- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04186637
An Open-label Study of ALPN-202 in Subjects With Advanced Malignancies (NEON-1)
June 2, 2023 updated by: Alpine Immune Sciences, Inc.
An Open-label Study of ALPN-202 in Subjects With Advanced Malignancies (NEON-1)
This is a cohort-based, open-label dose escalation and expansion study in adults with advanced solid tumors or lymphoma, refractory or resistant to standard therapy, or without available standard or curative therapy.
Study Overview
Study Type
Interventional
Enrollment (Actual)
62
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Nedlands
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Perth, Nedlands, Australia, 6009
- Investigational Site (102)
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Victoria
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Melbourne, Victoria, Australia, 3004
- Investigational Site (101)
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Melbourne, Victoria, Australia, 3004
- Investigational Site (103)
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Arizona
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Scottsdale, Arizona, United States, 85258
- Investigational Site (004)
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Connecticut
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New Haven, Connecticut, United States, 06520
- Investigational Site (003)
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Indiana
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Lafayette, Indiana, United States, 47905
- Investigational Site (007)
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Kentucky
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Louisville, Kentucky, United States, 40202
- Investigational Site (006)
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Michigan
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Grand Rapids, Michigan, United States, 49546
- Investigational Site (001)
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Oregon
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Portland, Oregon, United States, 97213
- Investigational Site (009)
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Investigational Site (008)
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 73 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Key Inclusion Criteria:
- Adult 18 to 75 years old at screening
Pathologically-confirmed, locally advanced or metastatic unresectable solid tumor of an acceptable histology
Part A (Dose Escalation)
- that is refractory or resistant to standard therapy, including checkpoint inhibitor(s) if approved
- or for which standard or curative therapy is not available
Part B (Dose Expansion)
- metastatic cutaneous melanoma
- PD-L1-positive cancers (other than cutaneous melanoma or renal cell carcinoma)
- metastatic renal cell carcinoma
- Protocol-defined measurable disease
- Available tumor biopsy representative of current disease
- ECOG performance status grade 0-2
- Life expectancy of ≥ 3 months
- Recovery to ≤ Grade 1 for any non-laboratory toxicity resulting from previous anticancer therapy prior to first dose of ALPN-202 (except alopecia, hearing loss, ≤ Grade 2 neuropathy or endocrinopathy managed with replacement therapy)
- Adequate baseline hematologic, renal, and hepatic function
Key Exclusion Criteria:
- History of ≥ Grade 3 immune-related adverse event leading to treatment discontinuation
- Active or prior pneumonitis or interstitial lung disease
- Presence of any active central nervous system metastases
- Prior organ allograft or allogeneic hematopoietic stem cell transplantation
- Any serious or uncontrolled health condition, which, in the opinion of the Investigator, would place the subject at undue risk from the study, impair the ability of the subject to receive protocol specified therapy, or interfere with the interpretation of study results.
Receipt of any protocol-restricted therapy within the timeframes indicated:
- PD-L1 inhibitors: 5 half-lives (e.g., atezolizumab, 135 days; avelumab, 31 days; durvalumab, 85 days)
- Chemotherapy, small molecule anticancer agents (e.g., kinase inhibitors), or radiation: 2 weeks
- Other monoclonal antibodies, antibody-drug conjugates, bispecific antibodies, antibody like drugs, cytokines, cell therapies, or radioimmunoconjugates: 4 weeks
- Any active, known, or suspected autoimmune disease
- Systemic treatment with corticosteroids (> 10 mg/day prednisone) or other immunosuppressive medication
- Any second malignancy active within the previous 3 years
- Active infection requiring therapy at the time of the first dose of ALPN-202.
- Known seropositivity for or active infection by human immunodeficiency virus, hepatitis B or C.
- Known allergies, hypersensitivity, or intolerance to ALPN-202 or excipients in the drug product formulation.
- History of Grade 4 infusion-related, anaphylactic or allergic reaction to any previous Fc-based protein therapy.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose escalation and expansion
ALPN-202
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Multiple dose levels and dose regimens of ALPN-202 will be administered
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse Events
Time Frame: Up to 30 days after last dose of study drug
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Type, incidence, and severity of adverse events as assessed by CTCAE
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Up to 30 days after last dose of study drug
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective response
Time Frame: Up to 30 days after last dose of study drug
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Best observed objective responses as assessed by RECIST for solid tumors, or Lugano for lymphoma
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Up to 30 days after last dose of study drug
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Allison Naumovski, Ph.D., Alpine Immune Sciences, Inc.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 2, 2020
Primary Completion (Actual)
November 9, 2022
Study Completion (Actual)
February 28, 2023
Study Registration Dates
First Submitted
November 27, 2019
First Submitted That Met QC Criteria
December 2, 2019
First Posted (Actual)
December 5, 2019
Study Record Updates
Last Update Posted (Actual)
June 5, 2023
Last Update Submitted That Met QC Criteria
June 2, 2023
Last Verified
June 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AIS-B01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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