Solid Tumors

A Phase 1, First-in-human, Dose Escalation and Expansion, Multicenter Study of XMT-1660 in Participants With Solid Tumors


Sponsor

Mersana Therapeutics

Enrollment

319 participants

Start Date

Aug 15, 2022

Study Type

INTERVENTIONAL

Summary

A Study of XMT-1660 in Solid Tumors


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • Recurrent or advanced solid tumor and has disease
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Participants in DES must have at least one non-target lesion as defined by RECIST version 1.1. Participants in Backfill Cohorts and EXP must have at least one measurable disease (target) lesion as defined by RECIST version 1.1.
  • Tumor tissue, either archival or from a fresh tumor biopsy, available for testing or be willing to undergo a minimally invasive tumor biopsy to obtain tumor tissue for local testing, if not medically contraindicated, prior to Cycle 1 Day 1
  • Brain magnetic resonance imaging (MRI) during the Screening period unless obtained within 30 days prior to Screening (based on standard clinical care), if they meet either of the following criteria:
  • All participants with TNBC
  • Participants with a history of brain metastases or with neurologic symptoms or signs suspicious for brain metastases.

Exclusion Criteria8

  • Prior treatment with an Antibody Drug Conjugate (ADC) containing an auristatin payload. Prior treatment with another ADC containing other payloads is allowed.
  • Major surgery within 28 days of starting study treatment, systemic anticancer therapy within the time period of 28 days or 5 half-lives of the prior therapy before starting study treatment (14 days or 5 half-lives for small molecule targeted therapy), whichever is less, or palliative radiation therapy to the chest within 3 months of starting study treatment or to other anatomic sites within 14 days of starting study treatment.
  • Diagnosis of additional malignancy that required active treatment (including surgery, systemic therapy, and radiation) within 2 years prior to screening, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix.
  • Untreated CNS metastases (including new and progressive brain metastases), history of leptomeningeal metastasis or carcinomatous meningitis.
  • Prior B7-H4 targeted treatment.
  • History of cirrhosis, hepatic fibrosis, esophageal or gastric varices, or other clinically significant liver diseases.
  • Current severe, uncontrolled systemic disease (e.g. clinically significant cardiovascular, pulmonary, or metabolic disease) or intercurrent illness that could increase the risk of serious adverse events (SAEs) or interfere with per-protocol evaluations, in the judgment of either the Sponsor or the Investigator.
  • Clinically significant cardiovascular disease

Interventions

DRUGXMT-1660

XMT-1660 will be administered through a vein in your arm or port catheter (intravenously)


Locations(26)

Mayo Clinic Comprehensive Cancer Center

Phoenix, Arizona, United States

UC Irvine Health-Chao Family Comprehensive Cancer Center

Orange, California, United States

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States

UCLA

Santa Monica, California, United States

Mayo Clinic - Jacksonville

Jacksonville, Florida, United States

Florida Cancer Specialists

Sarasota, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

Winship Cancer Institute, Emory University

Atlanta, Georgia, United States

Northwestern University

Chicago, Illinois, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Henry Ford Health Hospital

Detroit, Michigan, United States

Mayo Clinic - Rochester

Rochester, Minnesota, United States

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

New York University Langone Health

New York, New York, United States

ICHAN School of Medicine at Mount Sinai

New York, New York, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Stephenson Cancer Center Oklahoma University Health

Oklahoma City, Oklahoma, United States

Avera Cancer Institute

Sioux Falls, South Dakota, United States

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Texas Oncology, P.A.

Dallas, Texas, United States

MD Anderson

Houston, Texas, United States

Huntsman Cancer Institute

Salt Lake City, Utah, United States

NEXT Oncology Virginia

Fairfax, Virginia, United States

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Summit Cancer Centers

Spokane, Washington, United States

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NCT05377996