70 Participants Needed

ADCT-701 for Rare Cancers

JD
KJ
AL
AL
Overseen ByAnna L Rivero
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: National Cancer Institute (NCI)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new drug, ADCT-701, for treating rare neuroendocrine neoplasms (NENs), which are cancers that can occur in areas such as the gastrointestinal tract and lungs. These cancers often recur and have low survival rates, making the search for better treatments crucial. The trial seeks adults diagnosed with NENs who have not found success with other treatments. Participants will receive the drug through an IV and return to the clinic for regular check-ups and tests. This trial may suit those with recurring symptoms who have not responded well to standard treatments. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new drug.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop taking your current medications, but you cannot have had major surgery, chemotherapy, hormonal therapy, immunotherapy, or radiation therapy within 4 weeks before starting the trial. Also, you should not take any herbal supplements within 14 days before starting the trial.

Is there any evidence suggesting that ADCT-701 is likely to be safe for humans?

Research shows that ADCT-701 remains in the early testing stages, but some information about its safety is available. In animal studies, the drug controlled tumor growth without causing severe side effects. This suggests potential safety for humans, though further testing is necessary for confirmation.

The current study, in its first phase, primarily focuses on assessing the drug's safety in humans. Researchers closely monitor how participants handle the drug and any side effects they experience.

While limited data exists on human safety, this phase aims to determine if ADCT-701 is well-tolerated. Participants will be carefully monitored to ensure their safety throughout the trial.12345

Why do researchers think this study treatment might be promising?

ADCT-701 is unique because it uses an antibody-drug conjugate (ADC) approach to target rare cancers. Most treatments for these cancers involve chemotherapy or radiation, which can affect both cancerous and healthy cells. ADCT-701, however, combines an antibody that specifically seeks out cancer cells with a powerful drug that only activates when inside these cells. This precision aims to reduce side effects and improve effectiveness, making researchers excited about its potential to offer a more targeted and efficient treatment option.

What evidence suggests that ADCT-701 might be an effective treatment for neuroendocrine neoplasms?

Research shows that ADCT-701, which participants in this trial will receive, targets DLK1, a protein often present in many neuroendocrine tumors. Studies have demonstrated that ADCT-701 successfully slowed tumor growth and increased survival rates in various cancer models with DLK1. Early lab tests showed promising results against tumors using patient-derived organoids (small, simple versions of organs grown in the lab) and cell samples. These findings suggest that ADCT-701 could effectively treat neuroendocrine tumors, especially those with high levels of DLK1.12356

Who Is on the Research Team?

JD

Jaydira Del Rivero, M.D.

Principal Investigator

National Cancer Institute (NCI)

Are You a Good Fit for This Trial?

Adults over 18 with neuroendocrine tumors or adrenocortical carcinoma, who've tried standard treatments without success. They must have measurable disease, be able to perform daily activities to a certain extent, and agree to use contraception. Excluded are those with recent other cancer treatments, uncontrolled illnesses, certain heart conditions, active infections or allergies related to the study drug.

Inclusion Criteria

You must have a disease that can be measured according to specific guidelines.
I can take care of myself but might not be able to do heavy physical work.
I am breastfeeding but willing to stop for the trial.
See 9 more

Exclusion Criteria

I haven't had major surgery or cancer treatment in the last 4 weeks.
I have not taken any herbal supplements in the last 14 days.
I am currently on antibiotics for an infection.
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive ADCT-701 through IV infusion on the first day of 21-day treatment cycles. They will visit the clinic 10 times during the first two cycles and 2 times during each subsequent cycle.

up to 2 years
10 visits (in-person) during first two cycles, 2 visits per cycle thereafter

Follow-up

Participants are monitored for safety and effectiveness after treatment, with follow-up visits every 9 weeks including imaging scans.

up to 5 years
4 visits in 4 months, then every 9 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ADCT-701
Trial Overview The trial is testing ADCT-701 in patients with rare cancers of various glands. It involves receiving the drug through an IV on day one of each 21-day cycle for up to two years. Participants will undergo regular clinic visits that include physical exams and various tests like imaging scans and blood draws.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: 1/Arm1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Cancer Institute (NCI)

Lead Sponsor

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

Brentuximab vedotin (Adcetris®) is an effective targeted therapy for relapsed refractory systemic anaplastic large-cell lymphoma, showing a high response rate and durable remissions in patients.
While generally well-tolerated, brentuximab vedotin can cause side effects such as peripheral neuropathy and has a serious risk of progressive multifocal leukoencephalopathy, leading to a black box warning from the FDA.
Brentuximab vedotin: treatment role for relapsed refractory systemic anaplastic large-cell lymphoma.Lai, CM., Horowitz, S.[2019]
In a study involving 68 children with newly diagnosed ALK+ anaplastic large cell lymphoma, the addition of brentuximab vedotin to standard chemotherapy showed promising efficacy, with a 2-year event-free survival rate of 79.1% and an overall survival rate of 97.0%.
The treatment was well-tolerated, with no toxic deaths or severe neuropathy reported, indicating that brentuximab vedotin does not significantly increase toxicity compared to conventional chemotherapy.
Brentuximab vedotin in combination with chemotherapy for pediatric patients with ALK+ ALCL: results of COG trial ANHL12P1.Lowe, EJ., Reilly, AF., Lim, MS., et al.[2022]
LIV1 expression in breast cancer is linked to better prognosis, with higher levels associated with longer disease-free survival (DFS) and overall survival (OS), but also a lower rate of complete response to chemotherapy.
Patients with high LIV1 expression may benefit more from hormone therapy and CDK4/6 inhibitors, while showing less sensitivity to immune-checkpoint inhibitors and PARP inhibitors, indicating its potential as a therapeutic target for antibody-drug conjugates (ADCs).
Prognostic and Predictive Value of LIV1 Expression in Early Breast Cancer and by Molecular Subtype.de Nonneville, A., Finetti, P., Boudin, L., et al.[2023]

Citations

NCT06041516 | Antibody Drug Conjugate ADCT-701 in ...ADCT-701 a humanized antibody directed against DLK1 effectively suppresses tumor growth and improves survival in multiple cancer models which express DLK1.
A first-in-human phase I trial with antibody drug conjugate ...ADCT-701, a humanized antibody targeting DLK1, has shown potential in suppressing tumor growth and enhancing survival across multiple cancer models expressing ...
Identification of the Notch ligand DLK1 as an ...ADCT-701 has in vitro activity in DLK1+ ACC patient-derived organoids and induces anti-tumor responses in ACC cell line-derived and patient- ...
ADCT-701 for Rare CancersPatients with high LIV1 expression may benefit more from hormone therapy and CDK4/6 inhibitors, while showing less sensitivity to immune-checkpoint inhibitors ...
Identification of DLK1, a Notch ligand, as an ...ADCT-701 has potent in vitro activity in DLK1+ ACC patient-derived organoids and induces robust anti-tumor responses in ACC cell line-derived and patient- ...
ADCT-701, a novel pyrrolobenzodiazepine (PBD) dimer- ...... tumor activity of ADCT-701 in human cancer cell lines and patient-derived xenograft (PDX) models and to determine its safety and tolerability in the rat ...
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