Description:
The primary goal of this study is to characterize the safety, tolerability, and maximum
tolerated dose (MTD) of MGD007 when combined with MGA012. Pharmacokinetics (PK),
immunogenicity, pharmacodynamics (PD), and the anti-tumor activity of the combination of
MGD007 and MGA012 will also be assessed.
Title
- Brief Title: MGD007 Combined With MGA012 in Relapsed/Refractory Metastatic Colorectal Cancer
- Official Title: A Phase 1b/2, Open Label, Dose Escalation Study of MGD007, a Humanized gpA33 × CD3 DART® Protein in Combination With MGA012, an Anti-PD-1 Antibody, in Patients With Relapsed or Refractory Metastatic Colorectal Carcinoma
Clinical Trial IDs
- ORG STUDY ID:
CP-MGD007-02
- NCT ID:
NCT03531632
Conditions
- Colorectal Cancer Metastatic
Interventions
Drug | Synonyms | Arms |
---|
MGD007 + MGA012 | MGA012 also known as INCMGA00012 | MGD007 + MGA012 |
Purpose
The primary goal of this study is to characterize the safety, tolerability, and maximum
tolerated dose (MTD) of MGD007 when combined with MGA012. Pharmacokinetics (PK),
immunogenicity, pharmacodynamics (PD), and the anti-tumor activity of the combination of
MGD007 and MGA012 will also be assessed.
Detailed Description
This study is an open-label, Phase 1b/2, dose escalation and cohort expansion study designed
to characterize the safety, tolerability, PK, PD, immunogenicity, and preliminary antitumor
activity of MGD007 and MGA012, administered in combination by IV infusion, in patients with
histologically proven, relapsed/refractory metastatic colorectal carcinoma, irrespective of
the KRAS and MMR status of their tumors.
The study consists of a Dose Escalation Phase to determine the MTD or Maximum Administered
Dose (MAD; if no MTD is defined) of the combination, followed by a Cohort Expansion Phase to
further define the safety and initial antitumor activity of the combination with the doses
established in the Dose Escalation Phase.
Trial Arms
Name | Type | Description | Interventions |
---|
MGD007 + MGA012 | Experimental | MGD007 is a gpA33 x CD3 bi-specific DART antibody; MGA012 is an anti-PD-1 monoclonal antibody. | |
Eligibility Criteria
Inclusion Criteria:
- Histologically proven, relapsed/refractory metastatic colorectal cancer
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Measurable disease per RECIST 1.1 criteria
- Participants in the Dose Escalation Phase must have had recurrence, progression or
intolerance to standard therapy consisting of at least 2 prior standard regimens
(containing a fluoropyrimidine plus a platinum analogue and/or irinotecan) for
metastatic disease. Participants in the Cohort Expansion portion will be allowed to
participate after 1 prior standard regimen. Those who are inappropriate candidates for
or have refused treatment with these regimens are also eligible. No more than 5 prior
therapies are permitted. Patients previously treated with MGD007 on Study Protocol
CP-MGD007-01 and who did not develop antibodies to MGD007 while on the CP-MGD007-01
study, may be enrolled. Patients that were previously treated on CP-MGD007-01 will
only be treated on this study once MTD/MAD has been defined.
- Availability of sufficient tumor specimens to enable retrospective determination of
gpA33, CD3, PD-1, and PD-L1 expression
- 30 participants in the Cohort Expansion portion must have lesions that are accessible
for paired biopsies with acceptable clinical risk in the judgment of the investigator.
Exclusion Criteria:
- Symptomatic central nervous system (CNS) metastases. No concurrent treatment for the
CNS disease; no progression of CNS metastases on MRI or CT for at least 14 days after
last day of prior therapy for the CNS metastases; no concurrent leptomeningeal disease
or cord compression
- History of known or suspected autoimmune disease with certain exceptions
- History of prior allogeneic bone marrow, stem-cell, or solid organ transplantation.
- Major surgery, systemic anti-neoplastic therapy, or investigational therapy within 4
weeks
- Radiation therapy within 2 weeks
- Systemic corticosteroids (≥ 10 mg per day prednisone or equivalent) or other immune
suppressive drugs within the 14 days
- History of Grade 3 or greater drug-related diarrhea/colitis during treatment with
checkpoint inhibitors including anti-LAG-3, anti-PD-1, anti PD-L1, or anti-CTLA-4
antibodies
- Clinically significant cardiovascular disease; gastrointestinal disorders; pulmonary
compromise; viral, bacterial, or systemic fungal infections
- History of positive testing for human immunodeficiency virus or history of acquired
immune deficiency syndrome
- 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.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with adverse events |
Time Frame: | Up to 30 days after last dose |
Safety Issue: | |
Description: | Adverse Events, Serious Adverse Events |
Secondary Outcome Measures
Measure: | Peak plasma concentration |
Time Frame: | 7 weeks |
Safety Issue: | |
Description: | PK of MGD007 and MGA012 in combination |
Measure: | Number of participants that develop anti-drug antibodies |
Time Frame: | 1 year |
Safety Issue: | |
Description: | Proportion of patients who develop anti-MGD007/MGA012 antibodies, immunogenicity |
Measure: | Change in tumor volume |
Time Frame: | Every 8 weeks |
Safety Issue: | |
Description: | Anti-tumor activity of MGD007+MGA012 using both conventional RECIST 1.1 and immune-related RECIST criteria. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | MacroGenics |
Last Updated
November 5, 2019