A Phase 1, First-in-Human (FIH), Open-Label, Dose-Escalation and Dose Expansion Study of the Peptide Drug Conjugate (PDC), TS-104, as a Monotherapy in Subjects With Select Advanced Solid Tumors
A Phase 1, First-in-Human (FIH), Open-Label, Dose-Escalation and Dose Expansion Study of the Peptide Drug Conjugate (PDC), TS-104, as a Monotherapy in Subjects 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
Not stated in the study description — ask the study team about visits and procedures.
- 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 TS-104 alone for the first time in people with certain advanced solid cancers. It aims to find a safe dose, learn about side effects, see how well it works, and learn how the body handles the drug.
A Phase 1, First-in-Human (FIH), Open-Label, Dose-Escalation and Dose Expansion Study of the Peptide Drug Conjugate (PDC), TS-104, as a Monotherapy in Subjects with Select Advanced Solid Tumors. The main goals of this study are to: * Find the recommended dose of TS-104 that can safely be given to participants * Learn more about the side effects of TS-104 * Learn more about the effectiveness of TS-104 * Learn more about the pharmacokinetics of TS-104
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 and agree in writing to join.
- Have confirmed non-small cell lung cancer; squamous cell cancer of the head or neck; or cancer of the food pipe, womb lining, ovaries, or stomach.
- The cancer must have spread nearby and cannot be removed by surgery, or have spread farther. Treatment must have failed or the cancer must be getting worse, or you cannot take, do not qualify for, or refuse standard treatment.
- Have cancer that can be measured and a tumor sample available for testing.
- Be fully active or able to do light work despite some limits on hard physical activity.
- Meet the study's blood count, liver, kidney, and blood-clotting test limits. Some blood counts must meet limits without a transfusion in the past 14 days.
- If you can become pregnant, have a negative blood pregnancy test and use highly effective birth control during the study and for 6 months after the last dose.
- Men must use highly effective birth control during the study and for 6 months after the last dose.
Who can't join
- Have more than mild lasting side effects from past treatment, or moderate or worse nerve damage affecting feeling or movement. Some hair loss and treated thyroid or adrenal gland problems are allowed.
- Have ongoing swelling or damage of the clear front of the eye, with a limited exception for a treated surface problem; or have a known sensitivity to TS-104 ingredients or MMAE.
- Have had certain drugs that carry a cell-growth blocker into cancer cells, such as Emrelis or Elahere. Standard chemotherapy such as paclitaxel is allowed.
- Are getting or expect to need other cancer treatment during the study; have another cancer without 3 disease-free years after treatment meant to cure it, with some exceptions; or have major surgery within 4 weeks of the first dose.
- Are pregnant or breastfeeding, or have an uncontrolled illness or a mental health or social issue that could prevent following study rules or affect study results.
- Have severe lung disease not caused by the cancer, certain past or current lung inflammation or scarring, or active cancer spread to the brain or spinal cord.
- Have serious uncontrolled heart disease, certain heart problems within 6 months, an abnormal heart electrical timing called long QT, or blood pressure of 160/100 or higher despite treatment.
- Take certain medicines, herbs, or foods that strongly change how the body breaks down or moves drugs through a liver enzyme called CYP3A4 or a protein called P-gp.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Males \& females ≥18 years of age at the time of consent * Willingness to provide written informed consent, according to local guidelines. * Subjects who have histologically or cytologically documented, unresectable locally advanced, or metastatic solid malignancy that is progressing or has failed the minimum therapies listed below or who are intolerant of, ineligible for, or refuse standard of care (SOC) therapy according to local guidelines: 1. Non-small cell lung cancer (NSCLC) 2. Head and neck squamous cell carcinoma (HNSCC) 3. Esophageal cancer 4. Endometrial cancer 5. Ovarian cancer 6. Gastric cancer * Subjects must have measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 * All subjects must have tumor tissue available for retrospective analysis * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 * Adequate organ function as defined by the following criteria: 1. AST and ALT ≤2.5×ULN or ≤5×ULN for subjects with liver metastases 2. Total serum bilirubin ≤1.5×ULN except in the presence of Gilbert's Syndrome where direct bilirubin should be ≤ULN 3. ANC ≥1.5×109/L 4. Platelets ≥100×109/L without transfusion support within 14 days prior to study treatment 5. Hemoglobin ≥9.0 g/dL without transfusion support within 14 days prior to study treatment 6. Calculated creatinine clearance ≥60 mL/min by Cockcroft-Gault formula or Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) 7. Coagulation tests ≤1.5×ULN unless subject is receiving anticoagulant therapy, as long as prothrombin time (PT), International Normalized Ratio (INR), or activated partial thromboplastin time (aPTT) is within the therapeutic range of intended use of anticoagulants * Negative serum pregnancy test for women of childbearing potential (WOCBP) at Screening and willingness to use highly effective contraception for the duration of the trial and for 6 months following the last dose of TS-104 * Male subjects must agree to use a highly effective method of contraception while on study and for 6 months following the last dose of TS-104 Exclusion Criteria: * Unresolved toxicity higher than Grade 1 Common Terminology Criteria for Adverse Events (CTCAE) v 6.0 (or higher) attributed to any prior therapy/procedure at Screening, except for alopecia, well-controlled Grade 2 hypothyroidism, or Grade 2 adrenal insufficiency that is actively managed with appropriate therapy * Subjects with ongoing sensory or motor neuropathy ≥Grade 2 * Subjects with active or chronic keratitis or corneal disorders, including ulcerations. Subjects with superficial punctate keratitis are allowed if the disorder is being adequately treated in the opinion of the Investigator. * Known sensitivity to any of the ingredients of TS-104 or MMAE * Prior treatment with tubulin-inhibitor-based drug conjugates, including antibody-drug conjugates (ADCs) with tubulin inhibitor payloads, ie, Emrelis (MMAE payload) for c-Met-high NSCLC or Elahere (DM4 payload) for FRα-high ovarian cancer. For clarity, prior treatment with standard taxane-based chemotherapy (eg, paclitaxel) is permitted. * Subjects currently receiving cancer therapy (ie, chemotherapy, radiation therapy, immunotherapy, biologic therapy, hormonal therapy, surgery, and/or tumor embolization) or expected to require any other form of antineoplastic therapy while on study. * Subject with history of other malignancy other than the one for which they participate in the study (exceptions include definitively resected basal cell carcinoma and other in situ cancers) - unless the subject has undergone curative therapy with no evidence of that disease for 3 years * Major surgery or planned major surgery (excluding placement of vascular access device) within 4 weeks of Cycle 1 Day 1 (C1D1) * Subjects who are currently pregnant or breastfeeding * Uncontrolled intercurrent illness including, but not limited to, active uncontrolled infection, uncontrolled diabetes mellitus, active or chronic bleeding event within 28 days prior to C1D1, uncontrolled cardiac arrhythmia, or psychiatric illness/social situation that would limit compliance with study requirements as judged by treating physician. This includes any preexisting medical history that could impair the proper assessment of the study results (eg, severe pulmonary function compromise unrelated to underlying malignancy). * ≥Grade 3 pulmonary disease unrelated to underlying malignancy * History of noninfectious interstitial lung disease (ILD) or pneumonitis that required steroids, current ILD or pneumonitis, or suspected ILD or pneumonitis that cannot be ruled out by imaging at Screening or the presence of residual symptoms * Clinically significant, uncontrolled cardiovascular disease including: myocardial infarction or unstable angina within the last 6 months, symptomatic congestive heart failure (New York Heart Association Classification \>Class II), or serious uncontrolled cardiac arrhythmia within the last 6 months of Screening * History of long QT syndrome or subject whose corrected QT interval measured by Fridericia's method at Screening is prolonged (\>470 msec) * Uncontrolled hypertension, defined as systolic blood pressure (BP) ≥160 mmHg or diastolic BP ≥100 mmHg despite optimal medical management * Current treatment with strong inhibitors or strong inducers of cytochrome P450 (CYP)3A4 or inhibitors of P-glycoprotein (P-gp) including herbal or food based * Known active central nervous system metastases.
Study sites (3)
OH
- Site 06 · Maumee, OH 43537More trials in Maumee
OR
- Site 02 · Portland, OR 97239More trials in Portland
VA
- Site 04 · Fairfax, VA 22031More trials in Fairfax