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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-002251-97 | EudraCT Number |
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This first-in-human, open-label, multicenter, Phase Ia/Ib, adaptive, multiple ascending-dose study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary anti-tumor activity of RO6874281 as a single agent (Part A) or in combination with trastuzumab or cetuximab (Part B or C).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: RO6874281 Monotherapy | Experimental | Dose Escalation: RO6874281 will be administered as an intravenous (IV) infusion. The starting dose regimen of RO6874281 as a single agent will be 5 milligrams (mg) once weekly (QW). Different regimens may be explored based on the emerging safety, PK, and PD data of RO6874281 and may be tested in parallel. Participants will be treated with RO6874281 until disease progression, unacceptable toxicities, or withdrawal of consent. Participants may continue treatment with RO6874281 for a maximum of 24 months. |
|
| Part B: RO6874281 in Combination with Trastuzumab | Experimental | Dose Escalation: RO6874281 will be administered as an IV infusion. RO6874281 will be administered QW for the first 4 administrations, then Q2W. The standard dose for trastuzumab will be a loading dose of 6 milligrams per kilogram (mg/kg) followed by a maintenance dose of 4 mg/kg from Cycle 2 in a Q2W regimen. Different regimens may be explored based on the emerging safety, PK, and PD data of RO6874281 and may be tested in parallel. Participants will be treated with RO6874281 in combination with trastuzumab until disease progression, unacceptable toxicities, or withdrawal of consent. Participants may continue treatment with RO6874281 in combination with trastuzumab for a maximum of 24 months. |
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| Part C: RO6874281 in Combination with Cetuximab | Experimental | RO6874281 will be administered as an IV infusion. The starting dose regimen of RO6874281 in combination with cetuximab will be 5 mg QW for the first 4 administrations, then Q2W. Cetuximab will be administered Q2W at 500 milligrams per square meter (mg/m^2). Different regimens may be explored based on the emerging safety, PK, and PD data of RO6874281 and may be tested in parallel. Participants will be treated with RO6874281 in combination with cetuximab until disease progression, unacceptable toxicities, or withdrawal of consent. Participants may continue treatment with RO6874281 in combination with cetuximab for a maximum of 24 months. Extension Phase: The MTD for RO6874281 was determined to be 10mg and therefore patients in the extension will be treated with 10mg RO6874281. Cetuximab and R06874281 will be administered weekly during induction phase (cycle 1 and cycle 2). Both IMPs will be administered Q2W starting in cycle 3. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RO6874281 | Drug | RO6874281 will be administered as per the schedule specified under arm description. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Dose-Limiting Toxicities (DLTs) | Day 1 up to Day 21 | |
| Maximum Tolerated Dose (MTD) of RO6874281 | Day 1 up to Day 21 | |
| Optimal Biological Dose (OBD) of RO6874281 | Day 1 up to Day 21 | |
| Recommended Dose for Further Development of RO6874281 | Day 1 up to Day 21 | |
| Systemic Clearance (CL) of RO6874281 | Day 1 up to 24 months | |
| Volume of Distribution at Steady State (Vss) of RO6874281 | Day 1 up to 24 months | |
| Area Under the Concentration-Time Curve (AUC) of RO6874281 | Day 1 up to 24 months | |
| Maximum Observed Serum Concentration (Cmax) of RO6874281 | Day 1 up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of T Cells in the Peripheral Blood | Day 1 up to 24 months | |
| Number of Natural Killer (NK) Cells in the Peripheral Blood | Day 1 up to 24 months | |
| Density of Cluster of Differentiation (CD)8+ Cells in Tumor Samples |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona Cancer Center | Tucson | Arizona | 85719 | United States | ||
| UCSD - Moores Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39422604 | Derived | Hansen AR, Gomez-Roca CA, Robbrecht DGJ, Verlingue L, Italiano A, Bauman JE, Steeghs N, Prenen H, Fayette J, Spicer J, Niu J, Habigt C, Schneider M, Evers S, Sleiman N, Dejardin D, Ardeshir C, Schmid D, Boetsch C, Charo J, Kraxner A, Teichgraber V, Keshelava N, Bonomi MR. Phase Ib Study of the Immunocytokine Simlukafusp Alfa (FAP-IL2v) in Combination with Cetuximab in Patients with Head and Neck Squamous Cell Carcinoma. Clin Cancer Res. 2024 Dec 16;30(24):5540-5547. doi: 10.1158/1078-0432.CCR-24-1562. |
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|
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| Trastuzumab | Drug | Trastuzumab will be administered as per the schedule specified under arm description. |
|
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| Cetuximab | Drug | Cetuximab will be administered as per the schedule specified under arm description. |
|
| Day 1 up to 24 months |
| Density of CD3-/Perforin+ Cells in Tumor Samples | Day 1 up to 24 months |
| Density of CD20 Cells in Tumor Samples | Day 1 up to 24 months |
| Percentage of Participants With Overall Response According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) | Day 1 up to 24 months |
| Percentage of Participants With Disease Control According to RECIST v1.1 | Day 1 up to 24 months |
| Progression-Free Survival (PFS) According to RECIST v1.1 | Day 1 up to 24 months |
| Percentage of Participants With Overall Response According to Modified RECIST | Day 1 up to 24 months |
| Percentage of Participants With Disease Control According to Modified RECIST | Day 1 up to 24 months |
| PFS According to Modified RECIST | Day 1 up to 24 months |
| Percentage of Participants With Overall Response According to iRECIST | Day 1 up to 24 months |
| Percentage of Participants With Disease Control According to iRECIST | Day 1 up to 24 months |
| PFS According to iRECIST | Day 1 up to 24 months |
| La Jolla |
| California |
| 92037 |
| United States |
| Banner MD Anderson Cancer Center | Greeley | Colorado | 85234 | United States |
| Washington University; Division of Oncology | St Louis | Missouri | 63110 | United States |
| The Ohio State University | Columbus | Ohio | 43210 | United States |
| UZ Antwerpen | Edegem | 2650 | Belgium |
| Juravinski Cancer Clinic; Department of Oncology | Hamilton | Ontario | L8V 5C2 | Canada |
| Princess Margaret Cancer Center | Toronto | Ontario | M5G 1Z5 | Canada |
| Rigshospitalet; Onkologisk Klinik | København Ø | 2100 | Denmark |
| Institut Bergonie; Oncologie | Bordeaux | 33076 | France |
| Centre Georges Francois Leclerc | Dijon | 21000 | France |
| Centre Leon Berard | Lyon | 69008 | France |
| Institut Claudius Regaud; Departement Oncologie Medicale | Toulouse | 31059 | France |
| Institut Gustave Roussy; Sitep | Villejuif | 94805 | France |
| IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola; Oncologia Medica | Meldola | Emilia-Romagna | 47014 | Italy |
| Fondazione IRCCS Istituto Nazionale dei Tumori;S.S. Trattamento MedicoTumori dellaTesta e delCollo | Milan | Lombardy | 20133 | Italy |
| Istituto Europeo di Oncologia; Svil. Nuovi Farmaci per Terapie Innovative | Milan | Lombardy | 20141 | Italy |
| Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda); Oncologico -Onc.Falck | Milan | Lombardy | 20162 | Italy |
| Ospedale Policlinico S. Matteo; Phase I Clinical Trial Unit and Experimental Therapy | Pavia | Lombardy | 27100 | Italy |
| Antoni Van Leeuwenhoek Ziekenhuis; Gastro-Enterologie | Amsterdam | 1066 CX | Netherlands |
| Erasmus MC | Rotterdam | 3015 GD | Netherlands |
| Clinica Universitaria de Navarra | Pamplona | Navarre | 31008 | Spain |
| Hospital Univ Vall d'Hebron; Servicio de Oncologia | Barcelona | 08035 | Spain |
| Leicester Royal Infirmary | Leicester | LE1 5WW | United Kingdom |
| Guys and St Thomas NHS Foundation Trust, Guys Hospital | London | SE1 9RT | United Kingdom |
| Christie Hospital | Manchester | M20 3BG | United Kingdom |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000068878 | Trastuzumab |
| D000068818 | Cetuximab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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