A First-in-Human, Multicenter, Open-Label, Phase 1 Dose-Escalation and Cohort Expansion Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of TAB004 as Monotherapy and in Combination With Toripalimabin Subjects With Advanced Solid Malignancies Including Lymphoma

Who is this study for? Patients with Solid Tumor
What treatments are being studied? TAB004
Status: Recruiting
Location: See all (24) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The primary objective is to assess the safety and tolerability of TAB004 as monotherapy and in combination with toripalimab in subjects with selected advanced solid malignancies, including lymphoma, and to evaluate the recommended Phase 2 dose. The secondary objectives are to: 1) describe the pharmacokinetic (PK) profile of TAB004 monotherapy and in combination with toripalimab and to describe the PK profile of toripalimab when administered with TAB004, 2) evaluate antitumor activity of TAB004 monotherapy and in combination with toripalimab; and 3) determine the immunogenicity of TAB004 monotherapy and in combination with toripalimab and to determine the immunogenicity of toripalimab when administered with TAB004. The exploratory objectives are to: 1) evaluate pharmacodynamic effects of TAB004 on its target receptor BTLA, as well as effects on the immune system; 2) evaluate biomarkers that may correlate with activity of TAB004 as monotherapy and in combination with toripalimab; 3) evaluate the utility of BTLA ligand, herpesvirus-entry mediator (HVEM), and additional exploratory biomarkers that could aid in selection of appropriate subjects for TAB004 monotherapy and in combination with toripalimab.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• 1\. Able to understand and willing to sign the Informed Consent Form;

• 2\. Male or female ≥ 18 years;

• 3\. Subjects with histologically or cytologically confirmed advanced unresectable or metastatic solid tumor, including lymphoma that have progressed following prior treatment. In Part A, subjects must have received, or be ineligible for or intolerant of all available approved or standard therapies known to confer clinical benefit including immunotherapy, or for whom no standard therapy exists; in Part B, subjects with advanced or metastatic solid tumors, including but not limited to lymphoma, melanoma, NSCLC, or other tumors with agreement of the Sponsor, who must have received at least one line of therapy for advanced or metastatic disease, but are not required to have received all standard therapies known to confer clinical benefit; In Part C, subjects must have received at least one line of therapy for advanced or metastatic disease but are not required to have received all standard therapies known to confer clinical benefit; In Part D, subjects with advanced or metastatic solid tumors that may include but not limited to lymphoma, melanoma, NSCLC, RCC or UC who must have received at least one line of therapy for advanced or metastatic disease, but are not required to have received all standard therapies known to confer clinical benefit.

• 4\. Measurable disease per RECISTv1.1 and iRECIST, or RECIL 2017 for lymphoma

• 5\. ECOG performance status of 0 or 1 with life expectancy of 3 months in the opinion of the investigator.

• 6\. Adequate organ and marrow function, as defined below:

‣ Hemoglobin 8.0 g/dL within first 2 weeks prior to first dose of TAB004 (are not requiring a transfusion within 14 days prior to dosing)

⁃ Absolute neutrophil count (ANC) 1.0 x 109 /L (1,000 /mm3)

⁃ Absolute lymphocyte count ≥ 0.6 x 109/L (600/mm3)

⁃ Platelet count 75 x 109 /L (75,000 /mm3), and not requiring platelet transfusions within the 5 days prior to dosing

⁃ Total bilirubin ≤ 1.5 x ULN except subjects with documented Gilbert's syndrome who must have a baseline total bilirubin ≤ 3.0 mg/dL

⁃ Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 x ULN; for subjects with hepatic metastases, ALT and AST ≤ 5 x ULN

⁃ Serum creatinine ≤ 1.5 x ULN OR calculated creatinine clearance (CrCl) or 24 hour urine CrCl ≥ 40 mL/minute Cockcroft-Gault formula will be used to calculate CrCl. 24-hour urine CrCl will be derived using the measured creatinine clearance formula

⁃ International normalized ratio (INR) ≤ 2.0 and activated partial thromboplastin time (aPTT) ≤ 1.5 x ULN; applies only to subjects who do not receive therapeutic anticoagulation; subjects receiving therapeutic anticoagulation (such as low-molecular weight heparin or warfarin) should be on a stable dose

• 7\. Willingness to provide consent for biopsy samples (In Part A, fresh pre-treatment biopsies will be requested from subjects with safely accessible lesions. For subjects who cannot provide a fresh pre-treatment biopsy, request for the most recent accessible archival specimen will be required. In Part B, C and D, fresh pre-treatment biopsies will be required from subjects with safely accessible lesions. The most recent archival specimens will also be requested).

• 8\. Females of childbearing potential who are sexually active with a nonsterilized male partner must use effective contraception from time of screening, and must agree to continue using such precautions for 90 days after the final dose of TAB004 or toripalimab; cessation of birth control after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of birth control.

• 9\. Females of childbearing potential are defined as those who are not surgically sterile (i.e., bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy) or postmenopausal (defined as at least 12 months with no menses confirmed by follicle-stimulating hormone \[FSH\] levels. FSH testing will be conducted at the Screening visit to confirm post-menopausal status).

• 10\. Subjects must use effective contraception. Nonsterilized males who are sexually active with a female partner of childbearing potential must use effective contraception from Day 1 and for 90 days after receipt of the final dose of TAB004 or toripalimab.

Locations
United States
Alabama
University of Alabama at Birmingham
RECRUITING
Birmingham
Arizona
University of Arizona College of Medicine-Tucson
RECRUITING
Tucson
California
UCLA Health Westwood Cancer Care
RECRUITING
Los Angeles
University of California Irvine (UCI) Medical Center
RECRUITING
Orange
University of California at San Francisio
RECRUITING
San Francisco
University of California San Francisco (UCSF) Medical Center-Mission Bay
RECRUITING
San Francisco
Florida
Boca Raton Clinical Research (BRCR)
WITHDRAWN
Boca Raton
Georgia
Winship Cancer Institute at Emory University
RECRUITING
Atlanta
Iowa
University of Iowa Hospitals
RECRUITING
Iowa City
Massachusetts
Massachusetts General Hospital
RECRUITING
Boston
Maryland
University of Maryland Medical Center
RECRUITING
Baltimore
Michigan
Karmanos Cancer Institute
RECRUITING
Detroit
Missouri
Washington University
RECRUITING
St Louis
North Carolina
Carolina BioOncology Institute
ACTIVE_NOT_RECRUITING
Huntersville
Nebraska
University of Nebraska Medical Center
SUSPENDED
Omaha
New York
Northwell Health
NOT_YET_RECRUITING
New Hyde Park
New York Presbyterian / Weill Cornell Medical Center
ACTIVE_NOT_RECRUITING
New York
Ohio
UC Health - University of Cincinnati Medical Center
SUSPENDED
Cincinnati
The Ohio State University Wexner Medical Center The James Cancer Hospital and Solove Research Institute
RECRUITING
Columbus
Pennsylvania
Thomas Jefferson University
RECRUITING
Philadelphia
Tennessee
Sarah Cannon Research Institute
ACTIVE_NOT_RECRUITING
Nashville
Texas
University of Texas Southwestern Medical Center Harold C. Simmons Comprehensive Cancer Center
RECRUITING
Dallas
MD Anderson Cancer Center
RECRUITING
Houston
Wisconsin
University of Wisconsin
RECRUITING
Madison
Contact Information
Primary
Richard Curry, MD
rcurry@ctifacts.com
800-753-2389
Time Frame
Start Date: 2019-10-30
Estimated Completion Date: 2026-03
Participants
Target number of participants: 499
Treatments
Experimental: TAB004 0.3 mg/kg repeat dose every 21 days up to 2 years
Experimental: TAB004 1 mg/kg repeat dose every 21days up to 2 years
Experimental: TAB004 3 mg/kg repeat dose every 21 days up to 2 years
Experimental: TAB004 10 mg/kg repeat dose every 21 days up to 2 years
Experimental: TAB004 200mg repeat dose every 21 days up to 2 years
Experimental: TAB004 20mg and Torpalimab 240mg repeat dose every 21 days up to 2 years
Experimental: TAB004 70mg and Torpalimab 240mg repeat dose every 21 days up to 2 years
Experimental: TAB004 200mg and Torpalimab 240mg repeat dose every 21 days up to 2 years
Experimental: TAB004 500mg and Torpalimab 240mg repeat dose every 21 days up to 2 years
Sponsors
Collaborators: Shanghai Junshi Bioscience Co., Ltd., CTI Clinical Trial and Consulting Services
Leads: TopAlliance Biosciences

This content was sourced from clinicaltrials.gov

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