RecruitingPhase 1NCT05205109

A Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ATG 037 Monotherapy and Combination Therapy With Pembrolizumab in Patients With Advanced Solid Tumors

A Phase I/Ib, Multi-center, Open-label, and Dose-finding Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ATG-037 Monotherapy and Combination Therapy With Pembrolizumab in Patients With Locally Advanced or Metastatic Solid Tumors


Sponsor

Antengene Therapeutics Limited

Enrollment

98 participants

Start Date

Jun 7, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is a study of ATG-037 Monotherapy and Combination Therapy with Pembrolizumab in Patients with Locally Advanced or Metastatic Solid Tumors


Eligibility

Min Age: 18 Years

Inclusion Criteria10

  • Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling, and analyses.
  • Aged at least 18 years as of the date of consent.
  • Unresectable Stage III or Stage IV melanoma patients, who have had disease progression on or after at least one prior ICI containing treatment. Patients with mucosal and uveal melanoma types are to be excluded.
  • There is at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
  • Estimated life expectancy of a minimum of 12 weeks.
  • Subjects with acquired immune checkpoint inhibitors resistance (objective response or SD>6 months).
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 at ICF signature.
  • Females should be using adequate contraceptive measures until 180 days after the end of treatment, should not be breastfeeding.
  • Male subjects should be willing to use barrier contraception, ie condoms, for the duration of the study and 180 days after the final dose of study treatment.
  • Subjects should have adequate organ function.

Exclusion Criteria10

  • Primary central nervous system disease, central nervous system metastatic disease, leptomeningeal disease, metastatic cord compression or carcinomatous meningitis.
  • Prior exposure to a CD73 inhibitor/antibody or adenosine receptor inhibitor.
  • Patients considered to have rapidly progressive disease (from the starting of prior line therapy to disease progression lasting no more than 90 days).
  • Prior therapy with any chemotherapy, immunotherapy, anticancer agents or investigational products from a previous clinical study within 28 days of the first dose of study treatment or within a period during which the investigational product or systemic anticancer treatment has not been cleared from the body.
  • Radiotherapy with a wide field of radiation within 28 days, or radiotherapy with a limited field of radiation for palliation within 14 days of the first dose of study treatment. Subject must have recovered from all radiation related toxicity, not requiring corticosteroids.
  • Prior major surgery (excluding placement of vascular access) within 28 days of the first dose of study treatment or minor surgical procedures ≤7 days.
  • Except for alopecia, platinum-induced peripheral neurotoxicity (≤Grade 2). Any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE 5.0) Grade 1 at the time of ICF signature.
  • Received any prior immunotherapy and was discontinued from that treatment due to a Grade 3 or higher irAE (except endocrine disorders that can be treated with replacement therapy) or was discontinued from that treatment due to Grade 2 myocarditis or recurrent Grade 2 pneumonitis.
  • Subjects receiving unstable or increasing doses of corticosteroids.
  • As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension defined as a blood pressure (BP) ≥160/100 mmHg despite medical therapy, unstable or uncompensated respiratory and renal disease, active bleeding diseases, allogeneic stem cell transplantation, or any solid organ transplant, etc.

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Interventions

DRUGATG-037

Part I : ATG-037 will be administered orally once a day (QD) on D-2, then multiple doses of ATG-037 will be administered orally BID for every day from C1D1. A treatment cycle will be defined as 21 days. Part II: ATG-037 will be administered orally BID for every day from C1D1.

DRUGKEYTRUDA ®( Pembrolizumab)

Part I: After 2 cycles of ATG-037 monotherapy, eligible participants will receive ATG-037 combination therapy with Keytruda ®(Pembrolizumab) 200mg/Q3W fixed dose for up to 35 administrations (approximately 2 years). Part II: Keytruda ®(Pembrolizumab) will be administered from C1.


Locations(7)

Calvary Mater Newcastle

Sydney, New South Wales, Australia

Pindara Private Hospital

Benowa, Queensland, Australia

Southern Oncology Clinical Research Unit

Bedford Park, South Australia, Australia

Peninsula & South Eastern Haematology and Oncology Group

Frankston, Victoria, Australia

One Clinical Research Pty Ltd

Mount Pleasant, Western Australia, Australia

Chongqing Cancer Hospital

Chongqing, Chongqing Municipality, China

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

View Full Details on ClinicalTrials.gov

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NCT05205109


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