Clinical Trials /

COM701 (an Inhibitor of PVRIG) in Subjects With Advanced Solid Tumors.

NCT03667716

Description:

This is a Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary clinical activity of COM701 as monotherapy and in combination with nivolumab.

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

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: COM701 (an Inhibitor of PVRIG) in Subjects With Advanced Solid Tumors.
  • Official Title: A Phase 1a/1b Study of COM701 as Monotherapy and In Combination With an Anti-PD-1 Antibody in Subjects With Advanced Solid Tumors.

Clinical Trial IDs

  • ORG STUDY ID: CPG-01-001
  • NCT ID: NCT03667716

Conditions

  • Advanced Cancer
  • Ovarian Cancer
  • Breast Cancer
  • Lung Cancer
  • Endometrial Cancer
  • Ovarian Neoplasm
  • Triple Negative Breast Cancer
  • Lung Neoplasm
  • Neoplasm Malignant
  • Colo-rectal Cancer

Interventions

DrugSynonymsArms
COM701P1a Arm A (Monotherapy Dose Escalation).
COM701 with Opdivo (Nivolumab).P1a Arm B (Combination Dose Escalation).

Purpose

This is a Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary clinical activity of COM701 as monotherapy and in combination with nivolumab.

Detailed Description

      This Phase 1 study evaluates the safety, tolerability, Pharmacokinetics (PK) and preliminary
      clinical activity of COM701 an inhibitor of poliovirus receptor related immunoglobulin domain
      containing (PVRIG) as monotherapy and in combination with nivolumab in subjects with advanced
      solid tumors. Cohort expansion will be explored evaluating COM701 monotherapy and in
      combination with nivolumab in subjects with the following select tumor types (Non-Small cell
      lung cancer (NSCLC), Ovarian, Breast (including Triple negative breast cancer (TNBC) and
      endometrial cancer. Other tumor types such as CRC-MSS, CRC-KRAS mutant will be enrolled based
      on emerging clinical activity data.
    

Trial Arms

NameTypeDescriptionInterventions
P1a Arm A (Monotherapy Dose Escalation).ExperimentalCOM701 monotherapy sequential dose escalation administered IV every 3 weeks and a Cohort IV every 4 weeks. Up to 8 dose escalation cohorts may be evaluated until a maximum tolerated dose or recommended phase 2 dose is identified.
  • COM701
P1a Arm B (Combination Dose Escalation).ExperimentalCOM701 sequential dose escalation administered IV every 3 weeks in combination with Opdivo (Nivolumab) 360mg administered IV every 3 weeks and COM701 administered IV every 4 weeks in combination with Opdivo (Nivolumab) 480mg administered IV every 4 weeks.
  • COM701 with Opdivo (Nivolumab).
P1a Arm A (Monotherapy Expansion).ExperimentalCOM701 monotherapy administered IV every 4 weeks. Cohort expansion in subjects with the following select tumor types (NSCLC, Breast, Ovarian, Endometrial and Colorectal cancer).
  • COM701
P1b (Combination Cohort Dose Expansion).ExperimentalCOM701 administered IV every 4 weeks in combination with Opdivo (Nivolumab) 480 mg administered IV every 3 weeks. Cohort expansion in subjects with the following select tumor types (Breast, Ovarian, Endometrial and Colorectal cancer).
  • COM701 with Opdivo (Nivolumab).

Eligibility Criteria

        Key Inclusion Criteria:

          -  Subject has Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

          -  Subjects who received prior immune-stimulatory antitumor agents, such as anti-PD-1,
             anti-PD-L1, anti-CTLA-4, OX-40, CD137, etc. are eligible.

          -  Histologically or cytologically confirmed, locally advanced or metastatic solid
             malignancy and has exhausted all the available standard therapy or is not a candidate
             for the available standard therapy.

        Select Tumor Types (COM701 monotherapy cohort expansion; COM701 in combination with
        nivolumab):

          -  Breast cancer (TNBC): Histologically confirmed incurable, advanced estrogen receptor-,
             progesterone receptor-, and human epidermal growth factor receptor 2 (HER2)-negative
             (triple-negative) adenocarcinoma of the breast, as defined by the American Society of
             Clinical Oncology-College of American Pathologists (ASCO-CAP) guidelines. Disease
             recurrence or progression during or after at least one systemic treatment that
             included an anthracycline and/or a taxane in the neoadjuvant, adjuvant, or metastatic
             setting. Subjects must have progressed after a poly ADP-ribose polymerase (PARP)
             inhibitor for patients with deleterious or suspected deleterious germline breast
             cancer susceptibility gene (BRCA) mutated metastatic breast cancer. P1b COM701 +
             nivolumab expansion cohort, COM701 monotherapy expansion cohort.

          -  Endometrial cancer: Subjects with locally advanced or metastatic endometrial cancer,
             disease recurrence or progression during or after prior therapy that included
             platinum-based chemotherapy. P1b COM701 + nivolumab expansion cohort, COM701
             monotherapy expansion cohort.

          -  Ovarian cancer: Disease recurrence or progression during or after prior therapy that
             included: surgical resection, platinum agent, PARP inhibitor (for subjects with
             deleterious or suspected deleterious germline BRCA-mutated advanced ovarian cancer or
             as a maintenance therapy for subjects who have had complete or partial response to
             platinum-based therapy). P1b COM701 + nivolumab expansion cohort, COM701 monotherapy
             expansion cohort.

          -  NSCLC: Documented stage IIIB or IV or recurrent NSCLC, Disease recurrence or
             progression during or after prior treatment that included: platinum agent, targeted
             therapy such as a TKI (if with biopsy-confirmed cytogenetic mutation eg EGFR, ROS,
             BRAF). COM701 monotherapy expansion cohort.

          -  CRC (microsatellite stable, KRAS mutation) - P1b COM701 + nivolumab expansion cohort,
             COM701 monotherapy expansion cohort.

          -  For Phase 1a monotherapy expansion and Phase 1b only: subject has at least one
             measurable lesion that could be followed during the study according to RECIST v1.1.

        Key Exclusion Criteria:

          -  Active autoimmune disease requiring systemic therapy in the last 2 years prior to the
             first dose of COM701.

          -  Symptomatic interstitial lung disease or inflammatory pneumonitis.

          -  History of immune-related events that lead to immunotherapy treatment discontinuation.

          -  Untreated or symptomatic central nervous system (CNS) metastases.

          -  Impaired cardiac function or clinically significant cardiac disease, including any of
             the following: a) Unstable angina pectoris ≤ 6 months prior to first scheduled dose of
             COM701; b) Acute myocardial infarction ≤ 6 months prior to first scheduled dose of
             COM701.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of subjects with Adverse Events (AEs) as per CTCAE v4.03 and Dose-Limiting Toxicities (DLTs).
Time Frame:DLT evaluation window in the 1st cycle (21 or 28 days).
Safety Issue:
Description:To evaluate the safety profile of COM701 monotherapy and in combination with nivolumab.

Secondary Outcome Measures

Measure:Incidence of subjects with Anti-COM701 antibody.
Time Frame:Approximately 2 years.
Safety Issue:
Description:Immunogenicity of COM701 monotherapy and in combination with nivolumab.
Measure:Overall Response Rate as per RECIST v1.1
Time Frame:Approximately 2 years.
Safety Issue:
Description:Preliminary antitumor activity of COM701 in combination with nivolumab.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Compugen Ltd

Trial Keywords

  • PVRIG
  • advanced cancer
  • checkpoint inhibitor
  • DNAM (DNAX Accessory molecule 1)
  • PD-1 inhibitor
  • CD112
  • CD 112R
  • Poliovirus receptor-related immunoglobulin
  • PVRL2
  • Nivolumab
  • opdivo

Last Updated

August 5, 2021