A Study of DM005 in Patients With Advanced Solid Tumors
A Phase I/IIa, Multicenter, Open-label, First-in-human, Dose Escalation and Expansion Study of DM005 in Patients With Advanced Solid Tumors
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
- Time periods mentioned: 28 days
Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.
Show the study's own words
- "For each participant, there will be a screening period of up to 28 days, a treatment period consisting of 21-day cycles, an end of treatment (EOT) Visit (+7 days), and a Follow-up Visit at 30 days (±7 days) after the EOT Visit."
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests how safe the experimental drug DM005 is, how well it works, and how well people handle its side effects. It is for adults with certain solid cancers that are advanced or have spread. DM005 is not approved for these cancers and is given through a vein every 3 weeks.
The goal of this clinical trial is to find out about the safety, efficacy, and tolerability of DM005 for patients with the advanced solid tumors. DM005 is an experimental drug which is not approved by health authorities for the treatment of advanced solid tumors. For each participant, there will be a screening period of up to 28 days, a treatment period consisting of 21-day cycles, an end of treatment (EOT) Visit (+7 days), and a Follow-up Visit at 30 days (±7 days) after the EOT Visit. Participants with advanced solid malignant tumors will be treated with DM005 on Day 1 of each cycle (every 3 weeks, Q3W). An initial dose of DM005 will be infused intravenously (IV) into each participant for approximately 60 minutes (±10) on Cycle1 Day 1. If there is no infusion-related reaction (IRR) during or after the initial dose, with the Investigator's confirmation and supervision, the subsequent dosing of DM005 in the following cycles maybe infused IV for approximately 30 minutes ( ±5). A 21-day observation period (Cycle 1) will then occur, at the end of which all relevant safety data will be reviewed.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Be age 18 or older.
- Understand the study and agree to sign a consent form.
- Have confirmed advanced or spread cancer of these types: non-small cell lung, stomach or food pipe, colon or rectum, liver, pancreas, or head and neck squamous cell cancer.
- Have cancer that cannot be cured with surgery or radiation, and that worsened on standard treatment or caused side effects you could not tolerate.
- Be able to care for yourself and be out of bed for at least half of your waking hours (ECOG score 0–2).
- Be expected to live at least 3 months.
- Have cancer that can be measured using the study's rules.
Who can't join
- Another active cancer that grew into nearby tissue within 5 years, or any current or past blood cancer. Some treated, noninvasive, or very low-risk cancers are allowed.
- Recent cancer treatment, radiation, or major surgery. Waiting times depend on the treatment. A live vaccine within 30 days also excludes you.
- Cancer in the brain or spinal cord, or cancer that has spread there. Treated brain spread may be allowed if it is not growing and you have been off high-dose steroids for at least 4 weeks. A tumor larger than 7 cm needs special approval.
- An uncontrolled infection needing medicine through a vein, active tuberculosis, active hepatitis B or C, or poorly controlled HIV. Some controlled hepatitis infections or past hepatitis C infections are allowed.
- Serious disease of the cornea, the clear front of the eye; certain abnormal heart rhythms, medicines or family history linked to long QT syndrome; or heart pumping strength below 50%.
- Side effects from earlier cancer treatment that have not improved to mild levels or your usual health level. Hair loss and anemia are exceptions. Some stable, moderate side effects may be allowed with approval.
- Being pregnant, breastfeeding, or planning to become pregnant during the study.
- Being able to have children but refusing effective birth control during the study and after the last dose: 7 months for females and 4 months for males.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Common inclusion criteria for both Parts 1. Participants must have the ability to understand and willingness to sign a written informed consent document. 2. Participants who have pathologically or cytologically documented metastatic/advanced NSCLC, gastroesophageal cancer, CRC, HCC, pancreatic cancer, or HNSCC, not curable with standard local therapies (i.e., surgery and/or radiation) and have progressed on standard therapy, or intolerant to standard therapy. 3. Participants must be ≥18 years of age on the day of signing the informed consent form (ICF). 4. Participants must have an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 2. 5. Has a life expectancy ≥3 months. 6. Has measurable disease based on response evaluation criteria in solid tumors (RECIST) version 1.1. Exclusion Criteria: * Participants are excluded from the study if any of the following criteria apply: 1. Participants have another active invasive malignancy within 5 years, with the following exceptions and notes: * History of noninvasive malignancy, such as cervical cancer in situ, in situ melanoma, or ductal carcinoma in situ of the breast that is in complete remission years after treatment with curative intent is allowed. * Malignancies with a negligible risk of metastasis or death (such as adequately treated basal or squamous cell skin cancer and localized prostate cancer). 2. Current or history of hematologic malignancy. 3. Anticancer therapy (chemotherapy, immunotherapy, hormonal therapy, targeted therapy, biologic therapy, or other anti-cancer therapies, except for hormones for hypothyroidism or estrogen replacement therapy, anti-estrogen analogs, agonists required to suppress serum testosterone levels) within 28 days or 5 half-lives, whichever is shorter, prior to the first study dose. Radiotherapy with a wide field of radiation within 28 days, or radiotherapy with a limited field of radiation for palliation within 14 days of the first study dose. Major surgery, other than diagnostic surgery, within 4 weeks of the first study dose. 4. Primary central nervous system (CNS) malignancies or CNS metastases. Individuals with brain metastases can be enrolled only if treated, non-progressive brain metastases and off high-dose steroids (\>20 mg prednisone or equivalent) for at least 4 weeks. 5. Presence of bulky disease (defined as any single mass \>7 cm in its greatest dimension). Individuals with a mass \>7 cm, but otherwise eligible, may be considered for enrollment after discussion and approval with the medical monitor. 6. Has an uncontrolled infection requiring IV injection of antibiotics, antivirals, or antifungals. 7. Has clinically significant corneal disease. 8. Has a corrected QT interval (QTcF) prolongation to \>470 ms (for both genders) based on average of the Screening triplicate 12-lead ECG determinations; no concomitant medications that would prolong the QT interval; no known family history of long QT syndrome. 9. Left ventricular ejection fraction (LVEF) \<50% by either an echocardiogram (ECHO) or a multigated acquisition (MUGA) scan within 28 days before first dose of the study drug. 10. Known active hepatitis B (HBV) or hepatitis C (HCV) infection. Chronic carriers of HBV infection (HBsAg-positive, undetectable HBV DNA or HBV DNA ≤2500 copies/ml or 500 IU/ml) receive prophylactic treatment during the study can be enrolled. Participants with a history of HCV infection have completed curative antiviral treatment and HCV viral load below the limit of quantification and HCV antibody positive but HCV ribonucleic acid (RNA) negative due to prior treatment or natural resolution should be eligible. 11. Known human immunodeficiency virus (HIV) infection which is not well controlled. participants should be tested for HIV prior to enrollment if required by local regulations or institutional review board (IRB)/ethics committee. All the following criteria are required to define an HIV infection (positive HIV1/2 antibodies test) that is well controlled: HIV viral load \<400 copies/mL, CD4+ T-cell counts ≥350 cells/μL, no history of acquired immunodeficiency syndrome \[AIDS\])-defining opportunistic infection within the past 12 months, and stable viral load for at least 4 weeks on same anti-HIV retroviral medications. 12. Participants from endemic area will be specifically screened for tuberculosis. Participants with active tuberculosis are excluded. Participants who have received bacille Calmette-Guerin (BCG) vaccination may have a false positive result in the purified protein derivative (PPD) skin test. These participants are eligible if they have a negative Interferon Gamma Release Assay (IGRA). 13. Has received a live vaccine within 30 days prior to the first dose of study drug. 14. Has unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia and anemia) not yet resolved to NCI-CTCAE version 5.0, ≤Grade 1 or baseline. Note: Participants may be enrolled with chronic, stable Grade 2 toxicities (defined as no worsening to \>Grade 2 for at least 3 months prior to enrollment/randomization and managed with the standard treatment) that the Investigator deems related to previous anticancer therapy, following discussion with the Sponsor's medical monitor, such as the following: Grade 2 chemotherapy-induced neuropathy, hypothyroidism, hyperglycemia. 15. Females who are pregnant or lactating or who intend to become pregnant during participation in the study. 16. Participants who are of reproductive potential refuse to use effective methods of birth control during participation of the study and within 7 months for female (and 4 months for male) after the last dose administration.
Study sites (3)
MI
- Henry Ford Cancer Institute · Detroit, MI 48202Shirish Gadgeel · Study contactMore trials in Detroit
TX
- Sarah Cannon Research Institute at Mary Crowley · Dallas, TX 75251Reva Schneider · Study contactMore trials in Dallas
VA
- NEXT Oncology Virginia · Fairfax, VA 22031ALEXANDER SPIRA · Study contactMore trials in Fairfax