Description:
This is a first-in-human, Phase 1/2 multi-center, open-label, dose escalation and expansion
study of AO-176 which will evaluate the safety, tolerability, pharmacokinetics (PK),
pharmacodynamics, and clinical effects of AO-176 in patients with advanced solid tumors.
Title
- Brief Title: AO-176 in Multiple Solid Tumor Malignancies
- Official Title: A Phase 1/2 Multicenter, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of AO-176
Clinical Trial IDs
- ORG STUDY ID:
AO-176-101
- SECONDARY ID:
KEYNOTE-C49
- NCT ID:
NCT03834948
Conditions
Interventions
Drug | Synonyms | Arms |
---|
AO-176 | | AO-176 Dose Escalation |
AO-176 + Paclitaxel | | AO-176 + Paclitaxel Dose Escalation |
AO-176 + Pembrolizumab | | AO-176 + Pembrolizumab Dose Escalation |
Purpose
This is a first-in-human, Phase 1/2 multi-center, open-label, dose escalation and expansion
study of AO-176 which will evaluate the safety, tolerability, pharmacokinetics (PK),
pharmacodynamics, and clinical effects of AO-176 in patients with advanced solid tumors.
Detailed Description
This is a first-in-human, Phase 1/2 multicenter, open-label, dose escalation and expansion
study of AO-176 in patients with solid tumors. Part A of this study will examine escalating
repeat doses of AO-176 monotherapy in patients with select advanced solid tumors, including
epithelial ovarian carcinoma (EOC), which will include primary peritoneal and fallopian tube
carcinoma; squamous cell carcinoma of the head and neck; endometrial carcinoma; castration
resistant prostate cancer; non-small cell lung adenocarcinoma; papillary thyroid carcinoma;
pleural or peritoneal malignant mesothelioma; and gastroesophageal adenocarcinoma, for which
standard therapy proven to provide clinical benefit does not exist or is no longer effective.
Part B and Part C of this study will examine escalating repeat doses of AO-176 in combination
with paclitaxel (Part B) or pembrolizumab (Part C) in platinum-resistant EOC, including
primary peritoneal and fallopian tube carcinoma; endometrial carcinoma; and gastric
adenocarcinoma/gastroesophageal adenocarcinoma.
The monotherapy and combination dose escalation portions of the study utilize a classic 3+3
design, with enrollment of 3 patients per cohort and expansion of the cohort in the event of
a dose-limiting toxicity (DLT).
Once the maximum-tolerated dose (MTD)/recommended phase 2 dose (RP2D) has been established in
dose escalation, tumor-specific dose expansion cohorts will be recruited to further assess
safety and evaluate preliminary efficacy of AO-176 as monotherapy, in combination with
paclitaxel, and in combination with pembrolizumab.
Trial Arms
Name | Type | Description | Interventions |
---|
AO-176 Dose Escalation | Experimental | Each dose escalation cohort will initially recruit 3 patients to receive AO-176 in a standard 3+3 design; cohorts will be expanded in the event of a DLT. | |
AO-176 Dose Expansion | Experimental | Once the MTD/RP2D has been established, tumor-specific dose expansion cohorts will be recruited to further assess safety and evaluate preliminary efficacy of AO-176. | |
AO-176 + Paclitaxel Dose Escalation | Experimental | Each dose escalation cohort will initially recruit 3 patients to receive AO-176 and paclitaxel in a standard 3+3 design; cohorts will be expanded in the event of a DLT. | |
AO-176 + Paclitaxel Dose Expansion | Experimental | Once the MTD/RP2D has been established, tumor-specific dose expansion cohorts will be recruited to further assess safety and evaluate preliminary efficacy of AO-176 + paclitaxel. | |
AO-176 + Pembrolizumab Dose Escalation | Experimental | Each dose escalation cohort will initially recruit 3 patients to receive AO-176 and pembrolizumab in a standard 3+3 design; cohorts will be expanded in the event of a DLT. | |
AO-176 + Pembrolizumab Dose Expansion | Experimental | Once the MTD/RP2D has been established, tumor-specific dose expansion cohorts will be recruited to further assess safety and evaluate preliminary efficacy of AO-176 + pembrolizumab. | |
Eligibility Criteria
Key Inclusion Criteria
1. Select advanced solid tumor for which standard therapy proven to provide clinical
benefit does not exist, or is no longer effective
Part A:
- Epithelial ovarian carcinoma (EOC)
- Endometrial carcinoma
- Castration resistant prostate cancer
- Non-small cell lung adenocarcinoma
- Papillary thyroid carcinoma
- Malignant mesothelioma (pleural or peritoneal)
- Gastroesophageal adenocarcinoma
- Squamous cell carcinoma of the head and neck
Part B and Part C:
- Platinum-resistant EOC (including fallopian tube or primary peritoneal cancer)
- Endometrial carcinoma
- Gastric adenocarcinoma/gastroesophageal adenocarcinoma
2. Measurable disease
3. ECOG status 0-1
4. Resolution of prior-therapy-related adverse effects
5. Minimum of 4 weeks or 5 half-lives since last dose of cancer therapy
Key Exclusion Criteria:
1. Previous hypersensitivity reaction to treatment with another monoclonal antibody
2. Unresolved hypersensitivity to paclitaxel or any of its excipients (Part B only).
Patients who have been desensitized may participate.
3. Part C Only
1. History of interstitial lung disease or a history of (non-infectious) pneumonitis
that required steroids or has current pneumonitis.
2. History of immune mediated colitis, hepatitis, endocrinopathies, nephritis or
significant immune mediated skin reactions such as toxic epidermal necrolitis or
Stevens -Johnson Syndrome
3. History of any autoimmune disease which required systemic therapy* in the past 2
years (i.e., with use of disease modifying agents, corticosteroids or
immunosuppressive drugs) including but not limited to: i. Inflammatory bowel
disease (including ulcerative colitis and Crohn's Disease) ii. Rheumatoid
arthritis iii. Systemic progressive sclerosis (scleroderma) iv. Systemic lupus
erythematosus v. Autoimmune vasculitis (e.g. Wegener's granulomatosis)
*Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid
replacement therapy for adrenal or pituitary insufficiency) is not considered a
form of systemic treatment and is allowed)
4. Prior treatment with a checkpoint inhibitor (anti-PD-1, PD-L1, CTLA-4 etc.) within 4
weeks prior to the start of study drug
5. Prior treatment with a CD47-targeted therapy
6. Prior organ or stem cell transplant
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety of AO-176 assessed by adverse events and laboratory abnormalities |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Evaluate the safety of AO-176 measured by the number adverse events, serious adverse events and lab abnormalities. |
Secondary Outcome Measures
Measure: | AO-176 anti-tumor activity assessed by changes in response criteria |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Evaluate objective response rate of AO-176 using RECIST v1.1 and iRECIST. |
Measure: | AO-176 + paclitaxel anti-tumor activity assessed by changes in response criteria |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Evaluate objective response rate of AO-176 in combination with paclitaxel using RECIST v1.1 and iRECIST. |
Measure: | AO-176 + pembrolizumab anti-tumor activity assessed by changes in response criteria |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Evaluate objective response rate of AO-176 in combination with pembrolizumab using RECIST v1.1 and iRECIST. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Arch Oncology |
Trial Keywords
Last Updated
July 8, 2021