Phase 1/2a Open-Label, Dose-Escalation, Multicenter, FIH, Consecutive-Cohort, Clinical Trial of BI-1808, a Monoclonal Antibody to TNFR 2 As a Single Agent and in Combination with Pembrolizumab (MK-3475-D20) in Subjects with Advanced Malignancies

Who is this study for? Patients with Advanced Malignancies
What treatments are being studied? BI-1808
Status: Recruiting
Location: See all (19) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The goal of this first in human clinical trial is to test BI-1808 administered as single agent and in combination with pembrolizumab in subjects with advanced malignancies whose disease has progressed after standard therapy. The main questions it aims to answer are: * how safe and tolerable is BI-1808 * what is maximum tolerated or administrated dose * to determine recommended dose for further clinical trials. Participants will receive infusions of BI-1808 alone or combination with pembrolizumab every 3 weeks. For the purpose of this study, subjects with advanced malignancies includes subjects with advanced solid tumors and subjects with T-cell lymphoma (TCL),

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

• Is willing and able to provide written informed consent for the trial.

• Is ≥18 years of age on the day of signing informed consent.

• Has a histologically confirmed advanced malignancy. Subjects with CTCL \[MF or SS\] who satisfy the Phase 2a, Cohort 3-specific eligibility criteria may be enrolled into the Phase 1 part of the study.

• Is intolerant of, refuses, or is not eligible for standard antineoplastic therapy.

• Has at least 1 measurable disease lesion as defined by RECIST.

• Is able to safely undergo a baseline tumor tissue biopsy prior to first dose of BI-1808 (on non previously irradiated lesions only). The biopsy must be performed at least 4 weeks following the last dose of tumor directed therapy.

• Has a life expectancy of ≥12 weeks.

• Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

• Has adequate organ function as confirmed by laboratory values.

⁃ Phase 2a Expansion Cohort-Specific Inclusion Criteria:

⁃ Ovarian Cancer:

⁃ Histologically confirmed and documented recurrent ovarian, fallopian tube, and peritoneal cancer.

⁃ TCL:

• histologically confirmed diagnosis

• Stable doses of systemic steroids (≤20 mg prednisone equivalent) and of low-to-medium potency topical steroids permitted (no change in preceding 4 weeks).

• Stage IB-IV with failure of at least 1 systemic therapy.

• No current large cell transformation for subjects with CTCL.

• Prior therapy - No prior allo hematopoietic stem cell transplantation (HSCT); \>90 days since auto HSCT; \>4 weeks since systemic therapy and \>2 weeks since skin-directed therapy.

• Stable doses of systemic steroids (≤20 mg prednisone equivalent) and of low-to-medium potency topical steroids permitted (no change in preceding 4 weeks).

• Previous systemic therapies include brentuximab vedotin, bexarotene, extracorporeal photopheresis (ECP), methotrexate, mogamulizumab, romidepsin, vorinostat, or systemic therapy with localized radiation treatment or skin-directed therapy.

⁃ Melanoma:

• Histologically confirmed diagnosis of unresectable or metastatic melanoma.

• Subjects in Part A:

• Required prior therapies will include anti-programmed death-ligand 1 (PD-1) therapy either as monotherapy or as part of a combination regimen.

• For subjects with a known BRAF V600-activating mutation combination targeted therapy will be required in addition to anti-PD-1/programmed death-ligand 1 (PD-L1) therapy.

• Subjects in part B:

• Subjects with prior lines of treatment are not eligible.

⁃ All Tumor Types:

⁃ Locally advanced unresectable, recurrent or metastatic immune checkpoint inhibitor-naïve solid tumors, likely to benefit from immune checkpoint inhibitor treatment, based on Investigator opinion.

⁃ b. Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the Investigator, would be unlikely to tolerate or derive clinical benefit from appropriate standard of care therapy.

⁃ c. Subjects with known activation mutations must have prior target therapy.

Locations
United States
California
City of Hope National Medical Center
RECRUITING
Duarte
Pennsylvania
University of Pennsylvania
RECRUITING
Philadelphia
Other Locations
Denmark
Rigshospitalet
RECRUITING
Copenhagen
Herlev Hospital
RECRUITING
Herlev
Hungary
Magyar Honvédség-Egészségügyi Központ
RECRUITING
Budapest
PRA Health Sciences - Hungary
ACTIVE_NOT_RECRUITING
Budapest
Debreceni Egyetem Klinikai Központ
RECRUITING
Debrecen
Russian Federation
Byudzhetnoye Uchrezhdeniye Zdravookhraneniya Omskoy Oblasti - Klinicheskiy Onkologicheskiy Dispanser
TERMINATED
Omsk
N.N. Petrov National Medical Research Center of Oncology
WITHDRAWN
Saint Petersburg
National Medical Research Center VA Almazov
WITHDRAWN
Saint Petersburg
Sweden
Sahlgrenska University Hospital
RECRUITING
Gothenburg
Skanes University Hospital
RECRUITING
Lund
Karolinska University Hospital, Solna
RECRUITING
Stockholm
United Kingdom
University Hospitals of Leicester NHS Trust
RECRUITING
Leicester
Guy's and Saint Thomas' NHS Foundation Trust
RECRUITING
London
Sarah Cannon Research Institute UK
RECRUITING
London
The Royal Marsden Hospital NHS Foundation Trust
RECRUITING
London
The Christie NHS Foundation Trust
RECRUITING
Manchester
Southampton General Hospital
RECRUITING
Southampton
Contact Information
Primary
Susanne Gertsson
susanne.gertsson@bioinvent.com
+46462868550
Backup
Mona Welschof, PhD
mona.welschof@bioinvent.com
+47 97088721
Time Frame
Start Date: 2021-01-25
Estimated Completion Date: 2028-01-15
Participants
Target number of participants: 176
Treatments
Experimental: Phase I, Part A - Dose escalation and safety of BI-1808 as single agent
Dose escalation of BI-1808 administrated a single agent
Experimental: Phase I, Part B - Dose escalation and Safety of BI-1808 in combination with pembrolizumab
Dose escalation of BI-1808 in combination with pembrolizumab.
Experimental: Phase 2a - Part A dose expansion of BI-1808 as a single agent
BI-1808 administered as a single agent at the hypothesized recommended phase 2 dose determined in Phase 1
Experimental: Phase 2a, Part B - Dose expansion of BI-1808 in combination with pembrolizumab
BI-1808 administered in combination with pembrolizumab at the respective hypothesized recommended phase 2 doses determined in Phase 1
Sponsors
Collaborators: Merck Sharp & Dohme LLC
Leads: BioInvent International AB

This content was sourced from clinicaltrials.gov