A Study to Evaluate Safety, Efficacy, and Pharmacokinetics in Participants With Advanced Solid Tumors
Conditions
Solid Tumor, Renal Cell Cancer Metastatic, Non-Small Cell Lung Cancer, Renal Cell Carcinoma, Prostate CancerDrugs
EU101Summary
Phase 1 (Dose Escalation) of this study will assess the safety, tolerability, dose-limiting toxicity (DLT), and will determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of EU101 in participants with advanced solid tumors. Phase 2 (Dose Expansion) of the study will assess the antitumor effect of EU101 in two indications including colorectal cancer (CRC) and non-small cell lung cancer (NSCLC).
Locations
2 locations Found with status Recruiting
Status
- RECRUITING
Contact Person
- Anthony Olszanski, MD
Status
- RECRUITING
Contact Person
- Minal Barve, MD
Eligibility Criteria
Key Inclusion Criteria:
* Histologically or cytologically confirmed diagnosis of metastatic or locally advanced solid tumors for which no standard therapy exists or standard therapy has failed because of disease progression or unacceptable toxicities. Also includes patients who cannot be treated with standard therapy because of underlying/existing medical condition.
* Cohort 1 (colorectal cancer): a) CRC (including microsatellite instability-high [MSI-H] and microsatellite-stable [MSS]) regardless of RAS mutation. b) Disease progression within 3 months after last administration of approved standard therapies. c) Prior cytotoxic chemotherapy for metastatic disease include all the following agents: fluoropyrimidine, oxaliplatin, and irinotecan
* Adjuvant chemotherapy-based treatments count as prior therapy, as long as relapse had occurred within 6 months of completion of such therapies, prior anti-epidermal growth factor receptor (EGFR) therapy (cetuximab, panitumumab), anti-angiogenic therapy (bevacizumab, aflibercept, ramucirumab), regorafenib, and TAS-102 are allowed. d) No more than 5 prior therapies for metastatic disease. For participants who had disease recurrence within 6 months of completing adjuvant chemotherapy, the adjuvant regimen can be considered as 1 chemotherapy regimen for metastatic disease
* Cohort 2 (NSCLC): a) NSCLC without known EGFR, anaplastic lymphoma kinase (ALK), and ROS1 genomic tumor aberrations. b) No standard therapy exists or standard therapy has failed. c) No more than 3 prior therapies for metastatic disease
* Phase 2: At least 1 measurable lesion per RECIST version 1.1
* Eastern Cooperative Oncology Group (ECOG) performance score of 0 to 2
* Adequate organ and bone marrow function (Hemoglobin >9.0 g/dL, Absolute neutrophil count ≥1,500/μL, Absolute lymphocyte count ≥600 and ≤2,500/μL, Platelet count ≥100,000/μL, Total bilirubin ≤1.5 × upper limit of normal, Alanine aminotransferase and aspartate aminotransferase ≤2.5 × ULN, Serum creatinine ≤1.5 × ULN or creatinine clearance >30 mL/min, Prothrombin time and activated partial thromboplastin time ≤1.5 × ULN)
* Life expectancy of at least 12 weeks
* Voluntarily provided a written consent to participate in the study
* Women of childbearing potential (WOCBP) must have a negative serum pregnancy test within the 7 days before study drug administration
* WOCBP and sexually active fertile male patients with partners who are WOCBP must agree to use 2 highly effective methods of contraception throughout the course of the study and for 12 weeks after the last dose of study drug.
Key Exclusion Criteria:
* Primary central nervous system (CNS) tumor (Phase 1), CNS metastasis, and/or carcinomatous meningitis. Participants with prior brain metastases treated at least 4 weeks before the first dose of EU101 that are clinically stable and do not require chronic corticosteroid treatment are allowed. Untreated but asymptomatic and clinically stable brain metastases per investigator's discretion are allowed
* Received prior therapy with any anti-CD137 monoclonal antibody (mAb) or agent
* Major surgery requiring general anesthesia within 3 weeks before first dose of EU101 or still recovering from prior surgery
* Active infection that is not controlled or requires intravenous antibiotics in the last 2 weeks
* History of allogeneic tissue or organ transplant
* Active hepatitis B virus or hepatitis C virus infection
* History of any noninfectious hepatitis
* Human immunodeficiency virus (HIV) infection
* Received or receiving systemic corticosteroid therapy or any other form of systemic immunosuppressive medicaion 1 week before first dose of EU101
* Known severe (≥Grade 3) hypersensitivity reactions to antibody, or severe reaction to immuno-oncology agents requiring treatment with steroids
* Konwn or suspected hypersensitivity to EU101 or any component of its formulation
* Current or history of interstitial lung disease, anaphylaxis, uncontrolled asthma, or pneumonitis that has required systemic corticosteroids
* Patients with second primary cancer
* Clinically significant concurrent cardiovascular disease
* Pregnant women, breasfeeding women, WOCBP, or men with partners who are WOCBP who do not agree to use adequate contraceptive measures
* Determined as unable to participate in the study per investigator's judgment
Other protocol defined Inclusion/Exclusion criteria may apply
Study Plan
EU101: Dose Escalation Cohort
EXPERIMENTAL
Participants with advanced solid tumors will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with escalating doses starting from 0.05 milligrams per kilogram (mg/kg) to 10 mg/kg until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first.
DRUG:
EU101Description:
EU101 will be administered via intravenous infusion.
EU101: Dose Expansion Cohort 1
EXPERIMENTAL
Participants with CRC will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with a determined recommended phase 2 dose until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first.
DRUG:
EU101Description:
EU101 will be administered via intravenous infusion.
EU101: Dose Expansion Cohort 2
EXPERIMENTAL
Participants with NSCLC will receive EU101 intravenously once every 3 weeks (3 weeks = 1 cycle) with a determined recommended phase 2 dose until disease progression, unacceptable toxicities or death, withdrawal of consent, end of study, or physician's decision, whichever occurs first.
DRUG:
EU101Description:
EU101 will be administered via intravenous infusion.
Outcome Measures
Primary Outcome Measures
Phase 1: Number of Participants With Adverse Event (AEs) and Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation
Phase 1: Number of Participants With Dose Limiting Toxicity (DLT)
Phase 1: Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters
Phase 1: Number of Participants With Clinically Significant Abnormalities in Vital Signs
Phase 1: Number of Participants With Clinically Significant Abnormalities in Physical Examination
Phase 1: Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG)
Phase 2: Objective Response Rate (ORR)
Secondary Outcome Measures
Phase 1: Objective Response Rate (ORR)
Phase 1 and 2: Duration of Response (DOR)
Phase 1 and 2: Disease Control Rate (DCR)
Phase 1 and 2: Time to Response (TTR)
Phase 1 and 2: Time to Progression (TTP)
Phase 1 and 2: Durable Clinical Benefit (DCB)
Phase 1 and 2: Progression-Free Survival (PFS)
Phase 1 and 2: Overall survival (OS)
Phase 1 and 2: Maximum Observed Serum Concentration (Cmax) of EU101
Phase 1 and 2: Trough Serum Concentration (Ctrough) of EU101
Phase 1 and 2: Time to Reach Maximum Observed Serum Concentration (Tmax) of EU101
Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero to 24 Hours Post-dose (AUC0-24) of EU101
Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-last) of EU101
Phase 1 and 2: Area Under the Serum Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of EU101
Phase 1 and 2: Elimination Half-Life Time (T1/2) of EU101
Phase 1 and 2: Apparent Volume of Distribution (Vd/F) of EU101
Phase 1 and 2: Apparent Oral Clearance of (CL/F) of EU101
Phase 1 and 2: Mean Residence Time (MRT) of EU101
Phase 1 and 2: Renal clearance (CLr) of EU101
Phase 1 and 2: Number of Participants with Positive Antidrug Antibodies (ADA)
Phase 2: Number of Participants With AEs and SAEs by Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Timeline
Last Updated
March 15, 2024Start Date
May 27, 2021Today
February 5, 2025Completion Date ( Estimated )
December 1, 2025
Sponsors of this trial
Lead Sponsor
Eutilex