A Study to Evaluate Safety, Tolerability and Preliminary Activity of AGX101 in Participants with Advanced Solid Tumors

Clinicaltrials.gov ID: NCT06440005
db-list-check Status RECRUITING
b-loader Phase PHASE1
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 80

Conditions

Cancer, Advanced Cancer, Locally Advanced Carcinoma, Metastatic Solid Tumor, Breast Cancer, Prostate Cancer, Colorectal Cancer, Pancreatic Cancer, Liver Cancer, Angiosarcoma, Solid Tumor

Drugs

AGX101

Summary

AGX101 is an antibody-drug conjugate (ADC) therapy for tumor-forming cancers. The purpose of this study is to learn about AGX101 effects and safety at various dose levels in an all-comers advanced solid cancer patient population. AGX101will be administered intravenously.Dosing of AGX101 will be repeated once every 3, 6 or 9 weeks. Participants may continue study treatment until disease progression, unacceptable toxicity, or consent withdrawal. Subjects will attend an end of treatment visit and will receive two safety follow-up telephone contacts up to 90 days following the last dose of study drug.

Locations

2 locations Found with status Recruiting

Status

  • RECRUITING

Contact Person

Study Director

  • Glen Weiss, MD

Status

  • RECRUITING

Contact Person

Study Director

  • Glen Weiss, MD

Eligibility Criteria

Inclusion Criteria:

* Histologically confirmed unresectable, locally advanced, or metastatic solid tumors.
* Refractory to or relapsed after all standard therapies known to provide proven clinical benefit, unless the patient is not a candidate for standard treatment, there is no standard treatment, or the patient refuses standard treatment after expressing an understanding of all available therapies with proven clinical benefit
* Willing to authorize use of existing archival tissue, unless otherwise discussed with Sponsor
* Time since the last dose of prior therapy to treat underlying malignancy (including other investigational therapy): Systemic cytotoxic chemotherapy: ≥ the duration of the most recent cycle of the previous regimen (with a minimum of 2 weeks for all, except 6 weeks for systemic nitrosourea or systemic mitomycin-C); Biologic therapy (eg, antibodies): ≥ 3 weeks; Small molecule therapies: ≥ 5 × half-life
* Have an ECOG performance status of 0 to 1
* Have adequate organ function
* LVEF ≥ 50%, as determined on cardiac ECHO or cardiac multiple-gated acquisition (MUGA) scan
* Highly effective contraception for both male and female patients throughout the study

Exclusion Criteria:

* Colorectal cancer patients with unresected colorectal tumors and non-small-cell lung cancer with predominant squamous histology (ie, squamous cell carcinoma of the lung) are excluded unless otherwise discussed and approved by Sponsor
* Clinically unstable central nervous system (CNS) tumors or brain metastasis (stable and/or asymptomatic CNS metastases allowed)
* Have not recovered to ≤ Grade 1 or baseline from all AEs due to previous therapies (patients with ≤ Grade 2 neuropathy, endocrine-related irAEs, or other AEs may be eligible after discussion with the Sponsor)
* Has an active vasculitis that has required systemic treatment in the past 2 years prior to starting study treatment
* Significant (ie, ≥ Grade 2) ocular disturbances
* Variceal bleeding within 6 months prior to treatment, currently untreated or incompletely treated varices with bleeding, or who otherwise are at a high risk of bleeding
* Any other concurrent antineoplastic treatment except for allowed local radiation of lesions for palliation (to be considered non-target lesions after treatment) and hormone ablation
* Uncontrolled or life-threatening symptomatic concomitant disease, including known symptomatic HIV positive with an AIDS defining opportunistic infection within the last year, known symptomatic active hepatitis B or C, or known active tuberculosis
* Has undergone a major surgery within 3 weeks prior to starting study treatment or has inadequate healing or recovery from complications of surgery prior to starting study treatment
* Has received prior radiotherapy within 2 weeks prior to starting study treatment
* Has or had a potentially life-threatening second malignancy requiring systemic treatment within the last 3 years, or which would impede evaluation of treatment response
* Clinically significant cardiovascular disease
* Patients on a potent CYP3A inhibitor or CPY3A inducer who cannot be changed to another medication
* Has an active infection requiring concurrent systemic antibiotic therapy
* A woman of child-bearing potential (WOCBP) who has a positive pregnancy test prior to treatment
* Is breastfeeding or expecting to conceive or father children within the projected duration of the study

Study Plan

Dose Escalation Phase

EXPERIMENTAL

AGX-101, initial 90-minute IV infusion, second 60-minute IV infusion and 30 minute subsequent IV infusions on Day 1 of every 3, 6 or 9-week cycle in Dose Escalation Phase. Dose escalation will be carried out in sequential cohorts of escalating doses.

  • DRUG:

    AGX101

    Description:

    Antibody Drug Conjugate

Dose Expansion Phase

EXPERIMENTAL

AGX-101, initial 90-minute IV infusion, second 60-minute IV infusion and 30 minute subsequent IV infusions on Day 1 of every every 3, 6 or 9-week cycle in Dose Escalation Phase. Dose expansion will be carried out with a selected dose and selected cancer type.

  • DRUG:

    AGX101

    Description:

    Antibody Drug Conjugate

Outcome Measures

Primary Outcome Measures

Acceptable maximum tolerated dose for participants

Time Frame: 21 days following the first dose of AGX101 (Day 1 through Day 21)

Number of participants with adverse events

Time Frame: Screening through end of treatment, approximately 6 months and up to 3 years

Secondary Outcome Measures

Terminal elimination half life (PK)

Time Frame: 22 days following the first dose of AGX101 (Day 1 through Day 22)

AUC (PK)

Time Frame: 22 days following the first dose of AGX101 (Day 1 through Day 22)

Cmax (PK)

Time Frame: 22 days following the first dose of AGX101 (Day 1 through Day 22)

Number of Participants with Antidrug Antibodies (ADA) to AGX101

Time Frame: Approximately 6 months and up to 3 years

Efficacy as measured by Proportion of Participants with Objective Response Rate (ORR) According to RECIST v1.1 Evaluated by the Investigator

Time Frame: Approximately 6 months and up to 3 years

Efficacy as measured by Duration of Response (DoR) Assessed by Investigator

Time Frame: Approximately 6 months and up to 3 years

Efficacy as measured by Disease Control Rate (DCR)

Time Frame: Approximately 6 months and up to 3 years

Efficacy as measured by Proportion of Participants with Progression Free Survival (PFS) According to RECIST v1.1 Evaluated by the Investigator

Time Frame: Approximately 6 months and up to 3 years

Efficacy as measured by Duration of Treatment

Time Frame: Approximately 6 months and up to 3 years

Overall Survival

Time Frame: Approximately 6 months and up to 3 years

Timeline

  • Last Updated
    February 26, 2025
  • Start Date
    June 3, 2024
  • Today
    May 11, 2025
  • Completion Date ( Estimated )
    July 1, 2027

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