First-in-Human, Phase 1/1b, Open-label, Multicenter Study of Bifunctional EGFR/TGFβ Fusion Protein BCA101 Monotherapy and in Combination Therapy in Patients With EGFR-Driven Advanced Solid Tumors

Who is this study for? Adult patients with Refractory EGFR-Positive Advanced Solid Tumors
What treatments are being studied? BCA101
Status: Recruiting
Location: See all (20) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The investigational drug to be studied in this protocol, BCA101, is a first-in-class compound that targets both EGFR with TGFβ. Based on preclinical data, this bifunctional antibody may exert synergistic activity in patients with EGFR-driven tumors.

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

• Patient must have measurable disease amendable to biopsy and be willing to undergo both a pre-treatment and on-treatment biopsy, as well as provide archival tumor if available from the primary tumor (a paraffin embedded tumor tissue block sufficient to obtain at least 10 sections of 4 to 5 micrometer thickness).

• Patient must have a performance status of ≤1 on the Eastern Cooperative Oncology Group Performance Scale.

• Patients must have evaluable or measurable disease (computed tomography \[CT\]/magnetic resonance imaging \[MRI\] scans performed within 21 days before the screening visit are acceptable) demonstrating measurable disease, i.e., at least 1 unidimensional measurable lesion as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1) and Immune Response Evaluation Criteria in Solid Tumors (iRECIST).

• Tumor eligibility:

• PART B (Cohort expansion):

⁃ Single agent BCA101 - patients with the following tumor type will be eligible:

⁃ • Expansion Cohort 1: Cutaneous Squamous Cell Carcinoma (CSCC) - i. patients must have received (or been intolerant to or ineligible for) prior anti-PD-1 therapy in the metastatic or locally advanced setting.

⁃ ii. No prior history of treatment with anti-EGFR antibodies in the unresectable/metastatic setting (prior treatment with radiotherapy in the adjuvant setting is allowed).

⁃ Combination BCA101 and pembrolizumab - patients with the following tumor types will be eligible:

⁃ • Expansion Cohort 2: Head and Neck Squamous Cell Carcinoma (HNSCC), metastatic or unresectable, recurrent with a Combined Positive Score (CPS) equal to or greater than 1, as determined by an CLIA-approved laboratory test. Primary tumor locations of oropharynx, oral cavity, hypopharynx, or larynx. Participants may not have a primary tumor site of nasopharynx (any histology).

⁃ i. Patients must have no prior systemic therapy administered in the recurrent or metastatic setting (with the exception of systemic therapy completed \>6 months prior if given as part of multimodal treatment for locally advanced disease) or prior history of immune checkpoint inhibitors with the exception of neoadjuvant therapy (\>6 months prior to study drug initiation). No prior history of anti-EGFR antibodies (with the exception of radiosensitizing agents and multimodal treatment for locally advanced disease).

⁃ ii. Patients must provide tissue for PD-L1 biomarker analysis from a core or excisional biopsy (fine needle aspirate is not sufficient): A newly obtained biopsy (within 90 days prior to start of study treatment) is preferred but an archival sample is acceptable.

⁃ iii. Patients must have results from testing of human papillomavirus (HPV) status for oropharyngeal cancer

‣ Expansion Cohort 3: Squamous Carcinoma of the Anal Canal (SCAC), locally advanced/unresectable or metastatic.

∙ i. Patients must have received (or been intolerant to or ineligible for) at least 1 prior line of chemotherapy and received no more than 2 prior lines of systemic treatments for treatment of unresectable and/or metastatic disease. No prior history of immune checkpoint inhibitors.

‣ Expansion Cohort 5: Squamous Non-Small Cell Lung Cancer (SqNSCLC) i. Patients must have a histologically or cytologically confirmed diagnosis of stage IV (AJCC 8th edition) squamous NSCLC. Patients with mixed histology (e.g., adenosquamous) are not allowed.

⁃ ii. Patients must have progressed on one prior systemic therapy in the metastatic setting.

⁃ iii. No prior history of treatment with anti-EGFR antibodies in the metastatic setting.

⁃ • Expansion Cohort 6: Head and Neck Squamous Cell Carcinoma (HNSCC), metastatic or unresectable, recurrent with a Combined Positive Score (CPS) less than 1, as determined by PD-L1 IHC 22C3 pharmDx.

⁃ Randomized to either ficerafusp alfa alone or in combination with pembrolizumab • Expansion Cohort 9: Colorectal cancer (CRC) i. Patients must have received at least 2 and no more than 3 prior lines of systemic therapy including two standard treatment regimens.

Locations
United States
California
Moores Cancer Center UC San Diego Health
RECRUITING
La Jolla
Keck School of Medicine of USC
RECRUITING
Los Angeles
UCLA
RECRUITING
Los Angeles
University of California, Davis Comprehensive Cancer Center
RECRUITING
Sacramento
Florida
H. Lee Moffitt Cancer Center and Research Institute, Inc
RECRUITING
Tampa
Massachusetts
Dana Farber/Partners Cancer Care Inc
RECRUITING
Boston
North Carolina
Levine Cancer Institute
RECRUITING
Charlotte
New York
Columbia University Herbert Irving Comprehensive Cancer Center
RECRUITING
New York
Memorial Sloan Kettering
RECRUITING
New York
Ohio
Cleveland Clinic
RECRUITING
Cleveland
Pennsylvania
UPMC Hillman Cancer Center
RECRUITING
Pittsburgh
Rhode Island
Rhode Island Hospital
RECRUITING
Providence
South Carolina
Medical University of South Carolina, Hollings Cancer Center
RECRUITING
Charleston
Tennessee
Vanderbilt University Medical Center
RECRUITING
Nashville
Texas
MD Anderson Cancer Center
RECRUITING
Houston
Other Locations
Australia
Chris O'Brien Lifehouse
RECRUITING
Camperdown
Austin Hospital
RECRUITING
Heidelberg
Peter MacCallum Cancer Centre
RECRUITING
Melbourne
Calvary Mater Newcastle
RECRUITING
Waratah
Canada
Princess Margaret Cancer Centre
RECRUITING
Toronto
Contact Information
Primary
David Bohr
info@bicara.com
6178000335
Time Frame
Start Date: 2020-06-01
Estimated Completion Date: 2027-06-01
Participants
Target number of participants: 292
Treatments
Experimental: BCA101 Monotherapy
Route: IV Infusion Frequency: QW Current Dose: 1500mg
Experimental: BCA101 + pembrolizumab
Route: IV Infusion Frequency: Q3W Dose: 200mg
Sponsors
Collaborators: Merck Sharp & Dohme LLC
Leads: Bicara Therapeutics

This content was sourced from clinicaltrials.gov

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