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This is an open-label, Phase 1, 2-part trial to determine recommended phase 2 doses (RP2Ds) and evaluate the safety, tolerability, pharmacokinetic, and pharmacodynamic profiles of AGEN1571 both as a monotherapy and in combination with balstilimab (PD-1 inhibitor) and/or botensilimab (2-agent combination or 3-agent combination) in participants diagnosed with advanced solid tumors.
Part 1 will be the dose escalation phase to determine the RP2D of AGEN1571 monotherapy or AGEN1571 in combination with balstilimab and/or botensilimab. Part 2 will be the dose expansion phase for specific disease indications. Participants will receive study treatment for up to 2 years, or until any disease progression, unacceptable toxicity, or participant wishes to withdraw consent for any reason.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation: AGEN1571 | Experimental | Participants will receive AGEN1571 monotherapy. |
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| Dose Escalation: AGEN1571 + Balstilimab | Experimental | Participants will receive AGEN1571 with balstilimab. |
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| Dose Escalation: AGEN1571 + Botensilimab | Experimental | Participants will receive AGEN1571 with botensilimab. |
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| Dose Escalation: AGEN1571 + Balstilimab + Botensilimab | Experimental | Participants will receive AGEN1571 with balstilimab and botensilimab. |
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| Dose Expansion | Experimental | AGEN1571 administered at the RP2D for monotherapy or any combination therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AGEN1571 | Drug | A fully human monoclonal immunoglobulin-like transcript antagonist antibody administered intravenously. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number Of Participants With Dose-limiting Toxicities | Day 1 through Day 42 | |
| Number Of Participants With Treatment-emergent Adverse Events | Day 1 up to 12 months after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Serum AGEN1571 Concentration | Day 1 up to 90 days after the last dose | |
| Serum Balstilimab Concentration | Day 1 up to 90 days after the last dose | |
| Serum Botensilimab Concentration |
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Inclusion Criteria:
Voluntarily agree to participate by giving signed, dated, and written informed consent prior to any study-specific procedures (participation in genetic testing is optional).
Histologically confirmed diagnosis of a solid tumor that is currently metastatic or locally advanced for which no standard therapy is available or standard therapy has failed.
Measurable disease on baseline imaging based on RECIST 1.1.
Life expectancy of at least 3 months.
Eastern Cooperative Oncology Group performance status of 0 or 1.
Adequate organ and bone marrow reserve function, as indicated by the following laboratory values:
Participants with a history of prior malignancy are eligible if treatment was completed ≥ 2 years prior to the first dose of study treatment and the participant has no evidence of disease. Participants who have been maintained on stable doses of antineoplastic hormonal therapy within that 2-year time frame may also be eligible with approval of the Medical Monitor. Participants with a history of prior early-stage basal/squamous cell skin cancer, or noninvasive or in situ cancers, who have undergone definitive treatment at any time are also eligible.
Participants must provide a sufficient and adequate formalin-fixed paraffin embedded tumor tissue sample (biopsy) collected after the last dose of prior anti-cancer therapy and before the first dose of study treatment from a site not previously irradiated and agree to a mandatory on-treatment biopsy, if clinically feasible. If a potential study participant cannot provide a tumor tissue sample as specified above, enrollment may be possible following discussion and approval from the Medical Monitor.
Female participants of childbearing potential must have a negative urine or serum pregnancy test at screening (within 72 hours of first dose of study medication) with repeat urine or serum pregnancy test on Day 1 of each cycle and at the End of Treatment visit. If a urine pregnancy test is positive, results must be confirmed with a serum pregnancy test. Non-childbearing potential is defined as follows:
Female participants who are diagnosed with a tumor that is known to secrete human chorionic gonadotropin must be certified not pregnant based on clinical evidence and investigator judgment.
Female participants of child-bearing potential must agree to use highly effective contraceptive measures starting with the screening visit through 90 days after the last dose of study treatment.
Note: Abstinence is acceptable if this is the established and preferred contraception for the participant.
Male participants with a female partner(s) of childbearing potential must agree to use highly effective contraceptive measures throughout the study starting with the screening visit through 90 days after the last dose of study treatment is received. Males with pregnant partners must agree to use a condom; no additional method of contraception is required for the pregnant partner.
Note: Abstinence is acceptable if this is the established and preferred contraception for the participant.
Willing and able to comply with the requirements of the protocol.
Exclusion Criteria:
Currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 3 weeks of first dose of current study drug.
Received prior systemic cytotoxic chemotherapy, biological therapy, radiotherapy, or major surgery outside of the acceptable washout periods prior to first dose of study drug. The following washout windows are acceptable from prior treatments, that is participants with time periods less than the following should be excluded:
Persistent toxicity of National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 Grade >1 severity that is related to prior therapy.
a. Sensory neuropathy or alopecia of Grade ≤ 2 is acceptable. Stable, compensated endocrinopathies (hypothyroidism, adrenal insufficiency, hypophysitis) that are the sequelae of immune-mediated adverse events > Grade 1 are acceptable.
Known severe (Grade ≥ 3) hypersensitivity reactions to fully human monoclonal antibodies, or to any study drug excipients, or severe reaction to immuno-oncology agents, such as colitis or pneumonitis requiring treatment with steroids; or has a history of or active interstitial lung disease, any history of anaphylaxis, or uncontrolled asthma.
Participants with a condition requiring systemic treatment with either corticosteroids (> 10 milligrams [mg] daily prednisone equivalent) within 14 days or any other immunosuppressive medication within 30 days of the first dose of study treatment. Inhaled or topical steroids, and adrenal replacement steroid doses (≤ 10 mg daily prednisone equivalent), are permitted in the absence of active autoimmune disease.
Active CNS metastases. Note: Participants are eligible if CNS metastases have been treated and participants are radiologically and clinically stable. Participants must have been either off corticosteroids, or on a stable or decreasing dose of ≤ 10 mg daily prednisone or equivalent for at least 2 weeks prior to the first dose of study treatment.
Active or history of autoimmune disease that requires systemic treatment within 2 years of the start of study drug (that is, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Note: Participants with autoimmune conditions requiring hormone replacement therapy or topical treatments are eligible.
Participants has had an allogeneic tissue/solid organ transplant, except for corneal transplants.
An active infection requiring treatment within 2 weeks of C1D1, or active interstitial lung disease.
Human immunodeficiency virus (HIV) positive:
Active hepatitis B (HBV) or active hepatitis C (HCV).
Clinically significant (that is, active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months of enrollment, unstable angina, congestive heart failure (New York Heart Association class ≥ II), or serious uncontrolled cardiac arrhythmia requiring medication.
History or current evidence of any condition (including psychiatric or substance abuse disorder that would interfere with the requirements of the trial), therapy, any active infection requiring treatment within 2 weeks of C1D1, or laboratory abnormality that might confound the results of the trial, interfere with the participant's participation for the full duration of the trial, or is not in the best interest of the participant to participate, in the opinion of the treating Investigator.
Legally incapacitated or has limited legal capacity.
Pregnant or breastfeeding.
Corrected QT interval (QTc) > 480 milliseconds at screening except if the prolonged QTc is due to right bundle branch block.
Uncontrolled hypertension or controlled hypertension (> 140/90 millimeters of mercury) on more than 3 antihypertensive agents.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| USC Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | United States | ||
| Sarah Cannon Research Institute at HealthONE |
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| ID | Term |
|---|---|
| C000720935 | balstilimab |
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| Balstilimab | Drug | A fully human monoclonal programmed cell death protein 1 antagonist antibody administered intravenously. |
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| Botensilimab | Drug | A fully human fragment crystallizable-enhanced monoclonal cytotoxic T lymphocyte antigen 4 antibody administered intravenously. |
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| Day 1 up to 90 days after the last dose |
| Number Of Participants With Anti-drug Antibodies | Day 1 up to 90 days after the last dose |
| Overall Response Rate (ORR) | ORR will be determined using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1). | Day 1 up to 90 days after the last dose |
| Complete Response (CR) Rate | CR will be determined using RECIST 1.1. | Day 1 up to 90 days after the last dose |
| Partial Response (PR) Rate | PR will be determined using RECIST 1.1. | Day 1 up to 90 days after the last dose |
| Duration Of Response (DOR) | DOR will be determined using RECIST 1.1. | Day 1 up to 90 days after the last dose |
| Disease Control Rate (DCR) | DCR will be determined using RECIST 1.1. | Day 1 up to 90 days after the last dose |
| Progression-free Survival (PFS) | PFS will be determined using RECIST 1.1. | Day 1 up to 90 days after the last dose |
| Denver |
| Colorado |
| 80218 |
| United States |
| Florida Cancer Specialists | Sarasota | Florida | 34232 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
| Lifespan Cancer Institute | Providence | Rhode Island | 02903 | United States |