The study has 2 parts, Phase 1a and Phase 1b. The goal of Phase 1a is to gather safety, PK and initial efficacy data for 225Ac-ABD147 to better understand best doses for patients with small cell lung cancer (SCLC) and large cell neuroendocrine carcinoma (LCNEC) of the lung following platinum-based chemotherapy. An initial group of patients will also be given an experimental imaging agent called 111In-ABD147 to help understand where ABD147 goes in the body. The goal of Phase 1b is to gather additional safety and efficacy data on 225Ac-ABD147 to determine the best dose and to understand how those doses affect the same types of patients' cancers explored enrolled in Phase 1a.
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Ph 1a: Safety of 225Ac-ABD147 - Number and Grade of Adverse Events
Timeframe: 12 months
Ph 1a: Tolerability of 225Ac-ABD147 - Number of Dose Limiting Toxicities
Timeframe: 12 months
Ph 1b: Safety of 225Ac-ABD147 to Determine the RP2D for Further Development - Number and Grade of Adverse Events
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - Overall Response Rate (ORR)
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - Disease Control Rate (DCR)
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - Duration of Response (DOR)
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - Duration of Progression Free Survival (PFS)
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - Overall Survival (OS)
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - PFS Rate
Timeframe: 12 months
Ph 1b: Preliminary Efficacy of 225Ac-ABD147 - OS Rate
Timeframe: 12 months
Ph 1b: Biodistribution and Absorbed Dose - Measurement of Activity
Timeframe: 6 months
Ph 1b: Immunogenicity of 225Ac-ABD147 - Measurement of Anti-drug Antibodies
Timeframe: 6 months