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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-508281-15-00 | Other Identifier | EU CT |
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The study will determine the recommended Phase 2 dose (RP2D) of livmoniplimab (ABBV-151) administered as monotherapy and in combination with budigalimab (ABBV-181) as well as to assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of livmoniplimab alone and in combination with budigalimab. The study will consist of 2 parts: dose escalation and dose expansion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation: Cohort 1 Livmoniplimab | Experimental | Various doses of Livmoniplimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). |
|
| Dose Escalation: Cohort 2 Livmoniplimab + Budigalimab | Experimental | Various doses of Livmoniplimab + Budigalimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). |
|
| Dose Expansion: Cohort 3 Livmoniplimab + Budigalimab | Experimental | Participants with programmed cell death protein 1 (PD-1)-naïve pancreatic adenocarcinoma will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
|
| Dose Expansion: Cohort 4 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
|
| Dose Expansion: Cohort 5 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve hepatocellular carcinoma (HCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Livmoniplimab | Drug | Liquid for intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation: Recommended Phase 2 Dose (RP2D) Livmoniplimab Monotherapy | The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation portion of the study. | Up to 28 days after the first dose of Livmoniplimab monotherapy |
| Dose Escalation: RP2D Livmoniplimab + Budigalimab Combination Therapy | The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamic (PD) data collected during the dose escalation portion of the study. | Up to 28 days after the first dose of Livmoniplimab and Budigalimab combination therapy |
| Dose Expansion: Objective Response Rate (ORR) | ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Up to approximately 6 months after the first dose date of last participant in Dose Expansion |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Expansion: Duration of Response (DOR) | The DOR for a responder is defined as the time from the participant's initial objective response to the first date of either disease progression or death, whichever occurs first. | Up to approximately 6 months after the first dose date of last participant in Dose Expansion |
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Inclusion Criteria:
For Dose Escalation only: Participants with an advanced solid tumor who are considered refractory to or intolerant of all existing therapy(ies) known to provide a clinical benefit for their condition. Additionally, participants who have been offered standard therapies and refused, or who are considered ineligible for standard therapies, may be eligible for this study on a case-by-case basis, after discussion with and agreement from the sponsor. Participants with pancreatic adenocarcinoma, urothelial cancer (UC), hepatocellular carcinoma (HCC), or head and neck squamous cell carcinoma (HNSCC) who are being considered for the dose escalation cohorts must also meet the histology specific eligibility criteria described below for dose expansion.
For Dose Expansion only participants must meet criteria specific to the type of cancer:
Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
Participant has adequate bone marrow, renal, hepatic, and coagulation function.
Must have a viral status consistent with the requirements described in the protocol specific to type of cancer and stage of study (Dose Escalation or Dose Expansion).
Exclusion Criteria:
For Dose Expansion only:
Has received anticancer therapy including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy within a period of 5 half-lives or 28 days (whichever is shorter), prior to the first dose of the study drug.
Participant has unresolved AEs > Grade 1 from prior anticancer therapy except for alopecia.
Has a history of primary immunodeficiency, bone marrow transplantation, solid organ transplantation, or previous clinical diagnosis of tuberculosis.
Has a known uncontrolled metastases to the central nervous system (with certain exceptions).
Current or prior use of immunosuppressive medication within 14 days prior to the first dose of the study drug.
Has clinically significant uncontrolled condition(s).
History of inflammatory bowel disease, interstitial lung disease or pneumonitis, myocarditis, Stevens-Johnson syndrome, toxic epidermal necrolysis or drug reaction with eosinophilia and systemic symptoms (DRESS).
Live vaccine administration <= 28 days prior to the first dose of study drug.
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| Name | Affiliation | Role |
|---|---|---|
| ABBVIE INC. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group, PA /ID# 218942 | Springdale | Arkansas | 72762 | United States | ||
| City of Hope National Medical Center /ID# 265620 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39534099 | Derived | Shimizu T, Powderly J, Abdul Razak A, LoRusso P, Miller KD, Kao S, Kongpachith S, Tribouley C, Graham M, Stoll B, Patel M, Sahtout M, Blaney M, Leibman R, Golan T, Tolcher A. First-in-human phase 1 dose-escalation results with livmoniplimab, an antibody targeting the GARP:TGF-ss1 complex, as monotherapy and in combination with the anti-PD-1 antibody budigalimab in patients with advanced solid tumors. Front Oncol. 2024 Oct 29;14:1376551. doi: 10.3389/fonc.2024.1376551. eCollection 2024. |
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|
| Dose Expansion: Cohort 6 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref head and neck squamous cell carcinoma (HNSCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
|
| Dose Expansion: Cohort 7 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve microsatellite stable colorectal cancer (MSS-CRC) [unselected] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
|
| Dose Expansion: Cohort 8 Livmoniplimab + Budigalimab | Experimental | Participants with non-small cell lung cancer (NSCLC) [programmed death ligand 1 (PDL1) relapsed/refractory (R/R)] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
|
| Dose Expansion: Cohort 10A Livmoniplimab + Budigalimab | Experimental | Participants with microsatellite stable colorectal cancer (MSS-CRC) [consensus molecular subtype 4 (CMS4) enriched] will receive livmoniplimab at the dose B Q3W plus budigalimab Dose B administered Q3W. |
|
| Dose Expansion: Cohort 10B Livmoniplimab + Budigalimab | Experimental | Participants with MSS-CRC (CMS4 enriched) will receive livmoniplimab at the dose C Q3W plus budigalimab Dose B administered Q3W. |
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| Dose Expansion: Cohort 11A Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. |
|
| Dose Expansion: Cohort 11B Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. |
|
| Dose Expansion: Cohort 11C Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive budigalimab Dose B administered Q3W. |
|
| Dose Expansion: Cohort 12A Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. |
|
| Dose Expansion: Cohort 12B Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. |
|
|
| Budigalimab | Drug | Lyophilized powder for solution for intravenous infusion. |
|
|
| Dose Expansion: Progression-free Survival (PFS) |
Progression-free survival is defined as the time from the participant's first dose of study treatment (livmoniplimab or budigalimab) to the first date of either disease progression or death, whichever occurs first. |
| Up to approximately 6 months after the first dose date of last participant in Dose Expansion |
| Maximum Observed Serum Concentration (Cmax) of Livmoniplimab | Maximum Serum Concentration (Cmax) of livmoniplimab. | Up to approximately 70 days after initial dose of study drug |
| Time to Maximum Observed Serum Concentration (Tmax) of Livmoniplimab | Time to maximum serum concentration (Tmax) of livmoniplimab. | Up to approximately 70 days after initial dose of study drug |
| Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Livmoniplimab | Area under the serum concentration-time curve from time 0 to the time of the last measurable concentration (AUCτ) of livmoniplimab. | Up to approximately 70 days after initial dose of study drug |
| Terminal-phase Elimination Rate Constant (β) of Livmoniplimab | Apparent terminal phase elimination rate constant (β or Beta) of livmoniplimab. | Up to approximately 70 days after initial dose of study drug |
| Terminal Phase Elimination Half-life (t1/2) of Livmoniplimab | Terminal phase elimination half-life (t1/2) of livmoniplimab. | Up to approximately 70 days after initial dose of study drug |
| Maximum Observed Serum Concentration (Cmax) of Budigalimab | Maximum Serum Concentration (Cmax) of budigalimab. | Up to approximately 70 days after initial dose of study drug |
| Time to Maximum Observed Serum Concentration (Tmax) of Budigalimab | Time to maximum serum concentration (Tmax) of budigalimab. | Up to approximately 70 days after initial dose of study drug |
| Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Budigalimab | Area under the serum concentration-time curve from time 0 to the time of the last measurable concentration (AUCτ) of budigalimab. | Up to approximately 70 days after initial dose of study drug |
| Terminal-phase Elimination Rate Constant (β) of Budigalimab | Apparent terminal phase elimination rate constant (β or Beta) of budigalimab. | Up to approximately 70 days after initial dose of study drug |
| Terminal Phase Elimination Half-life (t1/2) of Budigalimab | Terminal phase elimination half-life (t1/2) of budigalimab. | Up to approximately 70 days after initial dose of study drug |
| Number of Participants With Adverse Events (AEs) | An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. | Up to approximately 9 months after the first dose date of last participant |
| Change in Vital Signs | Number of participants with clinically significant change from baseline in vital signs like systolic and diastolic blood pressure will be reported. | Up to approximately 6 months after the first dose date of last participant |
| Change in Laboratory Parameters | Number of participants with clinically significant change from baseline in clinical laboratory test results like hematology will be reported. | Up to approximately 6 months after the first dose date of last participant |
| Change in Electrocardiogram (ECG) | 12-lead resting ECGs will be recorded. Parameters include RR interval, PR interval, QT interval, and QRS duration. | Up to approximately 6 months after the first dose date of last participant |
| Incidence of Anti-drug Antibody (ADA) | The number of participants with anti-drug antibodies. | Up to approximately 6 months after the first dose date of last participant |
| Dose Expansion Cohorts 10 to 12: Overall Survival (OS) | OS is defined as time from first study treatment to death due to any cause. | Up to approximately 6 months after the first dose date of last participant in Cohorts 10 to 12 |
| Duarte |
| California |
| 91010 |
| United States |
| City of Hope Orange County Lennar Foundation Cancer Center /ID# 270785 | Irvine | California | 92618 | United States |
| Yale University School of Medicine /ID# 208356 | New Haven | Connecticut | 06510 | United States |
| AdventHealth Celebration /ID# 224860 | Celebration | Florida | 34747-4970 | United States |
| Duplicate_AdventHealth Cancer Institute - Orlando /ID# 226953 | Orlando | Florida | 32804 | United States |
| Indiana Univ School Medicine /ID# 208384 | Indianapolis | Indiana | 46202 | United States |
| Community Health Network, Inc. /ID# 257032 | Indianapolis | Indiana | 46250-2042 | United States |
| Univ Michigan Med Ctr /ID# 221129 | Ann Arbor | Michigan | 48109 | United States |
| Washington University-School of Medicine /ID# 259684 | St Louis | Missouri | 63110 | United States |
| Intermountain Health West End Clinic Gynecologic Oncology /ID# 266171 | Billings | Montana | 59106 | United States |
| NYU Langone Medical Center /ID# 209822 | New York | New York | 10016-6402 | United States |
| Icahn School of Medicine at Mount Sinai /ID# 264653 | New York | New York | 10029 | United States |
| Carolina BioOncology Institute /ID# 208358 | Huntersville | North Carolina | 28078 | United States |
| The Ohio State University - The James /ID# 217611 | Columbus | Ohio | 43210-1240 | United States |
| Ou Health - Stephenson Cancer Center /ID# 268826 | Oklahoma City | Oklahoma | 73104 | United States |
| Sarah Cannon Research Institute (SMO/Network/Consortium) /ID# 264900 | Nashville | Tennessee | 37203-5755 | United States |
| Renovatio clinical /ID# 265109 | El Paso | Texas | 79915-1803 | United States |
| NEXT Oncology /ID# 208930 | San Antonio | Texas | 78229 | United States |
| Renovatio Clinical /ID# 265054 | The Woodlands | Texas | 77380-3181 | United States |
| University of Washington Medical Center /ID# 268854 | Seattle | Washington | 98195 | United States |
| Chris O'Brien Lifehouse /ID# 213236 | Camperdown | New South Wales | 2050 | Australia |
| Icon Cancer Centre /ID# 224961 | South Brisbane | Queensland | 4101 | Australia |
| Cliniques Universitaires UCL Saint-Luc /ID# 218466 | Brussels | Brussels Capital | 1200 | Belgium |
| University Health Network_Princess Margaret Cancer Centre /ID# 209423 | Toronto | Ontario | M5G 2M9 | Canada |
| CHU Toulouse - Hopital Purpan /ID# 218667 | Toulouse | Haute-Garonne | 31059 | France |
| Centre Leon Berard /ID# 218515 | Lyon | Rhone | 69373 | France |
| Institut Gustave Roussy /ID# 218668 | Villejuif | Val-de-Marne | 94805 | France |
| Centre Jean Perrin /ID# 218669 | Clermont-Ferrand | 63011 | France |
| Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung /ID# 269587 | Essen | North Rhine-Westphalia | 45136 | Germany |
| Rambam Health Care Campus /ID# 222198 | Haifa | H_efa | 3109601 | Israel |
| The Chaim Sheba Medical Center /ID# 209037 | Ramat Gan | Tel Aviv | 5265601 | Israel |
| Tel Aviv Sourasky Medical Center /ID# 222199 | Tel Aviv | Tel Aviv | 6423906 | Israel |
| Hadassah Medical Center-Hebrew University /ID# 257918 | Jerusalem | 91120 | Israel |
| Rabin Medical Center /ID# 258479 | Petah Tikva | 4941492 | Israel |
| Istituto Europeo Di Oncologia /Id# 266053 | Milan | Milano | 20121 | Italy |
| National Cancer Center Hospital East /ID# 224808 | Kashiwa-shi | Chiba | 277-8577 | Japan |
| Hyogo Cancer Center /ID# 272553 | Akashi-shi | Hyōgo | 673-8558 | Japan |
| National Cancer Center Hospital /ID# 209421 | Chuo-ku | Tokyo | 104-0045 | Japan |
| Jagiellonskie Centrum Innowacji Sp. z o.o. /ID# 266194 | Krakow | Lesser Poland Voivodeship | 30-348 | Poland |
| Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Bada /ID# 266147 | Warsaw | Masovian Voivodeship | 02-781 | Poland |
| Instytut Centrum Zdrowia Matki Polki /ID# 266324 | Lodz | Łódź Voivodeship | 93-338 | Poland |
| Pan American Center for Oncology Trials, LLC /ID# 217475 | Rio Piedras | 00935 | Puerto Rico |
| Gachon University Gil Medical Center /ID# 257572 | Incheon | Gyeonggido | 21565 | South Korea |
| Chonnam National University Hwasun Hospital /ID# 257573 | Hwasun-gun | Jeonranamdo | 58128 | South Korea |
| Korea University Anam Hospital /ID# 257574 | Seoul | Seoul Teugbyeolsi | 02841 | South Korea |
| Seoul National University Hospital /ID# 218513 | Seoul | Seoul Teugbyeolsi | 03080 | South Korea |
| Asan Medical Center /ID# 266799 | Seoul | Seoul Teugbyeolsi | 05505 | South Korea |
| Samsung Medical Center /ID# 265865 | Seoul | Seoul Teugbyeolsi | 06351 | South Korea |
| Yonsei University Health System Severance Hospital /ID# 218512 | Seoul | 03722 | South Korea |
| Clinica Universidad de Navarra - Pamplona /ID# 266632 | Pamplona | Navarre | 31008 | Spain |
| Hospital Universitari Vall d'Hebron /ID# 265290 | Barcelona | 08035 | Spain |
| Hospital Clinic de Barcelona /ID# 221106 | Barcelona | 08036 | Spain |
| Clinica Universidad de Navarra - Madrid /ID# 265299 | Madrid | 28027 | Spain |
| Hospital Universitario Ramón y Cajal /ID# 265298 | Madrid | 28034 | Spain |
| Hospital Universitario Fundacion Jimenez Diaz /ID# 220928 | Madrid | 28040 | Spain |
| Hospital Universitario HM Sanchinarro /ID# 265294 | Madrid | 28050 | Spain |
| Hospital Clinico Universitario de Valencia /ID# 221107 | Valencia | 46010 | Spain |
| Kaohsiung Chang Gung Memorial Hospital /ID# 265560 | Kaohsiung City | Kaohsiung | 833 | Taiwan |
| National Taiwan University Hospital /ID# 218490 | Taipei City | Taipei | 100 | Taiwan |
| Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 257634 | Kaohsiung City | 807 | Taiwan |
| China Medical University Hospital /ID# 218492 | Taichung | 40447 | Taiwan |
| Taipei Veterans General Hosp /ID# 257635 | Taipei | 11217 | Taiwan |
| Linkou Chang Gung Memorial Hospital /ID# 265551 | Taoyuan City | 333 | Taiwan |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009362 | Neoplasm Metastasis |
| D064726 | Triple Negative Breast Neoplasms |
| D006528 | Carcinoma, Hepatocellular |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001943 | Breast Neoplasms |
| D009371 | Neoplasms by Site |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D006258 | Head and Neck Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| C000719868 | budigalimab |
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