Description:
This first-time-in-human (FTIH) study will evaluate the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of escalating
doses of GSK6097608 given as monotherapy and in combination with dostarlimab in participants
with advanced solid tumors. This study will be used to define the recommended Phase 2 dose
(RP2D). The study comprises 3 phases; screening phase (28 days prior to first dose),
treatment phase (until disease progression, unacceptable toxicity, death, or withdrawal of
consent) and follow-up phase (90 days). Approximately 100 adult participants with locally
advanced, recurrent, or metastatic solid tumors will be enrolled.
Title
- Brief Title: Study of the Safety and Effectiveness of GSK6097608 in Participants With Advanced Solid Tumors
- Official Title: A Phase 1 First-Time-in-Human, Open-Label Study of GSK6097608 Administered as Monotherapy and in Combination With Anticancer Agents in Participants With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
212214
- NCT ID:
NCT04446351
Conditions
Interventions
Drug | Synonyms | Arms |
---|
GSK6097608 | | Participants receiving GSK6097608 (Arm A) |
Dostarlimab | | Participants receiving GSK6097608 plus dostarlimab (Arm B) |
Purpose
This first-time-in-human (FTIH) study will evaluate the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of escalating
doses of GSK6097608 given as monotherapy and in combination with dostarlimab in participants
with advanced solid tumors. This study will be used to define the recommended Phase 2 dose
(RP2D). The study comprises 3 phases; screening phase (28 days prior to first dose),
treatment phase (until disease progression, unacceptable toxicity, death, or withdrawal of
consent) and follow-up phase (90 days). Approximately 100 adult participants with locally
advanced, recurrent, or metastatic solid tumors will be enrolled.
Trial Arms
Name | Type | Description | Interventions |
---|
Participants receiving GSK6097608 (Arm A) | Experimental | Participants will be administered an IV infusion of GSK6097608 every 3 weeks as monotherapy in escalating doses. | |
Participants receiving GSK6097608 plus dostarlimab (Arm B) | Experimental | Participants will be administered an IV infusion of GSK6097608 every 3 weeks in escalating doses followed by an IV infusion of dostarlimab (every 3 weeks for 4 doses and every 6 weeks thereafter). | |
Eligibility Criteria
Inclusion Criteria:
- Adults 18 years of age or older;
- Female participants of childbearing potential must agree to use a highly effective
form of contraception;
- Histological or cytological documentation of locally advanced, recurrent, or
metastatic solid malignancy;
- Disease that has progressed after standard therapy for the specific tumor type, or for
which standard therapy has proven to be ineffective, intolerable, or is considered
inappropriate, or if no further standard therapy exists;
- Participants must provide a tumor biopsy during the screening period from a tumor
lesion and agree to an additional on-treatment biopsy.
- Measurable disease per RECIST 1.1
- Eastern cooperative oncology group (ECOG) performance status (PS) 0 to 1
- Life expectancy of at least 12 weeks.
- Adequate organ function as determined by laboratory assessments.
- Adequate cardiac ejection fraction as measured by echocardiogram.
Exclusion Criteria:
- Prior anti-cancer treatment including investigational agents, immune checkpoint
inhibitors, chemotherapy, targeted therapy, and biological therapy: within 4 weeks or
5 half-lives of the drug, whichever is shorter.
- Prior allogenic or autologous bone marrow transplantation or other solid organ
transplantation.
- Toxicity from previous anticancer treatment, including; greater than or equal to Grade
3 immune-mediated toxicity considered related to prior immunotherapy and that led to
treatment discontinuation; or toxicity related to prior treatment that has not
resolved.
- Known additional malignancy that progressed or required active treatment within the
last 2 years.
- Uncontrolled or symptomatic central nervous system (CNS) metastases and/or
carcinomatous meningitis.
- Active autoimmune disease that has required systemic disease-modifying or
immunosuppressive treatment within the last 2 years.
- Concurrent medical condition requiring the use of systemic immunosuppressive
treatment.
- Cirrhosis or current unstable liver or biliary disease per investigator assessment.
- Active infection requiring systemic treatment, known human immunodeficiency virus
infection, or positive test for hepatitis B surface antigen (HBsAg) or hepatitis C
virus (HCV)
- Prolonged QT corrected for heart rate according to Fridericia's formula as measured by
electrocardiogram.
- History of hypersensitivity to monoclonal antibodies. For combination therapy, history
of hypersensitivity to dostarlimab or its excipients.
- History or evidence of significant cardiovascular (CV) risk.
- Recent history (within 6 months) of uncontrolled symptomatic ascites or pleural
effusions.
- History of idiopathic pulmonary fibrosis; interstitial lung disease; organizing
pneumonia; noninfectious pneumonitis that required steroids, or evidence of active,
noninfectious pneumonitis.
- Pregnant or lactating woman.
- Receipt of live vaccine within 30 days of the start of study intervention.
- Receipt of transfusion of blood products or administration of colony-stimulating
factors within 14 days before the first dose of study intervention.
- Major surgery less than 4 weeks before the first dose of study intervention.
- Known drug or alcohol abuse.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with dose-limiting toxicities (DLTs) |
Time Frame: | Up to Day 21 |
Safety Issue: | |
Description: | Number of participants with DLTs will be determined. |
Secondary Outcome Measures
Measure: | Number of participants with abnormal clinical chemistry values |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with abnormal clinical chemistry parameters will be assessed. |
Measure: | Number of participants with abnormal hematology values |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with abnormal hematology parameters will be assessed. |
Measure: | Number of participants with abnormal vital signs |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with abnormal vital signs will be assessed. |
Measure: | Number of participants with abnormal urinalysis results |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with abnormal urinalysis parameters will be assessed. |
Measure: | Number of participants with abnormal electrocardiogram (ECG) findings |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with abnormal ECG parameters will be assessed. |
Measure: | Number of participants with dose reductions or delay |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants with dose reductions or delay will be determined. |
Measure: | Number of participants withdrawn due to AEs |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Number of participants withdrawn due to AEs will be determined. |
Measure: | Overall response rate (ORR) |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | ORR is defined as percentage of participants with a confirmed partial response or better based on response evaluation criteria in solid tumors, (RECIST) 1.1 |
Measure: | Number of participants with positive anti-drug antibodies (ADAs) against GSK6097608 |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | The number of participants with at least one confirmed positive ADA at any time post-Baseline will be determined. |
Measure: | Titers of ADAs against GSK6097608 |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Titers of ADAs against GSK6097608 will be determined. |
Measure: | Number of participants with positive ADAs against dostarlimab |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | The number of participants with at least one confirmed positive ADA at any time post-Baseline will be determined. |
Measure: | Titers of ADAs against dostarlimab |
Time Frame: | Up to 2 years |
Safety Issue: | |
Description: | Titers of ADAs against dostarlimab will be determined. |
Measure: | Maximum observed concentration (Cmax) for GSK6097608 |
Time Frame: | Day 1 (Pre-dose, End of Infusion [EOI], 4 hours after EOI), Day 2 (24 hours after EOI), Day 3 to Day 4 (72 to 96 hours after EOI), Week 1, Week 2, Week 3 (pre-dose and EOI), Week 4, Week 5, Weeks 6, 9 and 12 (pre-dose and EOI) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of GSK6097608. |
Measure: | Minimum observed concentration (Cmin) for GSK6097608 |
Time Frame: | Day 1 (Pre-dose,EOI,4 hours after EOI),Day 2 (24 hours after EOI),Day 3 to Day 4 (72 to 96 hours after EOI), Week 1,Week 2,Week 3 (pre-dose and EOI),Week 4,Week 5, Weeks 6, 9, 12 and 15 (pre-dose and EOI) and pre-dose and EOI every 12 weeks up to 2 years |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of GSK6097608. |
Measure: | Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC[0-infinity]) for GSK6097608 |
Time Frame: | Day 1 (Pre-dose, EOI, 4 hours after EOI), Day 2 (24 hours after EOI), Day 3 to Day 4 (72 to 96 hours after EOI), Week 1, Week 2, Week 3 (pre-dose and EOI), Week 4, Week 5, Weeks 6, 9 and 12 (pre-dose and EOI) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of GSK6097608. |
Measure: | Area under the plasma concentration-time curve from time zero to time (AUC[0-t]) for GSK6097608 |
Time Frame: | Day 1 (Pre-dose, EOI, 4 hours after EOI), Day 2 (24 hours after EOI), Day 3 to Day 4 (72 to 96 hours after EOI), Week 1, Week 2, Week 3 (pre-dose and EOI), Week 4, Week 5, Weeks 6, 9 and 12 (pre-dose and EOI) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of GSK6097608. |
Measure: | Apparent terminal phase half-life (t1/2) for GSK6097608 |
Time Frame: | Day 1 (Pre-dose, EOI, 4 hours after EOI), Day 2 (24 hours after EOI), Day 3 to Day 4 (72 to 96 hours after EOI), Week 1, Week 2, Week 3 (pre-dose and EOI), Week 4, Week 5, Weeks 6, 9 and 12 (pre-dose and EOI) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of GSK6097608. |
Measure: | Cmax for dostarlimab |
Time Frame: | Day 1 (Pre-dose and EOI), Day 2 (24 hours after EOI), Week 1, Week 2, Week 3 (pre-dose), Week 6 (pre-dose), Week 9 (pre-dose), and Week 12 (pre-dose) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of dostarlimab. |
Measure: | Cmin for dostarlimab |
Time Frame: | Day 1 (Pre-dose and EOI), Day 2 (24 hours after EOI), Week 1, Week 2, Week 3 (pre-dose), Week 6 (pre-dose), Week 9 (pre-dose), Week 12 (pre-dose), and pre-dose every 12 weeks up to 2 years |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of dostarlimab. |
Measure: | AUC(0-infinity) for dostarlimab |
Time Frame: | Day 1 (Pre-dose and EOI), Day 2 (24 hours after EOI), Week 1, Week 2, Week 3 (pre-dose), Week 6 (pre-dose), Week 9 (pre-dose), and Week 12 (pre-dose) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of dostarlimab. |
Measure: | AUC(0-t) for dostarlimab |
Time Frame: | Day 1 (Pre-dose and EOI), Day 2 (24 hours after EOI), Week 1, Week 2, Week 3 (pre-dose), Week 6 (pre-dose), Week 9 (pre-dose), and Week 12 (pre-dose) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of dostarlimab. |
Measure: | t1/2 for dostarlimab |
Time Frame: | Day 1 (Pre-dose and EOI), Day 2 (24 hours after EOI), Week 1, Week 2, Week 3 (pre-dose), Week 6 (pre-dose), Week 9 (pre-dose), and Week 12 (pre-dose) |
Safety Issue: | |
Description: | Blood samples will be collected at indicated time points for pharmacokinetic analysis of dostarlimab. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | GlaxoSmithKline |
Trial Keywords
- GSK6097608
- Dostarlimab
- Dose escalation
- Pharmacokinetics
- Pharmacodynamics
- Advanced solid tumors
- First-time-in-human
Last Updated
July 27, 2021