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A Study Evaluating Safety, Pharmacokinetics, Pharmacodynamics, And Clinical Activity Of RO7119929 (TLR7 Agonist) In Participants With Unresectable Advanced Or Metastatic Hepatocellular Carcinoma, Biliary Tract Cancer, Or Solid Tumors With Hepatic Metastases

NCT04338685

Description:

Phase I study of RO7119929 given orally to participants with unresectable advanced or metastatic primary liver cancers and other solid tumors with predominant liver involvement. The primary objective of the study is to explore the safety and to determine the maximum tolerated dose (MTD) and/or optimal biologic dose (OBD) of RO7119929 as single agent.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study Evaluating Safety, Pharmacokinetics, Pharmacodynamics, And Clinical Activity Of RO7119929 (TLR7 Agonist) In Participants With Unresectable Advanced Or Metastatic Hepatocellular Carcinoma, Biliary Tract Cancer, Or Solid Tumors With Hepatic Metastases
  • Official Title: A First In Human, Open Label, Dose Escalation Phase I Study Evaluating Safety, Pharmacokinetics, Pharmacodynamics, And Preliminary Clinical Activity Profile Of Single Agent RO7119929 (TLR7 Agonist) Administered Orally To Participants With Unresectable Advanced Or Metastatic Hepatocellular Carcinoma, Biliary Tract Cancer, Or Solid Tumors With Hepatic Metastases

Clinical Trial IDs

  • ORG STUDY ID: WP41377
  • NCT ID: NCT04338685

Conditions

  • Carcinoma, Hepatocellular
  • Biliary Tract Cancer
  • Secondary Liver Cancer
  • Liver Metastases

Interventions

DrugSynonymsArms
RO7119929RO7119929
TocilizumabActemraRO7119929

Purpose

Phase I study of RO7119929 given orally to participants with unresectable advanced or metastatic primary liver cancers and other solid tumors with predominant liver involvement. The primary objective of the study is to explore the safety and to determine the maximum tolerated dose (MTD) and/or optimal biologic dose (OBD) of RO7119929 as single agent.

Trial Arms

NameTypeDescriptionInterventions
RO7119929ExperimentalParticipants will receive RO7119929 every week in 3-week cycles. In Part A (dose-escalation on a weekly schedule) maximum tolerated dose (MTD) and/or recommended dose for expansion cohorts (RDE) will be determined. Following determination of MTD and/or RDE, treatment will commence at up to three different doses in specific expansion cohorts of participants for extended PD analysis (Part B).
  • RO7119929
  • Tocilizumab

Eligibility Criteria

        Inclusion Criteria:

          -  Histologically confirmed diagnosis of one of the following: unresectable advanced or
             metastatic HCC (including fibrolamellar HCC) not amenable to a curative treatment
             approach, unresectable advanced or metastatic intrahepatic or perihilar (Klatskin) BTC
             not amenable to a curative treatment approach, extrahepatic BTC or gallbladder cancer
             infiltrating the liver or metastasized into the liver with predominant liver disease,
             not amenable to a curative treatment approach, metastasized colorectal cancer (CRC),
             pancreatic ductal adenocarcinoma (PDAC), Gastric cancer (GC), renal cell carcinoma
             (RCC), triple negative breast cancer (TNBC), cutaneous melanoma, or ocular melanoma
             with predominant liver disease not amenable to a curative treatment approach.
             Participants with other solid tumors with predominant liver disease not amenable to a
             curative treatment approach might be enrolled after Sponsor approval

          -  Measurable disease with at least one measurable locally untreated liver lesion, as
             defined by RECIST v1.1

          -  Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

          -  Adequate hematologic and major organ functions

          -  Participants for which there is no available standard therapy likely to confer
             clinical benefit, or participants who are not candidates for such available therapy

          -  Life expectancy of ≥12 weeks, approximated with Royal Marsden Hospital score 0-1 or
             Gustave Roussy Immune (GRIm) score 0-1. Participants with a Royal Marsden Hospital or
             GRIm score of ≥2 and a life expectancy of ≥12 weeks according to the investigator's
             clinical judgement may be enrolled after Medical Monitor approval has been obtained.

          -  For participants with HCC: Child-Pugh score of A6 or better

        Exclusion Criteria:

          -  History or clinical evidence of central nervous system (CNS) primary tumors or
             metastases including leptomeningeal metastases, unless they have been previously
             treated, are asymptomatic, and have had no requirement for steroids or enzyme-inducing
             anticonvulsants in the last 14 days prior to Screening

          -  Evidence of any extra-hepatic primary tumor or metastasis requiring prompt medical
             intervention

          -  Receipt of prior therapy with a TLR7/8/9 agonist and/or IFN-alpha

          -  Prior chemotherapy, antibody, or other registered or experimental cancer treatment
             within 3 weeks of study Cycle 1 Day 1. Specifically, no CPI antibody is allowed to be
             administered within 6 weeks of study Cycle 1 Day 1

          -  Receipt of investigational agent for any other indication within 3 weeks of dosing

          -  Treatment with systemic immunosuppressive medication (including, but not limited to,
             corticosteroids, cyclophosphamide, azathioprine, methotrexate, thalidomide, and
             anti-TNF-alpha agents) within 2 weeks prior to initiation of study treatment, or
             anticipation of need for systemic immunosuppressive medication during study treatment

          -  Local therapy to liver (e.g. radiofrequency ablation, percutaneuous ethanol or acetic
             acid injection, cryoablation, high-intensity focused ultrasound, transarterial
             chemoembolization, and transarterial embolization) within 3 weeks prior to initiation
             of study treatment, radioembolization within 3 months prior to initiation of study
             treatment, or non-recovery from side effects of such procedure

          -  Treatment-related toxicities from prior cancer therapy that have not resolved to </=
             Grade 1 CTC AE prior to study treatment with the exception of the following Grade 2
             toxicities:

        alopecia, peripheral neuropathy, any laboratory changes that still lie within the inclusion
        criteria defined above

          -  History of other malignancy within 2 years; exception for ductal carcinoma in situ not
             requiring chemotherapy, low grade cervical intraepithelial neoplasia (CIN),
             nonmelanoma skin cancer, low grade localized prostate cancer (Gleason score < Grade
             7), or optimally treated Stage 1 uterine cancer.

          -  Active or history of immunologic-mediated disease, including but not limited to
             myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus,
             rheumatoid arthritis, multiple sclerosis, inflammatory bowel disease, antiphospholipid
             antibody syndrome, Wegener granulomatosis, Sjogren's syndrome or Guillain-Barré
             syndrome

          -  Known active or uncontrolled bacterial, viral, fungal, mycobacterial, parasitic, or
             other infection.

          -  Ascites, pleural effusion, or pericardial effusion requiring medical intervention
             within 12 months prior to study entry.

          -  History of human immunodeficiency virus (HIV) infection

          -  Active hepatitis B virus (HBV) infection

          -  Coinfection of HBV and hepatitis C virus (HCV).
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Nature and Frequency of Dose-Limiting Toxicities
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Maximum Concentration (Cmax) for RO7119929 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Maximum Concentration (Cmax) for RO7117418 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Time of Maximum Concentration Observed (Tmax) for RO7119929 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Time of Maximum Concentration Observed (Tmax) for RO7117418 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Area Under the Curve (AUC) for RO7119929 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Area Under the Curve (AUC) for RO7117418 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Half-Life (T1/2) for RO7119929 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Half-Life (T1/2) for RO7117418 Following Administration of RO7119929
Time Frame:Cycle 1, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 1, Day 15: Predose, 2, 8h postdose; Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycles 1 and 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Maximum Concentration (Cmax) for RO7119929 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Maximum Concentration (Cmax) for RO7117418 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Time of Maximum Concentration Observed (Tmax) for RO7119929 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Time of Maximum Concentration Observed (Tmax) for RO7117418 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Area Under the Curve (AUC) for RO7119929 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Area Under the Curve (AUC) for RO7117418 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Half-Life (T1/2) for RO7119929 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Half-Life (T1/2) for RO7117418 Following Administration of RO7119929 in Fasting Conditions
Time Frame:Cycle 2, Day 1: Predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12h postdose; Cycle 2, Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Change in Inflammatory PD Biomarker INF-alpha
Time Frame:Cycle 1 Day 1: Predose, 2, 6, 12h postdose; Cycle 2 Day 2: Predose, 2, 6 h postdose; Cycles 1 and 2 Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Change in Inflammatory PD Biomarker ISGs
Time Frame:Cycle 1 Day 1: Predose, 2, 6, 12h postdose; Cycle 2 Day 2: Predose, 2, 6h postdose; Cycles 1 and 2 Day 2: 24, 30h postdose (cycle length = 21 days)
Safety Issue:
Description:
Measure:Objective Response Rate (ORR) according to RECIST v1.1
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:
Measure:Disease Control Rate (DCR) according to RECIST v1.1
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:
Measure:Duration of Response (DOR) according to RECIST v1.1
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:
Measure:Progression-Free Survival (PFS) according to RECIST v1.1
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:
Measure:Overall Survival (OS)
Time Frame:Baseline up to approximately 14 months
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Hoffmann-La Roche

Trial Keywords

  • TLR7 Agonist

Last Updated

July 26, 2021