Clinical Trials /

A Study With ABBV-155 Alone and in Combination With Taxane Therapy in Adults With Relapsed and/or Refractory Solid Tumors

NCT03595059

Description:

An open-label, dose-escalation (Part 1), dose-expansion (Part 2) study to assess the safety, pharmacokinetics (PK), and preliminary efficacy of ABBV-155 alone and in combination with paclitaxel or docetaxel. In Part 1 (dose escalation), participants will receive escalating doses of ABBV-155 monotherapy (Part 1a) or ABBV-155 in combination with paclitaxel or docetaxel (Part 1b). In Part 2 (dose expansion), participants will receive ABBV-155 monotherapy or in combination therapy. The ABBV-155 monotherapy cohort will enroll participants with relapsed or refractory (R/R) small cell lung cancer (SCLC) (Part 2a); the ABBV-155 plus a taxane (paclitaxel or docetaxel) combination cohort will enroll participants with R/R non-small cell lung cancer (NSCLC) and breast cancer (Part 2b).

Related Conditions:
  • Breast Carcinoma
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
  • Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study With ABBV-155 Alone and in Combination With Taxane Therapy in Adults With Relapsed and/or Refractory Solid Tumors
  • Official Title: A Phase 1 First-in-Human Study With ABBV-155 Alone and in Combination With Taxane Therapy in Adults With Relapsed and/or Refractory Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: M16-573
  • NCT ID: NCT03595059

Conditions

  • Advanced Solid Tumors

Interventions

DrugSynonymsArms
ABBV-155Escalation 1a: ABBV-155
PaclitaxelEscalation 1b: ABBV-155 + paclitaxel or docetaxel
DocetaxelEscalation 1b: ABBV-155 + paclitaxel or docetaxel

Purpose

An open-label, dose-escalation (Part 1), dose-expansion (Part 2) study to assess the safety, pharmacokinetics (PK), and preliminary efficacy of ABBV-155 alone and in combination with paclitaxel or docetaxel. In Part 1 (dose escalation), participants will receive escalating doses of ABBV-155 monotherapy (Part 1a) or ABBV-155 in combination with paclitaxel or docetaxel (Part 1b). In Part 2 (dose expansion), participants will receive ABBV-155 monotherapy or in combination therapy. The ABBV-155 monotherapy cohort will enroll participants with relapsed or refractory (R/R) small cell lung cancer (SCLC) (Part 2a); the ABBV-155 plus a taxane (paclitaxel or docetaxel) combination cohort will enroll participants with R/R non-small cell lung cancer (NSCLC) and breast cancer (Part 2b).

Trial Arms

NameTypeDescriptionInterventions
Escalation 1a: ABBV-155ExperimentalParticipants will be administered ABBV-155 (various doses).
  • ABBV-155
Escalation 1b: ABBV-155 + paclitaxel or docetaxelExperimentalParticipants will be administered ABBV-155 (various doses) in combination with paclitaxel or docetaxel .
  • ABBV-155
  • Paclitaxel
  • Docetaxel
Expansion 2a: ABBV-155 in SCLCExperimentalDescription: Participants with small cell lung cancer (SCLC) will administer ABBV-155 (at the recommended Phase 2 dose).
  • ABBV-155
Expansion 2b: ABBV-155 + paclitaxel in Breast CancerExperimentalParticipants with breast cancer will be administered ABBV-155 (at the recommended Phase 2 dose identified for combination with paclitaxel in part 1b) in combination with paclitaxel.
  • ABBV-155
  • Paclitaxel
Expansion 2b: ABBV-155 + docetaxel in NSCLCExperimentalParticipants with non-small cell lung cancer (NSCLC) will be administered ABBV-155 (at or near the recommended Phase 2 dose identified for combination with paclitaxel in part 1b) in combination with docetaxel.
  • ABBV-155
  • Docetaxel

Eligibility Criteria

        Inclusion Criteria:

          -  Has a histologic or cytologic diagnosis of a malignant solid tumor.

          -  Participants enrolled in Part 2a (monotherapy, dose expansion) must have small cell
             lung cancer (SCLC) with tumors that express B7H3 above a given threshold per central
             laboratory testing; participants enrolled to Part 2b (combination therapy, dose
             expansion) must have either NSCLC or HR-positive/HER2-negative breast cancer with
             tumors that express B7H3 above a given threshold per central laboratory testing.

          -  Measurable disease defined by Response Evaluation Criteria in Solid Tumors (RECIST)
             criteria.

          -  An Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to
             2.

          -  Failure of at least 1 prior systemic chemotherapy including all available standard
             therapies for participants in the dose-escalation phase (Parts 1a and 1b).

          -  All participants with breast cancer for subjects in the dose-expansion phase (Part 2b
             only) must have the following:

          -  locally advanced or metastatic HR-positive/HER2-negative breast cancer after failing
             cyclin-dependent kinase (CDK)4/6 inhibitor-based therapy.

          -  HR-positivity and HER-2-negativity should be confirmed based on American Society of
             Clinical Oncology (ASCO)/College of American Pathologists (CAP) criteria.

          -  All participants with non-small cell lung cancer (NSCLC) for participants in the
             dose-expansion phase (Part 2b only) must have R/R NSCLC after at least 1 line of
             therapy.

          -  All participants with SCLC in the dose-expansion phase (Part 2a only) must have R/R
             SCLC from at least 1 line of therapy which includes a platinum-based therapy with or
             without an anti-PD-1/PD-L1 therapy.

          -  All participants with either breast cancer or NSCLC must have the following if exposed
             to prior taxane-based therapy: no history of taxane allergy (Part 1b and Part 2b
             only); and disease that has relapsed or progressed at least 2 months after most recent
             exposure to any taxane-based therapy.

          -  Available tumor tissue suitable for immunohistochemistry testing.

          -  Adequate kidney, liver, and hematologic laboratory values as described in the
             protocol.

        Exclusion Criteria:

          -  Untreated brain or meningeal metastases (participants with a history of metastases may
             be eligible based on details described in the protocol).

          -  Grade 2 or higher peripheral neuropathy (only applies to participants who would
             receive taxane therapy).

          -  Unresolved Grade 2 or higher toxicities related to previous anticancer therapy except
             alopecia.

          -  Known active infection of hepatitis B, hepatitis C, or human immunodeficiency virus
             with exceptions as described in the protocol.

          -  Recent history (within 6 months) of congestive heart failure (defined in the
             protocol), ischemic cardiovascular event, cardiac arrhythmia requiring pharmacological
             or surgical intervention, pericardial effusion, or pericarditis.

          -  Any history of hypersensitivity to any ingredients of ABBV-155 will be excluded. For
             combination therapy only (Parts 1b and 2b), no history of serious allergic reaction to
             any taxane or any ingredients used in taxane formulation (e.g., cremaphor).
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:MTD and/or RPTD of ABBV-155
Time Frame:Up to approximately 21 days after initial dose of study drug
Safety Issue:
Description:The Maximum Tolerated Dose (MTD) and/or the Recommended Phase Two Dose (RPTD) of ABBV-155 will be determined during the dose escalation phase (Part 1).

Secondary Outcome Measures

Measure:Number of Participants with Adverse Events (AE)
Time Frame:Up to approximately 12 months
Safety Issue:
Description:An AE is defined as any untoward medical occurrence in a subject or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Measure:Duration of Response (DOR)
Time Frame:Up to approximately 12 months
Safety Issue:
Description:DOR is defined as the number of days from the date of first documented response (PR or better) to the date of the first documented disease progression (PD) or death due to disease, whichever occurs first.
Measure:Rate of Complete Response (CR)
Time Frame:Up to approximately 2 to 6 months
Safety Issue:
Description:CR is defined as the percentage of participants with documented best response CR according to RECIST version 1.1
Measure:Progression-Free Survival (PFS)
Time Frame:Up to approximately 12 months
Safety Issue:
Description:PFS is defined as the number of days from the date of first dose of study drug to the date of the first documented PD or death due to any cause, whichever occurs first.
Measure:Overall Survival (OS)
Time Frame:Up to approximately 12 months after last dose of study drug
Safety Issue:
Description:OS is defined as the number of days from the date of first study drug to the date of death due to any cause.
Measure:Cmax of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:Maximum plasma concentration (Cmax).
Measure:Tmax of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:Time to maximum plasma concentration (Tmax).
Measure:Terminal Phase Elimination Rate constant of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:Terminal phase elimination rate constant of ABBV-155
Measure:AUCt of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:Area under the plasma concentration versus time curve (AUC) from time 0 to the time of the last measurable concentration (AUCt).
Measure:AUCinf of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:AUC from time 0 to infinite time (AUCinf).
Measure:QTcF Change from Baseline
Time Frame:Up to approximately 8 days
Safety Issue:
Description:QT interval measurement corrected by Fridericia's formula (QTcF) mean change from baseline by dose level of ABBV-155 Monotherapy.
Measure:t1/2 of ABBV-155
Time Frame:Up to approximately 48 days
Safety Issue:
Description:Terminal elimination half-life (t1/2).

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:AbbVie

Trial Keywords

  • Cancer
  • Advanced Solid Tumors
  • Relapsed and/or Refractory Solid Tumors
  • ABBV-155
  • Taxane
  • Paclitaxel
  • Docetaxel
  • breast cancer
  • non-small cell lung cancer (NSCLC)
  • small cell lung cancer (SCLC)

Last Updated

August 26, 2021