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The primary goal of this Phase 1 study is to characterize the safety and tolerability of tebotelimab and establish the maximum tolerated dose (MTD) of tebotelimab in advanced solid tumors, and tebotelimab in combination with margetuximab in HER2+ advanced solid tumors. Pharmacokinetics (PK), immunogenicity, pharmacodynamics (PD), and the anti-tumor activity of tebotelimab will also be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tebotelimab: 1 mg | Experimental |
| |
| Tebotelimab 3 mg | Experimental |
| |
| Tebotelimab: 10 mg | Experimental |
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| Tebotelimab: 30 mg | Experimental |
| |
| Tebotelimab: 120 mg | Experimental |
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| Tebotelimab: 400 mg | Experimental |
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| Tebotelimab: 600 mg | Experimental |
| |
| Tebotelimab: 800 mg |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tebotelimab 1 mg | Biological | 1 mg IV every other week |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Treatment-Emergent Adverse Events (TEAE) as assessed by CTCAE v4.03 (tebotelimab monotherapy) | Safety Safety is based on evaluation of adverse events (AEs) and serious adverse events (SAEs) from the time of study drug administration through the End of Study visit. | up to 24 months |
| Number of participants with Treatment-Emergent Adverse Events as assessed by CTCAE v4.03 (tebotelimab plus margetuximab) | Safety | up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration versus Time Curve (AUC) of tebotelimab | AUC | From Day 1 to Day 15 after the first and second doses |
| Maximum Plasma Concentration (Cmax) of tebotelimab and tebotelimab plus margetuximab |
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Inclusion Criteria:
HER2+ Cohort:
- Locally advanced or metastatic HER2+ locally advanced or metastatic solid tumors, regardless of organ of origin.
i. The cancer must have progressed following standard therapy, or has progressed during or after HER2-directed therapy if approved and available for patients with HER2+ breast, gastric, or gastroesophageal junction cancer.
ii. History of HER2 positivity defined as 3+ by IHC or 2+ by Immunohistochemistry (IHC) in combination with in situ hybridization (ISH) positivity most recent tumor biopsy.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ashley Ward, MD | MacroGenics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner MD Anderson Cancer Center | Gilbert | Arizona | 85234 | United States | ||
| USC/Norris Comprehensive Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37857711 | Derived | Luke JJ, Patel MR, Blumenschein GR, Hamilton E, Chmielowski B, Ulahannan SV, Connolly RM, Santa-Maria CA, Wang J, Bahadur SW, Weickhardt A, Asch AS, Mallesara G, Clingan P, Dlugosz-Danecka M, Tomaszewska-Kiecana M, Pylypenko H, Hamad N, Kindler HL, Sumrow BJ, Kaminker P, Chen FZ, Zhang X, Shah K, Smith DH, De Costa A, Li J, Li H, Sun J, Moore PA. The PD-1- and LAG-3-targeting bispecific molecule tebotelimab in solid tumors and hematologic cancers: a phase 1 trial. Nat Med. 2023 Nov;29(11):2814-2824. doi: 10.1038/s41591-023-02593-0. Epub 2023 Oct 19. |
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| Experimental |
|
| Tebotelimab: 1200 mg | Experimental |
|
| Combination cohort 1 | Experimental | Tebotelimab and margetuximab |
|
| Combination Cohort 2 | Experimental | Tebotelimab and margetuximab |
|
| Monotherapy Cohort Expansion | Experimental | Monotherapy expansion at 600 mg |
|
| tebotelimab 3 mg | Biological | 3 mg IV every other week |
|
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| tebotelimab 10 mg | Biological | 10 mg IV every other week |
|
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| tebotelimab 30 mg | Biological | 30 mg IV every other week |
|
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| tebotelimab 120 mg | Biological | 120 mg IV every other week |
|
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| tebotelimab 300 mg | Biological | 300 mg IV every other wee |
|
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| tebotelimab 400 mg | Biological | 400 mg IV every other wee |
|
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| tebotelimab 600 mg | Biological | 600 mg IV every other week |
|
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| tebotelimab 800 mg | Biological | 800 mg IV every other week |
|
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| tebotelimab 1200 mg | Biological | 1200 mg IV every other week |
|
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| margetuximab | Biological | 15 mg/kg IV every 3 weeks |
|
|
Cmax
| At the end of infusion on Study Days 1, 15, 29 and 43 in Cycles 1 and 2 and on Study Day 1 for all subsequent cycles until treatment discontinuation, up to 2 years |
| Time to reach maximum (peak) plasma concentration (Tmax) of tebotelimab and tebotelimab plus margetuximab | Tmax | At the end of infusion on Study Days 1, 15, 29 and 43 in Cycles 1 and 2 and on Study Day 1 for all subsequent cycles until treatment discontinuation, up to 2 years |
| Trough plasma concentration (Ctrough) of tebotelimab | Ctrough | Study Days 1, 15, 29, 43 in Cycles 1 and 2 and Day 1 of each subsequent cycle s until treatment discontinuation, up to 2 years |
| Total body clearance of the drug from plasma (CL) of tebotelimab | CL | Cycle 1 Day 1 out to Cycle 1 Day 15 |
| Apparent volume of distribution at steady state (Vss) of tebotelimab | Vss | Cycle 1 Day 1 out to Cycle 1 Day 15 |
| Terminal half-life (t1/2) of tebotelimab | t1/2 | Cycle 1 Day 1 out to Cycle 1 Day 15 |
| Number of patients with anti-drug antibody | immunogenicity | Study Day 1, 15, 29, 57, 85, 113, then every 56 days up to 2 years Tebotelimab plus margetuximab: Day 1, 22, 43, and then every 6 weeks until treatment discontinuation |
| Objective response rate (ORR) | ORR is the percentage of participants who have a complete response or a partial response to treatment. | Throughout the study, up to 4 years. |
| Median Duration of response (DoR) | DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented PD or death from any cause, whichever occurs first. Median DoR is the time when 50% of responders are still in response. | Throughout the study, up to 4 years. |
| Progression-free survival (PFS) | PFS is defined as the time from the first dose date to the date of first documented PD or death from any cause, whichever occurs first. Median PFS is the time when 50% of participants remain free of PD or death. | Throughout the study, up to 4 years. |
| Median Overall survival (OS) | OS is defined as the time from the first dose date to the date of death from any cause. Median OS is the time when 50% of participants are still alive. | Throughout the study, up to 4 years. |
| Los Angeles |
| California |
| 90033 |
| United States |
| UCLA Hematology & Oncology Clinic | Los Angeles | California | 90095 | United States |
| Hoag Memorial Hospital Presbyterian | Newport Beach | California | 92658 | United States |
| Florida Cancer Specialists & Research Institute | Sarasota | Florida | 34232 | United States |
| University of Chicago Medicine | Chicago | Illinois | 60637 | United States |
| Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Baltimore | Maryland | 21287 | United States |
| Massachusetts General Hospital and Dana-Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
| Stephenson Cancer Center, The University of Oklahoma | Oklahoma City | Oklahoma | 73104 | United States |
| University of Pennsylvania, Abramson Cancer Center | Philadelphia | Pennsylvania | 19104 | United States |
| UPMC Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
| Sarah Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| The University of Texas M.D. Anderson Cancer Center | Houston | Texas | 77030 | United States |
| St Vincent's Hospital Sydney | Darlinghurst | New South Wales | 2010 | Australia |
| Calvary Mater Newcastle | Waratah | New South Wales | 2298 | Australia |
| Southern Medical Day Care Centre | Wollongong | New South Wales | 2500 | Australia |
| Austin Health Melbourne | Heidelberg | Victoria | 3084 | Australia |
| "Complex Oncology Center - Burgas" EOOD | Burgas | 8000 | Bulgaria |
| "Acibadem City Clinic Multiprofile Hospital for Active Treatment Tokuda" EAD, Sofia | Sofia | 1407 | Bulgaria |
| Multiprofile Hospital for Active Treatment "Serdika" EOOD, Sofia | Sofia | 1632 | Bulgaria |
| Prince of Wales Hospital | Shatin | Hong Kong |
| Pratia MCM Kraków | Krakow | Lesser Poland Voivodeship | 31-510 | Poland |
| BioVirtus Research Site Sp. Z o.o. / Biovirtus Centrum Medyczne | Józefów | Masovian Voivodeship | 05-410 | Poland |
| Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy | Warsaw | Masovian Voivodeship | 02-034 | Poland |
| Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy | Warsaw | Masovian Voivodeship | 02-781 | Poland |
| Med-Polonia Sp. z o.o. | Poznan | 60-693 | Poland |
| Vall d'Hebron Institute of Oncology | Barcelona | 08035 | Spain |
| Hospital Ruber Internacional | Madrid | 28034 | Spain |
| START Madrid-CIOCC, Hospital HM Sanchinarro | Madrid | 28050 | Spain |
| King Chulalongkorn Memorial Hospital | Bangkok | 10330 | Thailand |
| Maharaj Nakorn Chiang Mai Hospital | Chiang Mai | 50200 | Thailand |
| Songklanagarind Hospital | Songkhla | 90110 | Thailand |
| Communal Nonprofit Enterprise "Cherkassy Regional Oncology Dispensary" of Cherkassy Regional Council | Cherkassy | Cherkasy Oblast | 18009 | Ukraine |
| Communal Nonprofit Enterprise Podillia Regional Center of Oncology of Vinnytsia Regional Council | Vinnytsia | Vinnytsa Region | 21029 | Ukraine |
| Communal Non-profit Enterprise "City Clinical Hospital #4" of Dnipro City Council | Dnipro | 49102 | Ukraine |
| Communal Nonprofit Enterprise "Prykarpatsky Clinical Oncological Centre of Ivano-Frankivska Regional Council" | Ivano-Frankivsk | 76000 | Ukraine |
| Municipal Non-Profit Enterprise of Sumy Regional Council "Sumy Regional Clinical Oncology Dispensary" | Sumy | 40022 | Ukraine |
| Communal Nonprofit Enterprise "Central City Clinical Hospital of Uzhhorod City Council", City Oncology Center, State Higher Educational Institution <<Uzhhorod National University>> | Uzhhorod | 88000 | Ukraine |
| ID | Term |
|---|---|
| D019337 | Hematologic Neoplasms |
| D010051 | Ovarian Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D055752 | Small Cell Lung Carcinoma |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D018281 | Cholangiocarcinoma |
| D002583 | Uterine Cervical Neoplasms |
| D064726 | Triple Negative Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
| D000230 | Adenocarcinoma |
| D014594 | Uterine Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D001943 | Breast Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C000617981 | margetuximab |
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