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APL-501 Study for Select Advanced or Relapsed/Recurrent Solid Tumors

Primary Purpose

Solid Tumor, Microsatellite Instability, Mismatch Repair Deficiency

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
APL-501
Sponsored by
Apollomics (Australia) Pty. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor focused on measuring Advanced Solid Tumor, Relapsed Solid Tumor, Recurrent Solid Tumor

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Major Inclusion Criteria:

• Able to understand and comply with study procedures, understand the risks involved, and provide written informed consent.

Dose Escalation:

  • Histologically and / or cytological confirmed solid tumors: colorectal, endometrial, gastric including, gastroesophageal junction adenocarcinoma (GC), head and neck (esophageal, hepatocellular (HCC), non-small cell lung cancer, mesothelioma, ovarian, and renal cell carcinoma (RCC), either refractory or relapsed to standard therapy or for which no effective standard therapy is available.
  • No restriction to number of prior therapies for Dose Escalation Segment except for gastric and renal cell carcinoma.

Cohort Extension:

  • Histologically and/or cytological confirmed solid tumors with an approved labelled indication for PD-1 inhibitors.
  • Tumor biopsy at study entry and during therapy. Tumor sites used to satisfy this criterion must not have received any prior radiation therapy. Sites for biopsy must be distinct from target lesions used for efficacy assessment.
  • Measurable disease according to RECIST v1.1.

Dose and Disease Expansion:

  • MSI-H or dMMR per local laboratory and failed at least one prior line of standard of care chemotherapy per local standards.
  • Carcinoma of Unknown Primary

Major Exclusion Criteria:

  • History of severe hypersensitivity to mAbs, excipients of the drug product or other components
  • Prior malignancy active within the previous 2 years except for locally curable cancers that have been cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast
  • Any active autoimmune disease or a documented history of autoimmune disease, or history of syndrome that required systemic steroids or immunosuppressive medications, except for subjects with vitiligo or resolved childhood asthma/atopy
  • Prior therapy with an anti-PD-1, anti-PD-L1, anti-PDL-2, or anti-CTLA-4 antibody (or any other antibody targeting T cell co-stimulation pathways) (except NSCLC)
  • Known significant mental illness or other conditions such as active alcohol or other substance abuse that, in the opinion of the Investigator, predisposes the subject to high risk of noncompliance with the protocol treatment or assessments.

Sites / Locations

  • Chris O'Brien Lifehouse
  • Cabrini Health Limited
  • Peter MaCallum Cancer Centre
  • Nucleus Network
  • Linear Clinical Research

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single-Arm

Arm Description

APL-501

Outcomes

Primary Outcome Measures

Number of participants with treatment related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE v4.03) in patients with advance solid tumors
Adverse events, serious adverse events, dose limiting toxicities according to the National Cancer Institute (NCI) Terminology Criteria for Adverse Events (CTCAE v4.03)

Secondary Outcome Measures

Determine the recommended Phase 2 dose and schedule
adverse events, serious adverse events, dose limiting toxicities
Area under the plasma concentration versus time curve (AUC)
AUC, 0-infinity
Maximum plasma concentration
Cmax
Time to reach Cmax
Tmax
Objective Response Rate (ORR)
The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine proportion of patients with complete response or partial response.
Duration of Response (DOR)
The treatment effect of APL-501 will be assessed by RECIST v1.1 or by irRECIST to determine duration of response. Time from first documented complete response or partial response until subsequent documented disease progression or death.
Time to Response (TTR)
The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine time to complete response and partial response.
Disease Control Rate (DCR)
The treatment effect of APL-501 will be assessed by RECIST v1.1 and irRECIST to determine disease control rate. Proportion of patients with best overall response of complete response, partial response, or stable disease.
Progression Free Survival
The effect of APL-501 will be assessed by RECIST v1.1 and per irRECIST to determine progression free survival as time from date of first dose to date of disease progression or death.

Full Information

First Posted
January 30, 2017
Last Updated
May 5, 2022
Sponsor
Apollomics (Australia) Pty. Ltd.
Collaborators
Novotech (Australia) Pty Limited, Apollomics Inc. (formerly CBT Pharmaceuticals, Inc.)
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1. Study Identification

Unique Protocol Identification Number
NCT03053466
Brief Title
APL-501 Study for Select Advanced or Relapsed/Recurrent Solid Tumors
Official Title
A Phase 1 Multicenter, Dose Escalation, Cohort Extension and Dose and Disease Expansion Study of APL-501 in Subjects With Select Advanced or Relapsed/Recurrent Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
March 27, 2017 (Actual)
Primary Completion Date
February 25, 2022 (Actual)
Study Completion Date
February 25, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Apollomics (Australia) Pty. Ltd.
Collaborators
Novotech (Australia) Pty Limited, Apollomics Inc. (formerly CBT Pharmaceuticals, Inc.)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the safety, tolerability, and recommended dose schedule of APL-501 in individuals with advanced or relapsed or recurrent solid tumors.
Detailed Description
This is a Phase 1, multicenter, 3-part study with a Dose-Escalation Segment, Cohort Extension and Dose and Disease Expansion cohorts of APL-501 injection, a humanized IgG4 monoclonal antibody, targeting the Programmed Death-1 (PD-1) membrane receptor on T lymphocytes and other cells of the immune system. Select advanced solid tumor malignancies will receive escalating doses of APL-501. Dose escalation will occur in three subject cohorts until a protocol defined dose limited toxicity (DLT) occurs, not due to disease progression or inter-current illness, and a tentative maximum tolerated dose (MTD) or biologically effective dose (BED) is determined. Cohort Extension will evaluate APL-501 at 3 mg/kg and 10 mg/kg on Day 1 and Day 15 every 28 days. At the tentative MTD, BED or recommended Phase 2 dose (RP2D), at least two tumor types in the Dose and Disease Expansion will be assessed at an equivalent non-weight based dose to further evaluate toxicity and preliminary efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Microsatellite Instability, Mismatch Repair Deficiency, Cancer of Unknown Primary Site
Keywords
Advanced Solid Tumor, Relapsed Solid Tumor, Recurrent Solid Tumor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Open Label
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single-Arm
Arm Type
Experimental
Arm Description
APL-501
Intervention Type
Drug
Intervention Name(s)
APL-501
Other Intervention Name(s)
GB226, genolimzumab
Intervention Description
Subjects will be assigned to a dose level in the order of study entry. Treatment includes a minimum of four 28-day cycles at three planned dose levels (1, 3, and 10 mg/kg). In the Dose Escalation Segment, each treatment cycle is comprised of 2 doses of study drug administered on Days 1 and 15 of a 28-day cycle. In the Cohort Extension, the treatment cycle will consist of 2 doses of study drug administered on Days 1 and 15 of a 28-day cycle. In Dose and Disease Expansion, the treatment cycle will consist of 2 doses of study drug (non-weight based dosing of 400 mg) administered on Days 1 and 15 of a 28-day cycle.
Primary Outcome Measure Information:
Title
Number of participants with treatment related adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE v4.03) in patients with advance solid tumors
Description
Adverse events, serious adverse events, dose limiting toxicities according to the National Cancer Institute (NCI) Terminology Criteria for Adverse Events (CTCAE v4.03)
Time Frame
From the time of informed consent from signature until Day 28 after Cycle 1; Dose Escalation - Approximately 9 months
Secondary Outcome Measure Information:
Title
Determine the recommended Phase 2 dose and schedule
Description
adverse events, serious adverse events, dose limiting toxicities
Time Frame
An average of 1 year
Title
Area under the plasma concentration versus time curve (AUC)
Description
AUC, 0-infinity
Time Frame
Up to 4 months (1 cycle = 28 days)
Title
Maximum plasma concentration
Description
Cmax
Time Frame
Up to 4 months (1 cycle = 28 days)
Title
Time to reach Cmax
Description
Tmax
Time Frame
Up to 4 months (1 cycle = 28 days)
Title
Objective Response Rate (ORR)
Description
The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine proportion of patients with complete response or partial response.
Time Frame
Approximately 24 months
Title
Duration of Response (DOR)
Description
The treatment effect of APL-501 will be assessed by RECIST v1.1 or by irRECIST to determine duration of response. Time from first documented complete response or partial response until subsequent documented disease progression or death.
Time Frame
Approximately 24 months
Title
Time to Response (TTR)
Description
The treatment effect of APL-501 will be assessed by RECIST v1.1 and by irRECIST to determine time to complete response and partial response.
Time Frame
Approximately 24 months
Title
Disease Control Rate (DCR)
Description
The treatment effect of APL-501 will be assessed by RECIST v1.1 and irRECIST to determine disease control rate. Proportion of patients with best overall response of complete response, partial response, or stable disease.
Time Frame
Approximately 24 months
Title
Progression Free Survival
Description
The effect of APL-501 will be assessed by RECIST v1.1 and per irRECIST to determine progression free survival as time from date of first dose to date of disease progression or death.
Time Frame
Approximately 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Major Inclusion Criteria: • Able to understand and comply with study procedures, understand the risks involved, and provide written informed consent. Dose Escalation: Histologically and / or cytological confirmed solid tumors: colorectal, endometrial, gastric including, gastroesophageal junction adenocarcinoma (GC), head and neck (esophageal, hepatocellular (HCC), non-small cell lung cancer, mesothelioma, ovarian, and renal cell carcinoma (RCC), either refractory or relapsed to standard therapy or for which no effective standard therapy is available. No restriction to number of prior therapies for Dose Escalation Segment except for gastric and renal cell carcinoma. Cohort Extension: Histologically and/or cytological confirmed solid tumors with an approved labelled indication for PD-1 inhibitors. Tumor biopsy at study entry and during therapy. Tumor sites used to satisfy this criterion must not have received any prior radiation therapy. Sites for biopsy must be distinct from target lesions used for efficacy assessment. Measurable disease according to RECIST v1.1. Dose and Disease Expansion: MSI-H or dMMR per local laboratory and failed at least one prior line of standard of care chemotherapy per local standards. Carcinoma of Unknown Primary Major Exclusion Criteria: History of severe hypersensitivity to mAbs, excipients of the drug product or other components Prior malignancy active within the previous 2 years except for locally curable cancers that have been cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast Any active autoimmune disease or a documented history of autoimmune disease, or history of syndrome that required systemic steroids or immunosuppressive medications, except for subjects with vitiligo or resolved childhood asthma/atopy Prior therapy with an anti-PD-1, anti-PD-L1, anti-PDL-2, or anti-CTLA-4 antibody (or any other antibody targeting T cell co-stimulation pathways) (except NSCLC) Known significant mental illness or other conditions such as active alcohol or other substance abuse that, in the opinion of the Investigator, predisposes the subject to high risk of noncompliance with the protocol treatment or assessments.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marietta Franco
Organizational Affiliation
Apollomics Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Chris O'Brien Lifehouse
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
Facility Name
Cabrini Health Limited
City
Malvern
State/Province
Victoria
ZIP/Postal Code
3144
Country
Australia
Facility Name
Peter MaCallum Cancer Centre
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Facility Name
Nucleus Network
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
Facility Name
Linear Clinical Research
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www.apollomicsinc.com/
Description
Company website for Apollomics Inc.

Learn more about this trial

APL-501 Study for Select Advanced or Relapsed/Recurrent Solid Tumors

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