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NCT Number: NCT06480552

An Open-label Dose Escalation/Expansion Trial to Evaluate the Safety and Anti-tumor Activity of TEV-56278 Alone or in Combination With Pembrolizumab in Participants With Advanced or Metastatic Solid Tumors

The primary objectives of this trial are to:

* Characterize the safety and tolerability of TEV-56278 * Determine the Recommended Phase 2 Dose (RP2D) * Evaluate antitumor activity of TEV-56278 (Part 2 only) * Determine the safety and tolerability of TEV-56278 in combination with pembrolizumab * Determine a RP2D of TEV-56278 in combination with pembrolizumab

The secondary objectives of this trial are to:

* Characterize the serum pharmacokinetics of TEV-56278 * Evaluate the antitumor activity of TEV-56278 * Determine the safety and tolerability of TEV-56278 * Evaluate other measures of antitumor activity of TEV-56278 * Evaluate anti-tumor activity

Participants will be treated up to 12 months with a follow-up period of up to 12 months after last infusion. The total duration of the trial will be up to 25 months for individual participants.

Participants who exhibit a favorable benefit risk profile at the end of the 12 month trial treatment period may be offered an opportunity for an extended treatment period in which they can be treated for a maximum of 12 additional months (up to 26 additional cycles of TEV-56278).

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Teva Investigational Site 11282, Toronto, Ontario, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Have an established histological diagnosis of selected solid tumor and must have received and progressed on established standard therapies or have been intolerant to such therapy or have been considered by the Investigator as ineligible for approved standard therapy
  • Have a life expectancy≥12 weeks at the time of the screening
  • Women of childbearing potential must agree to use highly effective methods of contraception for the course of the trial through 120 days after the last dose of trial medication
  • Males who are sexually active with women of childbearing potential must agree to use condoms and refrain from donating sperm for the course of the trial through 120 days after the last dose of trial medication

NOTE- Additional criteria apply, please contact the investigator for more information

Exclusion criteria

  • Has a history of systemic treatment therapy for cancer (including chemotherapy, immunotherapy, radiotherapy, or other investigational drug) or surgery within 4 weeks prior to baseline
  • Is currently receiving or has received hematopoietic colony-stimulating growth factors within 2 weeks before screening or transfusion support 4 weeks prior to screening
  • Has a diagnosis of immunodeficiency
  • Has active known autoimmune disease.
  • Has a history of or known active brain metastases and/or carcinomatous meningitis and/or leptomeningeal metastasis
  • Has active or uncontrolled serious infections requiring systemic therapy within 14 days prior to baseline
  • Has a history of clinically significant cardiovascular or cerebrovascular disease in previous 6 months prior to screening
  • Has evidence of clinically significant interstitial lung disease or active, noninfectious pneumonitis
  • Has a seizure disorder requiring therapy (such as steroids or antiepileptics)

NOTE- Additional criteria apply, please contact the investigator for more information

Treatment and study plan

TEV-56278

Drug

Administered intravenously

Pembrolizumab

Drug

Administered intravenously

Other names: KEYTRUDA®

Primary outcomes

  1. Incidence of AEs with CTCAE Grade≥3 in the escalation phase

    Time frame: Up to 15 months after 1st infusion in the escalation phase

    CTCAE: Common Terminology Criteria for Adverse Events

  2. Incidence of SAEs in the escalation phase

    Time frame: Up to 15 months after 1st infusion in the escalation phase

  3. Incidence of AEs meeting protocol-defined DLT criteria in the escalation phase

    Time frame: Up to 28 days after 1st infusion in the escalation phase

    DLT: dose-limiting toxicity

  4. Incidence of dose modifications due to AEs in the escalation phase

    Time frame: Up to 12 months after 1st infusion in the escalation phase

  5. Incidence of AEs leading to discontinuation in the escalation phase

    Time frame: Up to 12 months after 1st infusion in the escalation phase

  6. Recommended Phase 2 dose as monotherapy

    Time frame: Up to 24 months after 1st infusion

  7. Objective Response Rate (ORR) based on RECIST (v 1.1) criteria in the expansion phase

    Time frame: Up to 24 months after the 1st dose in the expansion phase

    RECIST: Response Evaluation Criteria in Solid Tumors.

  8. Duration of Response (DOR) in the expansion phase

    Time frame: Up to 24 months after the 1st dose in the expansion phase

  9. Recommended Phase 2 dose in combination with Pembrolizumab

    Time frame: Up to 24 months after 1st dose

  10. Incidence of AEs with CTCAE Grade≥3 in the combination phase

    Time frame: Up to 15 months after 1st infusion in the combination phase

  11. Incidence of SAEs in the combination phase

    Time frame: Up to 15 months after 1st infusion in the combination phase

  12. Incidence of AEs meeting protocol-defined DLT criteria in the combination phase

    Time frame: Up to 28 days after 1st infusion in the combination phase

  13. Incidence of dose modifications due to AEs in the combination phase

    Time frame: Up to 12 months after 1st infusion in the combination phase

  14. Incidence of AEs leading to discontinuation in the combination phase

    Time frame: Up to 12 months after 1st infusion in the combination phase

Secondary outcomes

  1. AUC0-last

    Time frame: Predose up to Day 8

    Area under the serum concentration-time curve from time 0 to last measurable drug concentration

  2. Cmax

    Time frame: Predose up to Day 8

    Maximum observed concentration

  3. tmax

    Time frame: Predose up to Day 8

    Time to maximum observed drug concentration

  4. Objective Response Rate (ORR) based on RECIST (v1.1) criteria in the escalation phase

    Time frame: Up to 24 months after 1st infusion in the escalation phase

  5. Incidence of AEs with CTCAE (v5.0) Grade≥3 in the expansion phase

    Time frame: Up to 24 months after 1st infusion in the expansion phase

  6. Incidence of SAEs in the expansion phase

    Time frame: Up to 15 months after 1st infusion in the expansion phase

  7. Incidence of dose modifications due to AEs in the expansion phase

    Time frame: Up to 12 months after 1st infusion in the expansion phase

  8. Incidence of AEs leading to discontinuation in the expansion phase

    Time frame: Up to 12 months after 1st infusion in the expansion phase

  9. Disease Control Rate (DCR) according to RECIST (v1.1) criteria

    Time frame: Up to 24 months after 1st infusion

  10. Time to Respond (TTR) according to RECIST (v1.1) criteria

    Time frame: Up to 24 months after 1st infusion

  11. Objective Response Rate (ORR) based on RECIST criteria in the combination phase

    Time frame: Up to 24 months after 1st infusion in the combination phase

Study contacts

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

Teva U.S. Medical Information

CONTACT

[email protected]

1-888-483-8279

Sponsors and collaborators

Lead sponsor

Teva Branded Pharmaceutical Products R&D LLC

Industry

Registry information

Official study title

A Phase 1a/1b Open-Label, Multicenter, Dose Escalation, and Dose Expansion Trial to Evaluate the Safety and Activity of TEV-56278, as a Monotherapy and in Combination With Pembrolizumab in Participants With Selected Locally Advanced or Metastatic Solid Tumors

Important dates

Study start
2024
Primary completion
2029
Study completion
2031
First posted
Jun 28, 2024
Registry last updated
Jun 4, 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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