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This is a Phase 1, open-label, dose-escalation, single-center study of ADG106 in subjects with advanced or metastatic solid tumors and/or relapsed/ refractory non-Hodgkin lymphoma. ADG106 is a fully human ligand-blocking, agonistic anti-CD137 IgG4 mAb. It binds to the activated human T cells via a T cell receptor CD137. ADG106 administered intravenously (IV) over a period of 60-90 minutes.
Primary objective:
To assess safety and tolerability at increasing dose levels of single agent ADG106 in subjects with advanced or metastatic solid tumors and/or non Hodgkin lymphoma.
To determine the recommended dosage and dosage regimen for further study. Secondary Objectives To characterize the pharmacokinetic (PK) profiles of ADG106. To evaluate the immunogenicity of ADG106. To evaluate the potential anti-tumor effect of ADG106. To investigate serum biomarkers related to immune regulation and cytokine releasing.
Exploratory Objective:
To identify the potential biomarkers of ADG106.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ADG106 Dose escalation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ADG106 | Drug | IV infusion over 60 minutes on Day 1 of each cycle, at 7 doses depending on cohort at enrollment. |
|
| Measure | Description | Time Frame |
|---|---|---|
| DLTs in the first 2 cycles of single drug administration | 2 Cycles (42 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of clinical and laboratory adverse events (AEs) . | First dose to 30 days post last dose | |
| Objective response rate (ORR) as assessed by RECIST version 1.1 and immune-related RECIST (irRECIST) for solid tumor and the Lugano Classification for non-Hodgkin Lymphoma |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Guangzhou | Guangdong | 510000 | China | ||
| Shanghai Dongfang Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38330942 | Derived | Ma Y, Luo F, Zhang Y, Liu Q, Xue J, Huang Y, Zhao Y, Yang Y, Fang W, Zhou T, Chen G, Cao J, Chen Q, She X, Luo P, Liu G, Zhang L, Zhao H. Preclinical characterization and phase 1 results of ADG106 in patients with advanced solid tumors and non-Hodgkin's lymphoma. Cell Rep Med. 2024 Feb 20;5(2):101414. doi: 10.1016/j.xcrm.2024.101414. Epub 2024 Feb 7. | |
| 38172595 |
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| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
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| 2 Cycles (42 days) |
| Duration of response (DOR) as assessed by RECIST version 1.1 and immune-related RECIST (irRECIST) for solid tumor and the Lugano Classification for non-Hodgkin Lymphoma | 2 Cycles (42 days) |
| Time to progression (TTP) as assessed by RECIST version 1.1 and immune-related RECIST (irRECIST) for solid tumor and the Lugano Classification for non-Hodgkin Lymphoma | 2 Cycles (42 days) |
| Disease control rate (DCR) as assessed by RECIST version 1.1 and immune-related RECIST (irRECIST) for solid tumor and the Lugano Classification for non-Hodgkin Lymphoma | 2 Cycles (42 days) |
| Progression-free survival (PFS) as assessed by RECIST version 1.1 and immune-related RECIST (irRECIST) for solid tumor and the Lugano Classification for non-Hodgkin Lymphoma | 2 Cycles (42 days) |
| Peak plasma concentration (Cmax) | 2 Cycles (42 days) |
| Plasma concentration at the end of a dosing interval (Ctrough) | 2 Cycles (42 days) |
| Time to reach Cmax (Tmax) | 2 Cycles (42 days) |
| Area under the curve from time zero to the last timepoint (AUC0-last) | 2 Cycles (42 days) |
| AUC from time zero to infinity (AUC0-∞) | 2 Cycles (42 days) |
| AUC during a dosing interval (AUCtau) | 2 Cycles (42 days) |
| Clearance (CL) | 2 Cycles (42 days) |
| Volume of distribution at steady state (Vss) | 2 Cycles (42 days) |
| ADA levels for ADG106. | 2 Cycles (42 days) |
| Serum biomarkers linked to immunomodulation and cytokine release: such as TNFα, IFN-γ, IL 10, IL-6, IL-4, IL-2. | 2 Cycles (42 days) |
| Cell counts for circulating T, natural killer (NK), and B cells. | 2 Cycles (42 days) |
| Shanghai |
| Shanghai Municipality |
| 200120 |
| China |
| Singh R, Kim YH, Lee SJ, Eom HS, Choi BK. 4-1BB immunotherapy: advances and hurdles. Exp Mol Med. 2024 Feb;56(1):32-39. doi: 10.1038/s12276-023-01136-4. Epub 2024 Jan 4. |
| D008206 |
| Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |