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A Phase 1/1b of RNDO-564 Single Agent or in Combination With Pembrolizumab in Bladder Cancer and Other Solid Tumors Associated With Nectin-4
Trial Status: active
The main goal of this study is to evaluate how safe and tolerable RNDO-564 is and to
identify the best dose of RNDO-564 as a single agent and in combination with
pembrolizumab. The study is focused on participants with certain solid tumors that are in
an advanced stage and have certain tumor makers. This will be done by measuring the side
effects that participants experience and how severe they are. Additionally, the study
will evaluate how RNDO-564 moves into, through, and out of the body and how the treatment
affects the body.
The second goal of this study is to evaluate how well RNDO-564 works by itself or in
combination with pembrolizumab at treating participants' cancer. This will be done by
measuring the number of participants who respond to the treatment. The length of time
where the tumor does not grow or spread will also be measured.
Participants will take RNDO-564 weekly on Days 1, 8 and 15 of a 21 day cycle.
Participants in the combination arms will take RNDO-564 as described with pembrolizumab
every 3 weeks.
Inclusion Criteria
Inclusion Criteria:
1) Eligible tumor types: Histologic documentation of incurable, locally advanced or
metastatic solid tumors for which established standard systemic therapies are no longer
effective (participant must have experienced progressive disease), are not tolerated, or
in the opinion of the Investigator have been considered ineligible for a particular form
of standard therapy on medical grounds or have been declined by the participant, with
these tumor subtypes:
A. Monotherapy and Combination Dose Escalation Arms:
- RR la/mUC: Participants with urothelial cancer (transitional cell) with squamous
differentiation or mixed cell types are eligible. Participants with upper tract
disease, e.g., involving ureters, or renal pelvis, are eligible. Participants may
have had up to 2 prior monomethyl auristatin E (MMAE)-containing therapies, assuming
any existing peripheral neuropathy is Grade 2 or less.
- NSCLC
- HNSCC
- CC
- GC and GEJ
- EC
- TNBC
B. Dose Optimization (Monotherapy and Combination Arms):
- Limited to participants who have RR la/mUC,
- Participants may have had up to 2 prior MMAE-containing therapies, assuming any
existing peripheral neuropathy is Grade 2 or less 2. Participants must have
measurable disease per response evaluation criteria in solid tumors (RECIST) v1.1.
3. Adequate organ function
Exclusion Criteria:
1. For Nectin-4 targeted agents (approved or investigational)
- > one prior Nectin-4 targeted agents
2. Peripheral neuropathy > Grade 2
3. Participants with a history of, or with active, inflammatory skin disease, such as
eczema, psoriasis that required or currently require biologics or oral steroids to
control disease are ineligible.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT07218003.