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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-511739-81 | Other Identifier | European Medicines Agency |
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The main goal of this first-in-human (FIH) study is to learn about the safety and dosing of GS-2121 when given alone or in combination with zimberelimab (ZIM) in participants with advanced solid tumors.
The primary objectives of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: GS-2121 Monotherapy Dose Escalation | Experimental | Participants will receive escalating doses of GS-2121 monotherapy until disease progression, or until the participant meets other study drug discontinuation criteria as specified in protocol. |
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| Part B: GS-2121 Monotherapy Dose Expansion | Experimental | Participants with selected indications will receive GS-2121 monotherapy at the recommended dose for expansion. |
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| Part C: Combination Dose Escalation of GS-2121 with Zimberelimab | Experimental | Participants will receive escalating doses of GS-2121 in combination with zimberelimab until disease progression, or until the participant meets other study drug discontinuation criteria as specified in protocol. |
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| Part D: Combination Dose Expansion of GS-2121 with Zimberelimab | Experimental | Participants with selected indications will receive GS-2121 at the recommended dose for expansion in combination with zimberelimab. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GS-2121 | Drug | Tablet administered orally |
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| Measure | Description | Time Frame |
|---|---|---|
| Parts A and B: Percentage of Participants with Adverse Events and Serious Adverse Events | First dose up to 90 days post last dose (up to approximately 118 weeks) | |
| Parts A and B: Percentage of Participants with Laboratory Abnormalities | First dose up to 90 days post last dose (up to approximately 118 weeks) | |
| Part A: Percentage of Participants with Dose-Limiting Toxicities (DLTs) During Dose Escalation | DLTs are defined as any of the protocol-specified treatment-emergent adverse events (AEs) with onset within the DLT-evaluation period for the corresponding dose. | Day 1 up to Day 21 |
| Parts C and D: Percentage of Participants with Adverse Events and Serious Adverse Events | First dose up to 90 days post last dose (up to approximately 118 weeks) | |
| Parts C and D: Percentage of Participants with Laboratory Abnormalities | First dose up to 90 days post last dose (up to approximately 118 weeks) | |
| Part C: Percentage of Participants with DLTs During Dose Escalation | DLTs are defined as any of the protocol-specified treatment-emergent adverse events (AEs) with onset within the DLT-evaluation period for the corresponding dose. | Day 1 up to Day 21 |
| Measure | Description | Time Frame |
|---|---|---|
| Parts A and B: Plasma Concentration of GS-2121 and Active Metabolite | Predose and postdose up to end of treatment (up to 105 weeks) | |
| Parts A and B: PK Parameter: AUC0-24 of GS-2121 | AUC0-24 is defined as the partial area under the concentration of drug over time between time 0 and time 24 hours. PK parameters will be estimated as applicable, based on the availability of data. |
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Key Inclusion Criteria:
Participants diagnosed with histologically or cytologically confirmed advanced solid tumors who have progressed despite standard therapy, are intolerant to standard therapy, or are ineligible for standard therapy.
Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
Tissue requirements:
Adequate organ function.
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gilead Clinical Study Information Center | Contact | 1-833-445-3230 (GILEAD-0) | GileadClinicalTrials@gilead.com |
| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford Cancer Center | Recruiting | Palo Alto | California | 94305 | United States | |
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| Label | URL |
|---|---|
| Gilead Clinical Trials Website | View source |
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| ID | Term |
|---|---|
| C000719848 | zimberelimab |
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| Zimberelimab | Drug | Administered intravenously |
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| Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts A and B: PK Parameter: Cmax of GS-2121 | Cmax is defined as the maximum observed drug concentration. PK parameters will be estimated as applicable, based on the availability of data. | Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts A and B: PK Parameter: Tmax of GS-2121 | Tmax is defined as the time to maximum observed drug concentration. PK parameters will be estimated as applicable, based on the availability of data. | Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts C and D: Plasma Concentration of GS-2121 and Active Metabolite | Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts C and D: PK Parameter: AUC0-24 of GS-2121 | AUC0-24 is defined as the partial area under the concentration of drug over time between time 0 and time 24 hours. PK parameters will be estimated as applicable, based on the availability of data. | Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts C and D: PK Parameter: Cmax of GS-2121 | Cmax is defined as the maximum observed drug concentration. PK parameters will be estimated as applicable, based on the availability of data. | Predose and postdose up to end of treatment (up to 105 weeks) |
| Parts C and D: PK Parameter: Tmax of GS-2121 | Tmax is defined as the time to maximum observed drug concentration. PK parameters will be estimated as applicable, based on the availability of data. | Predose and postdose up to end of treatment (up to 105 weeks) |
| Beth Israel Deaconess Medical Center |
| Recruiting |
| Boston |
| Massachusetts |
| 02215 |
| United States |
| NEXT Oncology | Recruiting | San Antonio | Texas | 78229 | United States |
| NEXT Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
| The Ottawa Hospital Cancer Centre | Recruiting | Ottawa | K1H 8L6 | Canada |
| Princess Margaret Cancer Centre | Recruiting | Toronto | M5G1Z5 | Canada |