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Brief Title: Study of RSO-021 in Patients With Malignant Pleural Effusion Due to Advanced/Metastatic Solid Tumors Including Mesothelioma
Official Title: A Translational Phase 1/2 Dose-Escalation and Expansion Study to Determine Safety, Tolerability, and Recommended Phase 2 Dose of RSO-021 in Patients With Malignant Pleural Effusion Due to Advanced/Metastatic Solid Tumors Including Mesothelioma
Study ID: NCT05278975
Brief Summary: This is an open-label, non-randomized, multicenter, translational Phase 1/2 dose-escalation and expansion study designed to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of RSO-021 after intrapleural (IP) administration in patients with malignant pleural effusion (MPE) (non-mesothelioma) and MPE from mesothelioma.
Detailed Description: This is a Phase 1/2, open-label, multi-center study whose primary Phase 1 stage objective is to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) of RSO-021 (thiostrepton), a naturally-occurring, sulfur-rich, cyclic oligopeptide antibiotic of the thiopeptide class, in patients with MPE from any solid tumor, including mesothelioma. In the Phase 2 stage, once the RP2D has been identified, the antitumor activity of RSO-021 will be evaluated in four recruitment arms; (1) in patients with MPE (non-mesothelioma), (2) in patients with MPE (non-mesothelioma) in combination with paclitaxel, (3) in patients with MPE from mesothelioma after first-line SoC, and (4) in patients with MPE from mesothelioma who have a 'window of opportunity' for treatment prior to first-line systemic therapy.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
South Mead North Bristol Hopsital, Bristol, , United Kingdom
NHS Greater Glasgow & Clyde, Glasgow, , United Kingdom
Leeds Teaching Hospital, Leeds, , United Kingdom
Facility: HOPE Clinical Trials Facility, Leicester Royal Infirmary, Leicester, , United Kingdom
Barts Health NHS Cancer Institute, London, , United Kingdom
Guys and St Thomas NHS Foundation Trust, London, , United Kingdom
The Royal Marsden, London, , United Kingdom
The Christie NHS, Manchester, , United Kingdom
Northumbria NorthTyne Side General Hospital, North Shields, , United Kingdom
Oxford University Hospitals NHS Foundation, Oxford, , United Kingdom
Name: James Spicer, MD
Affiliation: Guys Hospital
Role: PRINCIPAL_INVESTIGATOR