DB-1324 for Gastrointestinal Cancer

Not yet recruiting at 5 trial locations
YS
Overseen ByYuanyuan Sun
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 explores a new treatment called DB-1324 for individuals with advanced gastrointestinal (GI) cancer. The researchers aim to determine the safety and effectiveness of DB-1324 by testing various dose levels. Participants should have GI cancer that has returned or worsened after standard treatments or lack other treatment options. This study suits those who can identify at least one measurable tumor and have a life expectancy of at least three months. 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 treatment.

Will I have to stop taking my current medications?

The trial requires an adequate treatment washout period (time without taking certain medications) before starting the study, but it doesn't specify which medications need to be stopped. It's best to discuss your current medications with the trial team to get specific guidance.

Is there any evidence suggesting that DB-1324 is likely to be safe for humans?

Research shows that DB-1324 is currently being tested for safety and effectiveness in treating gastrointestinal cancer. This marks the first human trial of DB-1324, so limited information exists on how people tolerate it. As the trial is in its early stages, comprehensive safety data is not yet available.

DB-1324 is developed using DualityBio's proprietary technology, which has proven successful in other treatments. This success suggests potential safety, but confirmation is needed specifically for DB-1324. The trial will explore various doses to determine the safest and most effective amount.

Participants in early studies like this help researchers identify possible side effects. While DB-1324 is hoped to be beneficial, careful monitoring is crucial to fully understand its safety.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for gastrointestinal cancer, such as chemotherapy, surgery, and radiation, DB-1324 is unique because it targets cancer cells in a novel way. Researchers are excited about DB-1324 because it employs a new mechanism of action that could improve efficacy and safety compared to existing options. Additionally, the ability to explore different dosing regimens in early phases offers the potential to fine-tune its effectiveness and minimize side effects, making this treatment a promising candidate for those who have tried other therapies.

What evidence suggests that DB-1324 might be an effective treatment for gastrointestinal cancer?

Research shows that DB-1324 targets a protein called CDH17, often found in cancers of the digestive system, such as colorectal, pancreatic, and stomach cancers. This protein aids cancer cell growth and spread, so blocking it could slow or stop the cancer. Early studies suggest that DB-1324, which employs a special method to attack cancer cells, shows promise in fighting these cancers. In this trial, participants will receive DB-1324 in various phases, including dose escalation, dose expansion, and backfill, to explore its preliminary efficacy and safety. The drug is being developed with the hope of becoming a leading treatment in its field. Although current evidence is still developing, focusing on a specific target like CDH17 gives scientists a strong reason to believe in its potential.26789

Who Is on the Research Team?

LH

Lily Hu

Principal Investigator

DualityBio Inc.

Are You a Good Fit for This Trial?

This trial is for individuals with advanced or metastatic gastrointestinal tumors. Specific eligibility criteria are not provided, but typically participants must have a confirmed diagnosis and may need to meet certain health standards.

Inclusion Criteria

At least one measurable lesion as assessed by the investigator according to response evaluation criteria in RECIST v1.1
Has a life expectancy of ≥ 3 months
Has LVEF ≥ 50% by either ECHO or MUGA within 28 days before enrollment
See 7 more

Exclusion Criteria

Other protocol-defined Exclusion criteria apply
I have been treated with CDH17 targeted therapy before.
I have been treated with an ADC that targets topoisomerase I.
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1: Dose Escalation

Participants receive a single-dose of DB-1324 at different dose levels to determine the maximum tolerated dose (MTD) and recommended dose for expansions (RDEs)

Up to 12 months

Phase 1: Backfill

Participants with GI cancers who have received no more than 3 prior lines of systemic therapy may be backfilled at the selected dose regimens to further explore safety, efficacy, PK, and pharmacodynamics

Up to 12 months

Phase 1: Dose Expansion

Two or more appropriate dose regimens of DB-1324 will be explored for preliminary efficacy and safety

Up to 12 months

Phase 2

Phase 2 will confirm the safety, tolerability, and explore efficacy in selected malignant GI tumors

Up to 36 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

Approximately 30 days post-treatment

What Are the Treatments Tested in This Trial?

Interventions

  • DB-1324

Trial Overview

The study is testing DB-1324's safety, how well it's tolerated by patients, how the body processes it (pharmacokinetics), how it affects the body (pharmacodynamics), its maximum safe dose, and its effectiveness against tumors.

How Is the Trial Designed?

4

Treatment groups

Experimental Treatment

Group I: DB-1324 Phase 2Experimental Treatment1 Intervention
Group II: DB-1324 Phase 1 Dose escalationExperimental Treatment1 Intervention
Group III: DB-1324 Phase 1 Dose ExpansionExperimental Treatment1 Intervention
Group IV: DB-1324 Phase 1 BackfillExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

DualityBio Inc.

Lead Sponsor

Trials
12
Recruited
5,800+

GlaxoSmithKline

Industry Sponsor

Trials
4,834
Recruited
8,389,000+
Headquarters
London, UK
Known For
Vaccines & Medicines
Top Products
**Advair (salmeterol, fluticasone propionate)**, **Shingrix (shingles vaccine)**, **Augmentin (amoxicillin/clavulanate potassium)**, **Ventolin (salbutamol sulfate)
Dame Emma Walmsley profile image

Dame Emma Walmsley

GlaxoSmithKline

Chief Executive Officer since 2017

MA in Classics and Modern Languages from Oxford University

Dr. Hal Barron profile image

Dr. Hal Barron

GlaxoSmithKline

Chief Medical Officer since 2018

MD from Harvard Medical School

Citations

A Study of DB-1324 in Advanced/Metastatic ...

This is a multicenter, open-label, multiple-dose, FIH Phase 1/2 study to explore the safety, tolerability, and efficacy of DB-1324 in ...

A Study of DB-1324 in Advanced/Metastatic Gastrointestinal ...

This study, the first clinical trial, aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, maximum tolerated dose ...

GSK and Duality Biologics Sign Option Agreement for DB- ...

GSK and Duality Biologics have entered into an exclusive option agreement for developing and commercializing DB-1324, a potentially best-in-class antibody-drug ...

CDH17 becomes flavour of the month | ApexOnco

Targeting CDH17 is said to have utility in GI cancers, especially colorectal, pancreatic and gastric, though some groups also claim CDH17 ...

Duality Biologics Signs Exclusive Option Agreement with ...

DB-1324 is an ADC candidate built with DualityBio's proprietary and clinically validated Duality Immune Toxin Antibody Conjugate (DITAC) ...

A Study of DB-1324 in Advanced/Metastatic ...

This study, the first clinical trial, aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, maximum tolerated dose, ...

Duality Biologics and GSK Enter Exclusive Option ...

DB-1324 is an ADC candidate built with DualityBio's proprietary and clinically validated Duality Immune Toxin Antibody Conjugate (DITAC) ...

Safety and biological outcomes following a phase 1 trial of ...

Safety and biological outcomes following a phase 1 trial of GD2-specific CAR-T cells in patients with GD2-positive metastatic melanoma and other solid cancers.

GSK inks $1B option agreement for Dualitybio preclinical ...

DB-1324 is an ADC candidate built with Dualitybio's Duality Immune Toxin Antibody Conjugate (DITAC) platform. In preclinical development, the ...