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Phase 1b/2 dose-escalation trial of OMTX705, an anti-fibroblast activation protein antibody-drug conjugate, in combination with regorafenib and tislelizumab in patients with advanced/metastatic colorectal cancer

Status
Recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2025-520743-33-00
Acronym
OMTX705-004
Enrollment
69
Registered
2025-06-18
Start date
2025-07-23
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced/metastatic colorectal cancer

Brief summary

Safety and tolerability (for Part 1 and Part 2) will be assessed by: The nature and frequency of DLTs (Part 1 only). Frequency, duration, seriousness, relatedness, and severity of treatment emerging adverse events (TEAEs), per Common Terminology Criteria for Adverse Events, version 5.0., Changes in vital signs, serum chemistry, and hematology. Frequency of treatment modifications, measured as dose modifications, interruptions, or percentage of relative dose intensity. MTD dose or recommended Part 2 dose., Part 2 efficacy will be assessed by: The overall response rate (ORR), determined by the Investigator, according to Response Evaluation Criteria in Solid Tumors, version1.1 (RECIST 1.1).

Detailed description

Part 1 and 2: Additional efficacy endpoints will be evaluated by using RECIST 1.1: Response-associated endpoints: disease control rate (DCR= complete response [CR]+partial response [PR]+stable disease [SD]≥ 6, 12 and 21 weeks), duration of response, and time to response. Time-to-event efficacy endpoints: progression-free survival (PFS), proportion of participants without progression/death at 3, 6, and 12 months., Overall survival (OS) and proportion of participants alive at 3, 6, 12, and 18 months. Changes in carcino‐embryonic antigen (CEA) tumor biomarker from baseline upon treatment. For patients with other abnormal standard serum biomarkers, they will be followed., Part 1 and Part 2 immunogenicity of OMTX705 will be assessed by: Quantification (titer) of anti-drug antibodies (ADAs) against OMTX705 and percentage of ADA positive participants., Part 1 and Part 2 PK profile of OMTX705 with regorafenib/tislelizumab: Blood drug concentrations of total OMTX705, conjugated antibody, and unconjugated payload (TAM470), determined by non-compartmental analysis to derive main PK parameters (such as, maximum observed concentration [Cmax], time of first occurrence of Cmax [Tmax], area under the analytes concentration versus time curve from time 0 to time t [AUC0-t]).

Interventions

Sponsors

Oncomatryx Biopharma S.L.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to 64 Years

Design outcomes

Primary

MeasureTime frame
Safety and tolerability (for Part 1 and Part 2) will be assessed by: The nature and frequency of DLTs (Part 1 only). Frequency, duration, seriousness, relatedness, and severity of treatment emerging adverse events (TEAEs), per Common Terminology Criteria for Adverse Events, version 5.0., Changes in vital signs, serum chemistry, and hematology. Frequency of treatment modifications, measured as dose modifications, interruptions, or percentage of relative dose intensity. MTD dose or recommended Part 2 dose., Part 2 efficacy will be assessed by: The overall response rate (ORR), determined by the Investigator, according to Response Evaluation Criteria in Solid Tumors, version1.1 (RECIST 1.1).

Secondary

MeasureTime frame
Part 1 and 2: Additional efficacy endpoints will be evaluated by using RECIST 1.1: Response-associated endpoints: disease control rate (DCR= complete response [CR]+partial response [PR]+stable disease [SD]≥ 6, 12 and 21 weeks), duration of response, and time to response. Time-to-event efficacy endpoints: progression-free survival (PFS), proportion of participants without progression/death at 3, 6, and 12 months., Overall survival (OS) and proportion of participants alive at 3, 6, 12, and 18 months. Changes in carcino‐embryonic antigen (CEA) tumor biomarker from baseline upon treatment. For patients with other abnormal standard serum biomarkers, they will be followed., Part 1 and Part 2 immunogenicity of OMTX705 will be assessed by: Quantification (titer) of anti-drug antibodies (ADAs) against OMTX705 and percentage of ADA positive participants., Part 1 and Part 2 PK profile of OMTX705 with regorafenib/tislelizumab: Blood drug concentrations of total OMTX705, conjugated antibody, and

Countries

Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026