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| ID | Type | Description | Link |
|---|---|---|---|
| 2022-001003-40 | EudraCT Number | ||
| 2024-514357-29-00 | Other Identifier | EU Trial (CTIS) Number |
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| Name | Class |
|---|---|
| BioNTech SE | INDUSTRY |
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The main purpose of this first-in-human study of GEN1056, is to evaluate safety. In addition, the study will determine the recommended dose and frequency for subsequent clinical studies and will assess the preliminary anti-tumor activity of GEN1056. GEN1056 will be studied in patients with advanced or metastatic solid cancer, for whom standard of care (SOC) therapy is not an option. All participants will get GEN1056.
The trial is a first-in-human open-label, dose-finding, multinational safety trial, in participants with advanced or metastatic solid (non central nervous system [CNS]) tumors that have exhausted SOC therapy or are not candidates for SOC therapy, evaluating the safety, tolerability, preliminary antitumor activity, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of GEN1056.
The trial will be conducted as follows:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GEN1056 Monotherapy | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GEN1056 | Biological | GEN1056 will be administered as an intravenous (IV) infusion. The dose levels will be determined by the starting dose and the escalation steps taken in the trial in Part 1. In Part 2, the dose and schedule will be decided based on data outcome from Part 1. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicity (DLT) | To define the maximum tolerated dose (MTD) and/or recommended phase 2 dose(s) (RP2D) of GEN1056 | DLTs are evaluated during the first 21 days after a patient's first dose |
| Incidence and severity of adverse events (AEs) | Throughout the trial until the end of the safety follow-up period (90 days after last dose) | |
| Number of participants with clinical significant shifts from baseline in clinical laboratory parameters | Clinical laboratory parameters assessed: Hematology, biochemistry, coagulation, TSH, T3 and T4, urinalysis | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | Anti-tumor activity of GEN1056 as monotherapy according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for responders (with confirmation) | From first infusion of trial drug to the last evaluable imaging assessment (an estimated average of 7 months) |
| Duration of response (DOR) |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Subject is considered a poor medical risk due to a serious, uncontrolled inter-current illness
Prior therapy with a checkpoint inhibitor agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor.
Prior exposure to any of the following prior therapies within the specified timeframes:
Known active CNS metastases and/or carcinomatous meningitis, or spinal cord compression.
Positive for Human Immunodeficiency Virus (HIV), Hepatitis B (Hepatitis B Surface Antigen (HBsAg), HBV DNA), or Hepatitis C infection (Hepatitis C Virus Ribonucleic Acid (HCV RNA), HCV antibodies).
An active, known, or suspected autoimmune disease, requiring systemic steroid.
A condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first treatment.
History of non-infectious pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease requiring treatment with steroids.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ARENSIA Exploratory Medicine LLC | Tbilisi | Georgia | ||||
| ARENSIA Exploratory Medicine Phase I Unit |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Anti-tumor activity of GEN1056 as monotherapy according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for responders (with confirmation) |
| From initial onset of response to first progression event (defined as radiographic progression or death; an estimated average of 7 months) |
| Progression-free survival (PFS) | Anti-tumor activity of GEN1056 as monotherapy according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 | From first infusion of trial drug to first progression event (defined as radiographic progression or death; an estimated average of 7 months) |
| Overall survival (OS) | Defined as time of death, due to any cause | From first infusion of trial drug to death due to any cause, or to last contact date in case of no observed death (assessed up to 2 years after the last participant's first dose in the trial) |
| Rate at which the drug is removed from the body (clearance) | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Amount of drug in the body (volume of distribution) | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Area under the concentration time curve (AUC) from time zero to last quantifiable sample AUClast | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Maximum (peak) observed serum drug concentration (Cmax) | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Time to reach maximum (peak) serum drug concentration (Tmax) after dosing | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Time after dosing at which the lowest drug concentration is observed before the next dose is administered, predose trough concentration (Ctrough) | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Elimination half-life (T1/2) of the drug | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Incidence of anti-drug antibodies (anti GEN1056 antibodies) | Characterize the immunogenicity of GEN1056 | Throughout the trial until the end of the safety follow-up period (90 days after last dose) |
| Chisinau |
| Moldova |
| Hospital Universitari Vall d'Hebron | Barcelona | Spain |
| Centro Integral Oncologico Clara Campal | Madrid | Spain |
| Hospital Universitario Fundacion Jimenez Diaz | Madrid | Spain |
| MD Anderson Cancer Centre | Madrid | Spain |
| Clinica Universidad de Navarra | Pamplona | Spain |