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Study withdrawn by Sponsor
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IMC-C103C is an immune mobilizing monoclonal T cell receptor against cancer (ImmTAC ®) designed for the treatment of cancers positive for the tumor-associated antigen MAGE-A4. This is a first-in-human trial designed to evaluate the safety and efficacy of IMC-C103C in adult patients who have the appropriate HLA-A2 tissue marker and whose cancer is positive for MAGE-A4.
The IMC-C103C-101 Phase 1/2 study will be evaluated in patients with metastatic/unresectable tumors which include select Advanced Solid Tumors and will be conducted in two phases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IMC-C103C - Monotherapy IV dose escalation | Experimental | n= approximately 50 patients to establish the MTD/expansion dose |
|
| IMC-C103C and atezolizumab dose escalation | Experimental | n=approximately 12 patients to establish the MTD/expansion dose |
|
| IMC-C103C - expansion | Experimental | Patients will be enrolled n=9-24 per expansion cohort (up to 4 total): metastatic/unresectable tumors of interest patients treated at the expansion dose of IMC-C103C to assess preliminary anti-tumor efficacy |
|
| IMC-C103C monotherapy SC dose escalation | Experimental | Patients will be enrolled n=9-12 to establish the MTD/expansion dose |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IMC-C103C | Drug | Weekly IV infusions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: Incidence of dose-limiting toxicities (DLT) | From first dose to DLT period (28 days) | |
| Phase 1: incidence and severity of adverse events (AE) | from first dose to 30 days after the last dose | |
| Phase 1: changes in laboratory parameters | Abnormalities will be classified according to NCI CTCAE v5.0 | from first dose to 30 days after the last dose |
| Phase 1: changes in vital signs | Abnormalities will be classified according to NCI CTCAE v5.0 | from first dose to 30 days after the last dose |
| Phase 1: changes in electrocardiogram parameters | QT intervals corrected for heart rate using Fridericia's (cube root) correction (QTcF) interval absolute values and changes from baseline will be summarized | from first dose to 30 days after the last dose |
| Phase 1: dose interruptions, reductions, and discontinuations | from first dose through last dose (anticipated for up to 12-24 months) | |
| Phase 2: Best overall response (BOR) | from first dose to approximately 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 2: incidence and severity of adverse events (AE) | from first dose to 30 days after the last dose | |
| Phase 2: changes in laboratory parameters | Abnormalities will be classified according to NCI CTCAE v5.0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Angeles Clinic and Research Institute | Los Angeles | California | 90025 | United States | ||
| University of California Davis Comprehenvise Cancer Center |
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Sequential from arm monotherapy IV dose escalation is opened first; then monotherapy SC dose escalation, monotherapy expansion and combination dose escalation may run
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| Atezolizumab | Drug | IV infusions every 3 weeks |
|
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| IMC-C103C | Drug | Weekly subcutaneous Injection |
|
| from first dose to 30 days after the last dose |
| Phase 2: changes in vital signs | Abnormalities will be classified according to NCI CTCAE v5.0 | from first dose to 30 days after the last dose |
| Phase 2: changes in electrocardiogram parameters | QTcF interval absolute values and changes from baseline will be summarized | from first dose to 30 days after the last dose |
| Phase 2: dose interruptions, reductions, and discontinuations | from first dose through last dose (anticipated for up to 12-24 months) |
| Phase 1: Best overall response | from first dose to approximately 2 years |
| Progression-free survival | from first dose to approximately 2 years |
| Duration of response | from first dose to approximately 2 years |
| Overall survival | from first dose to approximately 2 years |
| Pharmacokinetics Area under the plasma concentration-time curve (AUC) | from first dose to within approx, 2 weeks of last dose/4 weeks (IMC-C103C AUC will be assessed weekly for 4 weeks) |
| Pharmacokinetics The maximum observed plasma drug concentration after single dose administration (Cmax) | from first dose to within approx, 2 weeks of last dose/4 weeks (IMC-C103C AUC will be assessed weekly for 4 weeks) |
| Pharmacokinetics The time to reach maximum plasma concentration (Tmax) | from first dose to within approx, 2 weeks of last dose/4 weeks (IMC-C103C AUC will be assessed weekly for 4 weeks) |
| Pharmacokinetics The elimination half-life (t1/2) | from first dose to within approx, 2 weeks of last dose/4 weeks (IMC-C103C AUC will be assessed weekly for 4 weeks) |
| Immunogenicity the incidence of anti-drug antibody formation | from first dose to 14 days after the last dose |
| Changes in lymphocyte counts over time | from first dose to approx 4 weeks |
| Changes in serum cytokines over time | from first dose to approx.. 4wks |
| GCIG CA-125 response (ovarian carcinoma) | from first dose to approx.. 30 days after the last dose |
| Sacramento |
| California |
| 95817 |
| United States |
| University of Colorado Cancer Center | Aurora | Colorado | 80045 | United States |
| The University of Chicago Medicine & Biological Sciences | Chicago | Illinois | 60637 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Oklahoma University Medical Center | Oklahoma City | Oklahoma | 73104 | United States |
| Thomas Jefferson University Hospital | Philadelphia | Pennsylvania | 19107 | United States |
| UPMC Cancer Center | Pittsburgh | Pennsylvania | 15213 | United States |
| Sarah Cannon Research Institute at Tennessee Oncology | Nashville | Tennessee | 37203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Hospital Universitario Vall d'Hebron | Barcelona | 8035 | Spain |
| Clinica Universidad Navarra | Madrid | 28027 | Spain |
| Hospital Universitario La Paz - PPDS | Madrid | 28046 | Spain |
| Clinica Universidad Navarra | Pamplona | 31008 | Spain |
| Beatson West of Scotland Cancer Centre | Glasgow | Scotland | G12 OYN | United Kingdom |
| The Clatterbridge Hospital Cancer Center | Bebington | CH634JY | United Kingdom |
| Sarah Cannon Research Institute | London | W1G 6AD | United Kingdom |
| The Christie NHS Foundation Trust | Manchester | M20 4BX | United Kingdom |
| Royal Marsden Hospital | Sutton | SM2 5PT | United Kingdom |
| ID | Term |
|---|---|
| C000594389 | atezolizumab |
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