Description:
The primary purpose of this study is to see if Sym024 is safe and tolerable as monotherapy
and in combination with Sym021 in patients with solid tumor malignancies.
Title
- Brief Title: Sym024 Monotherapy and in Combination With Sym021 in Patients With Advanced Solid Tumor Malignancies
- Official Title: A Phase 1, Open-Label, Multicenter Trial Investigating the Safety, Tolerability, and Preliminary Antineoplastic Activity of Sym024 (Anti-CD73) as Monotherapy and in Combination With Sym021 (Anti-PD-1) in Patients With Advanced Solid Tumor Malignancies
Clinical Trial IDs
- ORG STUDY ID:
Sym024-01
- NCT ID:
NCT04672434
Conditions
- Metastatic Cancer
- Solid Tumor
Interventions
Drug | Synonyms | Arms |
---|
Sym021 | Anti-PD-1 | Dose Expansion Sym021 (+Sym024) |
Sym024 | | Dose Expansion Sym021 (+Sym024) |
Purpose
The primary purpose of this study is to see if Sym024 is safe and tolerable as monotherapy
and in combination with Sym021 in patients with solid tumor malignancies.
Detailed Description
Part 1 of this study will assess the safety and tolerability to establish the maximum
tolerated dose (MTD) (or the maximum administered dose [MAD]) and/or the selected dose(s) of
Sym024 in patients with solid tumor malignancies.
Part 2 of this study will assess the safety and tolerability to establish the MTD (or the
MAD) and/or the selected dose(s) of Sym024 when administered in combination with Sym021 in
patients with solid tumor malignancies.
Part 3 of this study will assess the safety of Sym024 when administered alone or in
combination with Sym021 in expanded cohorts of patients with solid tumor malignancies.
Trial Arms
Name | Type | Description | Interventions |
---|
Sym024 Dose Level 1 | Experimental | Part I, Sym024 monotherapy dose level 1 | |
Sym024 Dose Level 2 | Experimental | Part I, Sym024 monotherapy dose level 2 | |
Sym024 Dose Level 3 | Experimental | Part I, Sym024 monotherapy dose level 3 | |
Sym024 Dose Level 4 | Experimental | Part I, Sym024 monotherapy dose level 4 | |
Sym024 Dose Level -1 | Experimental | Part I, Sym024 monotherapy dose level -1. Evaluate only if needed based on tolerability | |
Sym021+Sym024 Dose Level 2 | Experimental | Part II, Sym021 in combination with dose level 2 of Sym024 | |
Sym021+Sym024 Dose Level 3 | Experimental | Part II, Sym021 in combination with dose level 3 of Sym024 | |
Sym021+Sym024 Dose Level 4 | Experimental | Part II, Sym021 in combination with dose level 4 of Sym024 | |
Sym021+Sym024 Dose Level 1 | Experimental | Part II, Sym021 in combination with dose level 1 of Sym024. Evaluate only if needed based on tolerability | |
Dose Expansion Sym021 (+Sym024) | Experimental | Part III, dose expansion Sym024 and/or Sym021+Sym024 | |
Eligibility Criteria
Inclusion Criteria:
- Male or female patients, ≥18 years.
- Documented (histologically or cytologically proven), locally advanced or metastatic
solid tumor malignancy (must be one of the following):
1. Squamous cell carcinoma of the head and neck
2. Non-small-cell lung carcinoma-adenocarcinoma histology subtype
3. Pancreatic ductal adenocarcinoma
4. Cholangiocarcinoma
5. Colorectal carcinoma (microsatellite stable [MSS] and microsatellite
instability-high [MSI-H] phenotypes)
6. Gastric carcinoma (includes gastroesophageal carcinoma)
7. Esophageal carcinoma (includes squamous cell and adenocarcinoma)
8. Mesothelioma (pleural and peritoneal)
- Malignancy that is not currently amenable to surgical intervention due to either
medical contraindications or non-resectability of the tumor.
- Measurable disease according to RECIST v1.1.
- Refractory to or intolerant of existing therapy(ies) known to provide clinical
benefit.
- Agreeing to mandatory tumor tissue biopsies (2 total).
- ECOG PS of 0 or 1.
- Adequate organ function as indicated by the following laboratory values.
- Adequate contraception required as appropriate.
Exclusion Criteria:
- Central nervous system (CNS) malignancies.
- Clinically significant cardiovascular disease or condition.
- Active thrombosis, or a history of deep vein thrombosis or pulmonary embolism within 4
weeks prior to the first dose of study drug(s).
- Active uncontrolled bleeding or a known bleeding diathesis.
- Significant ocular disease or condition.
- Significant pulmonary disease or condition.
- Current or recent (within 6 months) significant gastrointestinal disease or condition.
- Active, known or suspected autoimmune disease.
- History of organ transplantation (i.e., stem cell or solid organ transplant).
- Known history of human immunodeficiency virus (HIV) or known active infection with
hepatitis B virus (HBV) or hepatitis C virus (HCV).
- Any other serious/active/uncontrolled infection.
- History of significant toxicities associated with previous administration of immune
checkpoint inhibitors.
- Known or suspected hypersensitivity to any of the excipients of formulated study drug.
- Unresolved >Grade 1 toxicity associated with any prior antineoplastic therapy.
- Inadequate recovery from any prior surgical procedure, or patients having undergone
any major surgical procedure within 4 weeks prior to the first dose of study drug(s).
- Any other serious, life-threatening, or unstable preexisting medical condition (aside
from the underlying malignancy).
Therapeutic Exclusions
- Prior therapy with Sym024 or other inhibitors of CD73, CD39 or adenosine receptors
ADORA2A, ADORA2B.
- Part II and Part III, prior anti-PD-(L)1 therapy, except for indications where it is
approved.
- Any antineoplastic agent for the primary malignancy (standard or investigational)
within 4 weeks or 5 elimination half-lives.
- Any other investigational treatments within 2 weeks prior to the first dose of study
drug(s).
- Radiotherapy, with exceptions.
- Live vaccines against infectious diseases 4 weeks prior to the first dose of study
drug(s).
- Immunosuppressive or systemic glucocorticoids therapy (>10 mg daily prednisone or
equivalent) within 2 weeks prior to the first dose of study drug(s), with exceptions.
- Prophylactic use of hematopoietic growth factors within 1 week prior to the first dose
of study drug(s).
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part I: To evaluate the incidence, severity and relationship of (S)AEs to establish the MTD/MAD of Sym024 monotherapy. |
Time Frame: | 28 days |
Safety Issue: | |
Description: | Assess the safety and tolerability of Sym024 monotherapy on a Q2W schedule (every two weeks). Assessment based on the occurrence of AEs meeting DLT criteria measured during Cycle 1 |
Secondary Outcome Measures
Measure: | Evaluation of the immunogenicity of Sym024 as a single agent and in combination with Sym024 |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Serum sampling to assess the potential for anti-drug antibody (ADA) formation |
Measure: | Evaluation of objective response (OR) or stable disease (SD) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) and Immunotherapeutics Response Evaluation Criteria in Solid Tumors (iRECIST) |
Measure: | Time to progression (TTP) of disease |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Based on time of enrollment to first evidence of progression on imaging studies, as assessed by RECIST v1.1 and iRECIST |
Measure: | Area under the concentration-time curve in a dosing interval (AUC) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be estimated using non-compartmental methods and actual timepoints |
Measure: | Maximum concentration (Cmax) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be derived from observed data |
Measure: | Time to reach maximum concentration (Tmax) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be derived from observed data |
Measure: | Trough concentration (Ctrough) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be derived from observed data |
Measure: | Terminal elimination half-life (T½) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be estimated using non-compartmental methods and actual timepoints |
Measure: | Clearance (CL) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | Will be estimated using non-compartmental methods and actual timepoints |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Symphogen A/S |
Trial Keywords
- Locally advanced/unresectable
- Metastatic solid tumor
- Anti-PD-1
- PD-1
- PD1
- CD73
- Squamous cell carcinoma of the head and neck (SCCHN)
- Non-small-cell lung carcinoma-adenocarcinoma histology subtype (NSCLC-Adeno)
- Pancreatic ductal adenocarcinoma (PDAC)
- Cholangiocarcinoma (CCA)
- Colorectal carcinoma (CRC)
- Gastric carcinoma (GC)
- Esophageal carcinoma (EsoCA)
- Mesothelioma (Meso)
- Sym021
- Sym024
- Head and neck squamous cell carcinoma (HNSCC)
Last Updated
July 2, 2021