Back to Clinical Trials

Brief Title: Phase 1, First-in-human, Dose-finding and Expansion Study to Evaluate XmAb®808 in Combination With Pembrolizumab in Advanced Solid Tumors

A Phase 1, First-in-Human, Dose-Finding and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Activity of XmAb®808 in Combination With Pembrolizumab in Selected Advanced Solid Tumors

INTRODUCTION

  • Org Study ID: XmAb808-01
  • Secondary ID: N/A
  • NCT ID: NCT05585034
  • Sponsor: Xencor, Inc.

BRIEF SUMMARY

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of intravenous (IV) administration of XmAb808 in combination with pembrolizumab in subjects with selected advanced solid tumors and to identify the minimum safe and biologically effective/recommended dose (RD) and schedule for XmAb808.

DETAILED DESCRIPTION

This is a Phase 1, open-label, first-in-human (FIH), multiple-dose, dose escalation study with cohort expansion at the RD, designed to evaluate the safety and tolerability of XmAb808 in combination with pembrolizumab. This study will be conducted in 2 parts: Part A (dose escalation) and Part B (cohort expansion).

  • Overall Status
    Recruiting
  • Start Date
    December 14, 2022
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Incidence of treatment-emergent adverse events (TEAEs)

Primary Outcome 1 - Timeframe: Up to 5 years

Primary Outcome 2 - Measure: Incidence of dose-limiting toxicities (DLTs)

Primary Outcome 2 - Timeframe: 49 days

CONDITION

  • Head and Neck Squamous Cell Carcinoma
  • Melanoma Excluding Uveal Melanoma
  • Non-small Cell Lung Cancer
  • Squamous or Non-squamous
  • Urothelial Carcinoma
  • Renal Cell Carcinoma
  • Clear Cell
  • Castration-resistant Prostate Cancer
  • Ovarian Cancer
  • Epithelial
  • TNBC - Triple-Negative Breast Cancer
  • Colorectal Cancer

ELIGIBILITY

Inclusion Criteria:
* Part A: Histologically confirmed advanced/metastatic castration-resistant prostate adenocarcinoma, epithelial ovarian cancer, head and neck squamous cell carcinoma, non-small cell lung cancer, urothelial carcinoma, melanoma, renal cell carcinoma, triple-negative breast cancer, or colorectal cancer that has progressed on standard therapies

- * Part B: Histologically confirmed advanced/metastatic castration-resistant prostate cancer that is PD1-naïve; head and neck squamous cell carcinoma that is PD1-naïve or has progressed on prior PD1 therapy; or melanoma that is PD1-naïve or has progressed on prior PD1 therapy

- * Measurable disease by RECIST 1.1; subjects with prostate cancer who have evaluable disease according to PCWG3 criteria may enroll

- * Life expectancy > 3 months

- * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

- * All subjects in Part A (dose escalation) must have adequate archival tumor sample. For subjects who do not have adequate archival tumor sample, a fresh tumor sample is mandatory.

- * All subjects in Part B (cohort expansion) must have a tumor lesion that can be biopsied and must agree to provide 2 fresh biopsies: one during screening and a second to be collected at the end of Cycle 1
Exclusion Criteria:
* Subjects currently receiving other anticancer therapies

- * Any prior treatment with an investigational agent targeting CD28

- * Treatment with systemic anticancer therapy (including immunotherapies) or radiation therapy within 4 weeks of the - start of study drug; a 1-week washout is allowed for palliative radiation; a 2-week washout is allowed for chemotherapy and small molecule (eg. kinase inhibitor) therapies

- * History of a life-threatening adverse event related to prior immunotherapy

- * Failure to recover from toxicity related to previous anticancer treatment

- * Known active central nervous system involvement by malignant disease. Subjects with - previously treated brain metastases may participate provided they are radiologically and clinically stable

- * Active known or suspected autoimmune disease (exceptions include subjects that have vitiligo; type 1 diabetes mellitus or residual hypothyroidism due to an autoimmune condition that is treatable with hormone replacement therapy only; psoriasis, atopic dermatitis, or another autoimmune skin condition that is managed without systemic therapy; or arthritis that is managed without systemic therapy beyond oral acetaminophen and nonsteroidal anti-inflammatory drugs)

- * Receipt of an organ allograft

- * Evidence of any serious bacterial, viral, parasitic, or systemic fungal infections within the 30 days prior to the first dose of study drug

- * Positive urine pregnancy test

- * Known hypersensitivity to pembrolizumab or to any ingredient in the formulation or component of the container

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Ben Thompson, MD PhD

Role: Study Director

Affiliation: Xencor, Inc.

Overall Contact

Name: Ben Thompson, MD PhD

Phone: (619) 517-7381, (858) 245-9419

Email: bthompson@xencor.com, asarot@xencor.com

LOCATION

Facility Status Contact
Facility: Sarah Cannon Research Institute at HealthONE
Denver, Colorado 80218
United States
Status: Recruiting Contact: N/A
Facility: Florida Cancer Specialists
Sarasota, Florida 34232
United States
Status: Recruiting Contact: N/A
Facility: Columbia University Irvine Medical Center
New York, New York 10032
United States
Status: Recruiting Contact: N/A
Facility: UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania 15213
United States
Status: Recruiting Contact: N/A
Facility: Tennessee Oncology
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: N/A
Facility: The University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United States
Status: Recruiting Contact: N/A
Facility: Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah 84112
United States
Status: Recruiting Contact: N/A