A Phase I/II, Dose-escalation and Dose-optimization Study to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of MT-4561 in Patients With Various Advanced Solid Tumors and to Evaluate Effect of MT-4561 on Pharmacokinetics of Oral Midazolam

INTRODUCTION

  • Org Study ID: MT-4561-Z-101
  • Secondary ID: N/A
  • NCT ID: NCT06943521
  • Sponsor: Mitsubishi Tanabe Pharma America Inc.

BRIEF SUMMARY

This is a First In Human (FIH), multicenter, open-label, Phase I/II study to evaluate safety, tolerability, Pharmacokinetics (PK), pharmacodynamics, and efficacy of MT-4561 in patients with advanced solid tumors. This study will be conducted in 3 parts.

Part 1 is aimed at evaluating safety, tolerability, PK and pharmacodynamics of MT-4561 and determining the Maximum Tolerated Dose (MTD) using the Bayesian Optimal Interval (BOIN) design.

The study details and doses of Part 2 (dose-optimization) and Part 3 (Drug-Drug Interaction) will be available after review of applicable Part 1 results.

  • Overall Status
    Recruiting
  • Start Date
    April 18, 2025
  • Phase
    PHASE1, PHASE2
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Incidence of Adverse Event

Primary Outcome 1 - Timeframe: a 28-day cycle

Primary Outcome 2 - Measure: Dose limiting toxicities (DLTs)

Primary Outcome 2 - Timeframe: Screening through 30 days after last dose

Primary Outcome 3 - Measure: Number of Patients with Adverse events (AEs)

Primary Outcome 3 - Timeframe: N/A

CONDITION

  • Head and Neck Squamous Cell Carcinoma (HNSCC)
  • Non-small Cell Lung Cancer (NSCLC)
  • Esophageal Cancer
  • Gastric Cancer
  • Biliary Tract Cancer
  • Pancreatic Ductal Adenocarcinoma (PDAC)
  • Breast Cancer
  • Ovarian Cancer
  • Cervical Cancer
  • Endometrial Cancer
  • Prostate Cancer
  • Urothelial Carcinoma
  • Neuroendocrine Tumor (NET)
  • Neuroendocrine Carcinoma (NEC)
  • Soft Tissue Sarcoma
  • NUT Carcinoma

ELIGIBILITY

Main Inclusion Criteria:
* Male or female patient aged 18 years or older at the time of signing the informed consent form

- * ≥ 1 measurable lesion by the RECIST v1.1 and ≥ 1 disease site for tumor biopsy

- * Eastern Cooperative Oncology Group performance status: 0 to 1

- * Life expectancy of at least 3 months

- * Adequate bone marrow function

- * Adequate hepatic function

- * Adequate renal function estimated creatinine clearance ≥ 60 mL/min calculated using the Cockcroft and Gault equation or by institutional method

- * Part 1: Patients must have a confirmed histologic or cytologic diagnosis of one of the following solid tumors for participation in the study: head and neck squamous cell carcinoma (HNSCC), non-small cell lung cancer (NSCLC), esophageal cancer, gastric cancer, biliary tract cancer, pancreatic ductal adenocarcinoma (PDAC), breast cancer, ovarian cancer, cervical cancer, endometrial cancer, prostate cancer, urothelial carcinoma, neuroendocrine tumor (NET) or neuroendocrine carcinoma (NEC), soft tissue sarcoma, and NUT carcinoma.
Main Exclusion Criteria:
* Patients with active brain or leptomeningeal metastases

- * Any unresolved toxicity ≥ Grade 2 from previous anticancer therapy except for alopecia

- * Prior systemic anticancer therapy within 4 weeks before first dose of investigational medicinal product (IMP) or 5 half-lives, whichever is shorter, and prior radiotherapy within 2 weeks before first dose of IMP

- * History of congenital long QT syndrome or clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation or Torsades de pointes)

- * Patients who received drugs with a known risk of QT interval prolongation or Torsades de pointes within 14 days or 5 half-lives, whichever is longer, before the start of IMP administration

- * QT interval corrected for heart rate using Fridericia's correction (QTcF) > 470 msec at screening

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Head of Medical Science

Role: Study Director

Affiliation: Mitsubishi Tanabe Pharma America Inc.

Overall Contact

Name: Clinical Trials Information Desk, to prevent miscommunication,

Phone: Please E-mail

Email: [email protected]

LOCATION

Facility Status Contact
Facility: START Midwest
Grand Rapids, Michigan 49546
United States
Status: Recruiting Contact: N/A
Facility: The University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United States
Status: Recruiting Contact: N/A