A Study Of MT-5111 In HER2-positive Solid Tumors

Overview

About this study

The purpose of this study is to evaluate dose escalation and expansion of MT-5111 (a recombinant fusion protein) in subjects with HER2-positive solid tumors.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Histologically confirmed, unresectable, locally advanced or metastatic solid cancers: 
    • Part 1 (Dose-Escalation):  All HER2-positive solid cancers are eligible;
    • Part 2 (Dose-Expansion):  Any type of HER2-positive solid cancer, including breast cancer, gastric or gastroesophageal adenocarcinomas (GEA). 
  • HER2-positive in the latest tumor sample tested for HER2 (testing to be done on a metastatic lesion in cases of metastatic cancers). 
  • Relapsed or refractory to or intolerant of existing therapy(ies).
  • At least 1 measurable or evaluable lesion according to RECIST 1.1.
  • ECOG performance score of ≤ 1.
  • Bone marrow function: 
    • Absolute neutrophil count (ANC) ≥ 1,000/mm³;
    • Platelet count ≥ 75,000 mm³;
    • Hemoglobin ≥ 8.0 g/dL; and
    • No red blood cell transfusion within 4 weeks of study treatment start is allowed.
  • Kidney function: 
    • (eGFR) ≥ 50 mL/min calculated by the Cockcroft-Gault formula; and
    • Subjects with CLcr ≥ 50 mL/min will be eligible irrespective of the eGFR result.
  • Cardiac Function: 
    • Left ventricular ejection fraction (LVEF) ≥ 55% on the multigated acquisition (MUGA) scan (preferred) or echocardiogram (ECHO) assessment; and
    • QTcF ≤ 480 ms for women and QTcF ≤ 450 ms for men [average from three QTcF values on the triplicate 12-lead electrocardiogram (ECG)] at baseline.
  • Hepatic function: 
    • Total bilirubin ≤ 1.5 x ULN;, and
    • AST ≤ 3 x ULN and ALT ≤ 3 x ULN - < 5 x ULN (if hepatic metastases).

Exclusion Criteria: 

  • History or current evidence of another tumor that is histologically distinct from the tumor under study.
  • Current evidence of new or growing CNS metastases during screening.
  • Subjects with known CNS metastases will be eligible if they meet specified criteria.
  • Evidence of CTCAE Grade > 1 toxicity before the start of treatment, except for hair loss and those Grade 2 toxicities listed as permitted in other eligibility criteria.
  • History or evidence of significant cardiovascular disease.
  • Current evidence of active, uncontrolled hepatitis B virus, hepatitis C virus, human immunodeficiency virus (HIV) (evidenced by detectable viral load by PCR) or acquired immunodeficiency syndrome (AIDS) related illness.
  • Current evidence of ≥ Grade 2 underlying pulmonary disease.
  • Certain exclusionary prior treatments

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Hao Xie, M.D., Ph.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Daniel Ahn, D.O.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Jacksonville, Fla.

Mayo Clinic principal investigator

Jason Starr, D.O.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available