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Safety Study of Enoblituzumab (MGA271) in Combination With Ipilimumab in Refractory Cancer

2022年2月4日 更新者:MacroGenics

A Phase 1, Open-Label, Dose Escalation Study of MGA271 in Combination With Ipilimumab in Patients With Melanoma, Non-Small Cell Lung Cancer, and Other Cancers

The purpose of this study is to evaluate the safety of enoblituzumab (MGA271) in combination with Yervoy (ipilimumab) when given to patients with B7-H3-expressing melanoma, squamous cell carcinoma of the head and neck (SCCHN), non small cell lung cancer (NSCLC) and other B7-H3 expressing cancers. The study will also evaluate what is the best dose of enoblituzumab to use when given with ipilimumab. Assessments will also be done to see how the drug acts in the body (pharmacokinetics (PK), pharmacodynamics) and to evaluate potential anti-tumor activity of enoblituzumab in combination with ipilimumab.

研究概览

详细说明

This study is a Phase 1 open-label, dose escalation, and cohort expansion study of enoblituzumab administered intravenously (IV) on a weekly schedule for up to 51 doses in combination with IV ipilimumab administered on an every-3-week schedule for 4 doses.

The dose escalation phase is designed to characterize the safety and tolerability of the combination of enoblituzumab and ipilimumab and to define the maximum tolerated or administered dose (MTD/MAD) in patients with B7-H3 expressing mesothelioma, urothelial cancer, NSCLC, SCCHN, Clear cell renal cell carcinoma (ccRCC), ovarian cancer, melanoma, thyroid cancer, Triple negative breast cancer (TNBC), pancreatic cancer, colon cancer, soft tissue sarcoma, or prostate cancer.

The cohort expansion phase, 2 cohorts of 16 patients each will be enrolled to further evaluate the safety and potential efficacy of the combination administered at the MTD/MAD dose in patients with melanoma and NSCLC.

All tumor evaluations will be carried out by both Response Evaluation Criteria in Solid Tumors (RECIST) and immune-related response criteria (irRC).

研究类型

介入性

注册 (实际的)

24

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • California
      • Los Angeles、California、美国、90095
        • UCLA Hematology-Oncology Clinic
    • Connecticut
      • New Haven、Connecticut、美国、06520
        • Yale University
    • Florida
      • Miami Beach、Florida、美国、33140
        • Mount Sinai Medical Center
    • Illinois
      • Chicago、Illinois、美国、60637
        • University of Chicago
    • Indiana
      • Indianapolis、Indiana、美国、46202
        • Indiana University Simon Cancer Center
    • Missouri
      • Saint Louis、Missouri、美国、63110
        • Washington University School of Medicine in St. Louis
    • New York
      • New York、New York、美国、10032
        • Columbia University Medical Center
    • Oregon
      • Portland、Oregon、美国、97213
        • Providence Portland Medical Center
    • Texas
      • Houston、Texas、美国、77030
        • Center For Oncology and Blood Disorders
    • Wisconsin
      • Madison、Wisconsin、美国、53792
        • University of Wisconsin

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria - Cohort Expansion Phase:

  • Histologically-proven, unresectable, locally advanced or metastatic melanoma or NSCLC

    • Melanoma: Advanced or metastatic melanoma patients may be systemic therapy naïve or may have received systemic treatment for unresectable locally advanced or metastatic disease. A patient who previously received systemic therapy must have had progression on a checkpoint inhibitor (e.g., anti-PD-L1, anti-PD-1, anti-CTLA-4) as the most recent prior therapy.
    • NSCLC: NSCLC that has progressed during or following 1 or more prior systemic therapies for unresectable locally advanced or metastatic disease. Patients who are intolerant of, or have refused treatment with standard first line cancer therapy, will be allowed to enroll. Patients must not have had more than 5 prior systemic regimens (excluding experimental therapies) for unresectable locally advanced or metastatic disease.
  • B7-H3 expression is not required for eligibility in this study; however, tumor expression of B7-H3 will be evaluated for all patients.
  • Measurable disease per RECIST 1.1 criteria
  • ECOG performance status 0 or 1
  • Acceptable laboratory parameters and adequate organ reserve.

Exclusion Criteria - Cohort Expansion Phase:

  • Patients with a history of symptomatic central nervous system metastases, unless treated and asymptomatic
  • Patients with history of autoimmune disease with certain exceptions
  • History of allogeneic bone marrow, stem cell, or solid organ transplant
  • Treatment with systemic cancer therapy or investigational therapy within 4 weeks; radiation within 2 weeks; trauma or major surgery within 4 weeks
  • History of clinically-significant cardiovascular disease; gastrointestinal perforation; gastrointestinal bleeding, acute pancreatitis or diverticulitis within 4 weeks;
  • Active viral, bacterial, or systemic fungal infection requiring parenteral treatment within 7 days; positive for human immunodeficiency virus or AIDS, hepatitis B or C.
  • Known hypersensitivity to recombinant proteins, polysorbate 80, or any excipient contained in the drug or vehicle formulation for MGA271 or ipilimumab.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:enoblituzumab plus ipilimumab
Enoblituzumab: Fc-optimized, humanized monoclonal antibody. Ipilimumab: Yervoy; recombinant, fully humanized IgG-1 CTLA-4 blocking antibody approved by the US Food and Drug Administration and the European Medicines Agency for the treatment of unresectable or metastatic melanoma.
enoblituzumab is administered by IV infusion once per week. Ipilimumab is administered by IV infusion every 3 weeks for up to 4 doses.
其他名称:
  • enoblituzumab (MGA271); ipilimumab (Yervoy)

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Number of participants with adverse events
大体时间:1 year
Adverse events, serious adverse events
1 year

次要结果测量

结果测量
措施说明
大体时间
Peak plasma concentration
大体时间:7 weeks
PK of MGA271 in combination with ipilimumab
7 weeks
Number of participants that develop anti-drug antibodies
大体时间:7 weeks
Proportion of patients who develop anti-MGA271 antibodies, immunogenicity
7 weeks
Change in tumor volume
大体时间:Weeks 9, 18, 27, 39, and 51
Anti-tumor activity of MGA271 in combination with ipilimumab using both conventional RECIST 1.1 and immune-related RECIST criteria.
Weeks 9, 18, 27, 39, and 51

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2015年3月26日

初级完成 (实际的)

2017年11月9日

研究完成 (实际的)

2018年9月26日

研究注册日期

首次提交

2015年2月20日

首先提交符合 QC 标准的

2015年3月2日

首次发布 (估计)

2015年3月6日

研究记录更新

最后更新发布 (实际的)

2022年2月8日

上次提交的符合 QC 标准的更新

2022年2月4日

最后验证

2022年2月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

enoblituzumab plus ipilimumab的临床试验

3
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