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This is a Phase 1 study to evaluate the safety, tolerability, PK, and preliminary efficacy of IO-108 monotherapy and in combination with anti-PD-1 monoclonal antibody pembrolizumab or tislelizumab in adult patients with advanced solid tumors. The study will be conducted in 3 parts, including Part A IO-108 monotherapy dose confirmation; Part B IO-108 + anti-PD-1 dose confirmation, and Part C dose expansion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: IO-108 monotherapy dose confirmation | Experimental | Patients with advanced or metastatic solid tumors will be enrolled and treated with IO-108, intravenously, every 21 days. |
|
| Part B: IO-108 + anti-PD-1 dose confirmation. | Experimental | Patients will receive IO-108 in combination with with a fixed dose of pembrolizumab, intravenously, every 21 days; Patients will receive IO-108 in combination with with a fixed dose of tislelizumab, intravenously, every 21 days. |
|
| Part C: Dose expansion | Experimental | Patients with advanced or metastatic solid tumors who meet the specific criteria will be enrolled into one of the cohorts. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IO-108 | Biological | IO-108, intravenously, on Day 1 of each 21-day cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) in patients treated with IO-108 | AE severity graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0 | through study completion, an average of 2 years |
| Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) in patients treated with IO-108 in combination with pembrolizumab or tislelizumab | AE severity graded by NCI CTCAE, Version 5.0 | through study completion, an average of 2 years |
| Preliminary anti-tumor activity of IO-108 in combination with pembrolizumab or tislelizumab | ORR is defined as the percentage of patients who have a complete response (CR) or a partial response (PR) per RECIST v1.1 | through study completion, an average of 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) of IO-108 | Characterize the Cmax of IO-108 by successive sampling of blood at pre-specified time points | through study completion, an average of 2 years |
| Steady state concentration of IO-108 |
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Inclusion Criteria:
Age ≥18, and < 75.
Part A and Part B Cohort 1: Patients must have histologically or cytologically confirmed advanced or metastatic solid tumor and have failed, or have been intolerant for standard systemic therapy, or for whom no treatment known to confer clinical benefit exists.
Part B Cohort 2 and Part C: Patient with advanced or metastatic solid tumor who meet the specific criteria.
Patients have at least 1 measurable disease per RECIST v1.1 as assessed by local clinical site.
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
Patients must have adequate hematologic function, hepatic function and renal function.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Fujian Medical University | Fujian | Fuzhou | China | |||
| 1st affiliated Hospital of Hainan Medical University |
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| IO-108 + pembrolizumab | Biological | IO-108, intravenously, on Day 1 of each 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of each 21-day cycle. |
|
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| IO-108 + tislelizumab | Biological | IO-108, intravenously, on Day 1 of each 21-day cycle. Tislelizumab will be administered intravenously on Day 1 of each 21-day cycle. |
|
Characterize steady state concentration of IO-108 by successive sampling of blood at pre-specified time points
| through study completion, an average of 2 years |
| Anti-drug antibodies (ADA) of IO-108 | Determine the incidence and titer of ADAs against IO-108 | through study completion, an average of 2 years |
| Preliminary anti-tumor activity | Disease Control Rate, defined as the percentage of patients with CR, PR, or stable disease. | through study completion, an average of 2 years |
| Preliminary anti-tumor activity | Progression-free Survival, defined as the time interval from the first dose date to the occurrence of disease progression or death of any cause | through study completion, an average of 2 years |
| Haikou |
| Hainan |
| China |
| 4th Hospitla of Hebei Medical University | Shijiazhuang | Hebei | China |
| Harbin Cancer Hospital | Harbin | Heilongjiang | China |
| Henan Cancer Hospital | Zhengzhou | Henan | China |
| Tongji Hospital | Wuhan | Hubei | China |
| Hunan Cancer Hospital | Changsha | Hunan | 410031 | China |
| The First Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | 330052 | China |
| Liaoning Cancer Hospital | Shenyang | Liaoning | China |
| Shandong Cancer Hospital | Jinan | Shandong | 250117 | China |
| Lin Yi Cancer Hospital | Linyi | Shandong | China |
| Shanghai Dong Fang Hospital | Shanghai | Shanghai Municipality | 200120 | China |
| 1st Affiliated Hospital of Xi'an Jiaotong University | Xian | Shanxi | China |
| Sir RUN RUN SHAW HOSPITAL | Hangzhou | Zhejiang | China |
| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| C000707970 | tislelizumab |
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