RecruitingPhase 1NCT07578571

A Phase 1 Study of IM-1617 in Participants With Advanced Cancer

A Phase 1 Study of IM-1617 in Participants With Advanced Malignancies

Sponsor

Immunome, Inc.

Enrollment

175 participants

Start Date

May 1, 2026

Study Type

INTERVENTIONAL

Conditions

Breast Cancer Colorectal, Cancer Esophageal Cancer Cancer Non-small Cell Lung Cancer Stomach Cancer

Summary

This study will test the safety and effectiveness of a drug called IM-1617 in participants with solid tumors. Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable). This study will have two parts. Part A will test increasing doses of IM-1617 to find out the safe dose and schedule of IM-1617 for participants. Part B will use the dose and schedule found in Part A to further study the safety of IM-1617 and if it works to treat solid tumor cancers.

Eligibility

Min Age: 18 Years

Inclusion Criteria31

Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
Part A: Histological diagnosis of one of the following unresectable locally advanced or metastatic solid tumors:
CRC, all subtypes
NSCLC:
Non-squamous cell carcinoma subtypes, such as adenocarcinoma
Squamous cell carcinoma subtype
Breast cancer (subtypes based on estrogen/progesterone receptor and HER2 testing according to American Society of Clinical Oncology - College of American Pathologists guidelines):
Triple-negative breast cancer
HR+, HER2- subtype
Esophageal, esophagogastric junction, and gastric cancer:
Adenocarcinoma subtype
Other histologies, if approved by the Medical Monitor, which may include: head and neck squamous cell carcinoma; cervical cancer; bladder cancer; squamous cell carcinoma subtype of esophageal, esophagogastric junction, and gastric cancer; HER2+ breast cancer
Part B Cohorts - Histological diagnosis of one of the following unresectable locally advanced or metastatic solid tumors:
Cohort B1: CRC, all subtypes
Cohort B2: NSCLC
Non-squamous cell carcinoma subtypes, such as adenocarcinoma
Squamous cell carcinoma subtype
Cohorts B3 and B4: Cohort-specific disease indications may include those listed for Part A
Participants must have disease that is considered to be noncurative and meet the appropriate criteria below:
Part A only: Participants have progressed on, were intolerant to, or have a contraindication to prior SOC treatments, with no satisfactory SOC treatment options available.
Part B only:
Cohort B1 (CRC):
Participants must have previously progressed on, were intolerant to, or have a contraindication to fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy, bevacizumab, and for those with RAS wild-type tumors, an anti-epidermal growth factor receptor (EGFR)-directed monoclonal antibody in advanced disease setting.
Participants with actionable biomarkers must have been treated with at least one prior appropriate biomarker-directed therapy.
If any of these therapies was given in the adjuvant setting, disease must have progressed within 6 months after completing therapy.
Cohort B2 (NSCLC):
Participants must have previously progressed on, were intolerant to, or have a contraindication to platinum-based chemotherapy and a programmed cell death-1 (PD-1)/programmed death ligand 1 (PD-L1) monoclonal antibody (given concurrently or sequentially with chemotherapy) in advanced disease setting.
Participants with actionable biomarkers must have been treated with at least one prior appropriate targeted therapy.
If any of these therapies was given in the adjuvant setting, disease must have progressed within 6 months after completing therapy.
Cohorts B3 and B4: Criteria will be specified based on the disease indications selected.
Participants must have measurable disease as defined per RECIST v1.1

Exclusion Criteria7

Previously treated with an antibody-drug conjugate (ADC) with a topoisomerase-1 (TOP1) inhibitor payload. Exception: Participants with NSCLC or breast cancer may have received up to one prior ADC with a TOP1 inhibitor payload
History of anaphylactic reaction to TOP1 inhibitors (e.g., irinotecan) or TOP1 inhibiting ADCs
Life expectancy < 12 weeks
Prior solid organ transplant
Symptomatic ascites or pleural effusion
Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
Known history of another primary solid or hematologic malignancy (other than that under study), unless the participant has undergone potentially curative therapy with no evidence of recurrence for at least 2 years and approved by the Medical Monitor