Brief Title: GEN1046 Safety Trial in Patients With Malignant Solid Tumors

PRIMARY OUTCOMES

Primary Outcome 1 - Measure:

Primary Outcome 1 - Timeframe: N/A

CONDITION

• Solid Tumors
• Non-small Cell Lung Cancer
• Urothelial Carcinoma
• Endometrial Carcinoma
• Triple Negative Breast Cancer
• Squamous Cell Carcinoma of the Head and Neck
• Cervical Cancer

ELIGIBILITY

Key Inclusion Criteria:
For Dose Escalation:
• Have a histologically or cytologically confirmed non-CNS solid tumor that is metastatic or unresectable and for whom there is no available standard therapy
For Expansion:
• Have histologically or cytological confirmed diagnosis of relapsed or refractory, advanced and/or metastatic NSCLC, EC, UC, TNBC, SCCHN, or cervical cancer who are not anymore candidates for standard therapy For separate expansion cohorts: metastatic NSCLC without prior systemic treatment regimens for metastatic disease.
For Both Dose Escalation and Expansion
* 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, or any ongoing systemic inflammatory condition requiring further diagnostic work-up or management during screening.

- * 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 acasunlimab

- * 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 within 14 days prior to first dose of acasunlimab. Note: 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 acasunlimab administration. Accepted exceptions are bisphosphonates (e.g., pamidronate, zoledronic acid, etc.) and denosumab

- * Toxicities from previous anti-cancer therapies that have not adequately resolved
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Study Official

Role: Study Director

Affiliation: Genmab

Overall Contact

Name: N/A

Phone: N/A

Email: N/A

LOCATION