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Sponsor's decision to discontinue development of this molecule
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The primary objective of this study is to determine the safety and tolerability of GS-0189 (formerly FSI-189) as monotherapy and in combination with rituximab in participants with relapsed/refractory (R/R) non-Hodgkin lymphoma (NHL).
The study will consist of 5 parts: 1) an initial Monotherapy Dose Escalation (MDE) part, 2) a Combination Dose Escalation (CDE) part, 3) a Pharmacokinetic (PK) Evaluation part, 4) an Alternate Schedule Evaluation (ASE) part and 5) a diffuse large B-cell lymphoma (DLBCL) Expansion part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GS-0189 (Monotherapy Dose Escalation, MDE) | Experimental | Relapsed/refractory (R/R) non-Hodgkin lymphoma (NHL) participants will receive GS-0189 doses of 10, 30, or 100 mg every 2 weeks. |
|
| GS-0189 + Rituximab (Combination Dose Escalation, CDE) | Experimental | R/R NHL participants will receive GS-0189 doses of 100, 300, 1000, 2000, and 3000 mg in combination with rituximab at 375 mg/m^2. |
|
| GS-0189 + Rituximab (Pharmacokinetic (PK) Evaluation) | Experimental | R/R NHL participants will receive GS-0189 dose of up to 30 mg followed by the highest designated safe dose from the Combination Dose Escalation cohort (CDE) in combination with rituximab at 375 mg/m^2. |
|
| GS-0189 + Rituximab (Alternate Schedule Evaluation, ASE) | Experimental | R/R NHL participants will receive GS-0189 every 4 weeks in combination with rituximab 375 mg/m^2. The GS-0189 dose will be determined based on the totality of safety, PK, and pharmacodynamic (PD) data from the preceding cohorts. |
|
| GS-0189 + Rituximab (DLBCL Expansion) | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GS-0189 | Drug | GS-0189 will be administered intravenously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Experiencing Treatment-Emergent Adverse Events | Adverse events as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0 | Up to 11 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Experiencing Laboratory Abnormalities | Up to 11 months | |
| Pharmacokinetic (PK) Parameter: AUClast of GS-0189 | AUClast is defined as the concentration of drug from time zero to the last observable concentration. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama Comprehensive Cancer Center | Birmingham | Alabama | 35233 | United States | ||
| City of Hope |
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| Label | URL |
|---|---|
| Gilead Clinical Trials Website | View source |
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Diffuse large B-cell lymphoma (DLBCL) participants will receive GS-0189 in combination with rituximab 375 mg/m^2. The GS-0189 dose will be determined based on the totality of safety, PK, and PD data from the preceding cohorts. |
|
|
| Rituximab | Drug | Rituximab will be administered intravenously. |
|
| Up to 11 months |
| PK Parameter: AUCtau of GS-0189 | AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). | Up to 11 months |
| PK Parameter: Cmax of GS-0189 | Cmax is defined as the maximum observed concentration of drug. | Up to 11 months |
| PK Parameter: Accumulation Ratio (AR) of GS-0189 | AR is defined as ratio based on Cmax and AUCtau after first dose and after multiple doses. | Up to 11 months |
| PK Parameter: Tmax of GS-0189 | Tmax is defined as the time (observed time point) of Cmax. | Up to 11 months |
| PK Parameter: AUC0-tau/D Dose-normalized AUCtau of GS-0189 | AUC0-tau/D is defined dose normalized area under the concentration-time curve from time zero (pre dose time point of the infusion) to the end of the dosing interval. | Up to 11 months |
| Percentage of Signal Regulatory Protein Alpha (SIRPα) Receptor Occupancy in the Blood | Up to 11 months |
| Serum Concentration of GS-0189 | Up to 11 months |
| Rate of Anti-GS-0189 Antibody Positivity | Up to 11 months |
| Objective response rate (ORR) | ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) as assessed by Lugano Classification response criteria for lymphomas. | Up to 2 years |
| Duration of Response (DOR) | DOR is defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of disease progression. | Up to 2 years |
| Progression-free Survival (PFS) | PFS is defined as the interval from the first dose date of drug to the earlier of the first documentation of definitive disease progression or death from any cause. | Up to 2 years |
| Overall Survival (OS) | OS is defined as the interval from the first dose date of drug to death from any cause. | Up to 2 years |
| Time to Progression (TTP) | TTP is defined as the interval from the first dose date of drug to the earlier of the first documentation of definitive disease progression. | Up to 2 years |
| Duarte |
| California |
| 91010 |
| United States |
| Florida Cancer Specialists | Sarasota | Florida | 34232 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | 73104 | United States |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000069283 | Rituximab |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| 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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