A Phase 1/2, First-in-Human, Open Label, Dose Escalation and Expansion Study of AU-007, A Monoclonal Antibody That Binds to IL-2 and Inhibits IL-2Rα Binding, in Patients With Unresectable Locally Advanced or Metastatic Cancer

Who is this study for? Patients with Advanced Solid Tumor, Metastatic Cancer
What treatments are being studied? AU-007
Status: Recruiting
Location: See all (16) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a first in human, open-label, multi-center Phase 1 / 2 study to evaluate the safety, tolerability, and initial efficacy of AU-007 in patients with advanced solid tumors. AU-007 will be administered either as a monotherapy, or in combination with a single loading dose of aldesleukin, or with both AU-007 and aldesleukin given every 2 weeks (Q2w). Once the recommended phase 2 dose (RP2D) of AU-007 plus aldesleukin was determined, (AU-007 Q2w plus a single loading dose of aldesleukin), AU-007 plus aldesleukin is also being administered with avelumab or nivolumab.

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

• Patients must have measurable disease as per RECIST v1.1 criteria and documented by CT and/or MRI

• Part 2 includes but is not limited to:

• Cutaneous melanoma that is either locally unresectable or metastatic:

‣ BRAF wild type: progressed after receiving PD-1 containing therapy with or without an anti-CTLA-4

⁃ BRAF mutation: patients who refused BRAF+MEK inhibitor

⁃ Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3)

⁃ Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet)

⁃ LDH ≤ 2.5 x ULN

• NSCLC: Unresectable locally advanced or metastatic PD-L1-positive (tumor proportion score \[TPS\] ≥ 1%) NSCLC not harboring an activating EGFR mutation or ALK rearrangement and has progressed during or following treatment with an anti-PDx with or without platinum-based chemotherapy

• Part 3: NSCLC as described above

• Part 4: cutaneous melanoma

‣ Unresectable locally advanced or metastatic cutaneous melanoma that has progressed during or following treatment with an anti-PDx (unless ineligible for anti-PDx therapy)

⁃ Patients with BRAF mutations must either be ineligible for or have refused a BRAF+MEK inhibitor

⁃ Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3).

⁃ Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet)

⁃ LDH ≤ 2.5 x ULN

• Female patients of childbearing potential must have a negative serum or urine pregnancy test performed within 72 hours prior to the initiation of study drug administration. Female patients of childbearing potential must be willing to use two forms of contraception throughout the study, starting with Screening through 60 days after the last dose of study drug (or 5 months after the last dose of study drug for patients receiving nivolumab). Abstinence is acceptable if this is the established and the preferred contraception method for the patient

• Male patients with partners of childbearing potential must use barrier contraception from the time of consent through 60 days after discontinuation of study drug and must not donate sperm during this period. In addition, male patients should have their partners use contraception (as documented for female patients) for the same period of time

• Patients who have previously received an immune checkpoint inhibitor (e.g., anti-PD-L1, anti-PD-1, anti-CTLA-4) prior to enrollment must have checkpoint inhibitor immune-related toxicity resolved to either Grade ≤ 1 or baseline (prior to the checkpoint inhibitor) to be eligible for enrollment. Patients who experienced previous checkpoint inhibitor-related hypothyroidism are eligible for the study regardless of grade resolution if well controlled on thyroid hormone replacement therapy

• Symptomatic central nervous system (CNS) metastases must have been treated, be asymptomatic for ≥ 14 days, and meet the following at the time of enrollment:

• No concurrent treatment for CNS disease (e.g., surgery, radiation, corticosteroids ≥ 10 mg prednisone/day or equivalent)

• No concurrent leptomeningeal disease or cord compression

Locations
United States
Michigan
START Midwest
RECRUITING
Grand Rapids
Minnesota
Minnesota Oncology and Hematology PA
RECRUITING
Minneapolis
Missouri
Washington University
RECRUITING
St Louis
North Carolina
Carolina Biooncology Institute
RECRUITING
Huntersville
Tennessee
Sarah Cannon Research Institute
RECRUITING
Nashville
Texas
Texas Oncology (Balcones) - SCRI
RECRUITING
Austin
MD Anderson Cancer Center
RECRUITING
Houston
START South Texas Accelerated Research Therapeutics
RECRUITING
San Antonio
Utah
University of Utah - Huntsman Cancer Institute
RECRUITING
Salt Lake City
Other Locations
Australia
Southern Oncology Clinical Research Unit
RECRUITING
Bedford Park
Monash Health
RECRUITING
Clayton
Peninsula & South Eastern Haematology and Oncology Group
RECRUITING
Frankston
Austin Health
RECRUITING
Heidelberg
The Alfred Hospital
RECRUITING
Melbourne
Southside Cancer Care Centre
RECRUITING
Miranda
Sunshine Hospital
RECRUITING
Saint Albans
Contact Information
Primary
Jim Vasselli, MD
james@aulosbio.com
(707) 758-6776
Time Frame
Start Date: 2022-04-04
Estimated Completion Date: 2026-06-12
Participants
Target number of participants: 159
Treatments
Experimental: AU-007 Monotherapy
AU-007 (Q2w) administered as a monotherapy sequential ascending doses with each Dose Escalation Cohort~(Complete; no longer enrolling)
Experimental: AU-007 combined with a single dose of aldesleukin
AU-007 (Q2w) administered in combination with a single dose of aldesleukin with the initial AU-007 dose.
Experimental: AU-007 combined with aldesleukin given concomitantly
AU-007 administered in combination with aldesleukin, both administered Q2w~(Complete; no longer enrolling)
Experimental: AU-007 plus aldesleukin in combination avelumab
AU-007 and avelumab administered Q2w with a single dose of aldesleukin with the initial AU-007 dose
Experimental: AU-007 plus aldesleukin in combination with nivolumab
AU-007 (Q2w) administered in combination with a single dose of aldesleukin with the initial AU-007 dose.~Nivolumab will be administered Q4w.
Sponsors
Leads: Aulos Bioscience, Inc.

This content was sourced from clinicaltrials.gov

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