RecruitingPhase 1Phase 2NCT06923761

EMITT-1 (ERAP Mediated Immunopeptidome Targeting Trial - 1)

A Modular, Multi-part, Multi-arm, Open-label, Phase I/II Study to Evaluate the Safety and Tolerability of GRWD5769 Alone and in Combination With Anticancer Treatments in Patients With Solid Malignancies


Sponsor

Grey Wolf Therapeutics

Enrollment

300 participants

Start Date

May 21, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase I/II, open-label, first-in human study of GRWD5769 alone, and in combination with another anti-cancer agent in advanced solid cancers.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new oral cancer drug that targets a protein called ERAP, which plays a role in helping the immune system recognise cancer cells. The goal is to see if this drug can help the immune system attack solid tumours more effectively. **You may be eligible if...** - You are 18 or older (male or female) - You have a solid tumour (a type of cancer that forms a lump, not blood cancer) - Your general health and activity level is good (ECOG score 0 or 1) - You are able to swallow pills and are willing to track your daily doses - You use effective contraception if you are of childbearing potential **You may NOT be eligible if...** - You are pregnant, breastfeeding, or planning to become pregnant during the study - Your health or organ function does not meet specific thresholds (lab tests will confirm) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGModule 1 (GRWD5769 on its own as monotherapy)

Module 1 will initially be conducted in 4 study parts: Part A: Monotherapy dose escalation (where the safety of increasing doses of GRWD5769 will initially be assessed in a small group of patients, overseen by a safety review committee) Part B: (Optional) Monotherapy dose expansion part (to look at the effect of GRWD5769 on the body, and of the body on GRWD5769, at particular dose levels to include evaluation of biopsies of tumour tissue) Part C: (Optional) Intra-patient dose escalation (where a patient may receive three different GRWD5769 doses so that blood levels at each dose can be measured in an individual) Part D: Monotherapy dose expansion group(s) (where a dose of GRWD5769 may be chosen to be evaluated in specific types of cancer)

DRUGModule 2 (GRWD5769 in combination with cemiplimab, administered IV)

Module 2 will initially be conducted as 3 study parts, similar to those above, but looking at GRWD5769 when given in combination with cemiplimab: Part A: Combination therapy dose escalation (like Module 1 Part A) Part B: (Optional) Combination therapy dose expansion part (like Module 1 Part B) Part C: Combination therapy dose expansion group(s) (where a dose of GRWD5769 given with cemiplimab will be evaluated in specific types of cancer) Part D: Randomised dose optimisation, combination therapy (where 3 doses of GRWD5769 given with cemiplimab will be evaluated in specific types of cancer)


Locations(29)

GenesisCare Research

Adelaide, Australia

Southern Oncology Clinical Research Unit (SOCRU)

Bedford Park, Australia

Blacktown Hospital

Blacktown, Australia

Kinghorn Cancer Centre (KCC)

Darlinghurst, Australia

Austin Health

Heidelberg, Australia

Alfred Health

Melbourne, Australia

Mater Research

South Brisbane, Australia

Cancer Care Wollongong

Wollongong, Australia

Centre Léon Bérard

Lyon, France

Institut Paoli-Calmettes

Marseille, France

Centre Eugène Marquis

Rennes, France

Institut de Cancérologie de l'Ouest (ICO)

Saint-Herblain, France

ICANS - Institut de Cancérologie Strasbourg

Strasbourg, France

IUCT Oncopole - Institut Claudius Regaud

Toulouse, France

Institut Gustave Roussy

Villejuif, France

Hospital Universitario Vall d'Hebrón (VHIO)

Barcelona, Spain

START Barcelona - Hospital HM Nou Delfos

Barcelona, Spain

Clinica Universitaria de Navarra Madrid

Madrid, Spain

START Madrid - Centro Integral Oncológico Clara Campal (HM CIOCC)

Madrid, Spain

START Madrid - Hospital Universitario Fundacion Jimenez Diaz

Madrid, Spain

Hospital Universitario Virgen de la Victoria

Málaga, Spain

Clinica Universitaria de Navarra Pamplona

Pamplona, Spain

INCLIVA-Hospital Clínico Universitario de Valencia

Valencia, Spain

Western General Hospital

Edinburgh, United Kingdom

Clatterbridge Cancer Centre

Liverpool, United Kingdom

Hammersmith Hospitals NHS Trust

London, United Kingdom

Royal Free Hospital

London, United Kingdom

Christie NHS Foundation Trust

Manchester, United Kingdom

Newcastle Upon Tyne Hospital

Newcastle, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT06923761