Clinical Trials /

Enoblituzumab (MGA271) in Children With B7-H3-expressing Solid Tumors

NCT02982941

Description:

This study is a Phase 1, open-label, dose escalation and cohort expansion trial designed to characterize the safety, tolerability, PK, PD, immunogenicity and preliminary antitumor activity of enoblituzumab administered IV on a weekly schedule for up to 96 doses (approximately 2 years) in children and young adults with B7-H3-expressing relapsed or refractory malignant solid tumors.

Related Conditions:
  • Desmoplastic Small Round Cell Tumor
  • Ewing Sarcoma
  • Malignant Solid Tumor
  • Neuroblastoma
  • Osteosarcoma
  • Primitive Neuroectodermal Tumor
  • Rhabdomyosarcoma
  • Wilms Tumor
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Enoblituzumab (MGA271) in Children With B7-H3-expressing Solid Tumors
  • Official Title: A Phase 1, Open-label, Dose Escalation Study of MGA271 in Pediatric Patients With B7-H3-Expressing Relapsed or Refractory Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: CP-MGA271-04
  • NCT ID: NCT02982941

Conditions

  • Neuroblastoma
  • Rhabdomyosarcoma
  • Osteosarcoma
  • Ewing Sarcoma
  • Wilms Tumor
  • Desmoplastic Small Round Cell Tumor

Interventions

DrugSynonymsArms
EnoblituzumabMGA271Dose Escalation & Cohort Expansion

Purpose

This study is a Phase 1, open-label, dose escalation and cohort expansion trial designed to characterize the safety, tolerability, PK, PD, immunogenicity and preliminary antitumor activity of enoblituzumab administered IV on a weekly schedule for up to 96 doses (approximately 2 years) in children and young adults with B7-H3-expressing relapsed or refractory malignant solid tumors.

Detailed Description

      This study is a Phase 1, open-label, dose escalation and cohort expansion trial designed to
      characterize the safety, tolerability, PK, PD, immunogenicity and preliminary antitumor
      activity of enoblituzumab administered IV on a weekly schedule for up to 96 doses
      (approximately 2 years) in children and young adults with B7-H3-expressing relapsed or
      refractory malignant solid tumors.

      The study consists of a Dose Escalation Phase to determine the MTD (or MAD) of enoblituzumab
      followed by a Cohort Expansion Phase to further define the safety and initial antitumor
      activity of enoblituzumab. In the cohort expansion phase, 5 cohorts of 10 patients each will
      be enrolled to further evaluate the safety and potential efficacy of enoblituzumab
      administered at the MTD/MAD in patients with:1) neuroblastoma - measurable disease, 2)
      neuroblastoma - non-measurable disease, 3) rhabdomyosarcoma, 4) osteosarcoma, and 5) Ewing's
      sarcoma, Wilms' tumor, desmoplastic small round cell tumors, or malignant solid tumors of any
      other histology that test positive for B7-H3.

      All tumor evaluations will be carried out by both Response Evaluation Criteria in Solid
      Tumors (RECIST) and immune-related response criteria (irRC). Disease assessment in patients
      with neuroblastoma will use neuroblastoma overall response criteria.
    

Trial Arms

NameTypeDescriptionInterventions
Dose Escalation & Cohort ExpansionExperimentalenoblituzumab administered IV weekly
  • Enoblituzumab

Eligibility Criteria

        General Inclusion Criteria:

          -  Age at treatment 1 to 35 years.

          -  Relapsed or refractory malignant solid tumors of any histology for which no standard
             curative therapy is available (escalation phase).

          -  Histologically proven: neuroblastoma, rhabdomyosarcoma, osteosarcoma, Ewing's sarcoma/
             primitive neuroectodermal tumor, Wilms tumor, desmoplastic small round cell tumor or
             malignant solid tumors of any other histology that test positive for B7-H3 .

          -  Must have malignant solid tumors that demonstrate B7-H3 expression at 2+ or greater
             levels on the membranous surface of at least 10% of tumor cells or ≥ 25% of tumor
             vasculature by IHC.

          -  With the exception of patients with non-measurable neuroblastoma patients must have
             measurable disease as per RECIST 1.1

          -  Karnofsky (patients ≥ 16 years)/Lansky (patients < 16 years) index ≥ 70.

          -  Acceptable laboratory parameters and adequate organ reserve.

        Exclusion Criteria:

          -  Patients are to be excluded from the study if they have any of the following:

          -  Patients with a history of symptomatic central nervous system (CNS) unless they have
             been treated and are asymptomatic.

          -  Patients with any history of known or suspected autoimmune disease with the specific
             exceptions of vitiligo, resolved childhood atopic dermatitis, psoriasis not requiring
             systemic treatment within the past 2 years, and patients with a history of Grave's
             disease that are now euthyroid clinically and by laboratory testing.

          -  History of prior allogeneic bone marrow/stem-cell or solid organ transplantation.

          -  Patients receiving autologous stem cell transplantation must wait 8 weeks before
             initiation of study drug administration.

          -  Treatment with systemic chemotherapy or investigational therapy within 4 weeks of
             first study drug administration; other agents (e.g., biologics) within 2 weeks;
             radiation within 2 weeks; patients receiving 131I-MIBG therapy must wait 6 weeks prior
             to the initiation of study drug administration; corticosteroids (≥ 0.2 mg/kg/day
             prednisone or equivalent) or other immune suppressive drugs within the 2 weeks prior
             to the initiation of study drug administration.

          -  History of clinically significant cardiovascular disease

          -  Active viral, bacterial, or systemic fungal infection requiring parenteral treatment
             within 7 days prior to the initiation of study drug.

          -  Known positive testing for human immunodeficiency virus or history of acquired immune
             deficiency syndrome.

          -  Known history of hepatitis B or hepatitis C infection or known positive test for
             hepatitis B surface antigen, hepatitis B core antigen, or hepatitis C polymerase chain
             reaction.

          -  Second primary invasive malignancy that has not been in remission for greater than 2
             years.

          -  History of severe trauma or major surgery within 4 weeks prior to the initiation of
             study drug administration.

          -  Known hypersensitivity to recombinant proteins, polysorbate 80 or any excipient
             contained in the drug formulation for enoblituzumab

          -  Patients in Canada may not have a history or evidence of latent or active tuberculosis
             infection.
      
Maximum Eligible Age:35 Years
Minimum Eligible Age:1 Year
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Safety and tolerability of enoblituzumab.
Time Frame:Time of first dose through end of treatment (up to 2 years)
Safety Issue:
Description:Adverse events, SAEs, incidence of treatment-emergent AE

Secondary Outcome Measures

Measure:Peak plasma concentration
Time Frame:Time of first dose through end of treatment (up to 96 weeks)
Safety Issue:
Description:PK of enoblituzumab
Measure:Number of participants that develop anti-drug antibodies
Time Frame:Time of first dose through end of treatment (up to 96 weeks)
Safety Issue:
Description:Proportion of patients who develop anti-MGA271 antibodies, immunogenicity
Measure:Antitumor activity of enoblituzumab
Time Frame:Time of first dose through end of treatment (up to 96 weeks)
Safety Issue:
Description:Anti-tumor activity of enoblituzumab using conventional RECIST 1.1 and immune related RECIST criteria

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:MacroGenics

Trial Keywords

  • Neuroblastoma
  • Rhabdomyosarcoma
  • Osteosarcoma
  • Ewing Sarcoma
  • Wilms Tumor
  • Desmoplastic Small Round Cell Tumor
  • pediatric

Last Updated

January 30, 2020