RecruitingPhase 1NCT03715933

Phase 1 Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas

An Open-Label, Multicenter, First-in-Human, Phase 1 Dose-Escalation and Multicohort Expansion Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas


Sponsor

Inhibrx Biosciences, Inc

Enrollment

321 participants

Start Date

Oct 8, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

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

Min Age: 12 YearsMax Age: 85 Years

Inclusion Criteria9

  • 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 with locally advanced or metastatic, unresectable disease, who have received at least 2 but no more than 3 prior lines of systemic therapy.
  • 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 Criteria17

  • 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.
  • 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, or irinotecan
  • 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.

Interventions

DRUGINBRX-109

Tetravalent DR5 Agonist Antibody

DRUGIrinotecan

Chemotherapy

DRUGTemozolomide

Chemotherapy

DRUGcarboplatin

chemotherapy

DRUGpemetrexed

chemotherapy

DRUGLeucovorin

chemotherapy

DRUGFluorouracil

chemotherapy


Locations(35)

HonorHealth Research Institute

Scottsdale, Arizona, United States

Precision NextGen Oncology and Research

Beverly Hills, California, United States

City of Hope

Duarte, California, United States

Valkyrie Clinical Trials

Los Angeles, California, United States

University of California, San Diego (UCSD) - Moores Cancer Center

San Diego, California, United States

University of California, San Francisco (UCSF)

San Francisco, California, United States

Sarcoma Oncology Center

Santa Monica, California, United States

University of Colorado Hospital

Aurora, Colorado, United States

Emory University - Winship Cancer Institute

Atlanta, Georgia, United States

The University of Chicago

Chicago, Illinois, United States

University of Michigan

Ann Arbor, Michigan, United States

START Midwest Michigan, PC

Grand Rapids, Michigan, United States

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

New York, New York, United States

Cleveland Clinic

Cleveland, Ohio, United States

Oregon Health & Science University

Portland, Oregon, United States

Children's Hospital of Philadelphia- Center for Childhood Cancer Research

Philadelphia, Pennsylvania, United States

University of Pennsylvania Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Vanderbilt University School of Medicine

Nashville, Tennessee, United States

UT MD Anderson Cancer Center

Houston, Texas, United States

NEXT Oncology

San Antonio, Texas, United States

University of Virginia

Charlottesville, Virginia, United States

NEXT Oncology - Virginia

Fairfax, Virginia, United States

Centre Leon Berard

Lyon, France

Gustave Roussy

Villejuif, France

La Fondazione e l'Istituto di Candiolo

Candiolo, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

University Medical Center Groningen

Groningen, Netherlands

Academisch Ziekenhuis Leiden

Leiden, Netherlands

Hospital Universitario Vall d'Hebron

Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

Hospital Clinico San Carlos

Madrid, Spain

Great North Children's Hospital

London, United Kingdom

University College London Hospital

London, United Kingdom

The Royal Marsden NHS Foundation Trust

London, United Kingdom

Royal Manchester Children's Hospital

Manchester, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT03715933


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