Description:
The purpose of this study is to determine the safety, tolerability, and recommended dose
schedule of APL-501 in individuals with advanced or relapsed or recurrent solid tumors.
Title
- Brief Title: APL-501 Study for Select Advanced or Relapsed/Recurrent Solid Tumors
- Official Title: A Phase 1 Multicenter, Dose Escalation, Cohort Extension and Dose and Disease Expansion Study of APL-501 in Subjects With Select Advanced or Relapsed/Recurrent Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
APL-501-01
- NCT ID:
NCT03053466
Conditions
- Solid Tumor
- Microsatellite Instability
- Mismatch Repair Deficiency
- Cancer of Unknown Primary Site
Interventions
Drug | Synonyms | Arms |
---|
APL-501 | GB226, genolimzumab | Single-Arm |
Purpose
The purpose of this study is to determine the safety, tolerability, and recommended dose
schedule of APL-501 in individuals with advanced or relapsed or recurrent solid tumors.
Detailed Description
This is a Phase 1, multicenter, 3-part study with a Dose-Escalation Segment, Cohort Extension
and Dose and Disease Expansion cohorts of APL-501 injection, a humanized IgG4 monoclonal
antibody, targeting the Programmed Death-1 (PD-1) membrane receptor on T lymphocytes and
other cells of the immune system. Select advanced solid tumor malignancies will receive
escalating doses of APL-501.
Dose escalation will occur in three subject cohorts until a protocol defined dose limited
toxicity (DLT) occurs, not due to disease progression or inter-current illness, and a
tentative maximum tolerated dose (MTD) or biologically effective dose (BED) is determined.
Cohort Extension will evaluate APL-501 at 3 mg/kg and 10 mg/kg on Day 1 and Day 15 every 28
days.
At the tentative MTD, BED or recommended Phase 2 dose (RP2D), at least two tumor types in the
Dose and Disease Expansion will be assessed at an equivalent non-weight based dose to further
evaluate toxicity and preliminary efficacy.
Trial Arms
Name | Type | Description | Interventions |
---|
Single-Arm | Experimental | APL-501 | |
Eligibility Criteria
Major Inclusion Criteria:
• Able to understand and comply with study procedures, understand the risks involved, and
provide written informed consent.
Dose Escalation:
- Histologically and / or cytological confirmed solid tumors: colorectal, endometrial,
gastric including, gastroesophageal junction adenocarcinoma (GC), head and neck
(esophageal, hepatocellular (HCC), non-small cell lung cancer, mesothelioma, ovarian,
and renal cell carcinoma (RCC), either refractory or relapsed to standard therapy or
for which no effective standard therapy is available.
- No restriction to number of prior therapies for Dose Escalation Segment except for
gastric and renal cell carcinoma.
Cohort Extension:
- Histologically and/or cytological confirmed solid tumors with an approved labelled
indication for PD-1 inhibitors.
- Tumor biopsy at study entry and during therapy. Tumor sites used to satisfy this
criterion must not have received any prior radiation therapy. Sites for biopsy must be
distinct from target lesions used for efficacy assessment.
- Measurable disease according to RECIST v1.1.
Dose and Disease Expansion:
- MSI-H or dMMR per local laboratory and failed at least one prior line of standard of
care chemotherapy per local standards.
- Carcinoma of Unknown Primary
Major Exclusion Criteria:
- History of severe hypersensitivity to mAbs, excipients of the drug product or other
components
- Prior malignancy active within the previous 2 years except for locally curable cancers
that have been cured, such as basal or squamous cell skin cancer, superficial bladder
cancer or carcinoma in situ of the cervix or breast
- Any active autoimmune disease or a documented history of autoimmune disease, or
history of syndrome that required systemic steroids or immunosuppressive medications,
except for subjects with vitiligo or resolved childhood asthma/atopy
- Prior therapy with an anti-PD-1, anti-PD-L1, anti-PDL-2, or anti-CTLA-4 antibody (or
any other antibody targeting T cell co-stimulation pathways) (except NSCLC)
- Known significant mental illness or other conditions such as active alcohol or other
substance abuse that, in the opinion of the Investigator, predisposes the subject to
high risk of noncompliance with the protocol treatment or assessments.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with treatment related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE v4.03) in patients with advance solid tumors |
Time Frame: | From the time of informed consent from signature until Day 28 after Cycle 1; Dose Escalation - Approximately 9 months |
Safety Issue: | |
Description: | Adverse events, serious adverse events, dose limiting toxicities according to the National Cancer Institute (NCI) Terminology Criteria for Adverse Events (CTCAE v4.03) |
Secondary Outcome Measures
Measure: | Determine the recommended Phase 2 dose and schedule |
Time Frame: | An average of 1 year |
Safety Issue: | |
Description: | adverse events, serious adverse events, dose limiting toxicities |
Measure: | Area under the plasma concentration versus time curve (AUC) |
Time Frame: | Up to 4 months (1 cycle = 28 days) |
Safety Issue: | |
Description: | AUC, 0-infinity |
Measure: | Maximum plasma concentration |
Time Frame: | Up to 4 months (1 cycle = 28 days) |
Safety Issue: | |
Description: | Cmax |
Measure: | Time to reach Cmax |
Time Frame: | Up to 4 months (1 cycle = 28 days) |
Safety Issue: | |
Description: | Tmax |
Measure: | Objective Response Rate (ORR) |
Time Frame: | Approximately 24 months |
Safety Issue: | |
Description: | The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine proportion of patients with complete response or partial response. |
Measure: | Duration of Response (DOR) |
Time Frame: | Approximately 24 months |
Safety Issue: | |
Description: | The treatment effect of APL-501 will be assessed by RECIST v1.1 or by irRECIST to determine duration of response. Time from first documented complete response or partial response until subsequent documented disease progression or death. |
Measure: | Time to Response (TTR) |
Time Frame: | Approximately 24 months |
Safety Issue: | |
Description: | The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine time to complete response and partial response. |
Measure: | Disease Control Rate (DCR) |
Time Frame: | Approximately 24 months |
Safety Issue: | |
Description: | The treatment effect of APL-501 will be assessed by RECIST v1.1 and irRECIST to determine disease control rate. Proportion of patients with best overall response of complete response, partial response, or stable disease. |
Measure: | Progression Free Survival |
Time Frame: | Approximately 24 months |
Safety Issue: | |
Description: | The effect of APL-501 will be assessed by RECIST v1.1 and per irRECIST to determine progression free survival as time from date of first dose to date of disease progression or death. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Apollomics (Australia) Pty. Ltd. |
Trial Keywords
- Advanced Solid Tumor
- Relapsed Solid Tumor
- Recurrent Solid Tumor
Last Updated
June 9, 2021