Safety and Pharmacokinetics (PK) of Escalating Doses of Tiragolumab as a Single Agent and in Combination With Atezolizumab and/or Other Anti-Cancer Therapies in Locally Advanced or Metastatic Tumors
Advanced/Metastatic Tumors
About this trial
This is an interventional treatment trial for Advanced/Metastatic Tumors
Eligibility Criteria
Inclusion Criteria:
- Adults 18 years of age or older
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Life expectancy at least 12 weeks
- Adequate hematologic and end organ function
- Histologic documentation of locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for which standard therapy has proven ineffective, intolerable, or considered inappropriate; or for which a clinical trial of an investigational agent is a recognized standard of care
- Confirmed availability of representative tumor specimens
- Measurable disease according to RECIST Version 1.1
Exclusion Criteria:
- Any anti-cancer therapy, whether investigational or approved, including chemotherapy, hormonal therapy, or radiotherapy, within 3 weeks prior to initiation of study treatment
- Malignancies other than disease under study within 5 years prior to Day 1 of Cycle 1
- Primary central nervous system (CNS) malignancy, or untreated/active CNS metastases
- Leptomeningeal disease
- History of idiopathic pulmonary fibrosis, pneumonitis, organizing pneumonia, or evidence of active pneumonitis on Screening chest computed tomograph (CT) scan
- History of autoimmune disease
- Positive human immunodeficiency virus (HIV) test
- Active hepatitis B or C, or tuberculosis
- Severe infection within 4 weeks prior to randomization
- Prior allogeneic bone marrow or solid organ transplant
- Significant cardiovascular disease
- Known clinically significant liver disease
Sites / Locations
- Honor Health Research Institute
- University of California Los Angeles
- Yale Cancer Center
- Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
- Dana Farber Cancer Institute
- Henry Ford Hospital
- Memorial Sloan-Kettering Cancer Center
- Tennessee Onc., PLLC - SCRI
- Kinghorn Cancer Centre; St Vincents Hospital
- Peter MacCallum Cancer Center
- Princess Margaret Hospital
- Institut Bergonie CLCC Bordeaux
- Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes
- Institut Curie
- Institut Claudius Regaud; Departement Oncologie Medicale
- Institut Gustave Roussy
- National Cancer Center Hospital
- The Cancer Institute Hospital of Japanese Foundation For Cancer Research
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Asan Medical Center
- Samsung Medical Center
- ICO L'Hospitalet; Servicio de oncologia medica
- Hospital Univ Vall d'Hebron; Servicio de Oncologia
- Clinica Universitaria de Navarra; Servicio de oncología
- Hospital del Mar
- Hospital Universitario HM Sanchinarro-CIOCC; Oncología Médica
- Hospital Clinico Universitario de Valencia
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Phase Ia Dose-Escalation Stage: Tiragolumab
Phase Ia Dose-Expansion Stage: Tiragolumab
Phase Ib Q3W Dose-Escalation Stage: Tiragolumab+Atezolizumab
Phase Ib Q3W Dose-Expansion Stage: Tiragolumab+Atezolizumab
Phase Ib Chemotherapy Dose-Expansion Stage: Cohort A
Phase Ib Chemotherapy Dose-Expansion Stage: Cohort B
Phase Ib Chemotherapy Dose-Expansion Stage: Cohort C
Phase Ib Chemotherapy Dose-Expansion Stage: Cohort D
Phase Ib Q4W Sequential Dose-Expansion Stage: Tiragolumab+Atezolizumab
Phase Ib Q4W Coinfusion Expansion Cohort Tiragolumab+Atezolizumab
Phase Ib Non-Chemotherapy Dose-Expansion Stage: Cohort NC1
Phase Ib Non-Chemotherapy Dose-Expansion Stage: Cohort NC2
Cohorts of at least 3 participants each will be treated with escalating doses of tiragolumab.
Participants will be treated with tiragolumab at or below the maximum tolerated dose (MTD) or maximum administered dose (MAD) in the study.
A minimum of 3 participants will be treated for each dose level of tiragolumab in combination with a fixed dose of atezolizumab with tiragolumab being administered prior to atezolizumab.
Participants will be treated every 3 weeks (Q3W) with tiragolumab at or below the MTD or MAD in combination with a fixed dose of atezolizumab with tiragolumab being administered prior to atezolizumab.
In Cohort A, carboplatin or cisplatin and pemetrexed chemotherapy will be administered after atezolizumab and tiragolumab intravenous (IV) infusion. During induction phase, participants will receive atezolizumab and tiragolumab in combination with carboplatin or cisplatin and pemetrexed on Day 1 of each 21-day cycle for 4 to 6 cycles. During maintenance phase, participants will receive atezolizumab and tiragolumab in combination with pemetrexed on Day 1 of each 21-day cycle.
In Cohort B, carboplatin and paclitaxel chemotherapy will be administered after atezolizumab and tiragolumab IV infusion. During induction phase, participants will receive atezolizumab and tiragolumab in combination with carboplatin and paclitaxel on Day 1 of each 21-day cycle for 4 to 6 cycles. During maintenance phase, participants will receive atezolizumab and tiragolumab on Day 1 of each 21-day cycle (participants enrolled under protocol version 4) or Day 1 of each 28-day cycle (participants enrolled under protocol version 5).
In Cohort C, carboplatin or cisplatin and etoposide chemotherapy will be administered after atezolizumab and tiragolumab IV infusion. During induction phase, participants will receive atezolizumab and tiragolumab in combination with carboplatin or cisplatin on Day 1 of each 21-day cycle and etoposide on Day 1 to 3 of each 21-day cycle for 4 cycles. During maintenance phase, participants will receive atezolizumab and tiragolumab on Day 1 of each 28-day cycle.
In Cohort D, participants will receive atezolizumab and tiragolumab on Day 1 and capecitabine on Day 1-14 of each 21-day cycle.
Participants will be treated every 4 weeks (Q4W) with fixed doses of tiragolumab and atezolizumab with tiragolumab being administered prior to atezolizumab.
Participants will be treated Q4W with fixed doses of tiragolumab and atezolizumab mixed and administered in one IV bag.
In Cohort NC1, participants will receive atezolizumab and tiragolumab in combination with bevacizumab on Day 1 of each 21-day cycle.
In Cohort NC2, participants will receive tiragolumab in combination with pembrolizumab on Day 1 of each 21-day cycle.