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The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-108, as a single agent, in patients with advanced or metastatic solid tumors
This is an open-label, multicenter, dose escalation and expansion, phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and anti-tumor activity of GI-108 as a single agent in advanced or metastatic solid tumors. A control arm is not included.
The study is composed of two phases:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GI-108 | Experimental | Dose escalation: GI-108 intravenous (IV), multiple ascending doses Dose optimization: GI-108 intravenous (IV), sRP2D |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GI-108 | Drug | Dose level will be escalated from 0.1mg/kg to 0.6 mg/kg and Recommended phase 2 dose (or RP2D) of GI-108 will be administered via IV infusion Q3W upto 2 years (approximately 35 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicities (DLTs) (Dose escalation phase) | Number and proportion of subjects experiencing DLTs during dose escalation, used to determine MTD and/or RP2D. | Study Day 1, assessed up to DLT period (3 weeks after treatment) |
| Incidence and Severity of Immune-Related Adverse Events (irAEs) (Dose escalation phase) | Number and proportion of subjects with immune-related AEs, graded per CTCAE v5.0. | From Day 1 through study completion (up to ~24 months) |
| Objective Response Rate (ORR) according to RECIST version 1.1 (Dose expansion phase) | Based on Investigator review of radiographic imaging | Study Day 1, assessed up to approximately 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) according to RECIST version 1.1 (Dose escalation phase) | Based on Investigator review of radiographic imaging | Study Day 1, assessed up to approximately 24 months |
| Incidence and Severity of Immune-Related Adverse Events (irAEs) (Dose expansion phase) |
| Measure | Description | Time Frame |
|---|---|---|
| Immunophenotyping of peripheral blood mononuclear cells | Peripheral immune cell subpopulation (e.g., CD4+ T cells, CD8+ T cells, regulatory T cells) will be assessed. | Study Day 1, assessed up to approximately 24 months |
| Incidence of anti-GI-102 antibody (ADA) and neutralizing antibody (Nab) |
Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Seunghwan Shin, M.D. | Contact | +82-2-404-2003 | clinical-108@gi-innovation.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei University Health System, Severance Hospital | Recruiting | Seoul | 03722 | South Korea |
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Number and proportion of subjects with immune-related AEs, graded per CTCAE v5.0. |
| Day 1 through study completion, up to ~24 months |
| Disease Control Rate (DCR) | DCR is defined as the percentage of patients who have achieved CR, PR and stable disease (SD), per RECIST v1.1 guideline as determined by the investigators. | Study Day 1, assessed up to approximately 24 months |
| Duration of objective response (DoR) | DCR is defined as the time from the first occurrence of a documented objective response to the time of the first document disease progression or death from any cause, whichever occurs first, per RECIST v1.1 as determined by the investigator. | Study Day 1, assessed up to approximately 24 months |
| Progression-free survival (PFS) | PFS is defined as the time from the first study treatment (Day 1) to the first occurrence of progression or death from any cause, whichever occurs first, per RECIST v1.1 guideline as determined by the investigator | 6-month, 12-month, and 18-month |
| Overall survival (OS) | OS is defined as the time from the first study treatment to death from any cause | 12-month and 18-month |
| Peak plasma concentration (Cmax) of GI-108 | Based on the concentration vs time profile by dose level | Study Day 1, assessed up to approximately 24 months |
| Half-life of GI-108 (T1/2) | Based on the concentration vs time profile by dose level | Study Day 1, assessed up to approximately 24 months |
| Area under the plasma concentration versus time curve (AUC) of GI-108 | Based on the concentration vs time profile by dose level | Study Day 1, assessed up to approximately 24 months |
| Clearance of GI-108 | Based on the concentration vs time profile by dose level | Study Day 1, assessed up to approximately 24 months |
| Volume of distribution (Vd) of GI-108 after administration | Based on the concentration vs time profile by dose level | Study Day 1, assessed up to approximately 24 months |
Serum will be assessed for the presence of ADA and Nab based on the appropriate assay. |
| Study Day 1, assessed up to approximately 24 months |
| Asan Medical Center | Recruiting | Seoul | 05505 | South Korea |
|
| Samsung Medical Center | Recruiting | Seoul | 06351 | South Korea |
|
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D010190 | Pancreatic Neoplasms |
| D002292 | Carcinoma, Renal Cell |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |
| D000230 | Adenocarcinoma |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
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