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Study terminated due strategic corporate pivot to focus on auto-immune indications
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This study is a first-in-human, Phase 1a/1b, multicenter, open-label study to determine the safety, tolerability, and pharmacokinetics of aplitabart as a single agent and in combination in participants with relapsed and/or refractory solid or hematologic cancers, as well as newly diagnosed cancers, and an open-label, randomized study of aplitabart+FOLFIRI+bevacizumab.
Participants will be enrolled in Phase 1a, which consists of two stages: a dose-escalation stage and an expansion stage. Aplitabart will be used as a single agent and in combination with numerous other agents where standard therapeutic regimens do not exist, have proven to be ineffective or intolerable, or are considered inappropriate.
Colorectal participants may be enrolled in Phase 1b, an open-label, randomized study of aplitabart+FOLFIRI+ bevacizumab.
Aplitabart will be investigated in numerous tumor types including all-comers solid tumors, colorectal carcinoma (CRC), sarcoma, non-Hodgkin's lymphoma (NHL), acute myeloid leukemia (AML), and chronic lymphocytic leukemia (CLL).
Aplitabart will be administered intravenously (IV).
An alternative dosing schedule may be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ph1a: Aplitabart Single Agent Alternate Dosing Escalation | Experimental | Aplitabart will be administered intravenously as a single agent on an alternate dosing schedule. |
|
| Ph1a: Aplitabart + FOLFIRI ± bevacizumab Escalation and Expansion | Experimental | Aplitabart will be administered intravenously in combination with FOLFIRI± bevacizumab. |
|
| Ph1a: Aplitabart + Birinapant Escalation and Expansion | Experimental | Aplitabart will be administered intravenously in combination with Birinapant which will also be administered intravenously. |
|
| Ph1a: Aplitabart + Venetoclax Escalation and Expansion | Experimental | Aplitabart will be administered intravenously in combination with Venetoclax. |
|
| Ph1a: Aplitabart + Docetaxel + Gemcitabine Escalation and Expansion | Experimental | Aplitabart will be administered intravenously in combination with Docetaxel and Gemcitabine. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aplitabart (IGM-8444) | Drug | DR5 Agonist Investigational Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ph1a: Adverse Events of aplitabart as single agent and with FOLFIRI ± bevacizumab, aplitibart with birinapant, aplitibart with venetoclax, aplitibart with venetoclax and azacitadine, and aplitibart with gemcitabine and docetaxel | Incidence of treatment-related AEs graded according to the NCI Common Technology Criteria for Adverse Events (CTCAE) v5.0 | From Cycle 1 Day 1 through 28 days after the final dose of study drug |
| Ph1a: To identify the recommended expansion dose for aplitabart as single agent, with FOLFIRI ± bevacizumab, aplitibart with birinapant, aplitibart with venetoclax, aplitibart with venetoclax and azacitadine, and aplitibart with gemcitabine and docetaxel | Relationship between aplitabart dose and safety, PK, activity, and endpoints. | 4 weeks |
| Ph1b: Progression-Free Survival (PFS) | PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 by investigator or death, whichever occurs first. | Study duration of approximately 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Ph1a and Ph1b: Area Under the Curve (AUC) of aplitabart | Area Under the Curve (AUC) of aplitabart as a single agent and in combination with the anticancer agents listed above. | At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months |
| Ph1a and Ph1b: Clearance (CL) of aplitabart |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eric Humke, MD, PhD | IGM Biosciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Phoenix | Arizona | 85054 | United States | ||
| City of Hope Comprehensive Cancer Center |
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Phase 1a is non-randomized; Ph1b is randomized
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|
| Ph1a: Aplitabart + Venetoclax + Azacitidine Escalation and Expansion | Experimental | Aplitabart will be administered intravenously in combination with Venetoclax and Azacitidine. |
|
| Ph1b: Aplitabart + FOLFIRI + Bevacizumab | Experimental | Aplitabart will be administered intravenously in combination with FOLFIRI + bevacizumab |
|
| Ph1b: FOLFIRI + Bevacizumab | Experimental | Standard of Care FOLFIRI + bevacizumab will be administered intravenously |
|
| FOLFIRI | Drug | Chemotherapy Regimen |
|
|
| Bevacizumab (and approved biosimilars) | Drug | Targeted Therapy |
|
|
| Birinapant | Drug | SMAC-mimetic Investigational Drug |
|
| Venetoclax | Drug | Targeted Therapy |
|
|
| Gemcitabine | Drug | Chemotherapy |
|
|
| Docetaxel | Drug | Chemotherapy |
|
|
| Azacitidine | Drug | Chemotherapy |
|
|
Clearance (CL) of aplitabart as a single agent and in combination with the anticancer agents listed above. |
| At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months |
| Ph1a and Ph1b: Volume of distribution (V) of aplitabart | Volume of distribution (V) of aplitabart as a single agent and in combination with the anticancer agents listed above. | At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months |
| Ph1a and Ph1b: Maximum Concentration (c-max) of aplitabart | Maximum Concentration of aplitabart as a single agent and in combination with the anticancer agents listed above. | At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months |
| Ph1a and Ph1b: Immunogenicity | Immunogenicity as assessed by detection of anti-drug antibodies (ADAs) to aplitabart | through end of treatment at approximately 6 months |
| Ph1a and Ph1b: Objective Response Rate (ORR) | Preliminary efficacy of objective response rate (ORR) | Study duration of approximately 36 months |
| Ph1a and Ph1b: Duration of Response (DoR) | Preliminary efficacy of duration of response (DoR) | Study duration of approximately 36 months |
| Ph1a: Progression-Free Survival (PFS) | PFS is defined as the time from first dose (Ph1a) to the first documented disease progression per RECIST 1.1 by investigator or death, whichever occurs first. | Study duration of approximately 36 months |
| Ph1a and Ph1b: Overall Survival (OS) | OS is defined as the time from first dose (Ph1a) or randomization (Ph1b) to death due to any cause | Study duration of approximately 36 months |
| Ph1b: Adverse events of aplitabart + FOLFIRI + bevacizumab | Incidence of treatment-related AEs graded according to the NCI Common Technology Criteria for Adverse Events (CTCAE) v5.0 | From Cycle 1 Day 1 through 28 days after the final dose of study drug |
| Duarte |
| California |
| 91010 |
| United States |
| Cancer and Blood Specialty Clinic (CBSC) | Los Alamitos | California | 90720 | United States |
| USC Norris | Los Angeles | California | 90033 | United States |
| UCLA | Los Angeles | California | 90404 | United States |
| UC Irvine Manchester Pavilion | Orange | California | 92868 | United States |
| UCSF | San Francisco | California | 94143 | United States |
| Rocky Mountain Cancer Centers | Denver | Colorado | 80218 | United States |
| SCRI at Healthone | Denver | Colorado | 80218 | United States |
| Yale Cancer Center | New Haven | Connecticut | 06510 | United States |
| Mayo Clinic | Jacksonville | Florida | 32224 | United States |
| FL Cancer Specialists - Lake Mary | Lake Mary | Florida | 32746 | United States |
| Memorial Cancer Institute | Pembroke Pines | Florida | 33028 | United States |
| Florida Cancer Specialists | Sarasota | Florida | 34232 | United States |
| Fort Wayne Medical Oncology and Hematology | Fort Wayne | Indiana | 46804 | United States |
| Norton Cancer Institute | Louisville | Kentucky | 40241 | United States |
| Ochsner Cancer | Jefferson | Louisiana | 70121 | United States |
| Maryland Oncology Hematology, PA - Columbia | Columbia | Maryland | 21044 | United States |
| START Midwest | Grand Rapids | Michigan | 49546 | United States |
| Minnesota Oncology - Minneapolis Clinic | Minneapolis | Minnesota | 55404 | United States |
| Mayo Clinic | Minneapolis | Minnesota | 55905 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Gabrail Cancer Research | Canton | Ohio | 44718 | United States |
| Stephenson Cancer Center | Oklahoma City | Oklahoma | 73104 | United States |
| Providence Portland Medical Center | Portland | Oregon | 97213 | United States |
| SCRI - Tennessee | Nashville | Tennessee | 37203 | United States |
| Texas Oncology - Austin | Austin | Texas | 78705 | United States |
| Mary Crowley Cancer Research | Dallas | Texas | 75230 | United States |
| US Oncology - Dallas | Dallas | Texas | 75246 | United States |
| US Oncology- Texas Oncology - Fort Worth | Fort Worth | Texas | 76104 | United States |
| The University of Texas, MD Anderson | Houston | Texas | 77030 | United States |
| Texas Oncology - San Antonio Northeast | San Antonio | Texas | 78217 | United States |
| Texas Oncology - Tyler | Tyler | Texas | 75702 | United States |
| Inova Schar Cancer Institute | Fairfax | Virginia | 22031 | United States |
| Virginia Cancer Specialists | Fairfax | Virginia | 22031 | United States |
| US Oncology- Virginia Oncology - Norfolk | Norfolk | Virginia | 23502 | United States |
| Seattle Cancer Alliance - Fred Hutch | Seattle | Washington | 98109 | United States |
| Westmead | Westmead | New South Wales | 2145 | Australia |
| Southern Medical Day Care Centre | Wollongong | New South Wales | 2500 | Australia |
| Peter MacCallum Cancer Centre | Melbourne | Victoria | 3052 | Australia |
| Napean Cancer Care | Kingswood | 2747 | Australia |
| Tasman Health | Southport | QLD 4215 | Australia |
| Queen Elizabeth Hospital | Woodville South | 5011 | Australia |
| Institut Bergonié | Bordeaux | 33076 | France |
| Centre Georges Francois Leclerc | Dijon | 21000 | France |
| Saint Louis Hospital | Paris | 75010 | France |
| Institut de Cancérologie de l'Ouest | Saint-Herblain | 44800 | France |
| Gustave Roussy | Villejuif | 94805 | France |
| Samsung Medical Center | Seoul | Gangnam-gu | 06351 | South Korea |
| Gachon University Gil Hospital | Gyeonggi-do | Seongnam-si | 13620 | South Korea |
| Seoul National University Bundang Hospital | Gyeonggi-do | Seongnam-si | 13620 | South Korea |
| Asan Medical Center | Seoul | 03080 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Severance Hospital - Yonsei Cancer Center | Soeul | South Korea |
| Vall d'Hebron Institut d'Oncologia | Barcelona | 08035 | Spain |
| Clinica Universidad de Navarra | Madrid | 28027 | Spain |
| Madrid FJD | Madrid | 28040 | Spain |
| Madrid CIOCC - HM Universitario Sanchinnarro | Madrid | 28050 | Spain |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D008228 | Lymphoma, Non-Hodgkin |
| D012509 | Sarcoma |
| D002813 | Chondrosarcoma |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D015470 | Leukemia, Myeloid, Acute |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009372 | Neoplasms, Connective Tissue |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007951 | Leukemia, Myeloid |
| D009385 | Neoplastic Processes |
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| ID | Term |
|---|---|
| C480833 | IFL protocol |
| D005472 | Fluorouracil |
| D002955 | Leucovorin |
| D000077146 | Irinotecan |
| D000068258 | Bevacizumab |
| C582429 | birinapant |
| C579720 | venetoclax |
| D000093542 | Gemcitabine |
| D000077143 | Docetaxel |
| D001374 | Azacitidine |
| ID | Term |
|---|---|
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005575 | Formyltetrahydrofolates |
| D013763 | Tetrahydrofolates |
| D005492 | Folic Acid |
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D002166 | Camptothecin |
| D000470 | Alkaloids |
| 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 |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D001372 | Aza Compounds |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012263 | Ribonucleosides |
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