Description:
This is a first-in-human, open-label, multicenter, Phase I multiple-ascending dose (MAD)
study of single agent RO7121661, an anti PD-1 (programmed death-1) and TIM-3 (T-cell
immunoglobulin and mucin domain 3) bispecific antibody, for participants with advanced and/or
metastatic solid tumors. The study consists of 2 parts: Dose Escalation (Part A) and
Expansion (Parts B1, B2, B3, B4, and B5). The Dose Escalation part will be conducted first to
determine the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) based
on safety, tolerability, pharmacokinetic, and/or the pharmacodynamic profile of escalating
doses of RO7121661. The Expansion part will enroll tumor-specific cohorts to evaluate
anti-tumor activity of the MTD and/or RDE of RO7121661 from Part A (Q2W) and to confirm
safety and tolerability in participants with selected tumor types.
Title
- Brief Title: A Dose Escalation and Expansion Study of RO7121661, a PD-1/TIM-3 Bispecific Antibody, in Participants With Advanced and/or Metastatic Solid Tumors
- Official Title: An Open Label, Multicenter, Dose Escalation and Expansion, Phase 1 Study to Evaluate Safety, Pharmacokinetics, and Preliminary Anti-Tumor Activity of RO7121661, a PD-1/TIM-3 Bispecific Antibody, in Patients With Advanced and/or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
NP40435
- SECONDARY ID:
2018-000982-35
- NCT ID:
NCT03708328
Conditions
- Solid Tumors
- Metastatic Melanoma
- Non-small Cell Lung Cancer (NSCLC)
- Small Cell Lung Cancer (SCLC)
- Esophageal Squamous Cell Carcinoma (ESCC)
Interventions
Drug | Synonyms | Arms |
---|
RO7121661 | RG7769 | Dose Escalation Part A: Once Every 2 Weeks (Q2W) |
Purpose
This is a first-in-human, open-label, multicenter, Phase I multiple-ascending dose (MAD)
study of single agent RO7121661, an anti PD-1 (programmed death-1) and TIM-3 (T-cell
immunoglobulin and mucin domain 3) bispecific antibody, for participants with advanced and/or
metastatic solid tumors. The study consists of 2 parts: Dose Escalation (Part A) and
Expansion (Parts B1, B2, B3, B4, and B5). The Dose Escalation part will be conducted first to
determine the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) based
on safety, tolerability, pharmacokinetic, and/or the pharmacodynamic profile of escalating
doses of RO7121661. The Expansion part will enroll tumor-specific cohorts to evaluate
anti-tumor activity of the MTD and/or RDE of RO7121661 from Part A (Q2W) and to confirm
safety and tolerability in participants with selected tumor types.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation Part A: Once Every 2 Weeks (Q2W) | Experimental | RO7121661 will be administered in treatment cycles once every 2 weeks (Q2W). Dose escalation will be carried out according to a modified continual reassessment method (mCRM) with escalation with overdose control (EWOC) design. | |
Expansion Part B1: Metastatic Melanoma Cohort | Experimental | This cohort will comprise participants with checkpoint inhibitor (CPI) experienced, second line and beyond metastatic melanoma. The starting dose of RO7121661 for Expansion will be derived from the maximum tolerated dose (MTD)/recommended dose for expansion (RDE) and the best dosing schedule determined during Dose Escalation. | |
Expansion Part B2: NSCLC Cohort 1 | Experimental | This cohort will comprise participants with CPI and platinum experienced, second or third line PD-L1 positive non-small cell lung cancer (NSCLC). The starting dose of RO7121661 for Expansion will be derived from the MTD/RDE and the best dosing schedule determined during Dose Escalation. | |
Expansion Part B3: NSCLC Cohort 2 | Experimental | This cohort will comprise participants with PD-L1 high, cancer immunotherapy (CIT) naïve first line NSCLC. The starting dose of RO7121661 for Expansion will be derived from the MTD/RDE and the best dosing schedule determined during Dose Escalation. | |
Expansion Part B4: SCLC Cohort | Experimental | This cohort will comprise participants with CPI naïve small cell lung cancer (SCLC) with prior failure of, progression on, or intolerance to, standard therapy. The starting dose of RO7121661 for Expansion will be derived from the MTD/RDE and the best dosing schedule determined during Dose Escalation. | |
Expansion Part B5: ESCC Cohort | Experimental | This cohort will comprise participants with CPI-naïve esophageal squamous cell carcinoma (ESCC). The starting dose of RO7121661 for Expansion will be derived from the MTD/RDE and the best dosing schedule determined during Dose Escalation. | |
Eligibility Criteria
Inclusion Criteria:
General Inclusion Criteria:
- Part A: Patient must have histologically or cytologically confirmed advanced and/or
metastatic solid tumor malignancies for which standard curative or palliative measures
do not exist, are no longer effective, or are not acceptable to the patient
- Eastern Cooperative Oncology Group Performance Status 0-1
- Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST
v1.1)
- Fresh biopsies may be required
- Negative HIV, hepatitis B, or hepatitis C test result
- Women of childbearing potential and male participants must agree to remain abstinent
or use contraceptive methods as defined by the protocol
Additional Specific Inclusion Criteria for Participants with Melanoma:
- Histologically confirmed, unresectable stage III or stage IV melanoma
- Previously treated with approved anti-programmed death-ligand 1
(PD-L1)/anti-programmed death-1 (PD-1) agents with or without approved anti-cytotoxic
T-lymphocyte-associated protein 4 (CTLA-4) therapy and up to one additional treatment
regimen
Additional Specific Inclusion Criteria for Participants with Non-small Cell Lung Cancer
(NSCLC) who Previously Received Treatment for Metastatic Disease:
- Histologically confirmed advanced NSCLC
- Previously treated with approved PD-L1/PD-1 inhibitors and platinum-based chemotherapy
- Not more than 2 prior lines of treatment for metastatic disease are allowed prior to
enrolling to the study
- Participants must have experienced initial clinical benefit (stable disease or better)
from most recent checkpoint inhibitor (CPI) therapy
- Tumor PD-L1 expression as determined by immunohistochemistry assay of archival tumor
tissue or tissue obtained at screening
Additional Specific Inclusion Criteria for Participants with Non-small Cell Lung Cancer
(NSCLC) who Previously Did Not Receive Treatment for Metastatic Disease:
- Histologically confirmed advanced NSCLC
- Tumor PD-L1 expression as determined by immunohistochemistry assay of archival tumor
tissue or tissue obtained at screening
Additional Specific Inclusion Criteria for Participants with Small Cell Lung Cancer (SCLC):
- Histologically confirmed SCLC
- Participants may have had prior chemotherapy, radiation therapy, or declined approved
therapies for SCLC
Additional Specific Inclusion Criteria for Participants with Esophageal Squamous Cell
Carcinoma (ESCC):
- Participants whose major lesion was histologically confirmed as squamous cell
carcinoma or adenosquamous cell carcinoma of the esophagus
- Patients who have previously received not more than 1 prior line of treatment for
metastatic disease prior to enrolling to the study
Exclusion Criteria:
General Exclusion Criteria:
- Pregnancy, lactation, or breastfeeding
- Known hypersensitivity to any of the components of RO7121661
- Active or untreated central nervous system (CNS) metastases
- An active second malignancy
- Evidence of concomitant diseases, metabolic dysfunction, physical examination
findings, or clinical laboratory findings giving reasonable suspicion of a disease or
condition that contraindicates the use of an investigational drug or that may affect
the interpretation of the results or render the participant at high risk from
treatment complications
- Known active or uncontrolled bacterial, viral, fungal, mycobacterial, parasitic, or
other infection
- Treatment with oral or IV antibiotics within 2 weeks prior to Cycle 1 Day 1
- Active or history of autoimmune disease or immune deficiency
- Prior treatment with adoptive cell therapies, such as CAR-T therapies
- Concurrent therapy with any other investigational drug <28 days or 5 half-lives of the
drug, whichever is shorter, prior to the first RO7247669 administration
- Regular immunosuppressive therapy
- Radiotherapy within the last 4 weeks before start of study drug treatment, with the
exception of limited palliative radiotherapy
- Prior treatment with a T-cell immunoglobulin and mucin domain-3 (TIM-3) inhibitor
Additional Specific Exclusion Criteria for Participants with NSCLC who Previously Received
Treatment for Metastatic Disease:
- Patients with the following mutations, rearrangements, translocations are not eligible:
epidermal growth factor receptor (EGFR); anaplastic lymphoma kinase (ALK); ROS
proto-oncogene 1 (ROS1), BRAFV600E, and neurotrophic receptor tyrosine kinase (NTRK)
Additional Specific Exclusion Criteria for Participants with NSCLC who Did Not Previously
Receive Treatment for Metastatic Disease:
- Prior therapy for metastatic disease
- Adjuvant anti-PD-1 or anti-PD-L1 therapy
Additional Specific Exclusion Criteria for Participants with Small-Cell Lung Cancer (SCLC):
- Prior therapy with any immune CPIs (such as anti-PD-L1/PD-1, CTLA-4)
Additional Specific Exclusion Criteria for Participants with Esophageal Squamous Cell
Carcinoma (ESCC):
- Prior therapy with any immunomodulatory agents
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Escalation: Number of Participants with a Dose-Limiting Toxicity (DLT) |
Time Frame: | For Part A (1 cycle is 14 days): From Cycle 1 Day 1 to Cycle 2 Day 7 (up to 35 days) |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Dose Escalation and Expansion: Area Under the Concentration-Time Curve (AUC) of RO7121661 |
Time Frame: | Days 1, 2, 3, 5, 8, and 12 of Cycle 1; Days 1, 2, and 5 of Cycle 2; Day 1 of Cycles 3-4, Days 1, 2, 5, and 8 of Cycle 5 and Day 1 of Cycle 6 onwards (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation and Expansion: Maximum Concentration (Cmax) of RO7121661 |
Time Frame: | Days 1, 2, 3, 5, 8, and 12 of Cycle 1; Days 1, 2, and 5 of Cycle 2; Day 1 of Cycles 3-4, Days 1, 2, 5, and 8 of Cycle 5 and Day 1 of Cycle 6 onwards (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation and Expansion: Total Clearance (CL) of RO7121661 |
Time Frame: | Days 1, 2, 3, 5, 8, and 12 of Cycle 1; Days 1, 2, and 5 of Cycle 2; Day 1 of Cycles 3-4, Days 1, 2, 5, and 8 of Cycle 5 and Day 1 of Cycle 6 onwards (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation and Expansion: Volume of Distribution at Steady State of RO7121661 |
Time Frame: | Days 1, 2, 3, 5, 8, and 12 of Cycle 1; Days 1, 2, and 5 of Cycle 2; Day 1 of Cycles 3-4, Days 1, 2, 5, and 8 of Cycle 5 and Day 1 of Cycle 6 onwards (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation and Expansion: Terminal Half-Life (t1/2) of RO7121661 |
Time Frame: | Days 1, 2, 3, 5, 8, and 12 of Cycle 1; Days 1, 2, and 5 of Cycle 2; Day 1 of Cycles 3-4, Days 1, 2, 5, and 8 of Cycle 5 and Day 1 of Cycle 6 onwards (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation and Expansion: Number of Participants with Anti-Drug Antibodies |
Time Frame: | Day 1 of Cycles 1 to 5; Day 1 of Cycle 7, and every 6 cycles (1 cycle is 14 days) afterwards through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Expansion: Number of Participants with at Least One Adverse Event, Severity Graded According to NCI CTCAE v5.0 |
Time Frame: | Up to 27 months |
Safety Issue: | |
Description: | |
Measure: | Expansion: Examine Profile and Status of T-cell Proliferation/Activation in Tumor Biopsies and Peripheral Blood |
Time Frame: | Days 1, 2, and 8 of Cycles 1 and 5; Day 1 of Cycles 2 and 3; and Day 1 of Cycles 9, 22, 35, and 48 (1 cycle is 14 days) through study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation: Receptor Occupancy of RO7121661, Assessed via an Ex-Vivo Assay |
Time Frame: | Days 1 and 8 of Cycles 1 and 5; Day 1 of Cycles 2 and 3; and Day 1 of Cycles 9, 22, 35, and 48 (1 cycle is 14 days), and at study completion (up to 27 months) |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation: Objective Response Rate, Assessed According to RECIST v1.1 |
Time Frame: | Up to 27 months |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation: Disease Control Rate, Assessed According to RECIST v1.1 |
Time Frame: | Up to 27 months |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation: Duration of Response, Assessed According to RECIST v1.1 |
Time Frame: | Up to 27 months |
Safety Issue: | |
Description: | |
Measure: | Dose Escalation: Progression Free Survival, Assessed According to RECIST v1.1 |
Time Frame: | Up to 27 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Hoffmann-La Roche |
Last Updated
August 19, 2021