Description:
The study will assess the safety, PK, PD, and preliminary efficacy of ABBV-CLS-484 as
monotherapy and in combination with a PD-1 targeting agent. The trial aims to establish a
safe, tolerable, and efficacious dose of ABBV-CLS-484 as monotherapy and in combination. The
study will be conducted in three parts. Part 1 Monotherapy Dose Escalation, Part 2
Combination Dose Escalation and Part 3 Dose Expansion (Monotherapy and Combination therapy).
Part 1, ABBV-CLS-484 will be administered alone in escalating dose levels to eligible
subjects who have advanced solid tumors.
Part 2, ABBV-CLS-484 will be administered at escalating dose levels in combination with a
PD-1 targeting agent to eligible subjects who have advanced solid tumors.
Part 3, ABBV-CLS-484 will be administered alone as a monotherapy at the determined
recommended dose in subjects with locally advanced or metastatic, relapsed or refractory head
and neck squamous cell carcinoma (HNSCC), relapsed or refractory non-small cell lung cancer
(NSCLC), and advanced clear cell renal cell carcinoma (ccRCC). ABBV-CLS-484 will also be
administered at the determined recommended dose in combination with a PD-1 targeting agent in
subjects with locally advanced or metastatic, relapsed or refractory gastric or GEJ
adenocarcinoma.
Title
- Brief Title: A Phase 1 Study With ABBV-CLS-484 in Subjects With Locally Advanced or Metastatic Tumors
- Official Title: A Phase 1, Multi-center, Open Label First-in-Human Study With ABBV-CLS-484 Alone and in Combination in Subjects With Locally Advanced or Metastatic Tumors
Clinical Trial IDs
- ORG STUDY ID:
M20-431
- NCT ID:
NCT04777994
Conditions
- Advanced Solid Tumor Cancer
Interventions
Drug | Synonyms | Arms |
---|
ABBV-CLS-484 | | Combination Dose Escalation |
Programmed Cell Death-1 (PD-1) Inhibitor | | Combination Dose Escalation |
Purpose
The study will assess the safety, PK, PD, and preliminary efficacy of ABBV-CLS-484 as
monotherapy and in combination with a PD-1 targeting agent. The trial aims to establish a
safe, tolerable, and efficacious dose of ABBV-CLS-484 as monotherapy and in combination. The
study will be conducted in three parts. Part 1 Monotherapy Dose Escalation, Part 2
Combination Dose Escalation and Part 3 Dose Expansion (Monotherapy and Combination therapy).
Part 1, ABBV-CLS-484 will be administered alone in escalating dose levels to eligible
subjects who have advanced solid tumors.
Part 2, ABBV-CLS-484 will be administered at escalating dose levels in combination with a
PD-1 targeting agent to eligible subjects who have advanced solid tumors.
Part 3, ABBV-CLS-484 will be administered alone as a monotherapy at the determined
recommended dose in subjects with locally advanced or metastatic, relapsed or refractory head
and neck squamous cell carcinoma (HNSCC), relapsed or refractory non-small cell lung cancer
(NSCLC), and advanced clear cell renal cell carcinoma (ccRCC). ABBV-CLS-484 will also be
administered at the determined recommended dose in combination with a PD-1 targeting agent in
subjects with locally advanced or metastatic, relapsed or refractory gastric or GEJ
adenocarcinoma.
Trial Arms
Name | Type | Description | Interventions |
---|
Monotherapy Dose Escalation | Experimental | ABBV-CLS-484 will be administered as a monotherapy in subjects with solid tumors | |
Combination Dose Escalation | Experimental | ABBV-CLS-484 will be administered in combination with Programmed Cell Death-1 Inhibitor in subjects with solid tumors | - ABBV-CLS-484
- Programmed Cell Death-1 (PD-1) Inhibitor
|
Monotherapy Expansion | Experimental | ABBV-CLS-484 will be administered at the determined recommended dose in subjects with locally advanced or metastatic, relapsed or refractory head and neck squamous cell carcinoma (HNSCC), relapsed or refractory non-small cell lung cancer (NSCLC), and advanced clear cell renal cell carcinoma (ccRCC) | |
Combination Expansion | Experimental | ABBV-CLS-484 will be administered at the determined recommended dose in combination with Programmed Cell Death-1 Inhibitor in subjects with locally advanced or metastatic, relapsed or refractory gastric or GEJ adenocarcinoma | - ABBV-CLS-484
- Programmed Cell Death-1 (PD-1) Inhibitor
|
Eligibility Criteria
Inclusion Criteria:
- Must weigh at least 35 kilograms (kg).
- An Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
- Life expectancy of ≥ 12 weeks.
- Laboratory values meeting protocol criteria.
- QT interval corrected for heart rate < 470 msec (using Fridericia's correction), and
no clinically significant electrocardiographic findings.
- Measurable disease defined by RECIST 1.1 criteria.
For Monotherapy and Combination Dose Escalation:
• Subjects with histologically or cytologically proven metastatic or locally advanced
tumors, for which no effective standard therapy exists, or where standard therapy has
failed. Subjects must have received at least 1 prior systemic anticancer therapy for the
indication being considered.
For Monotherapy Dose Expansion only:
- Subjects must have received 1 prior line containing PD-1/PD-L1 targeted therapy with a
best response of CR/PR/stable disease by RECIST v1.1 for greater than 6 months; AND
- Must have been previously treated with 1 or more prior lines of therapy in the locally
advanced or metastatic setting with the following tumor types:
- Relapsed/refractory HNSCC
- Relapsed/refractory NSCLC
- Advanced ccRCC
For Combination Dose Expansion only:
- Subjects with gastric or GEJ adenocarcinoma whose tumors express PD-L1 (CPS ≥1)
- Must not have received a PD-1/PD-L1 targeting agent, or other immune-oncology agents
as part of a prior line of therapy;
- Must have received, and progressed on, at least 2 prior lines of chemotherapy in the
locally advanced or metastatic setting; •. If tumor is HER2/neu positive, subject must
have received prior treatment with an approved HER2 targeting therapy.
Exclusion Criteria:
- Untreated brain or meningeal metastases (i.e., subjects with history of metastases are
eligible provided they do not require ongoing steroid treatment and have shown
clinical and radiographic stability for at least 28 days after definitive therapy)
- Unresolved Grade 2 or higher toxicities related to previous anticancer therapy except
alopecia.
- Unresolved Grade 2 or higher peripheral neuropathy.
- History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection.
- Recent history (within 6 months) of congestive heart failure (defined as New York
Heart Association, Class 2 or higher), ischemic cardiovascular event, pericarditis, or
clinically significant pericardial effusion or arrythmia.
- Recent history (within 6 months) of Childs-Pugh B or C classification of liver
disease.
- History of clinically significant medical and/or psychiatric conditions or any other
reason that, in the opinion of the investigator, would interfere with the subject's
participation in this study or would make the subject an unsuitable candidate to
receive study drug.
- History of uncontrolled, clinically significant endocrinopathy.
- Known gastrointestinal disorders making absorption of oral medications problematic;
subject must be able to swallow capsules.
- If treated with a PD-1/aPD-L1 targeting or other immune-oncology agents in the past,
excluded if had prior pneumonitis, prior Grade 3 or higher immune mediated toxicity,
hypersensitivity to administered drug or drug related toxicity requiring
discontinuation.
- Active autoimmune disease requiring systemic treatment in past 2-years (exceptions for
endocrinopathies, vitiligo or atopic conditions).
- History of solid organ transplant or allogeneic stem cell transplant.
- History of other malignancy, with the following exceptions:
- No known active disease present for ≥ 3 years before first dose of study
treatment and felt to be at low recurrence by investigator.
- Adequately treated non-melanoma skin cancer or lentigo maligna without evidence
of disease.
- Adequately treated carcinoma in situ without evidence of disease.
- History of interstitial lung disease or pneumonitis.
- Major surgery ≤ 28 days prior to first dose of study drug
- Known active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection
per local testing practices.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Escalation: Maximum Observed Plasma/Serum Concentration (Cmax) Of ABBV-CLS-484 (Monotherapy) |
Time Frame: | Baseline Up to Approximately Day 42 |
Safety Issue: | |
Description: | Maximum plasma/serum concentration of ABBV-CLS-484 |
Secondary Outcome Measures
Measure: | Dose Escalation: Objective Response Rate (ORR) Of ABBV-CLS-484 Based On Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 (Monotherapy) |
Time Frame: | Baseline through Study Completion (approximately 3 years) |
Safety Issue: | |
Description: | ORR is defined as achieving complete response (CR) or partial response (PR) based on RECIST 1.1 criteria on treatment |
Measure: | Dose Escalation: Objective Response Rate (ORR) Of ABBV-CLS-484 And PD-1 Targeting Agent Based On Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 (Combination therapy) |
Time Frame: | Baseline through Study Completion (approximately 3 years) |
Safety Issue: | |
Description: | ORR is defined as achieving complete response (CR) or partial response (PR) based on RECIST 1.1 criteria on treatment |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Calico Life Sciences LLC |
Trial Keywords
- Cancer
- Tumor
- anti-PD-1
- ABBV-CLS-484
- clear cell renal cell carcinoma (ccRCC)
- gastroesophageal junction (GEJ)
- head and neck squamous cell carcinoma (HNSCC)
- non-small cell lung cancer (NSCLC)
- relapsed or refractory (R/R)
- gastric
- GEJ adenocarcinoma
Last Updated
June 7, 2021