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Study terminated due to administrative reasons.
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| Name | Class |
|---|---|
| Apollomics Inc. (formerly CBT Pharmaceuticals, Inc.) | UNKNOWN |
| Novotech (Australia) Pty Limited | INDUSTRY |
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Study Design and Investigational Plan:
This is an open-label Phase 1/2 study to assess the safety and tolerability of combination PD-1 inhibitor (APL-501 or nivolumab) administered concomitantly with c-Met inhibitor (APL-101), to determine the recommended Phase 2 dose of the combination, and to obtain preliminary efficacy in HCC or RCC subjects with advanced or metastatic disease that have not been previously treated with a PD 1 inhibitor or a c-Met inhibitor. HCC subjects will receive the combination APL-501 plus APL-101 while RCC subjects will receive the combination nivolumab plus APL-101. In Phase 1, mandatory archival or fresh tumor biopsies will be collected. In Phase 2, a mandatory fresh tumor biopsy will be required for study entry and another fresh biopsy will be collected between Cycles 2 and 4. The frequency of administration of PD-1 inhibitors will be every 2 weeks starting in Cycle 1 on Day 8 and Day 22 of a 35-day cycle with all subsequent cycles on Day 1 and Day 15 of 28-day cycles. APL-101 will be administered orally every 12 hours continuously on an empty stomach.
For each potential subject, there is a 28-day screening and eligibility assessment period before enrollment; the first dose of study treatment will be administered on Day 1 of Cycle 1 (C1D1) (Safety population). Subjects will continue to receive their assigned treatment throughout the study until the occurrence of confirmed disease progression [progressive disease (PD)] by irRECIST, death, unacceptable treatment-related toxicity, or until the study is closed by the Sponsor. During the treatment period, study visits will occur on Day 1, Day 2, Day 8, Day 15, Day 22 of Cycle 1 and Day 1 and Day 15 of every subsequent cycle. Subjects who experience a response [Complete Response (CR), Partial Response (PR)] ≥ 2 cycles, PD 1 plus APL-101 combination will be continued until disease progression based on irRECIST. Subjects should receive a minimal of 2 cycles of PD-1 and APL-101 for adequate evaluation of response (Evaluable population). Discontinuation of PD-1 and APL-101 should occur upon determination of disease progression as determined by irRECIST, intolerable toxicity or when the risk/benefit ratio is no longer beneficial for the subjects as determined by the Principal Investigator, or upon subject withdrawal of consent. Upon permanent discontinuation of study treatment, there is a Treatment Termination visit and three monthly follow-up visits for a 90-day safety follow-up visit period. Subjects who drop out before they complete the first cycle of combination treatment for reasons other than toxicity will be replaced
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A: Hepatocellular Carcinoma | Experimental | PD-1 inhibitor (APL-501) 3 mg/kg intravenously every 2 weeks + c-Met inhibitor (APL-101) 150 mg or 200 mg administered twice daily continuously until documented disease progression, discontinuation due to toxicity withdrawal of consent or the study ends |
|
| Arm B: Renal Cell Carcinoma | Experimental | PD-1 inhibitor (nivolumab) 3 mg/kg or 240 mg intravenously every 2 weeks + c-Met inhibitor (APL-101) 300 mg or 400 mg administered twice daily continuously until documented disease progression, discontinuation due to toxicity withdrawal of consent or the study ends |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APL-501 | Biological | Humanized IgG4 monoclonal antibody against programmed death receptor-1 (PD-1) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (Phase 1) | Dose limiting toxicities (DLTs) | Cycle 1 (up to 35 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Toxicity grading will be performed in accordance with NCI CTCAE, version 4.0. including immune related adverse events (irAEs) | First dose up to 90 days post last dose (up to approximately 2 years) |
| Drug discontinuation due to adverse events |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Scott Houston | Apollomics (Australia) Pty. Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Border Medical Oncology Research Unit | Albury | New South Wales | 2640 | Australia | ||
| Macquarie University |
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| Label | URL |
|---|---|
| Company website for Apollomics Inc. | View source |
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(Phase 1) 3+3 dose escalation (Phase 2) Simon two-stage Minimax design
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| APL-101 | Drug | Oral specific c-Met inhibitor |
|
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| Nivolumab | Biological | Fully human IgG4 monoclonal antibody against PD-1 |
|
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Toxicity grading will be performed in accordance with NCI CTCAE, version 4.0. including immune related adverse events (irAEs) |
| First dose up to 90 days post last dose (up to approximately 2 years) |
| Overall Response Rate | Tumor response will be assessed by immune related Response Evaluation Criteria in Solid Tumors (irRECIST) | Duration of study, performed at baseline, then every 8 weeks until objective disease progression (up to approximately 2 years) |
| Time to Response | Time to response is the time from first dose to date of first response (Partial response or Complete response) | Duration of study, first dose to first response (up to approximately 2 years) |
| Progression Free Survival | Progression free survival will be collected on all enrolled subjects, defined as the time from first dose to death from any cause or first observed disease progression | Duration of study, performed at baseline, then every 8 weeks until objective disease progression at 6, 12, 18 and 24 months (up to approximately 2 years) |
| Overall Survival | Overall survival will be estimated using the Kaplan-Meier method with the follow-up starting at the initiation of therapy until date of death | Duration of study, performed every 8 weeks from enrollment to death from any cause at 6, 12, 18, 24 months (up to approximately 2 years) |
| Sydney |
| New South Wales |
| 2109 |
| Australia |
| Crown Princess Mary Cancer Centre | Westmead | New South Whales | 2145 | Australia |
| Ashford Cancer Center | Adelaide | South Australia | 5037 | Australia |
| Royal Melbourne Hospital | Melbourne | Victoria | 3050 | Australia |
| Sunshine Hospital | Saint Albans | Victoria | 3021 | Australia |
| Fiona Stanley Hospital | Murdoch | Western Australia | 6150 | Australia |
| Afffinity Clinical Research | Perth | Western Australia | 6018 | Australia |
| Auckland City Hospital | Auckland | 1023 | New Zealand |
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| D002292 | Carcinoma, Renal Cell |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| 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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