| ID | Type | Description | Link |
|---|---|---|---|
| 2018-002143-29 | EudraCT Number |
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This is a first-in-human study evaluating the anti-T cell immunoglobulin and mucin containing protein-3 (TIM-3) antibody TSR-022. The study will be conducted in 2 parts with Part 1 consisting of dose escalation and Part 2 dose expansion. Part 1 will determine the recommended Phase 2 dose (RP2D) of TSR-022 and Part 2 will evaluate the antitumor activity of TSR-022 in combination with TSR-042 or docetaxel and as monotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1a: TSR-022 monotherapy | Experimental |
| |
| Part 1b: TSR-022 in combination with nivolumab | Experimental |
| |
| Part 1c: TSR-022 in combination with TSR-042 | Experimental |
| |
| Part 1d: TSR-022 in combination with TSR-042 and TSR-033 | Experimental |
| |
| Part 1e: TSR-022 with TSR-042 (not previously treated with anti-programmed death ligand [PD-{L}]1) | Experimental |
| |
| Part 1f: TSR-022 in combination with TSR-042 and Docetaxel | Experimental |
| |
| Part 1g: TSR-022 in combination with TSR-042, pemetrexed, and cisplatin |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TSR-022 | Drug | TSR-022 will be administered. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 (a): Number of participants achieving dose limiting toxicity (DLTs) | Up to 28 days | |
| Part 1 (b,c,d): Number of participants achieving dose limiting toxicity (DLTs) | Up to 42 days | |
| Part 1 (f,g,h): Number of participants achieving dose limiting toxicity (DLTs) | Up to 21 days | |
| Part 1: Number of participants with adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, treatment emergent adverse events (TEAEs), TEAEs leading to death and immune-related adverse events (irAEs) | Up to 2 years | |
| Part 1: Number of participants with clinically significant changes in laboratory parameters, vital signs, electrocardiogram (ECG) findings, Eastern Cooperative Oncology Group (ECOG) status, physical examination and use of concomitant medications | Up to 2 years | |
| Part 1 (e) and Part 2: Overall Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1 | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 (a, b, c, d, f, g, h): ORR by RECIST v 1.1 | Up to 2 years | |
| Part 2 (A, B, C, D): ORR by Immune related RECIST (irRECIST) | Up to 2 years | |
| Part 2: Duration of response (DOR) by RECIST v 1.1 |
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Inclusion Criteria
Inclusion Criteria for Participants in Part 1 and Part 2 Cohorts A, B, and C:
Inclusion Criteria for Participants in Part 2 Cohort E
Inclusion Criteria for Participants in Part 2 Cohort F
Histologically confirmed locally advanced or metastatic and/or unresectable Hepatocellcular Carcinoma (HCC)
No prior systemic therapy for HCC
Documented HBV testing at screening, including hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAB) and hepatitis B core antibody (HBcAb). Participants with a positive HBsAg will require negative hepatitis B virus (HBV) DNA testing at screening.
Documented hepatitis C virus (HCV) antibody testing conducted at screening. If HCV antibody is positive, then HCV RNA must be negative. Participants with recently treated HCV prior to study start must be greater than (>)12 weeks from final HCV treatment.
Must have measurable disease, defined as at least one tumor lesion that can be accurately measured according to RECIST v1.1
Participant agrees to submit an archival FFPE tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
• Participants are also encouraged, but not required, to have a fresh tumor tissue biopsy of a primary or metastatic tumor prior to dosing (samples will be used to enable biomarker analysis).
International normalized ratio (INR) or prothrombin time (PT) <= 2× upper limit of normal (ULN) unless participant is receiving anticoagulant therapy as long as PT or partial thromboplastin (PTT) is within therapeutic range of intended use of anticoagulants. Activated partial thromboplastin time (aPTT) <=2×ULN unless participant is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants
Negative human immunodeficiency virus (HIV) test at screening The Investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.
Exclusion criteria:
Exclusion Criteria for Participants in Part 2 Cohort D
Exclusion Criteria for Participants in Part 2 Cohort E
Exclusion Criteria for Participants in Part 2 Cohort F
Known fibrolamellar HCC, sarcomatoid HCC or mixed cholangiocarcinoma and HCC
Participant must not have had major surgery <= 3 weeks prior to initiating protocol therapy and participant must have recovered from any surgical effects
Participants must not have received investigational therapy <= 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is shorter, prior to initiating protocol therapy.
Active or untreated central nervous system (CNS) and leptomeningeal metastases
Prior therapy with any medication targeting PD-1, PD-L1, or TIM-3
Participant must not have a known hypersensitivity to TSR-042 and TSR-022 components or excipients.
Participants with active malignancy (other than HCC) or a prior malignancy within the past 2 years are excluded. Participants with completely resected cutaneous melanoma (early stage), basal cell carcinoma, cutaneous squamous cell carcinoma, cervical carcinoma in-situ, breast carcinoma in-situ, and localized prostate cancer are eligible
Participant must not have serious, uncontrolled medical disorder, or nonmalignant systemic disease as determined by the treating physician. Examples include, but are not limited to uncontrolled ventricular arrhythmia, uncontrolled major seizure disorder, unstable spinal cord compression, or superior vena cava syndrome.
Has a history or evidence of cardiac abnormalities within the 6 months prior to enrollment, including:
Known history of HIV infection
Active tuberculosis infection or other microbial infection or any active systemic infection requiring parenteral antibiotic therapy. All prior infections must have resolved following optimal therapy.
Participant has an active autoimmune disease that has required systemic treatment in the past 2 years (. i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
History of idiopathic pulmonary fibrosis, interstitial lung disease, bronchial asthma, organizing pneumonia, bronchiolitis obliterans, drug-induced pneumonitis, or idiopathic pneumonitis
History of organ transplantation including allogeneic bone marrow transplantation
Participant has a diagnosis of immunodeficiency or has been receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to initiating protocol therapy.
Participant has received a live vaccine within 7 days of initiating protocol therapy. Seasonal flu vaccines that do not contain live virus and COVID 19 vaccines are permitted.
Psychiatric illness/social situations that would limit compliance with study requirements
Pregnant, lactating, breastfeeding, or intending to become pregnant during the study and for 150 days after the study
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Goodyear | Arizona | 85338 | United States | ||
| GSK Investigational Site |
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This is a multi-center, open-label, first-in-human Phase 1 study.
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Click here to enter text.
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| Experimental |
|
| Part 1h: TSR-022 in combination with TSR-042, pemetrexed, and carboplatin | Experimental |
|
| Part 2: Cohort A Melanoma-TSR-022 as monotherapy | Experimental |
|
| Part 2: Cohort A Melanoma-TSR-022 with TSR-042 | Experimental |
|
| Part 2:Cohort B Non-small cell lung cancer-TSR-022-monotherapy | Experimental |
|
| Part 2:Cohort B Non-small cell lung cancer-TSR-022 with TSR-042 | Experimental |
|
| Part 2:Cohort C Colorectal cancer-TSR-022 as monotherapy | Experimental |
|
| Part 2:Cohort C Colorectal cancer-TSR-022 with TSR-042 | Experimental |
|
| Part 2: Cohort D-TIM-3 selected non-small cell lung cancer (NSCLC)-TSR-022 with TSR-042 | Experimental |
|
| Part 2: Cohort E-Non-small cell lung cancer-TSR-022 with docetaxel | Experimental |
|
| Part 2: Cohort F- Hepatocellular carcinoma (HCC)-TSR-022 with TSR-042 | Experimental |
|
| Nivolumab | Drug | Nivolumab will be administered. |
|
| TSR-042 | Drug | TSR-042 will be administered. |
|
| TSR-033 | Drug | TSR-033 will be administered. |
|
| Docetaxel | Drug | Docetaxel will be administered. |
|
| Pemetrexed | Drug | Pemetrexed will be administered. |
|
| Cisplatin | Drug | Cisplatin will be administered. |
|
| Carboplatin | Drug | Carboplatin will be administered. |
|
| Up to 2 years |
| Part 2 (A, B, C, D): DOR by irRECIST | Up to 2 years |
| Parts 1 and 2: Disease control rate (DCR) by RECIST v 1.1 | Up to 2 years |
| Part 2 (A, B, C, D): DCR by irRECIST | Up to 2 years |
| Part 2: Progression-free survival (PFS) by RECIST v 1.1 | Up to 2 years |
| Part 2 (A, B, C, D): PFS by irRECIST | Up to 2 years |
| Parts 1 and 2 (A, B, C, D, E, F): Serum concentration of TSR-022 | Up to 2 years |
| Part 1d: Serum concentration of TSR-033 | Up to 2 years |
| Part 1 (c, d, e, f, g, h): Serum concentration of TSR-042 | Up to 2 years |
| Part 2 (A, B, C, D, F): Serum concentration of TSR-042 | Up to 2 years |
| Part 2: Overall survival (OS) | Up to 2 years |
| Part 1a: Minimum plasma concentration (Cmin) of TSR-022 as monotherapy | Up to 2 years |
| Part 1b: Cmin of TSR-022 in combination with nivolumab | Up to 2 years |
| Part 1c: Cmin of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1d: Cmin of TSR-022 in combination with TSR-042 and TSR-033 | Up to 2 years |
| Part 2F: Cmin of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1a: Area under the concentration × time curve from time 0 to infinity AUC (0-inf) of TSR-022 as monotherapy | Up to 2 years |
| Part 1b: AUC (0-inf) of TSR-022 in combination with nivolumab | Up to 2 years |
| Part 1c: AUC (0-inf) of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1d: AUC (0-inf) of TSR-022 in combination with TSR-042 and TSR-033 | Up to 2 years |
| Part 2F: AUC (0-inf) of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1a: Area under the concentration time curve from time 0 to last assessment (AUC 0-last) of TSR-022 as monotherapy | Up to 2 years |
| Part 1b: AUC (0-last) of TSR-022 in combination with nivolumab | Up to 2 years |
| Part 1c: AUC (0-last) of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1d: AUC (0-last) of TSR-022 in combination with TSR-042 and TSR-033 | Up to 2 years |
| Part 2F: AUC (0-last) of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1a: Terminal half life (t 1/2) of TSR-022 as monotherapy | Up to 2 years |
| Part 1b: t1/2 of TSR-022 and in combination with nivolumab | Up to 2 years |
| Part 1c: t1/2 of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1d: t1/2 of TSR-022 in combination with TSR-042 and TSR-033 | Up to 2 years |
| Part 2F: t1/2 of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1a: Area under the concentration × time curve during the dosing interval (AUCtau) of TSR-022 as monotherapy | Up to 2 years |
| Part 1b: AUCtau of TSR-022 and in combination with nivolumab | Up to 2 years |
| Part 1c: AUCtau of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1d: AUCtau of TSR-022 in combination with TSR-042 and TSR-033 | Up to 2 years |
| Part 2F: AUCtau of TSR-022 in combination with TSR-042 | Up to 2 years |
| Part 1: Number of participants with anti-drug antibodies (ADAs) to TSR-022 | Up to 2 years |
| Part 2 (A, B, C, D, E, F): Number of participants with ADA to anti-TSR-022 | Up to 2 years |
| Part 1 (c, d, e, f, g, h): Number of participants with ADA to TSR-042 | Up to 2 years |
| Part 2 (A, B, C, D, F): Number of Participants with ADA to TSR-042 | Up to 2 years |
| Part 1d: Number of participants with ADA to TSR-033 | Up to 2 years |
| Part 2F: Number of participants with AEs, SAEs, AEs leading to discontinuation, TEAEs, TEAEs leading to death | Up to 2 years |
| Part 2F: Percent change from Baseline in Alpha-fetoprotein (AFP) | Baseline, and up to 2 years |
| Scottsdale |
| Arizona |
| 85258 |
| United States |
| GSK Investigational Site | Tucson | Arizona | 85704 | United States |
| GSK Investigational Site | Tucson | Arizona | 85711 | United States |
| GSK Investigational Site | Encinitas | California | 92024 | United States |
| GSK Investigational Site | Fountain Valley | California | 92708 | United States |
| GSK Investigational Site | Los Angeles | California | 90024 | United States |
| GSK Investigational Site | Los Angeles | California | 90025 | United States |
| GSK Investigational Site | San Marcos | California | 92069 | United States |
| GSK Investigational Site | Whittier | California | 90606 | United States |
| GSK Investigational Site | Aurora | Colorado | 80012 | United States |
| GSK Investigational Site | Aurora | Colorado | 80045 | United States |
| GSK Investigational Site | Denver | Colorado | 80218 | United States |
| GSK Investigational Site | New Haven | Connecticut | 06511 | United States |
| GSK Investigational Site | Washington D.C. | District of Columbia | 20007 | United States |
| GSK Investigational Site | Jacksonville | Florida | 32224 | United States |
| GSK Investigational Site | Miami | Florida | 33140 | United States |
| GSK Investigational Site | Sarasota | Florida | 34232 | United States |
| GSK Investigational Site | Tampa | Florida | 33612 | United States |
| GSK Investigational Site | Atlanta | Georgia | 30322 | United States |
| GSK Investigational Site | Augusta | Georgia | 30912 | United States |
| GSK Investigational Site | Arlington Heights | Illinois | 60005 | United States |
| GSK Investigational Site | Chicago | Illinois | 60637 | United States |
| GSK Investigational Site | Niles | Illinois | 60714 | United States |
| GSK Investigational Site | Iowa City | Iowa | 52242 | United States |
| GSK Investigational Site | Wichita | Kansas | 67214 | United States |
| GSK Investigational Site | Louisville | Kentucky | 40202 | United States |
| GSK Investigational Site | Pikeville | Kentucky | 41501 | United States |
| GSK Investigational Site | Wheaton | Maryland | 20850 | United States |
| GSK Investigational Site | Boston | Massachusetts | 02114 | United States |
| GSK Investigational Site | Detroit | Michigan | 48202 | United States |
| GSK Investigational Site | Rochester | Minnesota | 55905 | United States |
| GSK Investigational Site | Florissant | Missouri | 63031 | United States |
| GSK Investigational Site | St Louis | Missouri | 63110 | United States |
| GSK Investigational Site | St Louis | Missouri | 63129 | United States |
| GSK Investigational Site | St Louis | Missouri | 63141 | United States |
| GSK Investigational Site | Hackensack | New Jersey | 07601 | United States |
| GSK Investigational Site | New York | New York | 10016 | United States |
| GSK Investigational Site | The Bronx | New York | 10461 | United States |
| GSK Investigational Site | Cincinnati | Ohio | 45242 | United States |
| GSK Investigational Site | Cleveland | Ohio | 44106 | United States |
| GSK Investigational Site | Toledo | Ohio | 43623 | United States |
| GSK Investigational Site | Eugene | Oregon | 97401 | United States |
| GSK Investigational Site | Vancouver | Oregon | 97213-2982 | United States |
| GSK Investigational Site | Bethlehem | Pennsylvania | 18015 | United States |
| GSK Investigational Site | Pittsburgh | Pennsylvania | 15232 | United States |
| GSK Investigational Site | Charleston | South Carolina | 29425 | United States |
| GSK Investigational Site | Greenville | South Carolina | 29605 | United States |
| GSK Investigational Site | Nashville | Tennessee | 37203 | United States |
| GSK Investigational Site | Austin | Texas | 78705 | United States |
| GSK Investigational Site | Dallas | Texas | 75246 | United States |
| GSK Investigational Site | Fort Worth | Texas | 76104 | United States |
| GSK Investigational Site | Houston | Texas | 77030 | United States |
| GSK Investigational Site | Longview | Texas | 75601 | United States |
| GSK Investigational Site | McAllen | Texas | 78503-1298 | United States |
| GSK Investigational Site | San Antonio | Texas | 78229 | United States |
| GSK Investigational Site | Temple | Texas | 76508 | United States |
| GSK Investigational Site | Tyler | Texas | 75702 | United States |
| GSK Investigational Site | Fairfax | Virginia | 22031 | United States |
| GSK Investigational Site | Kennewick | Washington | 99336 | United States |
| GSK Investigational Site | Puyallup | Washington | 98373 | United States |
| GSK Investigational Site | Seattle | Washington | 98111 | United States |
| GSK Investigational Site | Tacoma | Washington | 98405 | United States |
| GSK Investigational Site | Madison | Wisconsin | 53792 | United States |
| GSK Investigational Site | Daegu | 42601 | South Korea |
| GSK Investigational Site | Seoul | 02841 | South Korea |
| GSK Investigational Site | Seoul | 03722 | South Korea |
| GSK Investigational Site | Seoul | 06351 | South Korea |
| GSK Investigational Site | Seoul | 7061 | South Korea |
| GSK Investigational Site | Barcelona | 08017 | Spain |
| GSK Investigational Site | Barcelona | 08025 | Spain |
| GSK Investigational Site | Barcelona | 8035 | Spain |
| GSK Investigational Site | Girona | 17007 | Spain |
| GSK Investigational Site | Jerez de la Frontera | 11407 | Spain |
| GSK Investigational Site | L'Hospitalet de Llobrega | 08908 | Spain |
| GSK Investigational Site | Las Palmas de Gran Canar | 35016 | Spain |
| GSK Investigational Site | Madrid | 28027 | Spain |
| GSK Investigational Site | Madrid | 28040 | Spain |
| GSK Investigational Site | Madrid | 28041 | Spain |
| GSK Investigational Site | Madrid | 28046 | Spain |
| GSK Investigational Site | Madrid | 28222 | Spain |
| GSK Investigational Site | Málaga | 29010 | Spain |
| GSK Investigational Site | Palma de Mallorca | 07120 | Spain |
| GSK Investigational Site | Pamplona | 31008 | Spain |
| GSK Investigational Site | Santander | 39008 | Spain |
| GSK Investigational Site | Seville | 41013 | Spain |
| GSK Investigational Site | Valencia | 46010 | Spain |
| GSK Investigational Site | Valencia | 46026 | Spain |
| GSK Investigational Site | Zaragoza | 50009 | Spain |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D015179 | Colorectal Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| C000719628 | dostarlimab |
| C000716688 | TSR-033 |
| D000077143 | Docetaxel |
| D000068437 | Pemetrexed |
| D002945 | Cisplatin |
| D016190 | Carboplatin |
| 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 |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000600 | Amino Acids, Dicarboxylic |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D056831 | Coordination Complexes |
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