Description:
Phase 1 (Dose Escalation) of this study will assess the safety, tolerability, dose-limiting
toxicity (DLT), and will determine the maximum tolerated dose (MTD) and recommended Phase 2
dose (RP2D) of EU101 in participants with advanced solid tumors. Phase 2 (Dose Expansion) of
the study will assess the antitumor effect of EU101 in two indications including colorectal
cancer (CRC) and non-small cell lung cancer (NSCLC).
Title
- Brief Title: A Study to Evaluate Safety, Efficacy, and Pharmacokinetics in Participants With Advanced Solid Tumors
- Official Title: An Open-Label, Phase 1/2 Study to Evaluate Safety, Efficacy, and Pharmacokinetics of EU101, an Agonistic Anti-CD137 (4-1BB) Monoclonal Antibody in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
EU-CTS101-I-01
- NCT ID:
NCT04903873
Conditions
- Solid Tumor
- Colorectal Neoplasms
- Non-Small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
EU101 | | EU101: Dose Escalation Cohort |
Purpose
Phase 1 (Dose Escalation) of this study will assess the safety, tolerability, dose-limiting
toxicity (DLT), and will determine the maximum tolerated dose (MTD) and recommended Phase 2
dose (RP2D) of EU101 in participants with advanced solid tumors. Phase 2 (Dose Expansion) of
the study will assess the antitumor effect of EU101 in two indications including colorectal
cancer (CRC) and non-small cell lung cancer (NSCLC).
Trial Arms
Name | Type | Description | Interventions |
---|
EU101: Dose Escalation Cohort | Experimental | Participants with advanced solid tumors will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with escalating doses starting from 0.05 milligrams per kilogram (mg/kg) to 10 mg/kg until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first. | |
EU101: Dose Expansion Cohort 1 | Experimental | Participants with CRC will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with a determined recommended phase 2 dose until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first. | |
EU101: Dose Expansion Cohort 2 | Experimental | Participants with NSCLC will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with a determined recommended phase 2 dose until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first. | |
Eligibility Criteria
Key Inclusion Criteria:
- Histologically or cytologically confirmed diagnosis of metastatic or locally advanced
solid tumors for which no standard therapy exists or standard therapy has failed
because of disease progression or unacceptable toxicities.
- Cohort 1 (colorectal cancer): a) CRC (including microsatellite instability-high
[MSI-H] and microsatellite-stable [MSS]) regardless of RAS mutation. b) Disease
progression within 3 months after last administration of approved standard therapies.
c) Prior cytotoxic chemotherapy for metastatic disease include all the following
agents: fluoropyrimidine, oxaliplatin, and irinotecan
- Adjuvant chemotherapy-based treatments count as prior therapy, as long as relapse had
occurred within 6 months of completion of such therapies, prior anti-epidermal growth
factor receptor (EGFR) therapy (cetuximab, panitumumab), anti-angiogenic therapy
(bevacizumab, aflibercept, ramucirumab), regorafenib, and TAS-102 are allowed. d) No
more than 5 prior therapies for metastatic disease. For participants who had disease
recurrence within 6 months of completing adjuvant chemotherapy, the adjuvant regimen
can be considered as 1 chemotherapy regimen for metastatic disease
- Cohort 2 (NSCLC): a) NSCLC without known EGFR, anaplastic lymphoma kinase (ALK), and
ROS1 genomic tumor aberrations. b) No standard therapy exists or standard therapy has
failed. c) No more than 3 prior therapies for metastatic disease
Key Exclusion Criteria:
- Primary central nervous system (CNS) tumor (Phase 1), CNS metastasis, and/or
carcinomatous meningitis. Participants with prior brain metastases treated at least 4
weeks before the first dose of EU101 that are clinically stable and do not require
chronic corticosteroid treatment are allowed
- Received prior therapy with any anti-CD137 monoclonal antibody (mAb) or agent
- Major surgery requiring general anesthesia within 3 weeks before first dose of EU101
or still recovering from prior surgery
- History of allogeneic tissue or organ transplant
- Human immunodeficiency virus (HIV) infection
- Active hepatitis B virus or hepatitis C virus infection
- Current or history of interstitial lung disease, anaphylaxis, uncontrolled asthma, or
pneumonitis that has required systemic corticosteroids
Other protocol defined Inclusion/Exclusion criteria may apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase 1: Number of Participants With Adverse Event (AEs) and Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation |
Time Frame: | Baseline up to 30 months |
Safety Issue: | |
Description: | Laboratory assessments include hematology, serum chemistry, other blood tests, coagulation, and urine analysis. Number of participants with clinically significant abnormalities will be reported. |
Secondary Outcome Measures
Measure: | Phase 1: Objective Response Rate (ORR) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 24 months) |
Safety Issue: | |
Description: | Objective response rate (ORR), defined as the percentage of participants with a BOR of either a complete response (CR) or partial response (PR), per RECIST version 1.1 for solid tumors by investigators. |
Measure: | Phase 1 and 2: Duration of Response (DOR) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | |
Measure: | Phase 1 and 2: Disease Control Rate (DCR) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | DCR will be defined similarly to ORR but also including stable disease (SD) in the categorization of response (i.e, RECIST response of either CR, PR, or SD). |
Measure: | Phase 1 and 2: Time to Response (TTR) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | |
Measure: | Phase 1 and 2: Time to Progression (TTP) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | |
Measure: | Phase 1 and 2: Durable Clinical Benefit (DCB) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | DCB will be defined similarly to DCR but additionally specifying that the disease control be achieved for at least 12 weeks consecutive (i.e, RECIST response of CR, PR or SD for greater than or equal to [>=] 12 weeks consecutive). |
Measure: | Phase 1 and 2: Progression-Free Survival (PFS) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | |
Measure: | Phase 1 and 2: Overall survival (OS) |
Time Frame: | Time from first dose of study treatment assessed until disease progression, death, withdrawal of consent, physician's decision, start of new anticancer therapy, or end of study, whichever occurs first (approximately for 56 months) |
Safety Issue: | |
Description: | |
Measure: | Phase 1 and 2: Maximum Observed Serum Concentration (Cmax) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | Cmax is defined as maximum observed serum concentration. |
Measure: | Phase 1 and 2: Trough Serum Concentration (Ctrough) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | Ctrough is steady-state pre-dose concentration. |
Measure: | Phase 1 and 2: Time to Reach Maximum Observed Serum Concentration (Tmax) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | Tmax is defined as time to reach maximum observed serum concentration. |
Measure: | Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero to 24 Hours Post-dose (AUC0-24) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | AUC0-24 is defined as the area under the serum concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0 to 24). |
Measure: | Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-last) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | AUC0-last is defined as area under the serum concentration time-curve from time zero to the time of last measured concentration. |
Measure: | Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | AUCinf is defined as area under the serum concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). |
Measure: | Phase 1 and 2: Elimination Half-Life Time (T1/2) of EU101 |
Time Frame: | Cycle 1: Pre-dose up to 336 hours post-dose; Cycle 2: 504 hours post-dose; Cycle 3: Pre-dose (Each cycle is of 21 days)] |
Safety Issue: | |
Description: | T1/2 is defined as plasma decay half-life is the time measured for the serum concentration to decrease by one half. |
Measure: | Phase 1 and 2: Apparent Volume of Distribution (Vd/F) of EU101 |
Time Frame: | Baseline (Day 1) |
Safety Issue: | |
Description: | Vd/F is defined as volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. |
Measure: | Phase 1 and 2: Apparent Oral Clearance of (CL/F) of EU101 |
Time Frame: | Baseline (Day 1) |
Safety Issue: | |
Description: | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. |
Measure: | Phase 1 and 2: Mean Residence Time (MRT) of EU101 |
Time Frame: | Baseline (Day 1) |
Safety Issue: | |
Description: | MRT is defined as AUMC(0 - inf) divided by AUC(0 - inf), where AUMC(0 - inf) is the area under the first moment curve from time 0 extrapolated to infinite time. |
Measure: | Phase 1 and 2: Renal clearance (CLr) of EU101 |
Time Frame: | Baseline (Day 1) |
Safety Issue: | |
Description: | CLr is defined as renal clearance is the volume of plasma completely cleared of EU101 by the kidneys per unit time. |
Measure: | Phase 1 and 2: Number of Participants with Positive Antidrug Antibodies (ADA) |
Time Frame: | Baseline up to 56 months |
Safety Issue: | |
Description: | The immunogenic potential of EU101 will be assessed by summarizing the number of participants who develop detectable antidrug antibody (ADAs). |
Measure: | Phase 2: Number of Participants With AEs and SAEs by Common Terminology Criteria for Adverse Events (CTCAE) v5.0 |
Time Frame: | Time from first dose of study treatment up to 30 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Eutilex |
Trial Keywords
- Colorectal cancer
- Non-small cell lung cancer
- Dose Escalation
- Maximum tolerated dose
Last Updated
August 19, 2021