A Study of AP601 in Patients With Locally Unresectable Advanced or Metastatic Solid Tumors

Exclusion Criteria21

• Has received concurrent antitumor treatment or IPs within 28 days of C1D1. The antitumor treatments include chemotherapy, radiotherapy, immunotherapy, targeted therapy, hormonal therapy, or cytokine therapy.
• Has received prior CD73-targeted and/or CD137-targeted therapeutics.
• Has had major surgery within 28 days prior to C1D1 (excluding prior diagnostic biopsy).
• Any unresolved toxicity (except alopecia) from prior therapy of ≥CTCAE Grade 1, prior to the day of the first dose of IP. Participants with Grade 2 toxicity that is not CS (e.g., alopecia, vitiligo), or that is deemed stable or irreversible (e.g., peripheral neuropathy) can be enrolled.
• History of any other malignancy, which has been active or treated within the past 2 years, with the exception of thyroid cancer, cervical intraepithelial neoplasia, basal cell carcinoma and squamous cell carcinoma.
• Prior history of an irAE with immunotherapy-related toxicities that resulted in discontinuation of prior immunotherapy.
• Current symptomatic leptomeningeal disease or uncontrolled, untreated brain metastasis.
• Has received any organ transplantation including allogeneic stem cell transplantation.
• Has received blood transfusions or growth factor support ≤ 14 days prior to screening.
• Has any significant acute or chronic infections including:
• Infection requiring systemic antibacterial, antifungal, or antiviral therapy within 14 days before first dose of AP601.
• Known active hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection.
• Current active, or history of, any autoimmune disease that may relapse or immunodeficiencies.
• Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤ 14 days before first dose of AP601.
• Known severe hypersensitivity reactions to monoclonal antibodies.
• Breastfeeding (or planning to breastfeed) at any time during the study, and for 90 days following study completion.
• Participants with a current or recent (within the past 12 months) diagnosis of alcohol or non-prescribed drug abuse, as defined by local guidelines.
• Evidence of cardiac dysfunction (defined as myocardial infarction within the last 6 months, New York Heart Association Class II/III/IV heart failure, unstable angina, unstable cardiac arrhythmias, or known left ventricular ejection fraction \[LVEF\] <55%) or other CS cardiac pathology likely to impair the participants ability to participate in the study.
• Uncontrolled intercurrent illness including, but not limited to, uncontrolled hypertension, uncontrolled diabetes, uncontrolled endocrinopathy, severe active peptic ulcer disease or gastritis.
• Has received a live (or live attenuated) vaccination within 28 days of the first dose of AP601 and during the study period.
• Any other condition or prior therapy that in the opinion of the PI (or delegate) would make the volunteer unsuitable for this study, including inability to cooperate fully with the requirements of the study protocol or likelihood of noncompliance with any study requirements.