Clinical Trials /

A Study of the Intra-Patient Escalation Dosing Regimen With IMCgp100 in Patients With Advanced Uveal Melanoma

NCT02570308

Description:

IMCgp100-102 is a Phase I/II study of the weekly intra-patient escalation dose regimen with IMCgp100 as a single agent in patients with metastatic uveal melanoma (mUM). According to this regimen, all patients in the trial will receive 2 weekly doses of IMCgp100 at a dose level below the identified weekly recommended Phase II dose (RP2D-QW) and then a dose escalation will commence at the third weekly dose at C1D15. The Phase I testing of the intra-patient escalation dosing regimen is designed to achieve a higher exposure and maximal plasma concentration of IMCgp100 after doses at Cycle 1 Day 15 (C1D15) and thereafter .

Related Conditions:
  • Uveal Melanoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Study of the Intra-Patient Escalation Dosing Regimen With IMCgp100 in Patients With Advanced Uveal Melanoma
  • Official Title: A Phase I/II Open-label, Multi-center Study of the Safety and Efficacy of IMCgp100 Using the Intra-patient Escalation Dosing Regimen in Patients With Advanced Uveal Melanoma

Clinical Trial IDs

  • ORG STUDY ID: IMCgp100-102
  • NCT ID: NCT02570308

Conditions

  • Uveal Melanoma

Interventions

DrugSynonymsArms
IMCgp100Dose escalation

Purpose

IMCgp100-102 is a Phase I/II study of the weekly intra-patient escalation dose regimen with IMCgp100 as a single agent in patients with metastatic uveal melanoma (mUM). According to this regimen, all patients in the trial will receive 2 weekly doses of IMCgp100 at a dose level below the identified weekly recommended Phase II dose (RP2D-QW) and then a dose escalation will commence at the third weekly dose at C1D15. The Phase I testing of the intra-patient escalation dosing regimen is designed to achieve a higher exposure and maximal plasma concentration of IMCgp100 after doses at Cycle 1 Day 15 (C1D15) and thereafter .

Detailed Description

      This is a Phase I/II clinical study of IMCgp100 in patients with advanced uveal melanoma.

      This is a Phase I/II study of IMCgp100 administered on a weekly basis with an intra-patient
      escalation dosing regimen. The intra-patient escalation occurs at the third weekly dose on
      Cycle 1 Day 15 (C1D15). According to this regimen, all patients in the trial will receive 2
      weekly doses of IMCgp100 at a dose level below the identified weekly recommended Phase II
      dose (RP2D-QW) and then a dose escalation will commence at the third weekly dose at C1D15
      with the goal to achieve a long-term dosing regimen at a dose higher than that identified for
      the straight weekly dosing regimen (RP2D-QW). The dose escalation will identify the
      intra-patient escalation regimen (RP2D-IE).

      The Phase I portion of the study was a standard 3+3 dose escalation design. The Phase 1
      portion of the study is now complete. The recommended Phase II dose of the intra-patient
      escalation dose regimen (RP2D-IE) was identified and the 2 expansion cohorts in metastatic
      uveal melanoma will be completed. The cohorts will enroll patients with metastatic uveal
      melanoma and are defined based on prior therapy The expansion portion will enroll
      approximately 150 patients.
    

Trial Arms

NameTypeDescriptionInterventions
Dose escalationExperimentalDose escalation cohorts of the intra-patient escalation regimen. This arm is closed
  • IMCgp100
Dose expansionExperimentalDose expansion cohort with the recommended phase 2 dose of the intra-patient dose escalation regimen
  • IMCgp100

Eligibility Criteria

        Inclusion Criteria:

          1. Male or female patients age ≥ 18 years of age at the time of informed consent

          2. Ability to provide and understand written informed consent prior to any study
             procedures

          3. Histologically or cytologically confirmed diagnosis of metastatic uveal melanoma (mUM)

          4. Surgically sterile patients or patients of child-bearing potential who agree to use
             highly effective methods of contraception during study dosing and for 6 months after
             last dose of study drug

          5. Human leukocyte antigen (HLA)-A*0201 positive

          6. ECOG Performance Status of 0 or 1 at Screening

          7. Patients in Phase 2 will include patients with previously treated uveal melanoma in
             the metastatic setting

        Exclusion Criteria:

          1. Presence of symptomatic or untreated central nervous system (CNS) metastases, or CNS
             metastases that require doses of corticosteroids.

          2. History of severe hypersensitivity reactions to other biologic drugs or monoclonal
             antibodies

          3. Patient with any out-of-range laboratory values.

          4. Clinically significant cardiac disease or impaired cardiac function.

          5. Active infection requiring systemic antibiotic therapy.

          6. Known history of HIV infection.

          7. Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection per institutional
             protocol.

          8. Patients receiving systemic treatment with systemic steroid therapy or any other
             immunosuppressive medication at any dose level that would interfere with the action of
             the study drugs in the opinion of the investigator

          9. Malignant disease, other than that being treated in this study.

         10. Any medical condition that would, in the investigator's judgment, prevent the
             patient's participation in the clinical study due to safety concerns, compliance with
             clinical study procedures or interpretation of study results

         11. Presence of NCI CTCAE ≥ grade 2 toxicity (except alopecia, peripheral neuropathy and
             ototoxicity, which are excluded if ≥ NCI CTCAE grade 3) due to prior cancer therapy

         12. Pregnant, likely to become pregnant, or lactating women.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Phase 1 Recommended phase 2 dose of the intra-patient escalation regimen (RP2D-IE)
Time Frame:1 years
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Objective response rate (Phase 1)
Time Frame:2 years
Safety Issue:
Description:
Measure:Progression free survival
Time Frame:2 years
Safety Issue:
Description:
Measure:Overall survival
Time Frame:2 years
Safety Issue:
Description:
Measure:Duration of response
Time Frame:2 years
Safety Issue:
Description:
Measure:Time to response
Time Frame:2 years
Safety Issue:
Description:
Measure:Minor response rate
Time Frame:2 years
Safety Issue:
Description:
Measure:Number of treatment dose interruptions and reductions
Time Frame:2 years
Safety Issue:
Description:
Measure:Area under the plasma concentration-time curve (AUC)
Time Frame:2 years
Safety Issue:
Description:
Measure:Area under the plasma concentration-time curve (AUC)
Time Frame:3 weeks
Safety Issue:
Description:
Measure:The maximum observed plasma drug concentration after single dose administration (Cmax)
Time Frame:2 years
Safety Issue:
Description:
Measure:The time to reach maximum plasma concentration (Tmax)
Time Frame:3 weeks
Safety Issue:
Description:
Measure:The elimination half-life (t1/2)
Time Frame:3 weeks
Safety Issue:
Description:
Measure:Incidence of anti-IMCgp100 antibody formation
Time Frame:2 years
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Immunocore Ltd

Trial Keywords

  • Tebentafusp
  • IMCgp100
  • gp100
  • metastatic melanoma
  • ImmTAC
  • Immunotherapy
  • Bispecific T cell receptor fusion protein
  • Immune mobilizing monoclonal T cell receptor
  • against cancer
  • UM
  • mUM

Last Updated

April 9, 2021