Study of STRO-002, an Anti-Folate Receptor Alpha (FolRα) Antibody Drug Conjugate in Ovarian & Endometrial Cancers
Phase 1 trial to study the safety, pharmacokinetics and preliminary efficacy of STRO-002 given intravenously every 3 weeks.
Inclusion Criteria
- Age ≥ 18 years
- Measurable disease per RECIST 1.1
- ECOG performance status (0-1)
- Life expectancy > 3 months
- Pathological confirmation of disease under study (historical information, diagnosis, pathology report, etc)
- Expansion Cohorts A and C: High-grade serous EOC, fallopian tube cancer or primary peritoneal cancer
- Expansion Cohort B: Histologically diagnosed epithelial endometrial cancer (endometrioid and serous adenocarcinomas; undifferentiated carcinoma; mixed epithelial carcinoma; or adenocarcinoma NOS)
- Relapsed and/or progressive disease
- Dose Expansion Cohorts A and C (Ovarian Cancer):
- Platinum resistant and received 1-3 prior regimens or
- Platinum sensitive and either:
- Progressed after 2 prior lines of platinum therapy (regardless of platinum status)and received 2-3 prior regimens or
- Progressed after 1 line of platinum therapy and 1 line of non-platinum therapy and received a total of 2-3 prior regimens if contraindicated to receive second platinum regimen.
- Dose Expansion Cohort B (Endometrial Cancer):
- Relapsed or progression after at least 1 platinum-based chemotherapy regimen or 1 immunotherapy-based regimen but not to exceed more than 3 prior regimens.
- Fresh or archival tumor tissue samples
Exclusion Criteria
- Low grade (grade 1) ovarian carcinoma, clear cell, mucinous and sarcomatous ovarian carcinomas (Cohort A).
- Endometrial carcinosarcomas, leiomyosarcoma and stromal sarcomas (Cohort B).
- Prior treatment with a FolRα-targeting ADCs or FolRα-targeting vaccines
- Platinum-refractory during frontline treatment (Cohorts A and C)
- Greater than 3 lines of prior treatment
- History of severe allergic or anaphylactic reactions to monoclonal antibody therapy or to antibody-related fusion protein treatment
- Preexisting clinically significant ocular disorders, clinically significant pre-exisiting ocular disorders, severe chronic obstructive pulmonary disease or asthma, clinically significant cardiac or cerebrovascular disease, or other significant concurrent, uncontrolled medical condition
- Metastatic central nervous system or meningeal disease
- Concurrent participation in another therapeutic treatment trial
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT03748186.
This study is a phase 1, open-label, multicenter, dose-escalation study with dose
expansion to identify the maximum tolerated dose (MTD), the recommended phase 2 dose
(RP2D) and to evaluate the safety, tolerability, and preliminary antitumor activity of
STRO-002 in adult subjects with advanced epithelial ovarian cancer (EOC), including
fallopian or primary peritoneal cancer, and endometrial cancer. Fallopian tube and
primary peritoneal cancers are treated in the same manner as epithelial ovarian cancers
and are thus included in this phase 1 study. Subjects enrolled in the study will be
required to have progressive or recurrent disease after standard approved therapy as
defined in the study eligibility criteria. The study has completed dose escalation and is
currently in dose expansion, enrolling endometrial and ovarian cancer subjects.
All subjects enrolled on the study are required to have tumor tissue for determining
folate receptor alpha (FolRα) expression levels, either from a prior surgery or tumor
biopsy or from a biopsy performed during study screening. The testing for FolRα is done
via an ICH assay. A minimum level of FolRα expression is required for enrollment for
endometrial cancer but not for ovarian cancer.
Study drug, STRO-002, is administered by intravenous (IV) infusion on day 1 of 21-day
cycles. Clinical evaluations and/or laboratory tests will be performed at a pre-specified
schedule-weekly for cycles 1-4, and at the beginning of every cycle starting with cycle 5
as described in the schedule of assessments. Samples for PK analysis will occur at
specific times on days 1, 8, and 15 of cycles 1 and 4, Day 1 of cycles 2, 3, and 5 and at
the end of treatment (EOT) visit. The study requires imaging with a CT or MRI scan of the
chest abdomen and pelvis at screening, every 6 weeks after enrollment for the first 18
weeks, then every 9 weeks, and at the end of treatment (EOT) visit. Additional X-rays may
be required to confirm disease responses and per local institution standard of care.
Additional clinical evaluations and lab testing may occur at the discretion of the
investigator.
Trial PhasePhase I
Trial Typetreatment
Lead OrganizationSutro Biopharma, Inc.
- Primary IDSTRO-002-GM1
- Secondary IDsNCI-2019-01322
- ClinicalTrials.gov IDNCT03748186