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NCT Number: NCT06597721

ADCE-T02, a Tissue Factor Targeted Antibody-Drug Conjugate, in Patients With Selected Advanced Solid Tumours

Adcendo ApS is conducting a phase 1 study of an investigational drug called ADCE-T02 (previously known as AMT-754), a tissue factor targeted antibody-drug conjugate which may be used in the future as a possible treatment for advanced solid tumors.

The main purpose of the study is to determine the Maximum Tolerated Dose (MTD), the recommended dose and the safety and tolerability of ADCE-T02 when given as a single therapy over a range of different dose levels.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Macquarie University Hospital, Macquarie Park, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Patients must have pathologically confirmed unresectable advanced solid tumor
  • Patients who have undergone at least one systemic therapy and have progressive disease
  • Patients must have at least one measurable lesion as per RECIST version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Life expectancy ≥ 3 months.
  • Patients must have adequate organ function as indicated by laboratory values
  • Women of childbearing potential (WCBP), defined as sexually mature women who have not undergone surgical sterilization or who have not been naturally postmenopausal for at least 12 consecutive months must agree to use two effective contraceptive methods while on study treatment and for at least 7 months after the last dose of ADCE T02.
  • Male patients must agree to use condoms, even if they have had a successful vasectomy, while on study treatment and for at least 4 months after the last dose of ADCE T02.

Key Exclusion Criteria:

  • Prior treatment with any agent targeting Tissue Factor or any ADC with a topoisomerase 1 payload
  • Central nervous system (CNS) metastasis.
  • Active ocular surface disease or a history of cicatricial conjunctivitis or inflammatory conditions that predispose to cicatrizing conjunctivitis, mucus pemphigoid or penetrating ocular transplants.
  • Persistent toxicities from previous systemic anti-neoplastic treatments
  • Known past or current coagulation defects leading to an increased risk of bleeding
  • Significant cardiac disease; recent myocardial infarction, acute coronary syndromes, congestive heart failure, uncontrolled hypertension, uncontrolled cardiac arrhythmias
  • History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or current ILD/pneumonitis, or suspected ILD/pneumonitis
  • Prior second malignancy except for:
  • Well treated basal cell carcinoma or squamous cell carcinoma of the skin.
  • Low-risk prostate cancer with a Gleason score < 7 and a PSA level < 10 ng/mL
  • Any cancer or in situ cancer the patient has been disease-free for ≥ 2 years.

Treatment and study plan

ADCE-T02

Drug

Administered intravenously

Primary outcomes

  1. Maximum Tolerated Dose (MTD) of ADCE-T02

    Time frame: Up to 24 months

    The MTD will be determined using DLTs

  2. Recommended Expansion Phase Dose (RED) of ADCE-T02

    Time frame: Up to 24 months

    The RED will be determined using dose limiting toxicities (DLTs) and all other available study data

  3. Type, incidence and severity of Adverse Events

    Time frame: Up to 24 months

    Safety and tolerability profile of ADCE-T02 assessed by the Common Terminology Criteria for Adverse Events v5.0

Secondary outcomes

  1. Overall Response Rate (ORR) according to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    Time frame: Up to 24 months

    Proportion of patients achieving Complete Response (CR) or Partial Response (PR)

  2. Disease Control Rate (DCR) according to the RECIST v1.1

    Time frame: Up to 24 months

    Proportion of patients achieving CR, PR or Stable Disease (SD)

  3. Progression-free Survival (PFS)

    Time frame: Up to 24 months

    Time from date of start of treatment to date of the first progression or death, whichever occurs first.

  4. Concentration of anti-drug antibodies (ADA)

    Time frame: Up to 24 months

    Immunogenicity profile characterized by concentration of ADAs

  5. Maximum observed concentration (C[max])

    Time frame: Up to 24 months

    Pharmacokinetic profile characterized by the maximum observed concentration (C[max]) of ADCE-T02

  6. Area under the curve (AUC)

    Time frame: Up to 24 months

    Pharmacokinetic profile characterized by the area under the curve (AUC) of ADCE-T02

  7. Terminal half-life (t[1/2])

    Time frame: Up to 24 months

    Pharmacokinetic profile characterized by the terminal half-life (t[1/2]) of ADCE-T02

  8. Time to maximum concentration (Tmax)

    Time frame: Up to 24 months

    Pharmacokinetic profile characterized by the time to maximum concentration (Tmax)

Study contacts

Contact information is provided by the study sponsor or research team.

Margaret Mcnaull

CONTACT

[email protected]

+44 7818457619

Sarah Berardini

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

Adcendo ApS

Industry

Registry information

Official study title

First-in-Human, Phase 1 Study of ADCE-T02, a Tissue Factor Targeted Antibody-Drug Conjugate, in Patients With Advanced Solid Tumors

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Sep 19, 2024
Registry last updated
Jul 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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