Study of JANX008 in Subjects With Advanced or Metastatic Solid Tumor Malignancies

Sponsor
Janux Therapeutics (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05783622
Collaborator
(none)
130
1
3
55
2.4

Study Details

Study Description

Brief Summary

This study is a first-in-human (FIH), Phase 1/1b, open-label, multicenter dose escalation and dose expansion study to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary anti-tumor activity of JANX008 in adult subjects with advanced or metastatic carcinoma expressing EGFR.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
130 participants
Allocation:
Non-Randomized
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-Label, Multicenter, Phase 1/1b Study of JANX008 in Subjects With Advanced or Metastatic Solid Tumor Malignancies
Anticipated Study Start Date :
Mar 1, 2023
Anticipated Primary Completion Date :
Jan 1, 2026
Anticipated Study Completion Date :
Oct 1, 2027

Arms and Interventions

Arm Intervention/Treatment
Experimental: Dose Escalation

Subjects will be dosed weekly during each 21-day cycle. Dosage per cohort will increase to determine the maximum tolerable dose.

Drug: JANX008
JANX008 is dosed via IV weekly in a 21-day cycle

Experimental: Backfill Expansion

Subjects will be dosed weekly during each 21-day cycle. Subjects will be dosed at levels previously declared tolerable.

Drug: JANX008
JANX008 is dosed via IV weekly in a 21-day cycle

Experimental: Expansion

Subjects will be dosed weekly during each 21-day cycle. Subjects will be dosed at the preliminary recommended Phase 2 dose (RP2D).

Drug: JANX008
JANX008 is dosed via IV weekly in a 21-day cycle

Outcome Measures

Primary Outcome Measures

  1. Incidence of Dose Limiting Toxicities (DLT) [21 days]

  2. Incidence of Adverse Events (AE) and Serious Adverse Events (SAE) [Up to 4 years]

  3. Incidence of Clinically Significant Laboratory Abnormalities [Up to 4 years]

Secondary Outcome Measures

  1. Area under the concentration time curve from time 0 to last timepoint prior to next dose JANX008 (AUC last) [Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 4 years)]

  2. Maximum observed concentration of JANX008 (Cmax) [Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 4 years)]

  3. Number of participants who develop anti-drug antibodies against JANX008 [Up to 4 years]

  4. Overall Response Rate [Up to 4 years]

    Proportion of participants who achieve a complete response or partial response per RECIST v1.1

  5. Duration of Response [Up to 4 years]

    Time from documentation of CR or PR to disease progression per RECIST v1.1

  6. Progression Free Survival [Up to 4 years]

    Time from treatment initiation to disease progression per RECIST v1.1

  7. Correlation of EGFR expression level with anti-tumor activity and safety [Up to 4 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 100 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects ≥18 years of age at the time of signing informed consent

  • Histologically or cytologically documented locally advanced or metastatic NSCLC, SCCHN, CRC, or RCC

  • Progressed or was intolerant to all available therapies known to confer clinical benefit appropriate for the tumor type

  • Adequate organ function

  • At least 1 measurable lesion per RECIST 1.1

Exclusion Criteria:
  • Treatment with anti-cancer therapy within 28 days or ≤5 elimination half-lives, whichever is earlier, before enrollment

  • Prior treatment with EGFR-targeted bispecific T cell engager or CAR-T cell therapy

  • Prior treatment with CD3 engaging bispecific antibodies

  • Clinically significant cardiovascular diseases

  • Active clinically significant infection (bacterial, viral, fungal, mycobacteria, or other)

  • On supplemental oxygen

  • Any medical condition or clinical laboratory abnormality likely to interfere with assessment of safety or efficacy of study treatment

Contacts and Locations

Locations

Site City State Country Postal Code
1 City of Hope Medical Center Duarte California United States 91010

Sponsors and Collaborators

  • Janux Therapeutics

Investigators

  • Study Director: Janux Therapeutics, MD, Janux Therapeutics

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Janux Therapeutics
ClinicalTrials.gov Identifier:
NCT05783622
Other Study ID Numbers:
  • EGFR-008-001
First Posted:
Mar 24, 2023
Last Update Posted:
Mar 31, 2023
Last Verified:
Mar 1, 2023
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Mar 31, 2023