70 Participants Needed

ADCT-701 for Rare Cancers

JD
KJ
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)

Trial Summary

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.

What safety information is available for ADCT-701 and similar treatments?

Antibody-drug conjugates (ADCs) like ADCT-701 are generally considered safe, but they can cause side effects such as low blood cell counts, liver issues, nerve damage, and eye problems. These side effects are often related to the drug's active components and can vary depending on the specific ADC and cancer type.12345

What is the purpose of this trial?

Background:Neuroendocrine neoplasms (NENs) are rare cancers in the gastrointestinal tract, pancreas, lungs, adrenal glands, and other areas of the body. Many of these cancers have a high risk of relapse and a low chance of survival. Better treatments are needed.Objective:To test a new drug, ADCT-701, in people with NENs.Eligibility:Adults aged 18 and older with NENs.Design:Participants will be screened. They will have a physical exam with blood and urine tests. They will have imaging scans and tests of heart functioning. Their ability to perform normal daily activities will be tested. A biopsy may be needed: A sample of tissue will be removed from the tumor.ADCT-701 is given through a tube attached to a needle inserted into a vein in the arm. Participants will receive the drug treatment on the first day of 21-day treatment cycles. They will visit the clinic a total of 10 times during the first two cycles. After that, they will visit the clinic 2 times during each cycle. Imaging scans, blood draws, heart function tests, and other tests will be repeated during study visits. Each visit will last up to 8 hours.Participants may continue receiving treatment with the study drug for up to 2 years.After treatment ends, participants will have follow-up clinic visits 4 times in 4 months. They will have a physical exam, with heart and blood tests, at each visit. After that, they will have follow-up clinic visits every 9 weeks; these visits will include imaging scans.Follow-up visits will continue for up to 5 years after treatment began....

Research Team

JD

Jaydira Del Rivero, M.D.

Principal Investigator

National Cancer Institute (NCI)

Eligibility Criteria

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

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

Treatment Details

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.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: 1/Arm1Experimental Treatment1 Intervention
ADCT-701 given as an IV infusion

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Cancer Institute (NCI)

Lead Sponsor

Trials
14,080
Recruited
41,180,000+

Findings from Research

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]
Antibody-drug conjugates (ADCs) are a new class of targeted cancer treatments that combine the tumor-targeting ability of antibodies with the powerful effects of cytotoxic drugs, significantly improving treatment options for certain breast cancer subtypes.
While ADCs generally have favorable safety profiles, they can cause specific adverse reactions such as thrombocytopenia and hepatotoxicity, necessitating careful monitoring and management by healthcare providers.
[Chinese expert consensus of antibody-drug conjugate toxicity management for breast cancer].[2022]
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]

References

Prognostic and Predictive Value of LIV1 Expression in Early Breast Cancer and by Molecular Subtype. [2023]
[Chinese expert consensus of antibody-drug conjugate toxicity management for breast cancer]. [2022]
Brentuximab vedotin in combination with chemotherapy for pediatric patients with ALK+ ALCL: results of COG trial ANHL12P1. [2022]
Brentuximab vedotin: treatment role for relapsed refractory systemic anaplastic large-cell lymphoma. [2019]
Clinical toxicity of antibody drug conjugates: a meta-analysis of payloads. [2018]
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