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Brief Title: A Study of [225Ac]-FPI-2059 in Adult Participants With Solid Tumours
Official Title: A Phase 1 Study of [225Ac]-FPI-2059 in Adult Participants With NTSR1-Expressing Advanced, Metastatic and/or Recurrent Solid Tumours
Study ID: NCT05605522
Brief Summary: This is a first-in-human Phase 1 clinical trial designed to investigate the safety, tolerability, pharmacokinetics, and biodistribution of \[225Ac\]-FPI-2059 and \[111In\]-FPI-2058 in participants with neurotensin receptor 1 (NTSR1)-expressing solid tumours.
Detailed Description: This is a first-in-human, Phase 1, non-randomized, multi-centre, open-label clinical trial designed to investigate the safety, tolerability, dosimetry, biodistribution, and pharmacokinetics (PK) of \[225Ac\]-FPI-2059 and \[111In\]-FPI-2058, as well as the pharmacodynamics and preliminary anti-tumour activity of \[225Ac\]-FPI-2059 in participants with neurotensin receptor 1 (NTSR1)-expressing advanced, metastatic and/or recurrent solid tumours. The study will employ a 3+3 dose escalation design to identify the recommended phase 2 dose (RP2D) and regimen of \[225Ac\]-FPI-2059 administered intravenously every 56 days. After the RP2D for \[225Ac\]-FPI-2059 is determined, enrolment will continue into an expansion cohort, to confirm the safety and tolerability of the RP2D, as well as to identify any preliminary evidence of efficacy in selected NTSR1-expressing tumour types.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Alabama at Birmingham Hospital, Birmingham, Alabama, United States
City of Hope Medical Center, Duarte, California, United States
Hoag Family Cancer Institute, Newport Beach, California, United States
University of Kentucky, Lexington, Kentucky, United States
Advanced Molecular Imaging and Therapy, Glen Burnie, Maryland, United States
Washington University, Saint Louis, Missouri, United States
XCancer Omaha / Urology Cancer Center, Omaha, Nebraska, United States
Westmead Hospital, Sydney, New South Wales, Australia
Name: Joanne Schindler, MD, DVM
Affiliation: Fusion Pharmaceuticals Inc.
Role: STUDY_DIRECTOR