IMA402 T Cell-Engaging Receptor Molecule (TCER®) in Recurrent and/or Refractory Solid Tumors
A Phase I/II First-In-Human Clinical Trial to Evaluate the Safety, Tolerability and Anti-Tumor Activity of IMA402, a Bispecific T Cell-Engaging Receptor Molecule (TCER®) Targeting PRAME, as Monotherapy or in Combination With a Checkpoint Inhibitor in Patients With Recurrent and/or Refractory Solid Tumors
The goal of this clinical trial is to evaluate the safety, tolerability and anti-tumor activity of IMA402 in patients with recurrent and/or refractory solid tumors.
Primary objectives:
- To determine the maximum tolerated doses and/or recommended doses for extensions for IMA402 as monotherapy and in combination with pembrolizumab (Phase Ia)
- To characterize the safety and tolerability of IMA402 as monotherapy and in combination (Phase I/II)
- To evaluate anti-tumor activity of IMA402 as monotherapy and in combination (Phase II)
Secondary objectives:
- To evaluate the initial anti-tumor activity of IMA402 as monotherapy and in combination (Phase I)
- To evaluate anti-tumor activity of IMA402 as monotherapy and in combination (Phase II)
- To describe the PK of IMA402 as monotherapy and in combination (Phase I/II)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study will be conducted in two phases:
- Phase Ia: Dose escalation/de-escalation
- Phase Ib: Dose extension
- Phase II: Dose extension in selected Indication-specific extension cohort(s) (ISEC)
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Immatics Biotechnologies GmbH
- Phone Number: Please E-Mail
- Email: Ctgovinquiries@immatics.com
Study Locations
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Baden-Wurttemberg
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Heidelberg, Baden-Wurttemberg, Germany, 69120
- Recruiting
- Universitaetsklinikum Heidelberg AöR
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Heidelberg, Baden-Wurttemberg, Germany, 69126
- Recruiting
- Thoraxklinik Heidelberg gGmbH
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Mannheim, Baden-Wurttemberg, Germany, 68167
- Recruiting
- Universitaetsklinikum Mannheim GmbH
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Tübingen, Baden-Wurttemberg, Germany, 72076
- Recruiting
- Universitaetsklinikum Tuebingen AöR
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Ulm, Baden-Wurttemberg, Germany, 89081
- Recruiting
- Universitaetsklinikum Ulm AöR
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Bavaria
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Erlangen, Bavaria, Germany, 91054
- Recruiting
- Universitaetsklinikum Erlangen AöR
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Nuremberg, Bavaria, Germany, 90419
- Completed
- Klinikum Nürnberg
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Regensburg, Bavaria, Germany, 93053
- Recruiting
- Universitaetsklinikum Regensburg
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Würzburg, Bavaria, Germany, 97080
- Recruiting
- Universitaetsklinikum Wuerzburg AöR
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Hesse
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Frankfurt am Main, Hesse, Germany, 60590
- Recruiting
- Goethe University Frankfurt
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Giessen, Hesse, Germany, 35392
- Recruiting
- Justus-Liebig-Universitaet Giessen
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Marburg, Hesse, Germany, 35043
- Recruiting
- Philipps-Universitaet Marburg
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Offenbach, Hesse, Germany, 63069
- Not yet recruiting
- Sana Klinikum Offenbach GmbH
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Lower Saxony
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Buxtehude, Lower Saxony, Germany, 21614
- Recruiting
- Elbe Kliniken Stade- Buxtehude Elbe Klinikum Buxtehude gGmbH
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Göttingen, Lower Saxony, Germany, 37075
- Not yet recruiting
- Universitaetsmedizin Goettingen
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North Rhine-Westphalia
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Bonn, North Rhine-Westphalia, Germany, 53127
- Recruiting
- Universitaetsklinikum Bonn AöR
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Düsseldorf, North Rhine-Westphalia, Germany, 40479
- Recruiting
- Marien Hospital Duesseldorf GmbH
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Essen, North Rhine-Westphalia, Germany, 45147
- Recruiting
- Universitaetsklinikum Essen AöR
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Essen, North Rhine-Westphalia, Germany, 45136
- Recruiting
- KEM I Evang. Kliniken Essen-Mitte gGmbH
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Minden, North Rhine-Westphalia, Germany, 32429
- Recruiting
- Johannes Wesling Klinikum Minden
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Münster, North Rhine-Westphalia, Germany, 48149
- Not yet recruiting
- Universitaet Muenster
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Saxony
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Chemnitz, Saxony, Germany, 09116
- Completed
- Klinikum Chemnitz gGmbH
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Dresden, Saxony, Germany, 01307
- Recruiting
- Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
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Leipzig, Saxony, Germany, 04103
- Recruiting
- University of Leipzig
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Saxony-Anhalt
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Magdeburg, Saxony-Anhalt, Germany, 39120
- Recruiting
- Universitaetsklinikum Magdeburg AöR
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Groningen, Netherlands, 9713 GZ
- Recruiting
- Universitair Medisch Centrum Groningen
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Utrecht, Netherlands, 3584 CX
- Recruiting
- Universitair Medisch Centrum Utrecht
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North Holland
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Amsterdam, North Holland, Netherlands, 1066 CX
- Recruiting
- Antoni von Leeuwenhoek- Netherlands Cancer Institute
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South Holland
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Leiden, South Holland, Netherlands, 2333 ZA
- Recruiting
- Leiden Universitair Medisch Centrum
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients ≥ 18 years old
- Patients must have a specific pathologically confirmed and documented advanced and/or metastatic solid tumor indication
- Patients must have received or not be eligible for indicated standard-of-care treatments per cohort
- Measurable disease according to RECIST 1.1
- Confirmed HLA status
- ECOG Performance Status of 0 to 1
- Adequate baseline hematologic, hepatic and renal function, acceptable coagulation status
Exclusion Criteria:
- Other active malignancies that require treatment or that might interfere with the trial endpoints
- The patient is pregnant or is breastfeeding
- History of hypersensitivity to components of IMA402 or rescue medications; hypersensitivity to or contraindication according to current SmPC for respective combination medicinal product
- The patient has concurrent severe and/or uncontrolled medical disease. Any other health condition that would, in the investigator's or sponsor's judgement, contraindicate the patient's participation in the clinical trial because of safety concerns or compliance with clinical trial procedures
- Patients with active brain metastases, history of bleeding into brain metastases, known brain metastases who are receiving therapeutic anticoagulation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose extension (Phase II)
Selected ISEC investigated on MTD/RDEs based on a manageable/favorable safety profile and initial signs of anti-tumor activity (Phase II)
|
IV infusions
IMA402 IV infusions and checkpoint inhibitor
|
|
Experimental: Dose escalation/de-escalation (Phase Ia)
Dose-Finding of IMA402 as monotherapy or in combination with checkpoint inhibitor (Phase Ia)
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IV infusions
IMA402 IV infusions and checkpoint inhibitor
|
|
Experimental: Dose extension (Phase Ib)
Extension cohorts of IMA402 as monotherapy or in combination based on maximum tolerated dose (MTD) and/or recommended doses for extensions (RDEs) (Phase Ib)
|
IV infusions
IMA402 IV infusions and checkpoint inhibitor
IMA402 IV infusions and chemotherapy
IMA402 and IMA401 IV infusions
IMA402 IV infusions and monoclonal antibody
IMA402 IV infusions and chemotherapy +/- monoclonal antibody
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Phase I: Number of patients with dose limiting toxicities (DLTs)
Time Frame: 24 months
|
24 months
|
|
Phase I/II: Number of patients with treatment-emergent adverse events (TEAEs)
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Number of patients with serious TEAEs
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Frequency of dose interruptions and reductions, permanent discontinuations
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Duration of dose interruptions and reductions, permanent discontinuations
Time Frame: 40 months
|
40 months
|
|
Phase II: Overall response rate (ORR) based on best overall response (BOR) of complete response (CR) and partial response (PR) locally assessed using Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1)
Time Frame: 40 months
|
40 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Phase I: ORR based on BOR of CR and PR locally assessed using RECIST v1.1 and iRECIST
Time Frame: 37 months
|
37 months
|
|
Phase II: ORR based on BOR of CR and PR locally assessed using iRECIST
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Disease control rate (DCR) of CR, PR or stable disease (SD) (lasting 6 or more weeks) following the initiation of IMA402 based on RECIST v1.1 and iRECIST
Time Frame: 40 months
|
40 months
|
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Phase I/II: Duration of response (DOR) of CR or PR based on RECIST v1.1 and iRECIST
Time Frame: 40 months
|
40 months
|
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Phase I/II: Progression-free survival (PFS) based on RECIST v1.1 and iRECIST
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Overall survival (OS)
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Determination of PK parameter: half-life (t1/2)
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Determination of PK parameter: minimal serum concentration (Cmin)
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Determination of PK parameter: maximal serum concentration (Cmax)
Time Frame: 40 months
|
40 months
|
|
Phase I/II: Determination of PK parameter: area under the curve (AUC)
Time Frame: 40 months
|
40 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Immatics Biotechnologies GmbH, Immatics Biotechnologies GmbH
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IMA402-101
- 2022-503133-54-00 (Other Identifier: Clinical Trials Information System)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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