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The goal of this study is to evaluate the safety and effectiveness of EVOLVE104 in participants with advanced urothelial and squamous cell carcinomas who have previously taken standard treatment options, have declined or have been ineligible for treatment with these medications. Participants with advanced or metastatic cancer who meet all eligibility criteria may be eligible to participate in the study.
This is a dose-escalation and expansion First in Human phase 1a/1b study evaluating safety, tolerability, and pharmacokinetics (PK) of EVOLVE104 in participants with advanced, relapsed or refractory solid tumors, including bladder, lung, esophageal, tongue, cutaneous and anogenital squamous cell carcinomas. This study consists of Phase 1a dose-escalation stage followed by a Phase 1b dose expansion stage featuring 2 expansion cohorts that may be opened, at the Sponsor's discretion, depending on the safety, efficacy, and other observations from Phase 1a.
This study is anticipated to enroll approximately 160 participants: up to 80 participants in Phase 1a, and up to 80 participants in Phase 1b.
Participants will be treated until they meet treatment discontinuation criteria, including disease progression, adverse events (AEs), subject decision, investigator decision, withdrawal of consent, death. The expected duration of treatment in this study is approximately 10 months based on the anticipated progression rates for the represented malignancies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1a Cohort 1; dose level 1 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 2; dose level 2 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 3; dose level 3 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 4; dose level 4 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 5; dose level 5 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 6; dose level 6 | Experimental | Active Study Drug |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EVOLVE104 | Drug | EVOLVE104 is provided as a solution for injection via IV infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and Severity of Treatment Emergent Adverse Events (TEAEs) | TEAEs will be assessed during routine study visits and compared to Baseline to continuously evaluate safety and tolerability | Baseline, through study completion, an average of 10 months. |
| Number of patients with Dose Limiting Toxicities (DLTs) | Protocol-defined potential DLTs will be assessed by the Safety Review Committee at routine intervals. | Baseline, through study completion, an average of 10 months. |
| To determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) for EVOLVE104 | Safety evaluations will occur consistently for each subject and across patients to assess MTD or RDE. Evaluations include analysis of TEAEs as well as ongoing assessments of laboratories, ECGs and physical examinations. | Baseline, through study completion, an average of 10 months. |
| To determine the recommended phase 2 dose (RP2D) of EVOLVE104 | Selection of the RP2D will be based on the aggregate safety, efficacy, PK, and PD observations for the entire study | Safety evaluations will be done as described above. PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the efficacy of EVOLVE104 | Efficacy will be evaluated through analysis of the overall response rate (ORR), including rates of complete response (CR), partial response (PR); and duration of response (DOR), and disease control rate (DCR) according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) | Baseline, through study completion, an average of 10 months. |
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Key Inclusion Criteria:
Participants must have locally advanced or metastatic cancer with one of the following tumor types: bladder cancer, squamous cell carcinoma of the lung, esophagus, skin, or an anogenital squamous cell carcinoma.
Key Exclusion Criteria:
The participant is a candidate for treatment with a targeted agent known to provide a benefit.
Persistent significant toxicities from prior anticancer therapy.
Brain metastases unless previously treated and stable.
Prior severe or life-threatening immunologic reactions to previous therapies.
Significant medical conditions, including but not limited to:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Evolve Study Team | Contact | 12032086584 | Evolve104Study@evolveimmune.com |
| Name | Affiliation | Role |
|---|---|---|
| EvolveImmune Study Team | EvolveImmune United, Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope | Recruiting | Duarte | California | 91010 | United States |
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Phase 1a of the study includes up to 10 participant groups given escalating dose levels of EVOLVE104 until the maximum tolerated dose(s) are reached. A Safety Review Committee will convene to review safety data from each cohort prior to dosing the next highest dose level.
Phase 1b of the study will enroll two expansion cohorts, participants in each cohort will receive one of the selected doses from Phase 1a that may be opened at the Sponsors discretion depending on the outcome of Phase 1a. One or more doses or dose regimens of EVOLVE104 may be recommended.
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| Phase 1a Cohort 7; dose level 7 |
| Experimental |
Active Study Drug |
|
| Phase 1a Cohort 8; dose level 8 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 9; dose level 9 | Experimental | Active Study Drug |
|
| Phase 1a Cohort 10; dose level 10 | Experimental | Active Study Drug |
|
| Phase 1b Cohort 1; dose level TBD | Experimental | Active study drug |
|
| Phase 1b Cohort 2; dose level TBD | Experimental | Active study drug |
|
| EVOLVE104 | Drug | Dose levels for Phase 1b will be determined based on the outcome of Phase 1a |
|
| Evaluate the Cmax of EVOLVE104 | The maximum observed plasma concentration will be evaluated. | PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months. |
| Evaluate the Tmax of EVOLVE104 | The duration of time taken to reach Cmax will be evaluated. | PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months. |
| Evaluate the Area Under the Curve (AUC) for EVOLVE104 | AUC time curve from 0 to 24 hrs post dose and percent difference between intervals will be evaluated. | PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months. |
| Evaluate the incidence of anti-drug antibodies (ADA) to EVOLVE104 | The presence of ADAs and their clinical impact will be assessed | Collected pre-dose cycle 1 and then every other cycle starting with cycle 4 |
| USC/Norris Comprehensive Cancer Center | Recruiting | Los Angeles | California | 90033 | United States |
|
| Yale University Cancer Center | Recruiting | New Haven | Connecticut | 06511 | United States |
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| The Winship Cancer Institute Emory University | Recruiting | Atlanta | Georgia | 30322 | United States |
|
| START Midwest | Recruiting | Grand Rapids | Michigan | 49546 | United States |
|
| Icahn School of Medicine at Mount Sinai | Recruiting | New York | New York | 10029 | United States |
|
| Columbia University Irving Medical Center | Recruiting | New York | New York | 10032 | United States |
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| Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10065 | United States |
|
| Thomas Jefferson University, Sidney Kimmel Cancer Center | Recruiting | Philadelphia | Pennsylvania | 19107 | United States |
|
| SCRI | Recruiting | Nashville | Tennessee | 37203 | United States |
|
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| Virginia Cancer Specialists | Recruiting | Fairfax | Virginia | 22031 | United States |
|
| ID | Term |
|---|---|
| D001749 | Urinary Bladder Neoplasms |
| D000077277 | Esophageal Squamous Cell Carcinoma |
| D001005 | Anus Neoplasms |
| ID | Term |
|---|---|
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D018307 | Neoplasms, Squamous Cell |
| D004938 | Esophageal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D012004 | Rectal Neoplasms |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D007410 | Intestinal Diseases |
| D001004 | Anus Diseases |
| D012002 | Rectal Diseases |
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