Description:
The investigational drug to be studied in this protocol, BCA101, is a first-in-class compound
that targets both EGFR with TGFβ. Based on preclinical data, this bifunctional antibody may
exert synergistic activity in patients with EGFR-driven tumors.
Title
- Brief Title: Study of Safety and Tolerability of BCA101 Alone and in Combination With Pembrolizumab in Patients With EGFR-driven Advanced Solid Tumors
- Official Title: First-in-Human, Phase 1/1b, Open-label, Multicenter Study of Bifunctional EGFR/TGFβ Fusion Protein BCA101 Alone and in Combination With Pembrolizumab in Patients With EGFR-Driven Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
BCA101X1101
- NCT ID:
NCT04429542
Conditions
- TNBC - Triple-Negative Breast Cancer
- Head and Neck Squamous Cell Carcinoma
- Squamous Cell Carcinoma of Anal Canal
- Uveal Melanoma
- Glioblastoma
- Colorectal Cancer
- Chordoma
- Squamous Cell Carcinoma of the Lung
- KRAS G12D
- KRAS G13D
- EGFR Amplification
- Epithelial Ovarian Cancer
- Hepatocellular Carcinoma
- Anaplastic Thyroid Cancer
- Pancreas Cancer
Interventions
Drug | Synonyms | Arms |
---|
BCA101 | | BCA101 + pembrolizumab |
Pembrolizumab | | BCA101 + pembrolizumab |
Purpose
The investigational drug to be studied in this protocol, BCA101, is a first-in-class compound
that targets both EGFR with TGFβ. Based on preclinical data, this bifunctional antibody may
exert synergistic activity in patients with EGFR-driven tumors.
Detailed Description
This is a Phase 1/1b, open-label study, which consists of dose escalation parts (Part A)
followed by expansion cohorts (Part B) for both single agent BCA101 and combination BCA101
plus pembrolizumab.
The study population in dose escalation (Part A) of single agent BCA101 consists of subjects
with EGFR-driven advanced solid tumors refractory to standard of care or for whom no standard
of care is available. Dose escalation (Part A) of combination BCA101 and pembrolizumab
consists of subjects with either Squamous Cell Carcinoma of the Head and Neck (HNSCC) or
Squamous Cell Carcinoma of the Anal Canal (SCCAC) whose tumors are refractory to standard of
care or for whom no standard of care is available.
Once the maximum tolerated dose (MTD) / recommended dose (RD) of single agent BCA101 is
determined, the study will continue with expansion cohorts (Part B) with select tumor types.
Planned expansion cohorts for single agent BCA101 include 1) PD-L1 negative, EGFR-amplified
Squamous Cell Lung Cancer (SqCLC); 2) RAS wild-type, microsatellite stable Colorectal
Carcinoma (RAS wt, MSS CRC); 3) EGFR-amplified Triple Negative Breast Cancer; and 4) any
solid tumor with either a KRAS G12D or G13D mutation. Planned expansion cohorts for the
combination of BCA101 and pembrolizumab include: 1) HNSCC and 2) SCCAC.
Trial Arms
Name | Type | Description | Interventions |
---|
BCA101 Monotherapy | Experimental | Route: IV Infusion Frequency: QW Dose: 64mg, 240mg, 800mg, 1600mg | |
BCA101 + pembrolizumab | Experimental | Route: IV Infusion Frequency: Q3W Dose: 200mg | |
Eligibility Criteria
Inclusion Criteria:
- Patient must have measurable disease amendable to biopsy and be willing to undergo
both a pre-treatment and on-treatment biopsy, as well as provide archival tumor if
available from the primary tumor (a paraffin embedded tumor tissue block sufficient to
obtain at least 10 sections of 4 to 5 micrometer thickness).
- Patient must have a performance status of ≤1 on the Eastern Cooperative Oncology Group
Performance Scale.
- Patients must have evaluable or measurable disease (computed tomography [CT]/magnetic
resonance imaging [MRI] scans performed within 21 days before the screening visit are
acceptable) demonstrating measurable disease, i.e., at least 1 unidimensional
measurable lesion as defined by Response Evaluation Criteria in Solid Tumors, Version
1.1 (RECIST 1.1) and Immune Response Evaluation Criteria in Solid Tumors (iRECIST).
- Tumor eligibility:
PART A (Dose Escalation): Patient must have histologically or cytologically confirmed,
EGFR-driven, advanced solid tumor refractory to current standard of care therapy.
i Single agent BCA101 - patients with the following tumor types will be eligible: 1)
Squamous Cell Lung Cancer (SqCLC) 2) Squamous Cell Carcinoma of the Head and Neck (HNSCC)
3) RAS wild-type microsatellite stable Colorectal Carcinoma (RAS WT MSS CRC) 4) Triple
Negative Breast Cancer (TNBC) 5) Chordoma 6) Squamous Cell Carcinoma of the Anal Canal
(SCCAC) 7) Uveal Melanoma 8) Glioblastoma (GBM) 9) Gastric Cancer 10) Any solid tumor with
a KRAS G12D or G13D mutation 11) Any solid tumor with EGFR amplification 12) Epithelial
Ovarian Cancer 13) Hepatocellular Carcinoma (HCC) 14) Anaplastic Thyroid Cancer (ATC) 15)
Pancreatic Cancer 16) Other EGFR-driven advanced solid tumors (if there is compelling data
or evidence to enroll a patient with a tumor type other than those listed in 1 - 15, the
treating physician may discuss the patient with the Sponsor to determine eligibility). ii.
Combination BCA101 and pembrolizumab - patients with the following tumor types will be
eligible:
1. HNSCC
2. SCCAC
PART B (Cohort expansion): Patients must have histologically or cytologically confirmed
EGFR-driven, advanced solid tumor refractory to current standard of care therapy.
i Single agent BCA101 - patients with the following tumor types will be eligible:
1. PD-L1 negative, EGFR-amplified SqCLC
2. RAS WT MSS CRC
3. EGFR-amplified TNBC
4. Any solid tumor with a KRAS G12D or G13D mutation ii. Combination BCA101 and
pembrolizumab - patients with the following tumor types will be eligible:
1) HNSCC 2) SCCAC
Exclusion Criteria:
- Exposure to anti-EGFR antibodies within 4 weeks of the first dose of study drug or any
history of treatment with anti-TGFβ therapies.
- Prior history of Grade ≥ 2 intolerance or hypersensitivity reaction to cetuximab or
other anti-EGFR therapy or other murine proteins or prior discontinuation of therapy
in the setting of toxicity related to treatment.
- For Part B only: Prior history of Grade ≥ 2 intolerance or hypersensitivity reaction
to immune checkpoint inhibitors or any history of treatment discontinuation in the
setting of toxicity to an immune checkpoint inhibitor.
- Pregnant or breastfeeding women.
- Any condition requiring systemic treatment with either corticosteroids (>10 mg daily
of prednisone or equivalent) or other immunosuppressive medication within 14 days
prior to the first dose of study drug, with the exception of topical, intranasal,
intrabronchial, or ocular steroids.
- Known case of human immunodeficiency virus (HIV), or active hepatitis B (hepatitis B
surface antigen; HBsAg) or hepatitis C.
Note: Patients with past hepatitis B virus (HBV) infection or resolved HBV infection
(defined as having a negative HBsAg test and a positive antibody to hepatitis B core
antigen [anti HBc] antibody test) are eligible. Patients positive for hepatitis C virus
(HCV) antibody are eligible only if polymerase chain reaction is negative for HCV RNA.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety of BCA101 alone and BCA101 in combination with pembrolizumab: Incidence and severity of AEs and SAEs |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Incidence and severity of AEs and SAEs |
Secondary Outcome Measures
Measure: | Objective Response Rate |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Determine objective response rate in each part of the study, per RECIST v1.1 and iRECIST |
Measure: | Clinical Benefit Rate |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Determine clinical benefit rate in each part of the study, per RECIST v1.1 and iRECIST |
Measure: | Progression free survival |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Determine PFS in each part of the study, per RECIST v1.1 and iRECIST |
Measure: | Duration of Response |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Determine duration of response in each part of the study, per RECIST v1.1 and iRECIST |
Measure: | Overall Survival |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Determine survival rates in each part of the study. |
Measure: | AUC of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | AUC |
Measure: | Cmax of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Cmax |
Measure: | Tmax of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Tmax |
Measure: | Concentration vs time profile of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Ctrough |
Measure: | Half-life of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Half-life |
Measure: | Immunogenicity of BCA101 and pembrolizumab |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Incidence and titer of anti-drug-antibodies |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Bicara Therapeutics |
Trial Keywords
Last Updated
January 14, 2021