Hepatocellular Carcinoma Clinical Trial
Official title:
A Phase 1 Open-Label Study to Evaluate the Efficacy and Safety of ABBV-400 in Select Advanced Solid Tumor Indications
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess adverse events and change in disease activity when ABBV-400 is given to adult participants to treat advanced solid tumors. ABBV-400 is an investigational drug being developed for the treatment of advanced solid tumors. Study doctors put the participants in groups called cohorts. Each cohort receives ABBV-400 alone (monotherapy) followed by a safety follow-up period. Approximately 220 adult participants with hepatocellular carcinoma (HCC), pancreatic ductal adenocarcinoma (PDAC), biliary tract cancers (BTC), esophageal squamous cell carcinoma (ESCC), triple negative breast cancer (TNBC), hormone receptor+/human epidermal growth factor receptor 2 negative (HER2-) breast cancer (hormone receptor-positive [HR+]/HER2-breast cancer [BC]), head and neck squamous-cell-carcinoma (HNSCC), or advanced solid tumors, will be enrolled in the study in approximately 60 sites worldwide. In the each cohorts, participants with the following advanced solid tumor indications: HCC, PDAC, BTC, ESCC, TNBC, HR+/HER2-BC, and HNSCC will receive intravenous (IV) ABBV-400 monotherapy for up to 2 years during and up to the treatment period with an additional safety follow-up period of up to 2 years. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
Status | Recruiting |
Enrollment | 220 |
Est. completion date | July 1, 2026 |
Est. primary completion date | July 1, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Laboratory values meeting the criteria laid out in the protocol. - Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. - Documented diagnosis of locally advanced or metastatic hepatocellular carcinoma (HCC), pancreatic ductal adenocarcinoma (PDAC), biliary tract cancers (BTC), squamous cell carcinoma of the esophagus, (ESCC), triple negative breast cancer (TNBC), hormone receptor+/HER2-breast cancer (HR+/HER2-BC), or head and neck squamous-cell-carcinoma (HNSCC) (by World Health Organization [WHO] criteria). Participant meets the criteria for disease activity laid out in the protocol. Exclusion Criteria: - Have received anticancer therapy including chemotherapy, radiation therapy, immunotherapy, biologic, or any investigational therapy within 28 days or 5 half-lives of the drug (whichever is shorter) prior to the first dose of ABBV-400. Palliative radiation therapy for bone, skin, or subcutaneous metastases with 10 fractions or less is permitted and not subject to a washout period. - Unresolved AEs > Grade 1 from prior anticancer therapy except for alopecia. - History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, nor any evidence of active ILD or pneumonitis, including but not limited to those listed in the protocol. - History of clinically significant, intercurrent lung-specific illnesses, including those laid out in the protocol. - Untreated brain or meningeal metastases (i.e., participants with history of metastases are eligible provided they do not require ongoing steroid treatment for cerebral edema and have shown clinical and radiographic stability for at least 14 days after definitive therapy). Participants may continue on antiepileptic therapy if required. - History of other active malignancy, with the exception of those laid out in the protocol. - Any autoimmune, connective tissue or inflammatory disorders with documented or suspicious pulmonary involvement at screening (i.e., rheumatoid arthritis, Sjogren's, sarcoidosis etc.), and prior pneumonectomy. |
Country | Name | City | State |
---|---|---|---|
Israel | Rabin Medical Center /ID# 256650 | Haifa | |
Israel | Rambam Health Care Campus /ID# 256649 | Haifa | H_efa |
Israel | Hadassah Medical Center-Hebrew University /ID# 256655 | Jerusalem | |
Israel | The Chaim Sheba Medical Center /ID# 255731 | Ramat Gan | Tel-Aviv |
Israel | Tel Aviv Sourasky Medical Center /ID# 258931 | Tel Aviv | Tel-Aviv |
Japan | National Cancer Center Hospital East /ID# 258934 | Kashiwa-shi | Chiba |
Japan | The Cancer Institute Hospital Of JFCR /ID# 257788 | Koto | Tokyo |
Japan | Kyoto University Hospital /ID# 256680 | Kyoto-shi | Kyoto |
Japan | Aichi Cancer Center Hospital /ID# 256679 | Nagoya-shi | Aichi |
Japan | NHO Nagoya Medical Center /ID# 261001 | Nagoya-shi | Aichi |
Japan | Shizuoka Cancer Center /ID# 257789 | Sunto-gun | Shizuoka |
Korea, Republic of | Inje University Haeundae Paik Hospital /ID# 260118 | Busan | Busan Gwang Yeogsi |
Korea, Republic of | Gyeongsang National University Hospital /ID# 260408 | Jinju | Gyeongsangnamdo |
Korea, Republic of | Korea University Guro Hospital /ID# 256700 | Seoul | Seoul Teugbyeolsi |
Puerto Rico | Pan American Center for Oncology Trials /ID# 262903 | Rio Piedras | |
Taiwan | China Medical University Hospital /ID# 256712 | Taichung | |
United States | University of Colorado Cancer Center - Cancer Clinical Trials Office /ID# 255128 | Aurora | Colorado |
United States | Northwestern University Feinberg School of Medicine /ID# 257378 | Chicago | Illinois |
United States | Univ Hosp Cleveland /ID# 257706 | Cleveland | Ohio |
United States | Sarah Cannon Research Institute at HealthONE - Denver /ID# 258926 | Denver | Colorado |
United States | City of Hope National Medical Center /ID# 258645 | Duarte | California |
United States | Duke Cancer Center /ID# 255129 | Durham | North Carolina |
United States | START Midwest /ID# 256581 | Grand Rapids | Michigan |
United States | Prisma Health /ID# 257697 | Greenville | South Carolina |
United States | MD Anderson Cancer Center /ID# 255131 | Houston | Texas |
United States | Tennessee Oncology-Nashville Centennial /ID# 261568 | Nashville | Tennessee |
United States | Memorial Sloan Kettering Cancer Center-Koch Center /ID# 255132 | New York | New York |
United States | Lifespan Cancer Institute at Rhode Island Hospital /ID# 257693 | Providence | Rhode Island |
United States | Washington University-School of Medicine /ID# 257379 | Saint Louis | Missouri |
United States | South Texas Accelerated Research Therapeutics /ID# 260404 | San Antonio | Texas |
United States | Univ Texas HSC San Antonio /ID# 257708 | San Antonio | Texas |
United States | Florida Cancer Specialists /ID# 261569 | Sarasota | Florida |
Lead Sponsor | Collaborator |
---|---|
AbbVie |
United States, Israel, Japan, Korea, Republic of, Puerto Rico, Taiwan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Objective Response Rate (ORR) | ORR defined as percentage of participants with confirmed best overall response of confirmed partial response (PR) or better per investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Up to 24 Months | |
Secondary | Duration of Response (DOR) for Participants with Confirmed Complete Response (CR)/PR | DOR is defined for participants achieving a confirmed PR or better as the time from the initial response of PR (or better) per investigator review according to RECIST 1.1 criteria to disease progression or death of any cause, whichever occurs earlier. | Up to 24 Months | |
Secondary | Clinical Benefit Rate | CBR is defined as the proportion of participants with a best overall response of stable disease at least 5 weeks post first dose, confirmed CR or PR per investigator review according to RECIST, version 1.1 | Up to 24 Months | |
Secondary | Progression-free Survival (PFS) | PFS is defined as time from first study treatment to a documented disease progression according to RECIST, version 1.1, as determined by the investigator, or death due to any cause, whichever occurs earlier. | Up to 24 Months | |
Secondary | Overall Survival (OS) | OS is defined as time from first study treatment to death due to any cause. | Up to 24 Months | |
Secondary | Maximum Observed Concentration (Cmax) of ABBV-400 | Cmax of ABBV-400. | Up to 24 Months | |
Secondary | Time to Cmax (Tmax) of ABBV-400 | Tmax of ABBV-400. | Up to 24 Months | |
Secondary | Area Under the Plasma Concentration-time Curve (AUC) for Total Antibody Concentration | AUC for total antibody concentration. | Up to 24 Months | |
Secondary | Total Antibody Drug Conjugate (ADC) Concentration | Total ADC concentration. | Up to 24 Months | |
Secondary | Plasma Concentrations of Unconjugated Topoisomerase 1 (Top1) Inhibitor Payload | Plasma concentrations of unconjugated Top1 inhibitor payload. | Up to 24 Months | |
Secondary | Antidrug Antibody (ADA) | Incidence and concentration of anti-drug antibodies. | Up to 24 Months | |
Secondary | Neutralizing Antidrug Antibody (nADA) | Incidence and concentration of neutralizing anti-drug antibodies. | Up to 24 Months |
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