Description:
This is a Phase 1/1b Study to Evaluate Safety, Tolerability, Pharmacokinetics and
Pharmacodynamics of AMG 596 monotherapy or in combination with AMG 404 in Subjects with
Glioblastoma or Malignant Glioma Expressing Mutant Epidermal Growth Factor Receptor Variant
III (EGFRvIII).
This is a first in human (FIH), open-label, sequential-dose-escalation study in subjects with
EGFRvIII-positive glioblastoma or malignant glioma. This study will enroll 2 groups of
subjects according to disease stage, recurrent disease (Group 1) and maintenance treatment
after SoC in newly diagnosed disease (Group 2).
Title
- Brief Title: Study of AMG 596 in Patients With EGFRvIII Positive Glioblastoma
- Official Title: Phase 1/1b Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AMG 596 as Monotherapy and in Combination With AMG 404 in Subjects With Glioblastoma or Malignant Glioma Expressing Mutant Epidermal Growth Factor Receptor Variant III (EGFRvIII)
Clinical Trial IDs
- ORG STUDY ID:
20160132
- SECONDARY ID:
2017-001658-32
- NCT ID:
NCT03296696
Conditions
- Glioblastoma or Malignant Glioma
Interventions
Drug | Synonyms | Arms |
---|
AMG 596 | | Dose expansion |
AMG 404 | | Dose expansion |
Purpose
This is a Phase 1/1b Study to Evaluate Safety, Tolerability, Pharmacokinetics and
Pharmacodynamics of AMG 596 monotherapy or in combination with AMG 404 in Subjects with
Glioblastoma or Malignant Glioma Expressing Mutant Epidermal Growth Factor Receptor Variant
III (EGFRvIII).
This is a first in human (FIH), open-label, sequential-dose-escalation study in subjects with
EGFRvIII-positive glioblastoma or malignant glioma. This study will enroll 2 groups of
subjects according to disease stage, recurrent disease (Group 1) and maintenance treatment
after SoC in newly diagnosed disease (Group 2).
Trial Arms
Name | Type | Description | Interventions |
---|
Dose exploration | Experimental | Dose exploration of the intervention, AMG 596 alone or in combination with AMG 404 | |
Dose expansion | Experimental | Dose expansion of the intervention, AMG 596 alone or in combination with AMG 404 | |
Eligibility Criteria
Inclusion Criteria
- Eastern Cooperative Oncology Group (ECOG, Appendix G) Performance Status of less than
or equal to 1
- Life expectancy of at least 3 months, in the opinion of the investigator.
- Must have pathologically documented, and definitively diagnosed World Health
Organization (WHO) grade 4, glioblastoma or lower grade malignant gliomas with
EGFRvIII positive tumor
- Must have recurrent disease confirmed by MRI (Group 1) or completed SoC therapy such
as surgery with adjuvant radiochemotherapy with or without maintenance temozolomide
according to local standards for newly diagnosed disease (Group 2)
- Hematological function as follows:
- Absolute neutrophil count (ANC) greater than 1500/mm3 (1.5 × 10 9/L)
- Platelet count greater than 100,000 mm3 (100 × 10 9/L)
- White blood cell (WBC) count greater than 3 × 10 9/L
- Hemoglobin greater than 9.0 g/dL
- Renal function as follows: serum creatinine less than 2.0 mg/dL and estimated
glomerular filtration rate greater than or equal to 60 mL/min/1.73 m2 by MDRD and
urine protein quantitative value of less than 30 mg/dL in urinalysis or less than or
equal to 1+ on dipstick
- Hepatic function as follows:
- Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) less than or
equal to 3.0 x upper limit of normal (ULN)
- Bilirubin less than or equal to 1.5 x ULN (unless considered due to Gilbert's
syndrome or hemolysis)
Exclusion Criteria
- History or evidence of central nervous system bleeding as defined by stroke or
intraocular bleed (including embolic stroke) not associated with any antitumor surgery
within 6 months before enrolment
- Known hypersensitivity to immunoglobulins or to any other component of the IP
formulation
- Active infection requiring intravenous antibiotics that was completed less than 1 week
of study enrolment (day 1) with the exemption of prophylactic antibiotics for long
line insertion or biopsy
- Known positive test for human immunodeficiency virus (HIV)
- Active hepatitis B and C based on the following results:
- Positive for hepatitis B surface antigen (HepBsAg) (indicative of chronic
hepatitis B or recent acute hepatitis B)
- Negative HepBsAg and positive for hepatitis B core antibody: hepatitis B virus
DNA by polymerase chain reaction (PCR) is necessary. Detectable hepatitis B virus
DNA suggests occult hepatitis B
- Positive hepatitis C virus antibody (HepCAb): hepatitis C virus RNA by PCR is
necessary. Detectable hepatitis C virus RNA suggests chronic hepatitis C
- Unresolved toxicities from prior antitumor therapy, defined as not having resolved to
CTCAE, version 4.0 grade 1 (with the exception of myelosuppression, eg, neutropenia,
anemia, thrombocytopenia), or to levels dictated in the eligibility criteria with the
exception of alopecia or toxicities from prior antitumor therapy that are considered
irreversible (defined as having been present and stable for greater than 2 months)
which may be allowed if they are not otherwise described in the exclusion criteria AND
there is agreement to allow by both the investigator and sponsor
- Antitumor therapy (chemotherapy, antibody therapy, molecular-targeted therapy, or
investigational agent) within 14 days (Group 2 subjects) or 5 half-lives (whichever is
longer: for Group 1 subjects) of day 1. Avastin, Pembrolizumab must be stopped 14 days
prior to day 1
- Female with a positive pregnancy test.
Maximum Eligible Age: | 100 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Subject grade of dose limiting toxicities (DTLs) |
Time Frame: | 12 months |
Safety Issue: | |
Description: | Subject grade of dose limiting toxicities is the occurrence of any of the toxicities during the DLT evaluation period if judged by the investigator to be related to the administration of AMG 596 and AMG 404 |
Secondary Outcome Measures
Measure: | Average steady-state concentration (Css) for serum AMG 596 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Area under the concentration-time curve (AUC) for serum AMG 596 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Clearance for serum AMG 596 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Volume of distribution for serum AMG 596 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Half-life (t1/2) for serum AMG 596 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Maximum abserved serum concentration (Cmax) for AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Time to achieve Cmax (tmax) for AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Area under the concentration-time curve (AUC) for AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Average steady-state concentration (Css) for serum AMG 596 in combination with AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Area under the concentration-time curve (AUC) for serum AMG 596 in combination with AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Clearance for serum AMG 596 in combination with AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Half-life (t1/2) for serum AMG 596 in combination with AMG 404 |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | Objective response (OR) as per modified RANO for AMG 596 |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | Objective response (OR) as per modified RANO (Response Assessment in Neuro-Oncology Criteria). |
Measure: | Time to response for serum AMG 596 in combination with AMG 404 |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Response duration for serum AMG 596 in combination with AMG 404 |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Time to progression (TTP) for serum AMG 596 in combination with AMG 404 |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Progression free survival (PFS) at 6 and 12 months after treatment initiation with AMG 596 monotherapy |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Progression free survival (PFS) at 6 and 12 months after treatment initiation with AMG 596 in combination with AMG 404 |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Objective response (OR) as per modified RANO with AMG 596 monotherapy |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Time to response with AMG 596 monotherapy |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Response duration with AMG 596 monotherapy |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Measure: | Time to progression (TTP) with AMG 596 monotherapy |
Time Frame: | 6 and 12 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Amgen |
Trial Keywords
- Phase 1/1b
- EGFRvIII-positive glioblastoma or malignant glioma
- safety and tolerability
- AMG 596
Last Updated
August 10, 2021