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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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The purpose of this study is to assess the safety and tolerability of GIGA-564 and identify the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) level(s) of GIGA-564 in participants with metastatic or locally advanced solid tumor malignancies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GIGA-564: Dose Escalation (Phase 1A) | Experimental | Up to 5 dose levels [0.3, 1.0, 3.0, 10.0, and 20.0 milligrams per kilogram (mg/kg)] will be evaluated sequentially. Participants will receive GIGA-564 intravenously over at least 60 minutes on Day 1 of every 3 weeks (3 weeks = 1 cycle) for up to 4 cycles until time of confirmed disease progression, unacceptable toxicity, or other reason for treatment discontinuation. |
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| GIGA-564: Dose Expansion (Phase 1B) | Experimental | Dose expansion (Phase 1B) of selected dose levels may be initiated following the preliminary clearance of those specified dose levels from the dose escalation (Phase 1A) as determined by the Sponsor and SRC. Participants will receive up to 4 cycles of one of up to three tolerable dose levels of GIGA-564. GIGA-564 will be given intravenously over at least 60 minutes on Day 1 of every 3 weeks (3 weeks = 1 cycle) for up to 4 cycles until time of confirmed disease progression, unacceptable toxicity, or other reason for treatment discontinuation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GIGA-564 | Drug | Administered by intravenous infusion |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | Up to 154 days | |
| Number of Participants With Grade 3 or 4 TEAEs | Up to 154 days | |
| Number of Participants With Treatment-related TEAEs | Up to 154 days | |
| Number of Participants With Grade 3 or 4 Treatment-related TEAEs | Up to 154 days | |
| Number of Participants With Serious Adverse Events (SAE's) | Up to 154 days | |
| Number of Participants Who Discontinued Treatment due to Adverse Events (AEs) | Up to 154 days | |
| Number of Participants With Dose-limiting Toxicities (DLTs) during Cycle 1 | Up to 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 | Up to Week 24 | |
| Percentage of Participants with Minor RECIST 1.1 Response | Up to Week 24 | |
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Inclusion Criteria:
Willing and able to provide informed consent.
Histologically or cytologically confirmed locally advanced or radiographically confirmed metastatic solid tumor malignancies ineligible for standard-of-care or refractory to or relapsing after at least one line of systemic therapy in the metastatic or advanced setting.
Measurable disease on imaging as based on Response Evaluation Criteria in RECIST 1.1.
Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1.
Life expectancy greater than three months.
Electrocardiogram (ECG) without evidence of clinically relevant abnormalities in rhythm, conduction, or morphology of resting ECG or active ischemia as determined by the Investigator.
Acceptable organ and marrow function including:
Primary or metastatic lesions that are amenable to biopsy (Phase 1B only).
Women of childbearing potential must agree to use highly effective contraception.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| James Gulley | Contact | 888-624-1937 | ncimo_referrals@mail.nih.gov |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cancer Institute | Recruiting | Bethesda | Maryland | 20892 | United States |
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| ID | Term |
|---|---|
| C563326 | Diabetes Mellitus, Insulin-Dependent, 12 |
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| GIGA-564 |
| Drug |
Administered by intravenous infusion |
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| Disease Control Rate (DCR) per RECIST 1.1 |
| Up to Week 24 |
| Progression Free Survival (PFS) | Up to 2 years |
| Duration of Response (DOR) | Up to 2 years |
| Area Under the Serum Concentration-time Curve during a Dosage Interval (AUC0-tau) of GIGA-564 during Cycle 1 and Cycle 4 | Up to 84 days |
| Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUC[0-inf)] of GIGA-564 during Cycle 1 | Up to 21 days |
| Maximum Observed Serum concentration (Cmax) of GIGA-564 during Cycle 1 and Cycle 4 | Up to 154 days |
| Time to Reach Maximum Observed Serum Concentration (Tmax) of GIGA-564 during Cycle 1 and Cycle 4 | Up to 154 days |
| Trough Observed Serum Concentration (C trough) of GIGA-564 during Cycle 1 and Cycle 4 | Up to 154 days |
| Elimination Half-life (t1/2) of GIGA-564 during Cycle 1 and Cycle 4 | Up to 154 days |
| Apparent Total Body Clearance (CL) of GIGA-564 during Cycle 1 | Up to 21 days |
| Volume of Distribution at Steady State (Vss) of GIGA-564 during Cycle 1 | Up to 21 days |
| Accumulation Ratio for Maximum Observed Serum Concentration (Cmax) of GIGA-564 | Up to 154 days |
| Accumulation Ratio for Trough Observed Serum Concentration (Ctrough) of GIGA-564 | Up to 154 days |
| Accumulation Ratio for Area Under the Serum Concentration-time Curve (AUC) of GIGA-564 | Up to 154 days |