Clinical trial · Interventional
Study of HPN536 in Patients With Advanced Cancers Associated With Mesothelin Expression
A Phase 1/2a Open-label, Multicenter, Dose Escalation and Dose Expansion Study of the Safety, Tolerability, and Pharmacokinetics of HPN536 in Patients With Advanced Cancers Associated With Mesothelin Expression Who Have Failed Standard Available Therapy
NCT03872206CI-TRIAL-00077804completedPhase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
An open-label, Phase 1/2a study of HPN536 as monotherapy to assess the safety, tolerability and PK in patients with advanced cancers associated with mesothelin expression.(Phase 2 portion of the study was not conducted.)
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Cancers Associated With Mesothelin Expression | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 2 Prime Step IV 900-14000 ng/kg Target | Biological | — | UNRESOLVED |
| HPN536 1 Prime Step IV 600-1200 ng/kg Target | Biological | — | UNRESOLVED |
| HPN536 Fixed IV 6 to 560 ng/kg | Biological | — | UNRESOLVED |
Design
Arms and outcomes
Arms (3)
- type
- EXPERIMENTAL
- label
- Fixed IV
- description
- HPN536 administered once weekly via IV infusion in doses ranging from 6 to 560 ng/kg
- interventionNames
- Biological: HPN536 Fixed IV 6 to 560 ng/kg
- type
- EXPERIMENTAL
- label
- 1 Prime Step IV 600-1200 ng/kg Target
- description
- Step-dosing IV cohorts who received a single Prime Dose followed by the Target Dose (200/600 ng/kg, 200/1200 ng/kg, and 500/900 ng/kg)
- interventionNames
- Biological: HPN536 1 Prime Step IV 600-1200 ng/kg Target
- type
- EXPERIMENTAL
- label
- 2 Prime Step IV 900-14000 ng/kg Target
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
1. One of the following progressive advanced or metastatic cancers: 1. Epithelial ovarian, fallopian tube, or primary peritoneal cancer that is platinum refractory or platinum resistant 2. Pancreatic adenocarcinoma that is locally advanced, and now with progressive disease on or after front-line treatment 3. Malignant mesothelioma with epithelioid histology, pleural or peritoneal 2. For Part 2 only - Measurable disease according to RECIST v1.1 for patients with epithelial ovarian, fallopian tube, or primary peritoneal cancer, pancreatic adenocarcinoma, and peritoneal mesothelioma, and mRECIST v1.1 for patients with pleural mesothelioma 3. Available archival tissue sample, or fresh biopsy tissue sample must be obtained prior to enrollment. For Part 2 only- a fresh biopsy tissue sample is required. 4. Adequate bone marrow function, including: 1. Absolute neutrophil count (ANC) ≥1500/mm3 or ≥1.5 x 109/L 2. Platelets ≥100,000/mm3 or ≥100 x 109/L 3. Hemoglobin (Hgb) ≥9 g/dL 5. Adequate renal function, including estimated creatinine clearance ≥30 mL/min 6. Adequate liver function, including: 1. Total serum bilirubin ≤1.5 x upper limit of normal (ULN) unless the patient has documented Gilbert syndrome in which case the maximum total serum bilirubin should be \<5 mg/dL 2. Aspartate and alanine transaminase (AST and ALT) ≤2.5 x ULN or AST/ALT ≤5 x ULN for patients with liver metastases 7. Serum albumin ≥30 mg/mL Key Exclusion Criteria: 1. Brain metastases unless previously treated. Patients with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry, and have no evidence of new or enlarging brain metastases 2. Evidence of retroperitoneal fibrosis, mesothelial surface (pleura, pericardium, peritoneum) thickening of ≥4 mm; significant or increasing pleural/pericardial effusions, ascites or pericarditis at baseline deemed unrelated to the underlying malignancy based on computed tomography (CT), magnetic resonance imaging (MRI), or echocardiogram (ECHO); or prior history of pleurodesis, retroperitoneal fibrosis or mediastinal fibrosis. 3. Previous Grade 3/4 infusion or hypersensitivity reaction (not immunotoxicity) to treatment with another monoclonal antibody. 4. For patients with tumor types other than pleural mesothelioma: Ascites requiring \>1 paracentesis for therapeutic purposes (i.e., not for diagnosis) within 1 month prior to Cycle 1 Day 1.
References
Publications (1)
- DERIVEDMolloy ME, Austin RJ, Lemon BD, Aaron WH, Ganti V, Jones A, Jones SD, Strobel KL, Patnaik P, Sexton K, Tatalick L, Yu TZ, Baeuerle PA, Law CL, Wesche H. Preclinical Characterization of HPN536, a Trispecific, T-Cell-Activating Protein Construct for the Treatment of Mesothelin-Expressing Solid Tumors. Clin Cancer Res. 2021 Mar 1;27(5):1452-1462. doi: 10.1158/1078-0432.CCR-20-3392. Epub 2020 Dec 1. PMID 33262134