Solid Tumor Clinical Trial
Official title:
A Phase I/Ib Study to Evaluate the Safety, Tolerability, Biological and Clinical Activities of GEN-001 in Combination With Avelumab in Patients With Advanced Solid Tumors Who Have Progressed During or After Treatment With Anti-PD-(L)1 Therapy
Verified date | June 2023 |
Source | Genome & Company |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a phase I/Ib, first-in-human (FIH), open-label, dose escalation and dose expansion study to evaluate the safety and tolerability, biological and clinical activities of GEN-001 in patients with locally advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination), when administered as combined with avelumab.
Status | Completed |
Enrollment | 11 |
Est. completion date | January 11, 2023 |
Est. primary completion date | January 11, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - Have adequate organ functions as defined in the protocol - Negative childbearing potential - Have ability to swallow and retain oral medication and no clinically significant gastrointestinal abnormalities - Patients with diseases for which no curative therapies are available, and who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination) - Disease progression on anti-PD-(L)1 based therapy (as monotherapy or combination therapy) and must meet criteria for acquired resistance as defined in the protocol - Patients who have completely recovered from any clinically significant AEs that occurred during prior immunotherapy - Estimated life expectancy of at least 3 months - Objective evidence of disease progression at baseline (Dose Escalation) - Histologically or cytologically confirmed, unresectable, locally advanced, or metastatic NSCLC, SCCHN, and UC (Dose Expansion) - Measurable disease as per RECIST v1.1 defined as at least 1 lesion (Dose Expansion) Exclusion Criteria: - Have experienced primary resistance to anti-PD-(L)1 based therapy - Has experienced a toxicity that led to permanent discontinuation of prior anti-PD-(L)1 based therapy or other immunotherapies - Has active autoimmune disease that has required systemic treatment in the past 2 years - Current use of immunosuppressive medication at time of study entry - Have an active infection requiring antibiotics, antifungal or antiviral agents or have received a course of antibiotics within the previous 4 weeks of starting study treatment - Has received a live vaccine within 4 weeks of starting of study treatment - Known history of, or any evidence of active, non-infectious pneumonitis - Prior solid organ or allogeneic stem cell transplantation - Has had any investigational or anti-tumor treatment within 4 weeks or 5 half-life periods of starting study treatment, had any major surgeries within 4 weeks of starting study treatment - Has received proton pump inhibitors (PPIs) within 2 weeks prior to dosing study treatments - Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis - Has clinically significant (i.e., active) cardiovascular disease - Has known history of uncontrolled intercurrent illness - Has any psychiatric condition that would prohibit the understanding or rendering of informed consent or that would limit compliance with study requirements. |
Country | Name | City | State |
---|---|---|---|
United States | Emory University Winship Cancer Institute | Atlanta | Georgia |
United States | Yale Cancer Center | New Haven | Connecticut |
United States | Oregon Health & Science University | Portland | Oregon |
Lead Sponsor | Collaborator |
---|---|
Genome & Company | Merck KGaA, Darmstadt, Germany, Pfizer |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Ctrough | Ctrough for PK parameter | up to 2 years | |
Other | ADA | Anti-Drug Antibodies(ADA) for Immunogenicity | up to 2 years | |
Other | Microbiota | fecal samples will be collected for analysis | up to 2 years | |
Primary | Dose Escalation: Incidence of Adverse Events | Assessed as per CTCAE v5.0 | 1 years | |
Primary | Dose Escalation: Incidence of Laboratory abnormalities | Assessed as per CTCAE v5.0 | 1 years | |
Primary | Dose Escalation: Incidence of dose-limiting toxicity (DLT) | To evaluate the safety and tolerability of GEN-001 in combination with avelumab | 1 Cycle (one cycle = 28 days) | |
Primary | Dose Expansion: To assess objective response (OR) of GEN-001 in patients with advanced or metastatic solid tumors, when administered as combined with avelumab. | Confirmed OR per RECIST v1.1 by the Investigator | 2 years | |
Secondary | Objective Response (OR) | Assessed according to RECIST v1.1 | 1 years | |
Secondary | Duration of response (DoR) | Assessed according to RECIST v1.1 | up to 2 years | |
Secondary | Progression-free survival (PFS) | Assessed according to RECIST v1.1 | up to 2 years | |
Secondary | Overall Survival (OS) | up to 2 years | ||
Secondary | Incidence of Adverse Events | Assessed as per CTCAE v5.0 | up to 2 years | |
Secondary | Incidence of Laboratory Abnormalities | Assessed as per CTCAE v5.0 | up to 2 years | |
Secondary | irOR (Immune-related Objective Response) | Assessed according to irRECIST | up to 2 years |
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