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Study CP-MGC018-02 is a study of vobramitamab duocarmazine (MGC018) in combination with lorigerlimab (MGD019). The study is designed to characterize safety, tolerability, pharmacokinetics (PK), immunogenicity, pharmacodynamics, and preliminary antitumor activity. Participants with relapsed or refractory, unresectable, locally advanced or metastatic solid tumors including, but not limited to, metastatic castration-resistant prostate cancer (mCRPC), melanoma, pancreatic cancer, hepatocellular carcinoma (HCC), ovarian cancer, and renal cell carcinoma (RCC) will be enrolled.
Vobramitamab duocarmazine and lorigerlimab are administered separately on Day 1 of every 4-week (28-day) cycle at the assigned dose for each cohort. Participants who do not meet criteria for study drug discontinuation may receive study drugs for up to 2 years.
Tumor assessments are performed every 8 weeks (± 7 days) for the initial 6 months on study drugs, then every 12 weeks (± 21 days) until progressive disease (PD).
Participants will be followed for safety throughout the study. .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort -1 | Experimental | vobramitamab duocarmazine at dose level -1 and lorigerlimab intravenously (IV) every 4 weeks |
|
| Cohort 1 | Experimental | vobramitamab duocarmazine at dose level 1 and lorigerlimab IV every 4 weeks |
|
| Cohort 2 | Experimental | vobramitamab duocarmazine at dose level 1 and lorigerlimab IV every 4 weeks |
|
| Cohort 3 | Experimental | vobramitamab duocarmazine at dose level 2 and lorigerlimab IV every 4 weeks |
|
| Cohort 4 | Experimental | vobramitamab duocarmazine at dose level 3 and lorigerlimab IV every 4 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| vobramitamab duocarmazine | Biological | Vobramitamab duocarmazine is an antibody drug conjugate (ADC) targeted against B7-H3. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events (AEs) | Up to 2 years | |
| Number of participants with serious adverse events (SAEs) | Up to 2 years | |
| Number of participants with AEs leading to study treatment discontinuation | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Mean maximum observed concentration (Cmax) of vobramitamab duocarmazine | Peak concentration of vobramitamab duocarmazine | Throughout the study, up to 2 years |
| Mean maximum observed concentration (Cmax) of lorigerlimab |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Denise Casey, M.D. | MacroGenics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Los Angeles | Los Angeles | California | 90095 | United States | ||
| University of California, San Francisco |
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| Cohort 5 |
| Experimental |
vobramitamab duocarmazine at dose level 4 and lorigerlimab IV every 4 weeks |
|
| Cohort Expansion | Experimental | maximum tolerated dose of vobramitamab duocarmazine and lorigerlimab IV every 4 weeks |
|
|
| lorigerlimab | Biological | Lorigerlimab is a bispecific DART® molecule that binds PD-1 and CTLA-4. |
|
|
Peak concentration of lorigerlimab
| Throughout the study, up to 2 years |
| Mean time to maximum concentration (Tmax) of vobramitamab duocarmazine | Time at which peak concentration of vobramitamab duocarmazine is observed | Throughout the study, up to 2 years |
| Mean time to maximum concentration (Tmax) of lorigerlimab | Time at which peak concentration of lorigerlimab is observed | Throughout the study, up to 2 years |
| Mean area under the concentration-time curve during the dosing interval (AUCtau) of vobramitamab duocarmazine | Concentration of vobramitamab duocarmazine in the bloodstream during the 28-day dosing interval after dose administration | Throughout the study, up to 2 years |
| Mean area under the concentration-time curve during the dosing interval (AUCtau) of lorigerlimab | Concentration of lorigerlimab in the bloodstream during the 28-day dosing interval after dose administration | Throughout the study, up to 2 years |
| Mean trough concentration of vobramitamab duocarmazine | Concentration of vobramitamab duocarmazine at the end of a dosing interval | Day 1 of each cycle (every 4 weeks) up to 2 years. |
| Mean trough concentration of lorigerlimab | Concentration of lorigerlimab at the end of a dosing interval | Throughout the study, up to 2 years |
| Number of participants who develop anti-drug antibodies (ADA) to vobramitamab duocarmazine | Throughout the study, up to 2 years |
| Number of participants who develop ADA to lorigerlimab | Throughout the study, up to 2 years |
| Objective response rate (ORR) | Assessed every 8 weeks for the first 6 months, then every 12 weeks for up to 2 years. |
| Median progression free survival (PFS) | PFS is defined as the time from the first dose date to the date of first documented PD or death from any cause, whichever occurs first. | Assessed every 8 weeks for the first 6 months, then every 12 weeks. Survival status is assessed approximately every 12 weeks after the last dose of study treatment until withdrawal of consent, lost to follow up, death, or end of the study, up to 2 years. |
| Median duration of response (DoR) | DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented PD or death from any cause, whichever occurs first. | Assessed every 8 weeks for the first 6 months, then every 12 weeks for up to 2 years. |
| Median overall survival (OS) | OS is defined as the time from the first dose date to the date of death from any cause. | Survival status is assessed approximately every 12 weeks after the last dose of study treatment until withdrawal of consent, lost to follow up, death, or end of the study, up to 2 years |
| Median radiographic PFS (rPFS) for mCRPC | rPFS is defined as the time from the first dose of study drug to the first occurrence of radiographic PD of soft tissue lesions using RECIST v1.1, or appearance of ≥ 2 new bone lesions, or death from any cause | Assessed every 8 weeks for the first 6 months, then every 12 weeks for up to 2 years. |
| Prostate-specific antigen (PSA) response rate for mCRPC | PSA response is defined as ≥ 50% decline from baseline in PSA with confirmation at least 3 weeks later. | PSA is assessed every 4 weeks, up to 2 years while on treatment, then every 12 weeks for up to an additional 2 years in follow-up. |
| Best PSA percent change from baseline for mCRPC | PSA is assessed every 4 weeks, up to 2 years while on treatment, then every 12 weeks for up to an additional 2 years in follow-up. |
| Median time to PSA progression for mCRPC | PSA progression is defined as an increase that is ≥ 25% and ≥ 2 ng/mL the baseline or lowest value observed, and which confirmed by a second value at least 3 weeks later. | PSA is assessed every 4 weeks, up to 2 years while on treatment, then every 12 weeks for up to an additional 2 years in follow-up. |
| Median duration of PSA response for mCRPC | DoR of PSA is defined as the time from the date of initial PSA response to the date of first documented PSA progression or death from any cause, whichever occurs first. | PSA is assessed every 4 weeks, up to 2 years while on treatment, then every 12 weeks for up to an additional 2 years in follow-up. |
| San Francisco |
| California |
| 94115 |
| United States |
| Florida Cancer Specialists and Research Institute | Sarasota | Florida | 34232 | United States |
| Winship Cancer Institute of Emory University | Atlanta | Georgia | 30322 | United States |
| Johns Hopkins Sidney Kimmel Comprehensive Cancer Center | Baltimore | Maryland | 21287 | United States |
| Weill Cornell Medicine | New York | New York | 10065 | United States |
| Carolina BioOncology | Huntersville | North Carolina | 28078 | United States |
| Stephenson Cancer Center, The University of Oklahoma | Oklahoma City | Oklahoma | 73104 | United States |
| University of Pittsburgh Medical Center, Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
| University of Virginia Comprehensive Cancer Center | Charlottesville | Virginia | 22908 | United States |
| ID | Term |
|---|---|
| D064129 | Prostatic Neoplasms, Castration-Resistant |
| D008545 | Melanoma |
| D021441 | Carcinoma, Pancreatic Ductal |
| D008113 | Liver Neoplasms |
| D000077216 | Carcinoma, Ovarian Epithelial |
| D002292 | Carcinoma, Renal Cell |
| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D044584 | Carcinoma, Ductal |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D018299 | Neoplasms, Ductal, Lobular, and Medullary |
| D010190 | Pancreatic Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D008107 | Liver Diseases |
| D010051 | Ovarian Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D005833 | Genital Neoplasms, Female |
| D006058 | Gonadal Disorders |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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