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Spots Global Cancer Trial Database for Study of RSO-021 in Patients With Malignant Pleural Effusion Due to Advanced/Metastatic Solid Tumors Including Mesothelioma

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Trial Identification

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

Interventions

RSO-021

Study Description

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.

Keywords

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

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

Contact Details

Name: James Spicer, MD

Affiliation: Guys Hospital

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

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