Description:
To evaluate the safety and tolerability of AMG 199 in adult subjects with MUC17-positive
gastric and gastroesophageal junction cancer and to determine the maximum tolerated dose
(MTD) and/or recommended phase 2 dose (RP2D).
Title
- Brief Title: Study of AMG 199 in Subjects With MUC17-Positive Gastric and Gastroesophageal Junction Cancer
- Official Title: A Global Phase 1 Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of the Half-life Extended Bispecific T-cell Engager AMG 199 in Subjects With MUC17-Positive Gastric and Gastroesophageal Junction Cancer
Clinical Trial IDs
- ORG STUDY ID:
20180290
- SECONDARY ID:
2019-002708-42
- NCT ID:
NCT04117958
Conditions
- Gastric and Gastroesophageal Junction Cancer
Interventions
Drug | Synonyms | Arms |
---|
AMG 199 | | Dose-expansion phase |
Purpose
To evaluate the safety and tolerability of AMG 199 in adult subjects with MUC17-positive
gastric and gastroesophageal junction cancer and to determine the maximum tolerated dose
(MTD) and/or recommended phase 2 dose (RP2D).
Detailed Description
AMG 199 is a novel half-life extended (HLE) bispecific T cell engager (BiTE®) molecule
designed to direct T cells towards MUC17-expressing cells. This is a first-in-human study in
adult subjects with MUC17-positive gastric cancer or gastroesophageal junction (GEJ) cancer,
to assess AMG 199 safety, tolerability, pharmacokinetics (PK), and anti-tumor activity, with
additional exploratory objectives to assess pharmacodynamics (PD), correlative biomarker
analysis, and immunogenicity.
The primary end point is to evaluate the safety and tolerability of AMG 199 in adult
subjects, and determine the MTD and RP2D. The secondary end point is characterize the PK and
anti-tumor activity of AMG 199.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose-exploration phase | Experimental | The dose-exploration phase of the study will estimate the MTD (Maximum Tolerated Dose) of AMG 199 using a Bayesian logistic regression model (BLRM). A RP2D (Recommended Phase 2 Dose) may be identified based on emerging safety, efficacy, and PD (Pharmacodynamics) data prior to reaching an MTD. Alternative dosing schedule(s) may be explored based on emerging PK (Pharmacokinetics) and safety data. | |
Dose-expansion phase | Experimental | The dose-expansion phase will be conducted to confirm safety, PK, and PD at the MTD or RP2D and to obtain further safety and efficacy data and enable correlative biomarker analysis. | |
Eligibility Criteria
Inclusion Criteria:
Key Inclusion Criteria:
- Subjects with histologically or cytologically confirmed metastatic or locally advanced
unresectable gastric adenocarcinoma or gastroesophageal junction (GEJ) adenocarcinoma
positive for MUC17. Subjects should not be eligible for curative surgery and should
have been refractory to or have relapsed after two or more prior lines of standard
systemic therapy that included a platinum, a fluoropyrimidine, either a taxane or
irinotecan, and an approved vascular endothelial growth factor receptor (VEGFR)
antibody/tyrosine kinase inhibitor (TKI).
- For subjects eligible for human epidermal growth factor receptor 2 (HER2) directed
therapy, prior systemic therapy should have included a HER2 targeting antibody
approved for treatment of gastric cancer.
- Subjects may also be included if the aforementioned therapeutic options were medically
not appropriate for them. In these cases, the reason(s) why required prior therapies
for gastric cancer were medically not appropriate should be documented in the
subject's electronic case report form (eCRF).
- For dose expansion only: Subjects with at least one measurable lesion ≥ 10mm which has
not undergone biopsy within 3 months of screening scan. This lesion cannot be biopsied
at any time during the study.
Exclusion Criteria:
Key Exclusion Criteria:
- Any anticancer therapy or immunotherapy within 4 weeks of start of first dose.
- Central nervous system (CNS) metastases, leptomeningeal, or spinal cord compression.
- Autoimmune disorders requiring chronic systemic steroid therapy or any other form of
immunosuppressive therapy. Subjects may be included if the treatment is discontinued
more than 3 months prior to the first dose of AMG 199, there is a low likelihood of
relapse from the autoimmune disorder, AND there is agreement between the investigator
and the Amgen Medical Monitor.
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of Dose-limiting toxicities (DLT) |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To evaluate the safety and tolerability of AMG 199 in adult subjects and to determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D). |
Secondary Outcome Measures
Measure: | Maximum serum concentration (Cmax) of AMG 199 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To characterize the PK (Pharmacokinetics) of AMG 199. |
Measure: | Minimum serum concentration (Cmin) of AMG 199 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To characterize the PK (Pharmacokinetics) of AMG 199. |
Measure: | Area under the concentration-time curve (AUC) of AMG 199 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To characterize the PK (Pharmacokinetics) of AMG 199. |
Measure: | Accumulation following multiple dosing of AMG 199 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To characterize the PK (Pharmacokinetics) of AMG 199. |
Measure: | Half-life (t1/2) of AMG 199 |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To characterize the PK (Pharmacokinetics) of AMG 199. |
Measure: | Objective response (OR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and iRECIST. |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Duration of response (DOR). |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Time to progression (TTP) |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Progression-free survival (PFS), 6-month PFS |
Time Frame: | 6 months |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Progression-free survival (PFS), 1-year PFS |
Time Frame: | 1 year |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Overall survival (OS), 1-year OS. |
Time Frame: | 1 year |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Measure: | Overall survival (OS), 2-year OS |
Time Frame: | 2 years |
Safety Issue: | |
Description: | To evaluate preliminary anti-tumor activity of AMG 199 |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Amgen |
Last Updated
June 24, 2021