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This is an open-label, dose-exploration and expansion study to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of IMM-1-104 when administered as monotherapy or in combination with approved agents in participants with RAS-mutated or RAS/MAPK activated advanced or metastatic solid tumors. The dose exploration will identify the candidate recommended Phase 2 candidate optimal dose of IMM-1-104 to further explore the anti-tumor activity of IMM-1-104 as monotherapy and in combination with approved agents in multiple Phase 2a proof-of-concept cohorts in malignancies of interest.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IMM-1-104 monotherapy (Treatment Group A) | Experimental | IMM-1-104 monotherapy for first/second line pancreatic adenocarcinoma; first/second/third line melanoma; or second/third line non small cell lung cancer |
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| IMM-1-104 in combination with mGnP (Treatment Group B) | Experimental | IMM-1-104 in combination with modified gemcitabine and nab-paclitaxel (mGnP) for first line pancreatic adenocarcinoma |
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| IMM-1-104 in combination with mFFX (Treatment Group C) | Experimental | IMM-1-104 in combination with modified FOLFIRINOX (mFFX) for first line pancreatic adenocarcinoma |
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| IMM-1-104 in combination with dabrafenib (Treatment Group D) | Experimental | IMM-1-104 in combination with dabrafenib for second/third line post-IO melanoma with BRAF mutation |
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| IMM-1-104 in combination with pembrolizumab (Treatment Group E) | Experimental | IMM-1-104 in combination with pembrolizumab for second/third line post-IO melanoma |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IMM-1-104 Monotherapy (Treatment Group A) | Drug | Once-daily, oral IMM-1-104 dose administered in 28-day cycles until treatment discontinuation criteria are met |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: Adverse Events | Number of participants with adverse events | From treatment initiation through 30 days following the last IMM-1-104 dose |
| Phase 1: Dose-Limiting Toxicities | Number of participants with dose-limiting toxicities | The first 21 days of study treatment |
| Phase 1: Recommended Phase 2 Candidate Optimal Dose | Selection of candidate optimal dose to take forward into Ph2a | Initiation of study treatment through 21 days (up to approximately 18 months) |
| Phase 2a: Overall Response Rate | The proportion of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR), based on RECIST 1.1 criteria | After up to 48 weeks (12 cycles) of study treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1/2a: Maximum Observed Plasma Concentration of IMM-1-104 | Cmax | After 12 weeks (3 Cycles) of study treatment |
| Phase 1/2a: Time to Reach Maximum Plasma Concentration of IMM-1-104 | Tmax |
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Inclusion Criteria:
Must be ≥18 years of age
Must have histologically or cytologically confirmed diagnosis as follows:
Participants must be treatment naive or received prior systemic standard-of-care treatment as follows:
Monotherapy Phase 1: received at least 1 line of systemic standard-of-care treatment for their advanced or metastatic disease
Monotherapy Phase 2a:
Combination therapy (both phases): PDAC participants will have received no previous systemic anti-cancer therapy for their advanced or metastatic disease.
Must have evidence of measurable disease (at least one target lesion) per RECIST v1.1 criteria
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Adequate organ function
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vinny Hayreh, MD | Immuneering Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Scottsdale | Arizona | 85259 | United States | ||
| City of Hope |
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| IMM-1-104 + modified Gemcitabine/nab-Paclitaxel (Treatment Group B) | Drug | Once-daily, oral IMM-1-104 dose administered in 28-day cycles in combination with intravenous infusions of gemcitabine and nab-paclitaxel until treatment discontinuation criteria are met. Gemcitabine will be administered at a dose of 1000 mg/m^2 nab-Paclitaxel will be administered at a dose of 125 mg/m^2 |
|
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| IMM-1-104 + modified FOLFIRINOX (Treatment Group C) | Drug | Once-daily, oral IMM-1-104 dose administered in 28-day cycles in combination with intravenous infusions of modified FOLFIRNOX until treatment discontinuation criteria are met. FOLFIRINOX will be administered as follows: Folinic Acid will be administered at 400 mg/m^2 Fluorouracil will be administered at 2400 mg/m^2 Irinotecan will be administered at 150 mg/m^2 Oxaliplatin will be administered at 85 mg/m^2 |
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| IMM-1-104 + dabrafenib (Treatment Group D) | Drug | Once-daily, oral IMM-1-104 dose administered in 28-day cycles in combination with twice daily oral dose of dabrafenib until treatment discontinuation criteria are met. Dabrafenib will be administered at a dose of 150mg daily (75mg twice daily). |
|
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| IMM-1-104 + pembrolizumab (Treatment Group E) | Drug | Once-daily, oral IMM-1-104 dose administered in 28-day cycles in combination with intravenous infusions of pembrolizumab in sequence or concurrently depending on the enrolled cohort (two sub cohorts) until treatment discontinuation criteria are met. Pembrolizumab will be administered at a dose of 400mg. |
|
|
| After 12 weeks (3 Cycles) of study treatment |
| Phase 1/2a: Area Under Plasma Concentration (AUC) Time Curve of IMM-1-104 | AUC0-t | After 12 weeks (3 Cycles) of study treatment |
| Phase 2a: Disease Control Rate (DCR) | The proportion of participants who have a best overall response (BOR) of stable disease (SD) or better | After 16 weeks (4 Cycles) of study treatment |
| Phase 2a: Progression Free Survival (PFS) | The time interval between study treatment start and disease progression or death due to any cause. | Up to approximately 2 years |
| Phase 2a: Duration of Response (DOR) | The time interval between an assessment of partial response (PR) or better and disease progression or death due to any cause. | Up to approximately 2 years. |
| Phase 2a: Landmark 3-Month Survival | The proportion of participants who are still alive after three months on study. | After 3 months of study participation. |
| Phase 2a: Landmark 6-Month Survival | The proportion of participants who are still alive after six months on study. | After 6 months of study participation. |
| Phase 2a: Overall Survival (OS) | The time interval between study treatment start and death due to any cause. | Up to approximately 2 Years |
| Duarte |
| California |
| 91010 |
| United States |
| University of California San Diego | San Diego | California | 92037 | United States |
| Sarcoma Oncology Center | Santa Monica | California | 90403 | United States |
| Sarah Cannon Research Institute | Denver | Colorado | 80218 | United States |
| Mayo Clinic | Jacksonville | Florida | 32224 | United States |
| Florida Cancer Specialists and Research Institute | Lake Mary | Florida | 32746 | United States |
| Northwestern University | Chicago | Illinois | 60611 | United States |
| University of Chicago | Chicago | Illinois | 60637 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Hematology Oncology Associates of Central New York | East Syracuse | New York | 13057 | United States |
| Weill Cornell Medicine | New York | New York | 10021 | United States |
| Levine Cancer Center | Charlotte | North Carolina | 28204 | United States |
| Duke University Cancer Institute | Durham | North Carolina | 27710 | United States |
| SCRI Oncology Partners | Nashville | Tennessee | 27203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| NEXT Oncology | San Antonio | Texas | 78229 | United States |
| NEXT Oncology | Fairfax | Virginia | 22031 | United States |
| University of Wisconsin Clinical Science Center | Madison | Wisconsin | 53792 | United States |
| ID | Term |
|---|---|
| D000096142 | Melanoma, Cutaneous Malignant |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D009362 | Neoplasm Metastasis |
| D000230 | Adenocarcinoma |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
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| ID | Term |
|---|---|
| C561627 | dabrafenib |
| C582435 | pembrolizumab |
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