TROP2 ADC for Cancer

(MK-2870-001 Trial)

Not currently recruiting at 165 trial locations
SM
Overseen ByStudy Manager
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, SKB264 (also known as MK-2870), for individuals with advanced cancers unresponsive to standard therapies. It includes various solid tumors, such as breast, ovarian, and lung cancer. The study divides into parts, each targeting a specific cancer type to evaluate the treatment's effectiveness and potential side effects. Ideal candidates have advanced cancer that cannot be surgically removed and have not benefited from other treatments. As a Phase 1 trial, this research seeks to understand how the treatment works in people, offering participants the chance to be among the first to receive it.

Will I have to stop taking my current medications?

The trial requires that you stop any standard cancer therapy or experimental therapy at least 4 weeks or five half-lives before starting the study drug. Additionally, you cannot use strong inhibitors or inducers of CYP3A4 at least 14 days prior to and throughout the study.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that SKB264, a treatment tested for various advanced cancers, generally has a manageable safety profile according to multiple studies. For patients with triple-negative breast cancer, studies found that SKB264 was well-tolerated, with no unexpected safety issues. In non-small cell lung cancer, the treatment was manageable, with few serious side effects. Similarly, for endometrial and ovarian cancers, SKB264 was well-tolerated, showing a favorable safety profile.

In gastric or gastroesophageal junction adenocarcinoma, SKB264 was linked to some side effects, but these were generally manageable. Studies on head and neck squamous cell carcinoma and cervical cancer also indicate that SKB264's safety is manageable, with the treatment usually not causing severe side effects.

These findings come from earlier clinical studies, meaning SKB264 has been tested in humans but is still under study to fully understand its safety and effectiveness.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about SKB264 because it represents a new approach in targeting cancers that express the TROP2 protein, which is common in many aggressive tumors. Unlike traditional chemotherapy, which can affect both healthy and cancerous cells, SKB264 is an antibody-drug conjugate (ADC) that specifically targets cancer cells, potentially leading to fewer side effects. This precision targeting allows the drug to deliver a potent chemotherapy agent directly to the cancer cells. This targeted approach could offer improved effectiveness and safety over existing treatments, making it a promising option for patients with difficult-to-treat cancers.

What evidence suggests that this trial's treatments could be effective for cancer?

Research has shown that SKB264, the investigational treatment in this trial, yields promising results in treating several advanced cancers. Participants with triple-negative breast cancer may experience lasting improvements and a trend toward longer survival. For those with epithelial ovarian cancer, 45% of patients responded to the treatment, with some showing significant progress. Early results for gastric adenocarcinoma suggest lasting benefits and the possibility of longer survival. Participants with non-small cell lung cancer may find SKB264 effective, with 34% of patients responding and experiencing several months before disease progression. These findings support the potential effectiveness of SKB264 in treating various challenging cancer types.12567

Who Is on the Research Team?

JR

Jordi Rodon Ahnert, MD, PhD

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

Adults aged 18-75 with advanced solid tumors that can't be surgically removed or have spread and don't respond to standard treatments. Specific cancers include certain types of breast, ovarian, lung, gastric, head and neck, endometrial, and urothelial cancers. Participants must have acceptable organ function and blood counts, not require oxygen for daily activities or have severe heart conditions.

Inclusion Criteria

Patients must be able to provide documented voluntary informed consent
Your white blood cell count, platelet count, and hemoglobin levels are within a certain range.
I am fully active or can carry out light work.
See 9 more

Exclusion Criteria

The investigator considers other situations that patients are not appropriate to participate in this trial
I haven't taken any experimental drugs within the last 4 weeks.
I have been treated with TROP 2 targeted therapies before.
See 19 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase I: Dose Escalation

Participants receive SKB264 as a single IV infusion at escalating dose levels to determine the maximum tolerated dose (MTD) and recommended doses for expansion (RDEs).

12 months
Every 2 weeks in 4-week cycles

Phase II: Treatment

Participants receive SKB264 at the recommended dose levels for expansion to evaluate the objective response rate (ORR) and other efficacy measures.

12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment, including assessment of adverse events and overall survival.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • SKB264
Trial Overview SKB264 is being tested in this Phase I-II trial on patients with various advanced solid tumors unresponsive to standard therapies. The study aims to evaluate the safety and effectiveness of SKB264 as a potential treatment option for these patients.
How Is the Trial Designed?
11Treatment groups
Experimental Treatment
Group I: Phase II: Urothelial carcinomaExperimental Treatment1 Intervention
Group II: Phase II: Triple Negative Breast CancerExperimental Treatment1 Intervention
Group III: Phase II: Non-Small Cell Lung CancerExperimental Treatment1 Intervention
Group IV: Phase II: Head and Neck Squamous Cell CarcinomaExperimental Treatment1 Intervention
Group V: Phase II: HR+/ HER2- Breast CancerExperimental Treatment1 Intervention
Group VI: Phase II: Gastric Adenocarcinoma or Gastroesophageal Junction AdenocarcinomaExperimental Treatment1 Intervention
Group VII: Phase II: Extensive-stage Small Cell Lung CancerExperimental Treatment1 Intervention
Group VIII: Phase II: Epithelial Ovarian CancerExperimental Treatment1 Intervention
Group IX: Phase II: Endometrial carcinomaExperimental Treatment1 Intervention
Group X: Phase II: Cervical CancerExperimental Treatment1 Intervention
Group XI: Phase I: Dose EscalationExperimental Treatment1 Intervention

SKB264 is already approved in China, European Union, United States for the following indications:

🇨🇳
Approved in China as SKB264 for:
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Approved in European Union as SKB264 for:
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Approved in United States as SKB264 for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Klus Pharma Inc.

Lead Sponsor

Trials
4
Recruited
2,100+

Published Research Related to This Trial

Trophoblast surface antigen 2 (Trop-2) is a promising target for cancer therapy due to its high expression in various tumors compared to normal tissues, playing a key role in tumor growth and progression.
Antibody-drug conjugates (ADCs) targeting Trop-2, such as Sacituzumab Govitecan and Datopotamab Deruxtecan, have shown strong antitumor activity and potential for enhancing the effectiveness of other cancer treatments by reprogramming the tumor microenvironment.
Targeting Trop-2 in cancer: Recent research progress and clinical application.Qiu, S., Zhang, J., Wang, Z., et al.[2023]
Trop-2 is highly expressed in pancreatic cancer tissues compared to peritumoral tissues, with an expression rate of 87.1% in tumors versus 9.7% in surrounding tissues, indicating its potential role in cancer development.
The high expression of Trop-2 is associated with lower differentiation in pancreatic cancer, suggesting it could serve as a clinical prognostic marker and a potential therapeutic target for treatment.
[Expression and clinical significance of Trop-2 in human pancreatic cancer].Qiu, JR., Tang, Q., Lin, H., et al.[2011]
Trop2 is a protein that is overexpressed in many cancers, making it a promising target for cancer therapies, particularly in metastatic triple-negative breast cancer where the anti-Trop2 drug Trodelvy™ has been approved.
Research is ongoing to explore the effectiveness of Trop2-targeted treatments in other types of tumors, as the expression and role of Trop2 can vary significantly across different cancers.
Advances in Trop2-targeted therapy: Novel agents and opportunities beyond breast cancer.Liu, X., Deng, J., Yuan, Y., et al.[2023]

Citations

716MO Efficacy and safety of sacituzumab tirumotecan ...Here, we report the efficacy and safety results from the CC cohort in an ongoing Phase 2 basket study (SKB264-Ⅱ-06, NCT05642780). Methods. Pts with R/M CC who ...
A Clinical Study of Sacituzumab Tirumotecan (MK-2870) in ...Researchers are looking for new ways to treat metastatic cervical cancer. Cervical cancer is cancer in the cervix, the lower part of the uterus ...
Multiple Study Results of Kelun-Biotech's TROP2-ADC ...The median OS was not reached (95% CI, 11.2 to NE) with SKB264 and 9.4 months (95% CI, 8.5 to 11.7) with chemotherapy. The sac-TMT group had a ...
A Study to Compare Sacituzumab Tirumotecan (MK-2870) ...The primary study hypotheses are that, in the Phase 3 portion, sacituzumab tirumotecan results in a superior overall survival compared to TPC in participants ...
A Study to Compare Sacituzumab Tirumotecan (MK-2870) ...The purpose of this study is to compare the efficacy and safety of sacituzumab tirumotecan versus treatment of physician's choice as second-line treatment.
Clinical study comparing MK-2870 with standard treatment ...The main objective of this study is to investigate the safety and efficacy of MK-2870 compared to 6 standard therapies in patients with cervical cancer.
Updated efficacy and safety of anti-TROP2 ADC SKB264 (MK ...Updated efficacy and safety of anti-TROP2 ADC SKB264 (MK-2870) for previously treated advanced NSCLC in Phase 2 study
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