- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05789069
A Study of HFB200603 as a Single Agent and in Combination With Tislelizumab in Adult Patients With Advanced Solid Tumors
November 30, 2023 updated by: HiFiBiO Therapeutics
A Phase 1a/1b, Open-Label, Multi-Center, Dose Escalation and Expansion Study of HFB200603 (Anti-BTLA Antibody) as a Single Agent and in Combination With Tislelizumab (Anti-PD-1 Antibody) in Adult Patients With Advanced Solid Tumors
The purpose of this study is to test the safety and tolerability of HFB200603 as a single agent and in combination with tislelizumab in patients with advanced cancers.
There are two parts in this study.
During the escalation part, groups of participants will receive increasing doses of HFB200603 as a monotherapy or in combination with tislelizumab until a safe and tolerable dose of HFB200603 as a single agent or combination therapy is determined.
During the expansion part, participants will take the doses of HFB200603 as a monotherapy (optional arm) or in combination with tislelizumab that were determined from the escalation part of the study and will be assigned to a group based on the type of cancer the participants have.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This is a Phase 1a/b, first in human, open-label, dose escalation and expansion study in adults with advanced cancers. The study will comprise of
- A Screening Period of up to 28 days
- A Treatment Period during which participants will receive the study drug on the first day of each cycle where each cycle is 21 days. Number of cycles depends on how the disease responds to the study drug
- A Follow-up Period which involves 2 visits
Study Type
Interventional
Enrollment (Estimated)
83
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 Contact
- Name: Edward Steele, Clinical Trial Manager
- Phone Number: (513)579-9911
- Email: e.steele@medpace.com
Study Locations
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Napoli, Italy, 80131
- Recruiting
- Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
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Rome, Italy, 00168
- Recruiting
- UOC Fase I - Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
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Verona, Italy, 37134
- Recruiting
- Centro Ricerche Cliniche Di Verona S.R.L.
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Madrid, Spain, 28027
- Recruiting
- Clinica Universidad de Navarra - Madrid
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Madrid, Spain, 28050
- Recruiting
- South Texas Accelerated Research Therapeutics (START) Madrid - CIOCC
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Madrid, Spain, 28040
- Recruiting
- South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez Diaz
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Pamplona, Spain, 31008
- Recruiting
- Clinica Universidad de Navarra - Pamplona
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Valencia, Spain, 46010
- Recruiting
- Hospital Clínico Universitario de Valencia
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California
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Los Angeles, California, United States, 90033
- Recruiting
- USC Norris Comprehensive Cancer Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19111
- Recruiting
- Fox Chase Cancer Center
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Virginia
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Fairfax, Virginia, United States, 22031
- Recruiting
- New Experimental Therapeutics of Virginia - NEXT Oncology
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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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Patient must have one of the following cancers and previously received the following lines of systemic therapy for the advanced/metastatic disease:
- Renal cell carcinoma: at least 2 lines of therapy
- Non-small cell lung cancer: at least 2 lines of therapy
Melanoma:
- BRAF V600E positive: must have received at least 2 lines of therapy
- BRAF V600E negative: must have received at least 1 line of therapy
- Gastric cancer: at least 1 line of therapy
- Colorectal cancer: at least 3 lines of therapy
- Suitable site to biopsy at pre-treatment and on-treatment
- Measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
- Eastern Cooperative Oncology Group performance status of 0 or 1
Exclusion Criteria:
- Systemic anti-cancer therapy within 2 weeks prior to start of study drug or within 4 weeks for immune-oncologic therapy. For cytotoxic agents with major delayed toxicity (e.g., mitomycin C), 6 weeks of washout are mandated.
- Therapeutic radiation therapy within the past 2 weeks
- Active autoimmune diseases or history of autoimmune disease that may relapse
- Any malignancy ≤ 5 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively
- Systemic steroid therapy (>10 mg/day of prednisone or equivalent) or any immune suppressive medication ≤ 14 days before first dose
- Patients with toxicities (as a result of prior anticancer therapy) which have not recovered to baseline or stabilized, except for adverse events not considered a likely safety risk (e.g., alopecia, neuropathy, and specific laboratory abnormalities)
- Severe or unstable medical condition, including uncontrolled diabetes, coagulopathy, or unstable psychiatric condition
- Major surgery within 28 days of the first dose of study drug
- History of interstitial lung disease, non-infectious pneumonitis, or uncontrolled lung diseases including pulmonary fibrosis or acute lung diseases. For combination only: non-small cell lung cancer patients, or patients with significantly impaired pulmonary function or who require supplemental oxygen at baseline must undergo an assessment of pulmonary function at screening
- History of allergic reactions, immune related reactions, or cytokine release syndrome (CRS) attributed to compounds of similar chemical or biologic composition to monoclonal antibodies or any excipient of HFB200603 or tislelizumab
- For combination only: Prior randomization in a tislelizumab study regardless of the treatment arm, until the primary and key secondary endpoints of the study have read out
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: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose Escalation - HFB200603 monotherapy
Participants will be administered HFB200603 at dose levels 1-4 as an intravenous infusion to determine the Recommended Dose for Expansion (RDE).
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Participants will be administered HFB200603 as described in the experimental arm.
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Experimental: Dose Escalation - HFB200603 in combination with tislelizumab
Participants will be administered HFB200603 at dose levels 1-3 in combination with one dose level of tislelizumab as an intravenous infusion to determine the combination Recommended Doses for Expansion (RDEs).
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Participants will be administered tislelizumab as described in the experimental arm.
Other Names:
Participants will be administered HFB200603 as described in the experimental arm.
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Experimental: Dose Expansion - HFB200603 monotherapy (optional)
Participants will be administered HFB200603 at monotherapy RDE as an intravenous infusion.
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Participants will be administered HFB200603 as described in the experimental arm.
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Experimental: Dose Expansion - HFB200603 in combination with tislelizumab
Participants will be administered HFB200603 in combination with tislelizumab at combination RDEs as an intravenous infusion.
Based on the cancer type, participants will be randomized to combination HFB200603 RDE 1 or RDE 2.
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Participants will be administered tislelizumab as described in the experimental arm.
Other Names:
Participants will be administered HFB200603 as described in the experimental arm.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with adverse events (AEs) meeting protocol-defined Dose-Limiting Toxicity (DLT) criteria during Dose Escalation
Time Frame: The first cycle of treatment (Day 1 up to Day 21)
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Severity of adverse events will be based on common terminology criteria for adverse events (CTCAE) version 5.0
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The first cycle of treatment (Day 1 up to Day 21)
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Number of participants with AEs
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Severity of AEs will be assessed based on CTCAE version 5.0 (except for cytokine release syndrome which will be assessed by American Society for Transplantation and Cellular Therapy grading)
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Number of participants with changes in laboratory values
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Number of participants with changes in vital signs
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Number of participants with changes in electrocardiogram (ECG)
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Number of participants with changes in tolerability (dose interruptions and dose intensity)
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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To determine a Recommended Phase 2 Dose (RP2D) during Dose Expansion
Time Frame: Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Objective Response Rate (ORR) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and immune-RECIST (iRECIST)
Time Frame: Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Disease Control Rate (DCR) as determined by RECIST 1.1 and iRECIST
Time Frame: Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
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Duration of Response (DOR) as determined by RECIST 1.1 and iRECIST
Time Frame: Start of first response to first date of disease progression, clinical progression or death, whichever occurs first, assessed up to 3 years
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Start of first response to first date of disease progression, clinical progression or death, whichever occurs first, assessed up to 3 years
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Progression Free Survival (PFS) as determined by RECIST 1.1 and iRECIST
Time Frame: Baseline to disease progression or death, whichever occurs first, assessed up to 3 years
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Baseline to disease progression or death, whichever occurs first, assessed up to 3 years
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Minimum serum concentration (Cmin)
Time Frame: Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Maximum serum concentration (Cmax)
Time Frame: Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Area under the concentration versus time curve (AUC)
Time Frame: Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Terminal half-life (T1/2)
Time Frame: Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Serum concentration for measurement of anti-HFB200603 antibodies
Time Frame: Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
May 9, 2023
Primary Completion (Estimated)
December 1, 2025
Study Completion (Estimated)
December 1, 2025
Study Registration Dates
First Submitted
February 24, 2023
First Submitted That Met QC Criteria
March 15, 2023
First Posted (Actual)
March 29, 2023
Study Record Updates
Last Update Posted (Actual)
December 4, 2023
Last Update Submitted That Met QC Criteria
November 30, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Kidney Diseases
- Urologic Diseases
- Adenocarcinoma
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Kidney Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Carcinoma, Renal Cell
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Tislelizumab
Other Study ID Numbers
- HFB-200603-01
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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