UPCC 22921 An Open-Label, Multicenter, First-in-Human, Dose-Escalation Phase 1 Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas
Investigational Study on Advanced Solid Tumors
Brief description of study
This is a first-in-human, open-label, non-randomized, three-part phase 1 trial of INBRX-109, which is a recombinant humanized tetravalent antibody targeting the human death receptor 5 (DR5).
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Ewing Sarcoma, Colorectal Adenocarcinoma
-
Age: 12 years - 85 years
-
Gender: All
Inclusion Criteria:
- Males or females aged ≥12 to less than 85 years for Ewing sarcoma and 18 to less than 85 years of age for other tumors.
- Part 3 combination therapy expansion tumor types:
- Histologically confirmed Ewing sarcoma with a classical fusion: Patients with locally advanced or metastatic, unresectable, relapsed, or refractory disease who have received at least 1 but no more than 2 prior lines of systemic treatment with a preferred first line chemotherapy regimens.
- Colorectal adenocarcinoma: Patients who have failed 1 (one) prior line of systemic therapy that did not include irinotecan.
- Colorectal adenocarcinoma: Patients who have failed 2 but no more than 3 prior lines of systemic therapy and are FTD/TPI-naïve.
- Measurable disease as defined by RECISTv1.1 (or modified RECIST for mesothelioma)
criteria.
- Adequate hematologic, coagulation, hepatic and renal function as defined per protocol.
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1, or Karnofsky Performance Status score of ≥60, or Lansky Play-Performance Scale for Children score ≥60 (for patients less than 16 years).
- Estimated life expectancy of at least 12 weeks.
- Availability of archival tissue or fresh cancer biopsy are mandatory.
Exclusion Criteria:
- Prior treatment with or exposure to DR5 agonists.
- Receipt of any anticancer therapy (including investigational agents) within 4 weeks or within 5 half-lives prior to the first dose of study treatment. Exceptions per protocol.
- Allergy or sensitivity to INBRX-109 or known allergies to CHO-produced antibodies.
- Receipt of radiotherapy within 4 weeks prior to the first dose of study treatment, and liver-directed within 12 months prior to the first dose of study drug.
- Subject has undergone allogeneic hematopoietic stem cell or bone marrow transplantation within the last 5 years. Exceptions per protocol.
- Prior or concurrent malignancies. Exceptions per protocol.
- Hematologic malignancies.
- Symptomatic active primary CNS tumors, leptomeningeal disease, and CNS metastases. Exceptions per protocol. Patients with any evidence or history of multiple sclerosis (MS) or other demyelinating disorders are excluded.
- Chronic liver diseases including fatty liver. Exception: Patients < 45 years old with fatty liver disease may be accepted as long as adequate hepatic function as defined in the inclusion/exclusion criteria is confirmed.
- Acute viral or toxic liver disease within 12 months prior to the first dose of study drug.
- Evidence or history of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection.
- Known sensitivity or contraindications to the following drugs:
- Ewing sarcoma: irinotecan or TMZ
- colorectal adenocarcinoma: FU, leucovorin, irinotecan, bevacizumab or FTP/TPI
- Clinically significant cardiac condition, including myocardial infarction,
uncontrolled angina, cerebrovascular accident, or other acute uncontrolled heart disease less than 3 months prior to enrollment.
- Acute, hemodynamically significant deep vein thrombosis or clinically significant pulmonary embolism not resolved or stable for at least 3 months prior to the start of study treatment.
- Major surgery within 4 weeks prior to enrollment on this trial.
- Systemic infection requiring antibiotics within 2 weeks prior to the first dose of study drug.
- Other exclusion criteria per protocol.
This study investigates the effects of an investigational medication targeting advanced or metastatic solid tumors, including sarcomas. The purpose of this research is to understand how the investigational medication, a recombinant humanized tetravalent antibody, interacts with the human death receptor 5 (DR5). The study aims to explore its potential therapeutic effects on tumor cells.
Participants in this study will receive doses of the investigational medication to evaluate its safety and how the body processes it. The study is structured in three parts, each designed to assess different aspects of the medication's effects. Participants will undergo regular health assessments, including imaging and laboratory tests, to monitor their response to the treatment.
- Who can participate: Participants must be aged 12 to less than 85 years for Ewing sarcoma, and 18 to less than 85 years for other tumors. Key eligibility factors include having measurable disease, adequate organ function, and a good performance status. Participants should not have had prior DR5 agonist treatment or recent anticancer therapy.
- Study details: Participants will receive doses of the investigational medication. Regular health assessments, including imaging and laboratory tests, will be conducted to evaluate the treatment's effects.
Study is selecting its participants from a population, or group of people, decided on by the researchers in advance.
Contact Abramson Cancer Center NavigatorPlease choose between Voice or SMS based delivery of verification code
or