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A Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Advanced Malignancies

NCT03629756

Description:

This is a Phase 1, open-label, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD) and clinical activity of etrumadenant (AB928) in combination with zimberelimab (AB122) (an anti-PD-1 antibody) in participants with advanced malignancies.

Related Conditions:
  • Bladder Carcinoma
  • Breast Carcinoma
  • Colorectal Carcinoma
  • Endometrial Carcinoma
  • Esophagogastric Carcinoma
  • Head and Neck Squamous Cell Carcinoma
  • Melanoma
  • Merkel Cell Carcinoma
  • Non-Small Cell Lung Carcinoma
  • Ovarian Carcinoma
  • Prostate Carcinoma
  • Renal Cell Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Advanced Malignancies
  • Official Title: A Phase 1 Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Advanced Malignancies

Clinical Trial IDs

  • ORG STUDY ID: AB928CSP0005
  • NCT ID: NCT03629756

Conditions

  • Non-small Cell Lung Cancer
  • Squamous Cell Carcinoma of the Head and Neck
  • Breast Cancer
  • Colorectal Cancer
  • Melanoma
  • Bladder Cancer
  • Ovarian Cancer
  • Endometrial Cancer
  • Merkel Cell Carcinoma
  • GastroEsophageal Cancer
  • Renal Cell Carcinoma
  • Castration-resistant Prostate Cancer

Interventions

DrugSynonymsArms
EtrumadenantAB928Dose Escalation
ZimberelimabAB122Dose Escalation

Purpose

This is a Phase 1, open-label, dose-escalation and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD) and clinical activity of etrumadenant (AB928) in combination with zimberelimab (AB122) (an anti-PD-1 antibody) in participants with advanced malignancies.

Detailed Description

      In the dose-escalation phase, escalating doses of etrumadenant in combination with
      zimberelimab will be assessed in participants with advanced malignancies. Eligible
      participants will receive oral administration of etrumadenant as well as IV infusion of
      zimberelimab. The recommended dose for expansion (RDE) of etrumadenant will be determined
      upon completion of the dose-escalation phase.

      In the dose-expansion phase, etrumadenant at RDE in combination with zimberelimab may be
      assessed in participants with advanced clear-cell renal cell carcinoma (RCC) or metastatic
      castrate-resistant adenocarcinoma of the prostate (mCRPC).

      Overall duration of treatment will depend on how well the treatment is tolerated. Treatment
      may continue until unacceptable toxicity or progressive disease or other reasons specified in
      the protocol.
    

Trial Arms

NameTypeDescriptionInterventions
Dose EscalationExperimental3+3 design, including a DLT evaluation period. Etrumadenant RDE will be determined in this part with escalating doses of etrumadenant in combination with a fixed dose of zimberelimab.
  • Etrumadenant
  • Zimberelimab
Dose Expansion-advanced clear-cell RCCExperimentalEtrumadenant at RDE + zimberelimab
  • Etrumadenant
  • Zimberelimab
Dose Expansion-mCRPCExperimentalEtrumadenant at RDE + zimberelimab
  • Etrumadenant
  • Zimberelimab

Eligibility Criteria

        Inclusion Criteria:

          1. Male or female participants ≥ 18 years

          2. Must have at least 1 measurable lesion per RECIST v1.1.

          3. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.

          4. Must have received standard of care, including potentially curative available
             therapies or interventions.

          5. Confirm that an archival tissue sample is available and ≤ 6 months old; if not, a new
             biopsy of a tumor lesion must be obtained. Biopsy must not put participant at undue
             risk and procedure must not be more invasive than a core biopsy.

          6. Adequate organ and marrow function

             Dose escalation only:

          7. Pathologically confirmed non-small cell lung cancer, squamous cell carcinoma of the
             head and neck, renal cell carcinoma, breast cancer, colorectal cancer, melanoma,
             bladder cancer, ovarian cancer, endometrial cancer, Merkel cell carcinoma, or
             gastroesophageal cancer that is metastatic, advanced or recurrent with progression for
             which no alternative or curative therapy exists or standard therapy is not considered
             appropriate by the participant and treating physician (reason must be documented in
             medical records).

             Dose expansion only:

          8. Patients with advanced clear-cell RCC or mCRPC.

          9. Clear-cell RCC patients may have received up to 2 prior lines of therapy, one of which
             must have included an anti-PD-(L)1 based therapy and must not have progressed within
             16 weeks during an anti-PD-(L)1 therapy.

         10. mCRPC patients must have progressed during or following treatment with an androgen
             synthesis inhibitor, and have also had one prior line of a taxane-containing regimen
             or the physician and participant consider the taxane-containing regimen to be
             inappropriate. mCRPC patients must be naive to any immunotherapy (including but not
             limited to anti-PD-(L)1 or anti-CTLA-4 antogonists, sipuleucel-T, etc.).

        Exclusion Criteria:

          1. Use of any live vaccines against infectious diseases (eg, influenza, varicella) within
             4 weeks (28 days) of initiation of investigational product.

          2. Underlying medical conditions that, in the Investigator's or Sponsor's opinion, will
             make the administration of investigational product hazardous (eg, interstitial lung
             disease, active infections requiring antibiotics, recent hospitalization with
             unresolved symptoms) or obscure the interpretation of toxicity determination or AEs,
             or concurrent medical condition requiring the use of immunosuppressive medications or
             immunosuppressive doses of systemic or absorbable topical corticosteroids.

          3. Has known psychiatric or substance abuse disorders that would interfere with
             cooperation with the requirements of the trial.

          4. Is pregnant or breastfeeding or expecting to conceive or father children within the
             projected duration of the study, starting with the pre-screening or screening visit
             through 90 days after the last dose of etrumadenant in combination with zimberelimab.

          5. Any active or documented history of autoimmune disease, or history of a syndrome that
             required systemic steroids or immunosuppressive medications, except for vitiligo or
             resolved childhood asthma/atopy. Participants with asthma who require intermittent use
             of bronchodilators (such as albuterol) will not be excluded from this study.

          6. Prior malignancy active within the previous year except for locally curable cancers
             that have been apparently cured, such as basal or squamous cell skin cancer,
             superficial bladder cancer or carcinoma in situ of the cervix, breast, or prostate
             cancer.

          7. Dose escalation: Prior treatment with an anti-PD-L1, anti-PD-1, anti-CTLA-4, or other
             immune checkpoint inhibitor or agonist as a monotherapy or in combination;

          8. Use of other investigational drugs (drugs not marketed for any indication) within 28
             days or at least 5 half-lives (whichever is longer) before investigational product
             administration.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of participants with Adverse Events
Time Frame:From first dose date to 90 days after the last dose (approximately 1 year)
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Etrumadenant Peak Plasma Concentration: Cmax
Time Frame:Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 and 90 days post last dose (approximately 1 year).
Safety Issue:
Description:
Measure:Zimberelimab Peak Plasma Concentration: Cmax
Time Frame:Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 and 90 days post last dose (approximately 1 year).
Safety Issue:
Description:
Measure:Etrumadenant Time of Peak Concentration: Tmax
Time Frame:Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 and 90 days post last dose (approximately 1 year).
Safety Issue:
Description:
Measure:Zimberelimab Time of Peak Concentration: Tmax
Time Frame:Recorded at baseline (screening), during the first 4 cycles of treatment (4 months) and 30 and 90 days post last dose (approximately 1 year).
Safety Issue:
Description:
Measure:Percentage of participants with anti-drug antibodies to zimberelimab
Time Frame:Recorded at baseline (screening), during the first 4 cycles of treatment (4 months), at end of treatment, and 30 and 90 days post last dose (approximately 1 year).
Safety Issue:
Description:
Measure:Progression Free Survival (PFS) as determined by Investigator according to Prostate Cancer Working Group 3 (PCWG3) for prostate adenocarcinoma and per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for all other tumor types
Time Frame:From start of treatment up to the first occurrence of progressive disease or death from any cause (approximately 6 months, however can be longer).
Safety Issue:
Description:
Measure:Overall Survival (OS) as determined by the Investigator according to PCWG3 for prostate adenocarcinoma and per RECIST v1.1 for all other tumor types
Time Frame:From study start of treatment up to death from any cause (up to approximately 1-3 years)
Safety Issue:
Description:
Measure:Duration of Response as determined by the Investigator according to PCWG3 for prostate adenocarcinoma and per RECIST v1.1 for all other tumor types
Time Frame:From the date of first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (approximately 1 year)
Safety Issue:
Description:
Measure:Percentage of Participants with Disease Control (complete response, partial response, or stable disease) for >6 months as determined by the Investigator per PCWG3 for prostate adenocarcinoma and per RECIST v1.1 for all other tumor types
Time Frame:From study enrollment until disease progression or loss of clinical benefit (approximately 1 year)
Safety Issue:
Description:
Measure:Percentage of participants with Objective Response as determined by Investigator according to PCWG3 for prostate adenocarcinoma and per RECIST v1.1 for all other tumor types
Time Frame:From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 1 year)
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Arcus Biosciences, Inc.

Last Updated

August 27, 2021