- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05858736
Safety, PK and Efficacy of AI-061 in Advanced Solid Tumors (PRESERVE-009)
Safety, Pharmacokinetics (PK) and Efficacy of AI-061, A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC-392 (Anti-CTLA-4) Antibodies in Advanced Solid Tumors: An Open-Label Phase 1 Study
Study Overview
Status
Conditions
- Melanoma
- Renal Cell Carcinoma
- Cervical Cancer
- Hepatocellular Carcinoma
- Gastric Cancer
- Colorectal Cancer
- Esophageal Cancer
- Fallopian Tube Cancer
- Non Small Cell Lung Cancer
- Bile Duct Cancer
- Bladder Cancer
- Endometrial Cancer
- Head and Neck Squamous Cell Carcinoma
- Anal Cancer
- Primary Peritoneal Carcinoma
- High Grade Serous Adenocarcinoma of Ovary
- Gastroesophageal-junction Cancer
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Pan Zheng, MD, PhD
- Phone Number: 2027516823
- Email: pzheng@oncoc4.com
Study Contact Backup
- Name: Faye Liu, PhD
- Email: fliu@oncoc4.com
Study Locations
-
-
New South Wales
-
Darlinghurst, New South Wales, Australia, 2010
- Not yet recruiting
- St. Vincent's Private Hospital
-
-
Queensland
-
Brisbane, Queensland, Australia, 4006
- Recruiting
- Mater Misericordiae Ltd.
-
Principal Investigator:
- Vikram Jain, MD
-
Southport, Queensland, Australia, 4120
- Recruiting
- Tasman Oncology Research
-
Principal Investigator:
- Andrew Hill, MD
-
-
South Australia
-
Adelaide, South Australia, Australia, 5000
- Recruiting
- Cancer Research Sa
-
Principal Investigator:
- Rohit Joshi, MD
-
Bedford Park, South Australia, Australia, 5042
- Not yet recruiting
- Southern Oncology Clinical Research Unit
-
Principal Investigator:
- Ganessan Kitchenadasse, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient is greater or 18 years of age on the day of signing the informed consent.
- All genders. Female subject with pregnancy potential must have a negative pregnancy test.
- Patient must have a performance status of less than or equal to 1 on the ECOG Performance Scale.
- Patients must have a histological or cytological diagnosis of solid tumors and have progressive locally advanced or metastatic disease.
Measurable disease as determined by RECIST v1.1 (either tumor lesion or lymph node lesion or both): Tumor mass: Must be accurately measurable in at least 1 dimension (longest diameter to be recorded) with a minimum size of: 10 mm by computed tomography (CT) scan (CT scan slide thickness must be less than 5 mm). Or: 20 mm by chest X-ray (if clearly defined and surrounded by aerated lung).
Malignant lymph nodes: greater than or equal to 15 mm in short axis when assessed by CT scan (CT scan slice thickness must be <5 mm). The measurement should be two dimensions at axial plane. The short axis should be in perpendicular to long diameter.
- Patient must have adequate organ function as indicated by the laboratory values. LDH less than or equal to ULN.
- Voluntary agreement to participate as evidenced by written informed consent.
- Female patient: agreement on contraceptive methods.
- Male patient: agreement on contraceptive methods.
- Life expectancy greater than or equal to 12 weeks.
Exclusion Criteria:
Patients who have not recovered to NCI CTCAE v5.0 less than or equal toGrade 1 from an adverse event (AE) due to cancer therapeutics except endocrinopathy or the chemotherapy-associated peripheral neuropathy (motor or sensory) that has recovered to CTCAE v5.0 less than or equal to Grade 2 will be allowed. The washout period for cancer therapeutic drugs should be 21 days prior to the first AI-061 dose for chemotherapy, radiation, or targeted therapy or 28 days prior to the first AI-061 administration for monoclonal antibody therapy. Best supportive care, such as thyroxine, insulin, steroid replacement treatment, blood transfusion, and therapy for non-cancer conditions are allowed.
2. Patients who are currently enrolled in any other clinical trial testing an investigational agent or device, or with concurrent other systemic cancer therapeutics.
3. Patients who are on chronic systemic steroid therapy at doses higher than 10 mg/day prednisone or equivalent within 7 days before the first treatment.
4. Patients who have active brain metastases or leptomeningeal metastases. 5. Patients who have an active infection requiring systemic IV antibiotics within 14 days prior to administration of AI-061. Regular treatment of urinary tract infection (UTI) and/or topical treatment are allowed.
6. Patients who, in the opinion of the treating Investigator, have a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study or make study participation not in the best interest of the patient. The investigator should discuss this with the Sponsor.
7. Patients with known psychiatric or substance abuse disorders that in the opinion of the investigator, would interfere with cooperation with the requirements of the trial.
8. Patients who are pregnant or breastfeeding.
9. Patients with active autoimmune diseases that require immunosuppressant treatment other than 10 mg per day or lower prednisone. Patients with inflammatory bowel disease or myasthenia gravis will be excluded.
Study Plan
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: Level 1
AI-061, 200 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
|
A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC- 392 (Anti-CTLA-4) Antibodies.
Other Names:
|
Experimental: Level 2
AI-061, 400 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
|
A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC- 392 (Anti-CTLA-4) Antibodies.
Other Names:
|
Experimental: Level 3
AI-061, 600 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
|
A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC- 392 (Anti-CTLA-4) Antibodies.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dose Limiting Toxicity (DLT)
Time Frame: 21 days after first treatment
|
The number of subjects who have Dose limiting toxicity (DLT) as defined by protocol DLT criteria during the first cycle of study drug, AI-061, administration.
|
21 days after first treatment
|
Maximum Toxicity Dose (MTD)
Time Frame: 21 day after first treatment
|
Maximal tolerable dose (MTD), the study drug, AI-061, dose level that has two out of six subjects who have DLT.
|
21 day after first treatment
|
Recommended Phase II Dose (RP2D)
Time Frame: 21 days after first treatment
|
Recommended Phase II Dose (RP2D), the study drug, AI-061, dose level that is one level below MTD, or an intermediate dose level that below MTD and pre-specified in protocol.
This dose level will be the RP2D.
|
21 days after first treatment
|
Incidence of treatment emergent adverse events (TEAE)
Time Frame: From the day with first treatment to 90 days after the last treatment.
|
Incidence of treatment emergent adverse events (TEAE) according to CTCAE v5.0.
|
From the day with first treatment to 90 days after the last treatment.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cmax of AI-061
Time Frame: Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
|
The highest Serum concentration of AI-061 after IV infusion at cycle 1 and cycle 3 dosings from different timepoints after drug administration.
|
Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
|
The serum half-life of AI-061
Time Frame: Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
|
To determine the drug concentration in serum samples that are taken in various timepoints during the treatment in order to calculate drug half life.
|
Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
|
Objective Response Rate (ORR)
Time Frame: Up to 1 year.
|
Objective Response Rate (ORR), evaluated by investigators on radiological images according to RECIST 1.1.
|
Up to 1 year.
|
Progression free survival (PFS)
Time Frame: Up to 1 year.
|
Progression free survival (PFS), the event is the time that diseased progressed evaluated by investigators or death occurs.
|
Up to 1 year.
|
Overall survival (OS),
Time Frame: Up to 1 year.
|
Overall survival (OS), the event is the time that all cause death occurs.
|
Up to 1 year.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Rohit Joshi, MD, Cancer Research South Australia
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Uterine Neoplasms
- Genital Neoplasms, Female
- Uterine Diseases
- Adnexal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Fallopian Tube Diseases
- Colorectal Neoplasms
- Biliary Tract Diseases
- Cystadenocarcinoma
- Neoplasms, Cystic, Mucinous, and Serous
- Bile Duct Diseases
- Carcinoma, Squamous Cell
- Rectal Neoplasms
- Anus Diseases
- Biliary Tract Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Carcinoma
- Fallopian Tube Neoplasms
- Endometrial Neoplasms
- Squamous Cell Carcinoma of Head and Neck
- Cystadenocarcinoma, Serous
- Anus Neoplasms
- Bile Duct Neoplasms
Other Study ID Numbers
- AI-061-AU-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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