Clinical Trials /

Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)

NCT04198766

Description:

This is a first-in-human, open-label, non-randomized, 4-part Phase 1 trial to determine the safety profile and identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of INBRX 106 administered as a single agent or in combination with the anti-PD-1 checkpoint inhibitor (CPI) pembrolizumab (Keytruda).

Related Conditions:
  • Adenocarcinoma of the Gastroesophageal Junction
  • Gastric Adenocarcinoma
  • Head and Neck Squamous Cell Carcinoma
  • Malignant Solid Tumor
  • Melanoma
  • Non-Small Cell Lung Carcinoma
  • Renal Cell Carcinoma
  • Squamous Cell Lung Carcinoma
  • Urothelial Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
  • Official Title: An Open-Label, Multicenter, First-in-Human, Dose-Escalation, Phase 1 Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab in Subjects With Locally Advanced or Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: Ph 1 INBRX-106
  • SECONDARY ID: MK3475 KEYNOTE A99
  • NCT ID: NCT04198766

Conditions

  • Solid Tumor
  • Non-Small Cell Lung Cancer
  • Melanoma
  • Head and Neck Cancer
  • Gastric Cancer
  • Renal Cell Carcinoma
  • Urothelial Carcinoma

Interventions

DrugSynonymsArms
INBRX-106 - Hexavalent OX40 agonist antibodyPart 1 INBRX-106 Escalation
PembrolizumabKeytrudaPart 3 INBRX-106 Escalation in Combination with Pembrolizumab

Purpose

This is a first-in-human, open-label, non-randomized, 4-part Phase 1 trial to determine the safety profile and identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of INBRX 106 administered as a single agent or in combination with the anti-PD-1 checkpoint inhibitor (CPI) pembrolizumab (Keytruda).

Trial Arms

NameTypeDescriptionInterventions
Part 1 INBRX-106 EscalationExperimentalINBRX-106 will be escalated in subjects with locally advanced or metastatic solid tumors.
  • INBRX-106 - Hexavalent OX40 agonist antibody
Part 2 INBRX-106 ExpansionExperimentalSubjects with non-small cell lung cancer, melanoma, head and neck squamous cell carcinoma, gastric or gastro-esophageal junction adenocarcinoma, renal cell carcinoma, and urothelial (transitional) cell carcinoma will be treated with INBRX-106 at the RP2D.
  • INBRX-106 - Hexavalent OX40 agonist antibody
Part 3 INBRX-106 Escalation in Combination with PembrolizumabExperimentalINBRX-106 will be escalated, in combination with pembrolizumab, in subjects with locally advanced or metastatic solid tumors.
  • INBRX-106 - Hexavalent OX40 agonist antibody
  • Pembrolizumab
Part 4 INBRX-106 Expansion in Combination with PembrolizumabExperimentalSubjects with non-small cell lung cancer, melanoma, head and neck squamous cell carcinoma, gastric or gastro-esophageal junction adenocarcinoma, renal cell carcinoma, and urothelial (transitional) cell carcinoma will be treated with INBRX-106 at the RP2D in combination with pembrolizumab.
  • INBRX-106 - Hexavalent OX40 agonist antibody
  • Pembrolizumab

Eligibility Criteria

        Select Inclusion Criteria:

          -  Males or females aged ≥18 years.

          -  Parts 1 and 3 (escalation cohorts): Subjects with locally advanced or metastatic non
             resectable solid tumors, whose disease has progressed despite all standard therapies
             or for whom no further standard or clinically acceptable therapy exists.

          -  Part 2 (single-agent expansion cohort): Subjects with NSCLC, melanoma, HNSCC, G/GEA,
             RCC, or TCC, with locally advanced or metastatic, non-resectable disease, which has
             progressed despite all standard therapies or for whom no standard or clinically
             acceptable therapy exists.

          -  Part 4 (expansion cohorts in combination with pembrolizumab): Subjects with melanoma,
             HNSCC, G/GEA, RCC, or TCC, or NSCLC, with locally advanced or metastatic, non
             resectable disease, which has progressed despite all standard therapies or for whom no
             standard or clinically acceptable therapy exists.

          -  All subjects with non-squamous NSCLC must have documentation of absence of tumor
             activating EGFR mutations and absence of ALK gene rearrangements.

          -  PD-L1 by IHC (22C3): Parts 1 and 3: IHC optional. Part 2: IHC result mandatory but any
             score allowed. Part 4: Combined Positive Score (CPS) ≥ 1% (or Tumor Proportion Score
             ≥1% for NSCLC).

          -  Adequate hematologic, coagulation, hepatic and renal function and ECOG score as
             defined per protocol.

        Select Exclusion Criteria:

          -  Prior exposure to OX40 agonists.

          -  Receipt of any investigational product or any approved anticancer drug(s) or
             biological product(s) within 4 weeks prior to the first dose of study drug with
             certain exceptions.

          -  Hematologic malignancies (e.g., ALL, AML, MDS, CLL, CML, NHL, Hodgkin's lymphoma and
             multiple myeloma)

          -  Prior or concurrent malignancies. Exception: Subjects with a prior or concurrent
             malignancy whose natural history or treatment does not have the potential to interfere
             with the safety or efficacy assessments of INBRX-106.

          -  Known or active primary central nervous system (CNS) tumors, leptomeningeal disease
             and CNS metastases. Exception: Subjects with previously treated, asymptomatic, and
             clinically stable CNS metastases may be allowed study entry if certain criteria apply.

          -  Grade ≥ 3 immune-related adverse events (irAEs) or irAE that lead to discontinuation
             of prior immunotherapy. Some exceptions as defined per protocol apply.

          -  Active autoimmune disease or documented history of autoimmune disease that required
             systemic steroids or other immunosuppressive medications. Certain exceptions as
             defined in protocol apply.

          -  Treatment with systemic immunosuppressive medications within 4 weeks prior to the
             first dose of study drug. Certain exceptions as defined in protocol apply.

          -  History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection
             for Parts 1 and 3. Exceptions as defined in protocol for expansion cohorts will apply.

          -  Active interstitial lung disease (ILD) or pneumonitis or a history of ILD or
             pneumonitis requiring treatment with steroids or other immunosuppressive medications.

          -  Clinically significant cardiac condition, including myocardial infarction,
             uncontrolled angina, cerebrovascular accident, or other acute uncontrolled heart
             disease < 3 months; left ventricular ejection fraction (LVEF) < 50%; New York Heart
             Association (NYHA) Class III or IV congestive heart failure; or uncontrolled
             hypertension.

          -  Active, hemodynamically significant pulmonary embolism within 3 months prior to
             enrollment on this trial.

          -  Major surgery within 4 weeks prior to enrollment on this trial.

          -  Anti-infectious drug treatments (i.e., antibiotics) within 4 weeks prior to the first
             dose of study drug.

          -  Prior organ allograft transplantations or allogeneic peripheral blood stem cell (PBSC)
             or bone marrow (BM) transplantation.

          -  Additional in- and exclusion criteria per protocol.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Frequency of adverse events of INBRX-106 as single agent and in combination with pembrolizumab
Time Frame:2-4 years
Safety Issue:
Description:Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0

Secondary Outcome Measures

Measure:Area under the serum concentration time curve (AUC) of INBRX-106
Time Frame:2-4 years
Safety Issue:
Description:Area under the serum concentration time curve (AUC) of INBRX-106 as a single agent and in combination with pembrolizumab will be determined.
Measure:Maximum observed serum concentration (Cmax) of INBRX-106
Time Frame:2-4 years
Safety Issue:
Description:Maximum observed serum concentration (Cmax) of INBRX-106 as a single agent and in combination with pembrolizumab will be determined.
Measure:Trough observed serum concentration (Ctrough) of INBRX-106
Time Frame:2-4 years
Safety Issue:
Description:Trough observed serum concentration (Ctrough) of INBRX-106 as a single agent and in combination with pembrolizumab will be determined.
Measure:Time to Cmax (Tmax) of INBRX-106
Time Frame:2-4 years
Safety Issue:
Description:Time to Cmax (Tmax) of INBRX-106 as a single agent and in combination with pembrolizumab will be determined.
Measure:Immunogenicity of INBRX-106
Time Frame:2-4 years
Safety Issue:
Description:Frequency of anti-drug antibodies (ADA) against INBRX-106 as a single agent and in combination with pembrolizumab will be determined.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Inhibrx, Inc.

Trial Keywords

  • Phase 1
  • Phase 1 Clinical Trial
  • Solid Tumors
  • Melanoma
  • Head and Neck Cancer
  • Stomach Cancer
  • Gastric Cancer
  • Lung Cancer
  • Non-Small Cell Lung Cancer
  • Kidney Cancer
  • Renal Cell Carcinoma
  • Bladder Cancer
  • Urothelial Carcinoma
  • OX40
  • PD-1
  • Pembrolizumab
  • Keytruda

Last Updated

July 20, 2021