Fc-Engineered Anti-CTLA-4 Monoclonal Antibody in Advanced Cancer
Lay Description
This study is an open-label, Phase 1/2, multicenter study to evaluate the safety, tolerability, PK, and PD profiles of a novel Fc-engineered IgG1 anti-CTLA-4 human monoclonal antibody (AGEN1181) monotherapy and in combination with a human monoclonal IgG4 antibody (AGEN2034), and to assess the maximum tolerated dose (MTD) in subjects with advanced solid tumors. This study will also determine the RP2D of AGEN1181 monotherapy and in combination with AGEN2034.
Category
- Cancers and Other Neoplasms
- Solid Tumor
- IRB Number
- 20190051HU
- NCT Number
- NCT03860272
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
For inclusion in the trial, all of the following inclusion criteria must be fulfilled, as no waivers will be permitted: 1. Provision of signed and dated written informed consent prior to any study specific procedures. Participation in pharmacogenomics (PGx) testing is optional. 2. = 18 years of age. 3. Histologically or cytologically confirmed diagnosis of metastatic or locally advanced solid tumor for which no standard therapy is available or standard therapy has failed. 4. Measurable disease on imaging based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1). 5. Life expectancy of = 3 months and Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 6. Adequate organ and bone marrow reserve function, as indicated by the following laboratory values: 1. Adequate hematological function, defined as absolute neutrophil count (ANC) = 1.5 × 109/L, platelet count = 100 × 109/L, and hemoglobin = 8 g/dL without recent transfusion (defined as a transfusion that has occurred within 2 weeks of the hemoglobin measurement). 2. Adequate liver function, defined as total bilirubin level = 1.5 × institutional upper limit of normal (IULN), aspartate aminotransferase (AST) = 2.5 × IULN, and alanine aminotransferase (ALT) = 2.5 × IULN. 3. Adequate renal function defined as creatinine = 1.5 × IULN OR measured or calculated creatinine clearance = 40 mL/min per institutional standard. Assessment methods should be recorded. 4. Adequate coagulation, defined as international normalized ratio (INR) or prothrombin time = 1.5 × IULN and activated partial thromboplastin time (aPTT) = 1.5 × IULN (unless patient receiving anticoagulant therapy). 7. No history of prior or concomitant malignancy that requires other active treatment. 8. Patients must provide a sufficient and adequate formalin-fixed paraffin embedded (FFPE) tumor tissue sample (fresh biopsy) collected within 28 days before the first dose from a site not previously irradiated, and agree to a mandatory on-treatment biopsy if clinically feasible 9. Female patients of childbearing potential must have a negative serum pregnancy test at screening (within 72 hours of first dose of study medication). Non-childbearing potential is defined as 1 of the following: 1. = 45 years of age and has not had menses for >1 year. 2. Amenorrheic for > 2 years without a hysterectomy and/or oophorectomy and follicle stimulating hormone value in the postmenopausal range upon pretrial (screening) evaluation. 3. Status is post-hysterectomy, -oophorectomy, or -tubal ligation. 10. Female patients of childbearing potential must be willing to use highly effective contraceptive measures starting with the Screening visit through 90 days after last dose of study treatment. Note: Abstinence is acceptable if this is the established and preferred contraception for the patient. 11. Male patients with a female partner(s) of childbearing potential must agree to use highly effective contraceptive measures throughout the trial starting with the Screening visit through 90 days after the last dose of study treatment is received. Males with pregnant partners must agree to use a condom; no additional method of contraception is required for the pregnant partner. Note: Abstinence is acceptable if this is the established and preferred contraception method for the patient
Exclusion Criteria
Study Design
Arm Groups
Study Contact
Frances Crawford
210-450-5037
crawfordf1@uthscsa.edu
Myrna Montenegro
210-450-5954
montenegro@uthscsa.edu
Kathleen Rodriguez
210-450-1365
rodriguezk3@uthscsa.edu
Benjamin Schleif
210-450-1366
schleifb@uthscsa.edu
Morgan Seekatz
210-450-1133
seekatz@uthscsa.edu
Principal Investigator
Daruka Mahadevan