Study on Emiltatug Ledadotin (Emi-Le) for Patients with Solid Tumors

Sponsor: Day One Biopharmaceuticals, Inc.

Sponsor score: 40

ClinicalTrials ID:NCT05377996

This clinical trial is testing a new drug called Emi-Le to see if it is safe and effective in treating solid tumors that have returned, spread nearby, or spread throughout the body.

Patient Parameters

Program Overview

This study is the first to test a new drug called Emi-Le (Emiltatug Ledadotin) in humans. The study aims to find out if Emi-Le is safe, what side effects it might have, and if it can help shrink tumors in patients with solid tumors that have come back, spread locally, or spread to other parts of the body. The study is divided into three parts: the first part will determine the right dose of Emi-Le, the second part will test the safety and effectiveness of this dose, and the third part will focus on treating a specific type of cancer called aggressive Adenoid Cystic Carcinoma.

Description

This clinical trial is exploring a new drug called Emi-Le (Emiltatug Ledadotin) to see if it can safely and effectively treat solid tumors. The study is divided into three parts:

  1. Dose Escalation: This part will determine the appropriate dose of Emi-Le to give to participants.
  2. Dose Expansion: Using the dose found in the first part, this phase will further assess the safety and effectiveness of Emi-Le in treating solid tumors.
  3. Phase 2 (EMBLEM-1): This phase will specifically evaluate how well Emi-Le works in treating aggressive Adenoid Cystic Carcinoma and continue to monitor its safety.

Participants in this study will have cancers that have returned after treatment, spread locally, or spread to other parts of the body. The study will help researchers understand how Emi-Le works and its potential as a treatment option for these types of cancers.

Eligibility Criteria

Inclusion Criteria

  • Have a solid tumor that has come back or is advanced.
  • Be in good overall health with an ECOG performance status of 0 or 1, meaning fully active or restricted in physically strenuous activity but ambulatory.
  • Have at least one measurable tumor that can be tracked using standard criteria.
  • Be able to provide a tumor sample for testing, either from a previous biopsy or a new one, if safe to do so.
  • Have a brain MRI during the screening period if you have triple-negative breast cancer (TNBC) or a history of brain metastases, or if you have symptoms suggesting brain metastases.

Exclusion Criteria

  • Have previously been treated with a specific type of drug called an Antibody Drug Conjugate (ADC) that contains an auristatin payload.
  • Have had major surgery within 28 days before starting the study treatment.
  • Have received systemic anticancer therapy recently, within 28 days or 5 half-lives of the previous treatment, whichever is shorter.
  • Have had palliative radiation therapy to the chest within 3 months or to other areas within 14 days before starting the study treatment.
  • Have another active cancer that required treatment within the last 2 years, except for certain skin cancers or carcinoma in situ of the breast or cervix.
  • Have untreated or worsening brain metastases or a history of certain types of cancer spread to the brain or spinal cord.
  • Have previously received treatment targeting B7-H4.
  • Have significant liver disease or conditions like cirrhosis or liver fibrosis.
  • Have severe, uncontrolled systemic diseases or illnesses that could increase the risk of serious side effects or interfere with the study.
  • Have significant heart disease or active inflammation of the cornea (keratitis).

Locations

FACILITYZIPCITYSTATE
Mayo Clinic Comprehensive Cancer Center85054PhoenixArizona
UC Irvine Health-Chao Family Comprehensive Cancer Center92868OrangeCalifornia
UCSF Helen Diller Family Comprehensive Cancer Center94158San FranciscoCalifornia
UCLA David Geffen School of Medicine, Division of Hematology/Oncology90404Santa MonicaCalifornia
Mayo Clinic - Jacksonville32224JacksonvilleFlorida
Florida Cancer Specialists34232SarasotaFlorida
Moffitt Cancer Center33612TampaFlorida
Winship Cancer Institute, Emory University30322AtlantaGeorgia
Northwestern University60611ChicagoIllinois
Beth Israel Deaconess Medical Center02215BostonMassachusetts

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