GEN1046 Safety and PK in Subjects With Advanced Solid Malignancies

Sponsor
Genmab (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04937153
Collaborator
BioNTech SE (Industry)
15
2
1
18.5
7.5
0.4

Study Details

Study Description

Brief Summary

This is an open-label, single-country, multicenter, phase 1 dose escalation trial to assess the safety and pharmacokinetics (PK) of GEN1046.

Condition or Disease Intervention/Treatment Phase
  • Biological: GEN1046
Phase 1

Detailed Description

The purpose of the trial is to evaluate the safety and pharmacokinetics of GEN1046 in Japanese subjects with malignant solid tumors.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
15 participants
Allocation:
N/A
Intervention Model:
Sequential Assignment
Intervention Model Description:
The starting dose is 15 mg administered as a flat dose. Dose escalation steps are based on safety data.The starting dose is 15 mg administered as a flat dose. Dose escalation steps are based on safety data.
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open-label, Dose-escalation Trial to Evaluate the Safety and Pharmacokinetics of GEN1046 in Japanese Subjects With Advanced Solid Malignancies
Actual Study Start Date :
Jun 15, 2021
Anticipated Primary Completion Date :
Dec 29, 2022
Anticipated Study Completion Date :
Dec 29, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Single arm

GEN1046 open label, single arm trial where GEN1046 will be administered

Biological: GEN1046
GEN1046 will be administered intravenously once every 21 days. The dose levels will be determined by the starting dose and the escalation steps taken in the trial.
Other Names:
  • GEN1046 (DuoBody®-PD-L1x4-1BB)
  • Outcome Measures

    Primary Outcome Measures

    1. Dose limiting toxicity (DLT) [DLTs are assessed during the first cycle (21 days) in each cohort]

      The occurrence of any toxicities as outlined in the protocol will be considered

    2. Adverse events [AEs are collected up to 2 months after last subject last treatment]

      Incidence of treatment-emergent adverse events as assessed by CTCAE v5.0

    3. Safety laboratory parameters (hematology) [Safety laboratory data are collected up to 2 months after last subject last treatment]

      Laboratory parameters graded by CTCAE v5.0

    4. Safety laboratory parameters (biochemistry) [Safety laboratory data are collected up to 2 months after last subject last treatment]

      Laboratory parameters graded by CTCAE v5.0

    5. Safety laboratory parameters (coagulation) [Safety laboratory data are collected up to 2 months after last subject last treatment]

      Laboratory parameters graded by CTCAE v5.0

    6. Safety laboratory parameters (endocrines) [Safety laboratory data are collected up to 2 months after last subject last treatment]

      Laboratory parameters graded by CTCAE v5.0

    7. PK parameters [PK data are collected until treatment discontinuation of the last subject]

      Predose trough concentrations (Ctrough)

    8. PK parameters [PK data are collected until treatment discontinuation of the last subject]

      Half-life (T1/2)

    9. PK parameters [PK data are collected until treatment discontinuation of the last subject]

      Time of Cmax (Tmax)

    10. PK parameters [PK data are collected until treatment discontinuation of the last subject]

      Area-under-the-concentration-time curve (AUC)

    11. PK parameters [PK data are collected until treatment discontinuation of the last subject]

      Maximum concentration (Cmax)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria:
    • Asian race and Japanese ethnicity

    • Have a histologically or cytologically confirmed non-CNS solid tumor that is metastatic or unresectable and for whom there is no available standard therapy

    • Have measurable disease according to RECIST 1.1

    • Have Eastern Cooperative Oncology Group (ECOG) 0-1

    • Have an acceptable hematological status

    • Have acceptable liver function

    • Have an acceptable coagulation status

    • Have acceptable renal function

    Key Exclusion Criteria:
    • Have uncontrolled intercurrent illness, including but not limited to:

    • Ongoing or active infection requiring intravenous treatment with anti-infective therapy

    • Symptomatic congestive heart failure (Grade III or IV as classified by the New York Heart Association), unstable angina pectoris or cardiac arrhythmia

    • Uncontrolled hypertension defined as systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg, despite optimal medical management

    • Ongoing or recent evidence of autoimmune disease

    • History of irAEs that led to prior checkpoint treatment discontinuation

    • Prior history of myositis, Guillain-Barré syndrome, or myasthenia gravis of any grade

    • History of chronic liver disease or evidence of hepatic cirrhosis

    • History of non-infectious pneumonitis that has required steroids or currently has pneumonitis

    • History of organ allograft (except for corneal transplant) or autologous or allogeneic bone marrow transplant, or stem cell rescue within 3 months prior to the first dose of GEN1046

    • Serious, non-healing wound, skin ulcer (of any grade), or bone fracture

    • Any history of intracerebral arteriovenous malformation, cerebral aneurysm, new (younger than 6 months) or progressive brain metastases or stroke

    • Prior therapy:

    • Radiotherapy: Radiotherapy within 14 days prior to first GEN1046 administration. Palliative radiotherapy will be allowed.

    • Treatment with an anti-cancer agent (within 28 days or after at least 5 half-lives of the drug, whichever is shorter), prior to GEN1046 administration. Accepted exceptions are bisphosphonates (e.g., pamidronate, zoledronic acid, etc.) and denosumab

    • Toxicities from previous anti-cancer therapies that have not adequately resolved

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Cancer Center East Tokyo Japan
    2 National Cancer Center Hospital Tokyo Japan

    Sponsors and Collaborators

    • Genmab
    • BioNTech SE

    Investigators

    • Study Director: Edward Ramirez Ganoza, MD, Genmab

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Genmab
    ClinicalTrials.gov Identifier:
    NCT04937153
    Other Study ID Numbers:
    • GCT1046-02
    First Posted:
    Jun 23, 2021
    Last Update Posted:
    Jan 11, 2022
    Last Verified:
    Jan 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jan 11, 2022