NCT05234606

Brief Summary

This is a first-in-human, open-label, multicenter, dose-escalation and expansion study designed to investigate SBT6290 administered alone and in combination with pembrolizumab in advanced solid tumors associated with Nectin-4 expression.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Mar 2022

Shorter than P25 for phase_1

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 13, 2022

Completed
28 days until next milestone

First Posted

Study publicly available on registry

February 10, 2022

Completed
19 days until next milestone

Study Start

First participant enrolled

March 1, 2022

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
Last Updated

April 12, 2022

Status Verified

April 1, 2022

Enrollment Period

1 month

First QC Date

January 13, 2022

Last Update Submit

April 4, 2022

Conditions

Keywords

SBT6290breast cancerurothelial carcinomanon-small cell lung cancersquamous cell carcinoma of head and neckTLR8Nectin-4pembrolizumab (KEYTRUDA)

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Dose Limiting Toxicities: Part 1 and Part 3

    Severity of treatment-emergent adverse events as assessed by the NCI CTCAE Version 5.0.

    Up to 28 days after the first dose of SBT6290

  • Number of Participants With Treatment-emergent Adverse Events: All Parts

    Severity of treatment-emergent adverse events as assessed by the NCI CTCAE Version 5.0.

    From enrollment to 30 days after the last dose of SBT6290, up to 2 years

  • Number of Participants With an Objective Response Rate: Part 2 and Part 4

    Complete response and partial response as assessed by RECIST Version 1.1 Criteria.

    From enrollment to confirmed response, up to 1 year

  • Duration of Response for Participants With an Objective Response Rate: Part 2 and Part 4

    Complete response and partial response as assessed by RECIST Version 1.1 Criteria.

    From enrollment until the date of first documented progression or date of death from any cause, whichever occurs first, assessed up to 3 years

Secondary Outcomes (7)

  • Number of Participants With an Objective Response Rate: Part 1 and Part 3

    From enrollment to confirmed response, up to 1 year

  • Duration of Response for Participants With an Objective Response Rate: Part 1 and Part 3

    From enrollment until the date of first documented progression or date of death from any cause, whichever occurs first, assessed up to 3 years

  • Rate of Disease Control for Participants: All Parts

    Up to at least 6 months after the first dose of SBT6290

  • Progression-free Survival: Part 2

    From first dose of SBT6290 until the date of first documented progression or date of death from any cause, whichever occurs first, assessed up to 3 years

  • Estimates of Selected PK Parameters for SBT6290: All Parts

    Immediately before and after SBT6290 doses up to 2 years

  • +2 more secondary outcomes

Study Arms (4)

Part 1: SBT6290

EXPERIMENTAL

SBT6290 every 3 weeks

Drug: SBT6290

Part 2: SBT6290

EXPERIMENTAL

SBT6290 every 3 weeks

Drug: SBT6290

Part 3: SBT6290 + pembrolizumab

EXPERIMENTAL

SBT6290 plus pembrolizumab every 3 weeks

Drug: SBT6290Drug: pembrolizumab

Part 4: SBT6290 + pembrolizumab

EXPERIMENTAL

SBT6290 plus pembrolizumab every 3 weeks

Drug: SBT6290Drug: pembrolizumab

Interventions

Escalating doses by subcutaneous (SC) injection in 21-day cycles

Part 1: SBT6290Part 3: SBT6290 + pembrolizumab

200 mg via intravenous (IV) injection in 21-day cycles

Also known as: KEYTRUDA
Part 3: SBT6290 + pembrolizumabPart 4: SBT6290 + pembrolizumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Locally advanced or metastatic solid tumors associated associated with Nectin-4 expression (locally advanced or metastatic urothelial carcinoma, TNBC, NSCLC, SCCHN, and HR+/HER2- negative breast cancer)
  • Measurable disease per the the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria
  • Tumor lesion amenable for biopsy available to submit for retrospective baseline testing of Nectin-4; archived tumor tissue may be acceptable depending upon study Part detailed criteria
  • ECOG Performance Status of 0 or 1

You may not qualify if:

  • History of allergic reactions to certain components of study treatments
  • Untreated brain metastases
  • Currently active (or history of) autoimmune disease
  • Taking the equivalent of \>10 mg / day of prednisone
  • Uncontrolled or clinically significant interstitial lung disease (ILD)
  • History of ongoing, uncontrolled, symptomatic eye disorders requiring intervention or associated with marked visual field defects or limiting age-appropriate instrumental activities of daily living

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Xu F, Xu K, Fan L, Li X, Liu Y, Yang F, Zhu C, Guan X. Estrogen receptor beta suppresses the androgen receptor oncogenic effects in triple-negative breast cancer. Chin Med J (Engl). 2024 Feb 5;137(3):338-349. doi: 10.1097/CM9.0000000000002930. Epub 2023 Dec 15.

MeSH Terms

Conditions

Carcinoma, Transitional CellTriple Negative Breast NeoplasmsCarcinoma, Non-Small-Cell LungSquamous Cell Carcinoma of Head and NeckBreast Neoplasms

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms by SiteBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinoma, Squamous CellHead and Neck Neoplasms

Study Officials

  • Natasha Angra, PharmD

    Silverback Therapeutics, Inc.

    STUDY DIRECTOR
0

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 13, 2022

First Posted

February 10, 2022

Study Start

March 1, 2022

Primary Completion

March 31, 2022

Study Completion

March 31, 2022

Last Updated

April 12, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share