Clinical trial • Phase I/II • Oncology
TD001 for Metastatic castration-resistant prostate cancer
Phase I/II trial of TD001 for Metastatic castration-resistant prostate cancer. open-label, adaptive. 70 participants.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Metastatic castration-resistant prostate cancer
- Trial Stage
- Phase I/II
- Drug Modality
- ADC
Key dates
- Initial CTIS Submission Date
- 30-09-2025
- First CTIS Authorization Date
- 16-01-2026
Trial design
open-label, adaptive Phase I/II trial in France, Spain.
- Open Label
- Yes
- Adaptive
- True - Dose-escalation design to determine MTD and RP2Ds of TD001 with evaluation of safety and tolerability; specific escalation rules, interim analyses or stopping rules are not provided in the available data.
- Biomarker Stratified
- True - biomarker: PSMA (patients required to have PSMA-expressing disease)
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 70
Eligibility
Recruits 70 isVulnerablePopulationSelected: false; study population limited to adult males. No special consent/assent handling for vulnerable populations is mentioned in the provided documents..
- Vulnerable Population
- isVulnerablePopulationSelected: false; study population limited to adult males. No special consent/assent handling for vulnerable populations is mentioned in the provided documents.
Inclusion criteria
- {"criterion_text":"- Adult males with documented progressive mCRPC based on at least one of the following: o\tSerum PSA progression. o\tSoft-tissue or visceral progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) with Prostate Cancer Working Group 3 (PCWG3). o\tProgression of bone disease (2+2 PCWG3 criteria)."}
- {"criterion_text":"- At least one measurable metastatic lesion per RECIST 1.1."}
- {"criterion_text":"- Prior orchiectomy and/or ongoing ADT"}
- {"criterion_text":"- Received at least one androgen receptor pathway inhibitor (ARPI) and at least one but no more than two taxane agents (or be unsuitable for treatment). Participants with a homologous recombination repair (HRR) gene mutation must have received a poly (ADP-ribose) polymerase (PARP) inhibitor (or be unsuitable for treatment)"}
- {"criterion_text":"- (No further inclusion criteria text available in the provided data)"}
Exclusion criteria
- {"criterion_text":"- Previous treatment with strontium-89, samarium-153, rhenium-186, rhenium-188, radium-223, or hemi-body irradiation, within 6 months prior to treatment start."}
- {"criterion_text":"- Systemic anticancer therapy including an investigational agent within 28 days prior to treatment start."}
- {"criterion_text":"- Known hypersensitivity to the components of the trial drug, its analogs, or excipients"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence and severity of DLTs during Cycle 1 (dose escalation only)","definition_or_measurement_approach":"DLTs assessed during Cycle 1 in the dose-escalation portion; used to determine dose-limiting toxicity incidence and severity (no further measurement details provided)."}
- {"endpoint_text":"- Incidence, severity, and relationship of AEs and SAEs","definition_or_measurement_approach":"All adverse events and serious adverse events will be recorded with incidence, severity and investigator-assessed relationship to study drug (specific grading/scales not provided)."}
- {"endpoint_text":"- Laboratory parameters","definition_or_measurement_approach":"Routine laboratory safety parameters will be monitored (no detailed list or thresholds provided)."}
- {"endpoint_text":"- Treatment discontinuations and treatment modifications due to AEs","definition_or_measurement_approach":"Counts and reasons for treatment discontinuations and modifications attributable to adverse events (no further specification provided)."}
Secondary endpoints
- {"endpoint_text":"- Plasma concentration profile parameters (AUC, AUClast, AUCtau, Cmax, Tmax, T1/2, and Ctrough) of total ADC, total antibody, and unconjugated exatecan payload","definition_or_measurement_approach":"Pharmacokinetic parameters for total ADC, total antibody and unconjugated exatecan measured from plasma samples (AUC, AUClast, AUCtau, Cmax, Tmax, T1/2, Ctrough)."}
- {"endpoint_text":"- Safety and efficacy endpoints","definition_or_measurement_approach":"General safety and efficacy assessments (no further detail provided)."}
- {"endpoint_text":"- PSA50 response rate","definition_or_measurement_approach":"Proportion of participants achieving ≥50% decline in PSA (PSA50); specific assessment timing not provided."}
- {"endpoint_text":"- ORR by investigator assessment","definition_or_measurement_approach":"Objective response rate per investigator assessment (likely per PCWG3-modified RECIST 1.1 for radiographic responses; exact assessment schedule not provided)."}
- {"endpoint_text":"- PSA PFS","definition_or_measurement_approach":"Progression-free survival as defined by PSA criteria (PCWG3-modified), specific definition/timing not provided."}
- {"endpoint_text":"- Radiographic PFS by investigator assessment","definition_or_measurement_approach":"Radiographic progression-free survival per investigator assessment using PCWG3-modified RECIST 1.1 (specific timing not provided)."}
- {"endpoint_text":"- Duration of response (PSA and radiographic by investigator assessment)","definition_or_measurement_approach":"Time from first documented response to progression or death assessed by PSA and radiographic criteria per investigator (no further detail)."}
- {"endpoint_text":"- Disease control rate","definition_or_measurement_approach":"Proportion of participants with response or stable disease (no further definition provided)."}
- {"endpoint_text":"- Overall survival","definition_or_measurement_approach":"Time from randomisation/enrolment to death from any cause (no further detail provided)."}
- {"endpoint_text":"- Prevalence and plasma titers of ADA against TD001","definition_or_measurement_approach":"Immunogenicity assessment measuring prevalence and plasma titers of anti-drug antibodies (ADA) against TD001 (assay details not provided)."}
Recruitment
- Planned Sample Size
- 70
- Recruitment Window Months
- 35
- Consent Approach
- Informed consent required from adult participants. Subject information and informed consent forms (L1_SIS and ICF) were submitted for the national Part II applications (documents present for France and Spain). No assent procedures or special consent for minors/vulnerable populations are mentioned.
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 110
France
- Earliest CTIS Part Ii Submission Date
- 02-12-2025
- Latest Decision Or Authorization Date
- 16-01-2026
- Processing Time Days
- 45
- Number Of Sites
- 3
- Number Of Participants
- 55
Sites
- Site Name
- Institut Gustave Roussy
- Department Name
- DITEP
- Principal Investigator Name
- Christophe Massard
- Principal Investigator Email
- Christophe.MASSARD@gustaveroussy.fr
- Contact Person Name
- Christophe Massard
- Contact Person Email
- Christophe.MASSARD@gustaveroussy.fr
- Site Name
- Institut Bergonie
- Department Name
- Oncology
- Principal Investigator Name
- Diego Teyssonneau
- Principal Investigator Email
- d.teyssonneau@bordeaux.unicancer.fr
- Contact Person Name
- Diego Teyssonneau
- Contact Person Email
- d.teyssonneau@bordeaux.unicancer.fr
- Site Name
- GIE Groupe hospitalier Paris Saint-Joseph/Vinci
- Department Name
- Oncology
- Principal Investigator Name
- Carole Helissey
- Principal Investigator Email
- chelissey@ghpsj.fr
- Contact Person Name
- Carole Helissey
- Contact Person Email
- chelissey@ghpsj.fr
Spain
- Earliest CTIS Part Ii Submission Date
- 02-12-2025
- Latest Decision Or Authorization Date
- 21-01-2026
- Processing Time Days
- 50
- Number Of Sites
- 1
- Number Of Participants
- 55
Sites
- Site Name
- Hospital Universitari Vall D Hebron
- Department Name
- Oncology
- Principal Investigator Name
- Joaquin Mateo Valderrama
- Principal Investigator Email
- jmateo@vhio.net
- Contact Person Name
- Joaquin Mateo Valderrama
- Contact Person Email
- jmateo@vhio.net
Sponsor
Primary sponsor
- Full Name
- T.O.A.D. Oncology S.A.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Suvoda LLC
- Responsibilities
- sponsorDuties codes: [3] (specific responsibilities not detailed)
- Name
- PPD Development LP
- Responsibilities
- sponsorDuties codes: [4] (specific responsibilities not detailed)
Third parties
- {"country":"Netherlands","full_name":"Xerimis B.V.","duties_or_roles":"sponsorDuties codes: [14,15]; code 15 value: IMP Qualified Person","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"Oncology Therapeutic Development","duties_or_roles":"sponsorDuties codes: [1,10,11,12,2,5,6,7,8,9] (detailed role labels not provided)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"sponsorDuties codes: [3]","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Foundation Medicine Inc.","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- TD001
- Active Substance
- TD001
- Modality
- ADC
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- First In Human
- Yes
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