Clinical Trials /

Safety and Efficacy of XmAb18087 ± Pembrolizumab in Advanced Merkel Cell Carcinoma or Extensive-stage Small Cell Lung Cancer

NCT04590781

Description:

This is a Phase 1b/2, multiple-dose study designed to describe safety and efficacy, and to assess PK and immunogenicity of XmAb18087 monotherapy and in combination with pembrolizumab in subjects with metastatic Merkel cell (MCC) or locoregional MCC that has recurred after locoregional therapy with surgery and/or radiation therapy, and XmAb18087 monotherapy in subjects with extensive-stage small cell lung cancer (SCLC) that has progressed after standard therapies.

Related Conditions:
  • Merkel Cell Carcinoma
  • Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Safety and Efficacy of XmAb18087 ± Pembrolizumab in Advanced Merkel Cell Carcinoma or Extensive-stage Small Cell Lung Cancer
  • Official Title: A Phase 1b/2 Multiple-Dose Study to Evaluate the Safety and Efficacy of XmAb18087 ± Pembrolizumab in Subjects With Advanced Merkel Cell Carcinoma or Extensive-stage Small Cell Lung Cancer (DUET-1-02) Protocol

Clinical Trial IDs

  • ORG STUDY ID: XmAb18087-02
  • SECONDARY ID: DUET 1-02
  • NCT ID: NCT04590781

Conditions

  • Merkel Cell Carcinoma
  • Small Cell Lung Cancer

Interventions

DrugSynonymsArms
XmAb18087Part A: XmAb18087 Monotherapy
XmAb18087 ± PembrolizumabPart B: XmAb18087 + pembrolizumab

Purpose

This is a Phase 1b/2, multiple-dose study designed to describe safety and efficacy, and to assess PK and immunogenicity of XmAb18087 monotherapy and in combination with pembrolizumab in subjects with metastatic Merkel cell (MCC) or locoregional MCC that has recurred after locoregional therapy with surgery and/or radiation therapy, and XmAb18087 monotherapy in subjects with extensive-stage small cell lung cancer (SCLC) that has progressed after standard therapies.

Trial Arms

NameTypeDescriptionInterventions
Part A: XmAb18087 MonotherapyExperimentalPart A, will enroll subjects with previously treated advanced MCC, consists of safety-run in cohorts followed by an expansion cohort.
  • XmAb18087
Part B: XmAb18087 + pembrolizumabExperimentalPart B, will enroll subjects with advanced MCC not previously treated with anti-programmed cell death 1 (PD1) or anti-programmed cell death ligand 1 (PDL1) agents, consists of safety run-in cohorts followed by an expansion cohort.
  • XmAb18087 ± Pembrolizumab
Part C: XmAb18087 monotherapyExperimentalPart C will enroll subjects with previously treated extensive-stage SCLC and consists of safety-run in cohorts followed by an expansion cohort.
  • XmAb18087

Eligibility Criteria

        Inclusion Criteria:

          -  Able to provide written informed consent

          -  Adult subjects ≥ 18 years

          -  Disease measurable by RECIST 1.1 criteria using either computed tomography (CT) or
             magnetic resonance imaging (MRI) scan

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

          -  All subjects must have adequate archival tumor sample (slides or archival
             formalin-fixed paraffin-embedded [FFPE] block[s] containing tumor that has not been
             previously irradiated

          -  Female subjects of childbearing potential must agree to use a highly effective method
             of birth control during and for 4 weeks after completion of study. success), or sexual
             abstinence

          -  Fertile male subjects must be willing to practice a highly effective method of birth
             control for the duration of the study and continuing for 4 weeks after the last dose
             of XmAb18087 or pembrolizumab (when applicable

          -  Able and willing to complete the entire study according to the study schedule

        Additional Inclusion Criteria for Part A and Part B Cohorts:

        • Histologically or cytologically confirmed metastatic MCC or locoregional MCC that has
        recurred following standard locoregional therapy with surgery and/or radiation therapy.

        Additional Inclusion Criteria for Part A Cohorts:

        • Subjects must have progressed on or been ineligible for treatment with anti-PD1 or
        anti-PDL1 therapy.

        Additional Inclusion Criteria for Part B Cohorts:

        • Subjects must be eligible to receive pembrolizumab as standard of care.

        Additional Inclusion Criteria for Part C Cohorts:

        : Histologically or cytologically confirmed extensive-stage SCLC that has progressed
        following standard therapies

        -

        Exclusion Criteria:

        Additional Exclusion Criteria for Part B Cohorts: XmAb18087 in Combination with
        Pembrolizumab In addition to the exclusion criteria in Section 8.6, subjects will be
        excluded from Part B safety run-in and expansion cohorts administered XmAb18087 in
        combination with pembrolizumab if they meet the following criteria:

          -  Prior treatment with therapeutics directed at anti-programmed cell death 1 (anti-PD1)
             or anti-programmed cell death ligand 1 (anti-PDL1)

          -  Have severe hypersensitivity (≥ Grade 3) to pembrolizumab and/or any of its excipients
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of treatment-emergent adverse events (safety), graded by CTCAE version 5.0
Time Frame:42 Days
Safety Issue:
Description:Determine the rates of treatment-emergent adverse events as graded by CTAE version 5.0

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Xencor, Inc.

Trial Keywords

  • MCC
  • SCLC

Last Updated

August 5, 2021