A Study of Runimotamab in Participants With Locally Advanced or Metastatic HER2-Expressing Cancers
Primary Purpose
Solid Tumors
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Runimotamab
Trastuzumab
Tocilizumab
Sponsored by

About this trial
This is an interventional treatment trial for Solid Tumors
Eligibility Criteria
Inclusion Criteria
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Life expectancy of at least 12 weeks
- Adequate hematologic and end-organ function
- Acute, clinically significant treatment-related toxicity from prior therapy must have resolved to Grade </=1 prior to study entry
- Left Ventricular Ejection Fraction (LVEF) >/=50%
HER2-Expressing Breast Cancer-Specific Inclusion Criteria
- Locally tested, Human Epidermal Growth Factor Receptor 2 (HER2)-expressing BC
- Locally advanced or metastatic BC that has relapsed or is refractory to established therapies
HER2-Expressing Gastric/Gastroesophageal (GEJ) Cancer-Specific Inclusion Criteria
- Adenocarcinoma of the stomach or GEJ with inoperable locally advanced or recurrent and/or metastatic disease, not amenable to curative therapy
- HER2-expressing tumor (primary tumor or metastasis) as assessed by local lab testing
- HER2-positive gastric/GEJ cancer must have received prior trastuzumab, cisplatin (or carboplatin or oxaliplatin or investigational platinum agent) and 5-fluorouracil (5-FU)/capecitabine
HER2-Positive Solid Tumor Specific Inclusion Criteria
- HER2-positive tumor (primary tumor or metastasis) as assessed by local (non-central) laboratory testing
- Locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable, or is considered inappropriate; or for whom a clinical trial of an investigational agent is a recognized standard of care; or for whom a clinical trial of an investigational agent is considered an acceptable treatment option
Exclusion Criteria
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 140 days after the last dose of runimotamab
- Significant cardiopulmonary dysfunction
- Known clinically significant liver disease
- Positive for acute or chronic Hepatitis B virus (HBV) infection
- Acute or chronic Hepatitis C virus (HCV) infection
- Human Immunodeficiency Virus (HIV) seropositivity
- Poorly controlled Type 2 diabetes mellitus
- History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias
- Current treatment with medications that are well known to prolong the Q-wave/T-wave (QT) interval
- Known clinically significant liver disease
- Primary central nervous system (CNS) malignancy, untreated CNS metastases, or active CNS metastases (progressing or requiring corticosteroids for symptomatic control)
- Leptomeningeal disease
- Spinal cord compression that has not definitively treated with surgery and/or radiation
- History of autoimmune disease
- Prior allogeneic stem cell or solid organ transplantation
Sites / Locations
- Yale University
- Washington University; Wash Uni. Sch. Of Med
- Memorial Sloan Kettering Cancer CenterRecruiting
- Sarah Cannon Research InstituteRecruiting
- MD Anderson Cancer Center
- Peter MacCallum Cancer Centre; Medical Oncology
- Grand Hopital de Charleroi asblRecruiting
- Ottawa Hospital Research Institute
- Princess Margaret Hospital; Department of Med OncologyRecruiting
- Herlev Hospital
- RigshospitaletRecruiting
- EDOG - Institut Bergonie - PPDSRecruiting
- Centre Léon BérardRecruiting
- Institut Claudius Regaud; PharmacieRecruiting
- Institut Gustave RoussyRecruiting
- Istituto Europeo Di OncologiaRecruiting
- ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' GrandaRecruiting
- Istituto Clinico HumanitasRecruiting
- National Cancer Center EastRecruiting
- Seoul National University HospitalRecruiting
- Asan Medical CenterRecruiting
- Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek ZiekenhuisRecruiting
- Erasmus MC; Afdeling KindergeneeskundeRecruiting
- National Cancer CentreRecruiting
- Hospital Universitario Quironsalud Madrid; Servicio de FarmaciaRecruiting
- Hospital Universitari Vall d'HebronRecruiting
- Fundacion Jimenez Diaz; Servicio de FarmaciaRecruiting
- Centro Integral Oncológico Clara Campal Ensayos Clínicos STARTRecruiting
- Hospital Clinico Universitario de ValenciaRecruiting
- China Medical University HospitalRecruiting
- National Taiwan University HospitalRecruiting
- Churchill HospitalRecruiting
- Southampton General Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Dose Escalation
Dose Expansion
Arm Description
Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).
Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.
Outcomes
Primary Outcome Measures
Percentage of Participants with Adverse Events
Secondary Outcome Measures
Serum Concentration of Runimotamab
Area Under the Serum Concentration vs. Time Curve (AUC) of Runimotamab
Maximum Observed Serum Concentration (Cmax) of Runimotamab
Minimum Observed Serum Concentration (Cmin) of Runimotamab
Clearance (CL) of Runimotamab
Volume of Distribution at Steady State (Vss) of Runimotamab
Objective Response (OR) as Determined by the Investigator According to Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)
Duration of Response (DOR)
Anti-Drug Antibody (ADA) Levels of Runimotamab
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03448042
Brief Title
A Study of Runimotamab in Participants With Locally Advanced or Metastatic HER2-Expressing Cancers
Official Title
A Phase Ia/Ib, Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of Runimotamab Administered Intravenously as a Single Agent and in Combination With Trastuzumab in Patients With Locally Advanced or Metastatic HER2-Expressing Cancers
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 6, 2018 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
April 30, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This study will evaluate the safety, tolerability, and pharmacokinetics of Runimotamab administered intravenously as a single agent and in combination with Trastuzumab in participants with locally advanced or metastatic Human Epidermal Growth Factor Receptor 2 (HER2)-expressing cancers.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumors
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
537 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Dose Escalation
Arm Type
Experimental
Arm Description
Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).
Arm Title
Dose Expansion
Arm Type
Experimental
Arm Description
Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.
Intervention Type
Drug
Intervention Name(s)
Runimotamab
Other Intervention Name(s)
BTRC4017A, RO7227780
Intervention Description
Runimotamab will be administered via IV infusion until disease progression, intolerable toxicity, or any other discontinuation criteria are met.
Intervention Type
Drug
Intervention Name(s)
Trastuzumab
Intervention Description
Trastuzumab will be administered via IV infusion
Intervention Type
Drug
Intervention Name(s)
Tocilizumab
Intervention Description
Participants will receive IV tocilizumab if needed
Primary Outcome Measure Information:
Title
Percentage of Participants with Adverse Events
Time Frame
From baseline through end of study (approximately 78 months)
Secondary Outcome Measure Information:
Title
Serum Concentration of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Area Under the Serum Concentration vs. Time Curve (AUC) of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Maximum Observed Serum Concentration (Cmax) of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Minimum Observed Serum Concentration (Cmin) of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Clearance (CL) of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Volume of Distribution at Steady State (Vss) of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
Title
Objective Response (OR) as Determined by the Investigator According to Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)
Time Frame
Baseline through the end of study (approximately 78 months)
Title
Duration of Response (DOR)
Time Frame
From the first occurrence of a documented objective response to first documented disease progression or death from any cause, through the end of the study (approximately 78 months)
Title
Anti-Drug Antibody (ADA) Levels of Runimotamab
Time Frame
At predefined intervals from Cycle 1, Day 1 (approximately 1 year)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
Life expectancy of at least 12 weeks
Adequate hematologic and end-organ function
Acute, clinically significant treatment-related toxicity from prior therapy must have resolved to Grade </=1 prior to study entry
Left Ventricular Ejection Fraction (LVEF) >/=50%
HER2-Expressing Breast Cancer-Specific Inclusion Criteria
Locally tested, Human Epidermal Growth Factor Receptor 2 (HER2)-expressing BC
Locally advanced or metastatic BC that has relapsed or is refractory to established therapies
HER2-Expressing Gastric/Gastroesophageal (GEJ) Cancer-Specific Inclusion Criteria
Adenocarcinoma of the stomach or GEJ with inoperable locally advanced or recurrent and/or metastatic disease, not amenable to curative therapy
HER2-expressing tumor (primary tumor or metastasis) as assessed by local lab testing
HER2-positive gastric/GEJ cancer must have received prior trastuzumab, cisplatin (or carboplatin or oxaliplatin or investigational platinum agent) and 5-fluorouracil (5-FU)/capecitabine
HER2-Positive Solid Tumor Specific Inclusion Criteria
HER2-positive tumor (primary tumor or metastasis) as assessed by local (non-central) laboratory testing
Locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable, or is considered inappropriate; or for whom a clinical trial of an investigational agent is a recognized standard of care; or for whom a clinical trial of an investigational agent is considered an acceptable treatment option
Exclusion Criteria
Pregnant or breastfeeding, or intending to become pregnant during the study or within 140 days after the last dose of runimotamab
Significant cardiopulmonary dysfunction
Known clinically significant liver disease
Positive for acute or chronic Hepatitis B virus (HBV) infection
Acute or chronic Hepatitis C virus (HCV) infection
Human Immunodeficiency Virus (HIV) seropositivity
Poorly controlled Type 2 diabetes mellitus
History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias
Current treatment with medications that are well known to prolong the Q-wave/T-wave (QT) interval
Known clinically significant liver disease
Primary central nervous system (CNS) malignancy, untreated CNS metastases, or active CNS metastases (progressing or requiring corticosteroids for symptomatic control)
Leptomeningeal disease
Spinal cord compression that has not definitively treated with surgery and/or radiation
History of autoimmune disease
Prior allogeneic stem cell or solid organ transplantation
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Reference Study ID Number: GO40311 https://forpatients.roche.com/
Phone
888-662-6728 (U.S. and Canada)
Email
global-roche-genentech-trials@gene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
Country
United States
Individual Site Status
Completed
Facility Name
Washington University; Wash Uni. Sch. Of Med
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
Sarah Cannon Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Completed
Facility Name
Peter MacCallum Cancer Centre; Medical Oncology
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Individual Site Status
Completed
Facility Name
Grand Hopital de Charleroi asbl
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
Ottawa Hospital Research Institute
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1Y 4E9
Country
Canada
Individual Site Status
Withdrawn
Facility Name
Princess Margaret Hospital; Department of Med Oncology
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada
Individual Site Status
Recruiting
Facility Name
Herlev Hospital
City
Herlev
ZIP/Postal Code
2730
Country
Denmark
Individual Site Status
Withdrawn
Facility Name
Rigshospitalet
City
København Ø
ZIP/Postal Code
2100
Country
Denmark
Individual Site Status
Recruiting
Facility Name
EDOG - Institut Bergonie - PPDS
City
Bordeaux
ZIP/Postal Code
33000
Country
France
Individual Site Status
Recruiting
Facility Name
Centre Léon Bérard
City
Lyon
ZIP/Postal Code
69008
Country
France
Individual Site Status
Recruiting
Facility Name
Institut Claudius Regaud; Pharmacie
City
Toulouse
ZIP/Postal Code
31100
Country
France
Individual Site Status
Recruiting
Facility Name
Institut Gustave Roussy
City
Villejuif
ZIP/Postal Code
94805
Country
France
Individual Site Status
Recruiting
Facility Name
Istituto Europeo Di Oncologia
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20141
Country
Italy
Individual Site Status
Recruiting
Facility Name
ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20162
Country
Italy
Individual Site Status
Recruiting
Facility Name
Istituto Clinico Humanitas
City
Rozzano (MI)
State/Province
Lombardia
ZIP/Postal Code
20089
Country
Italy
Individual Site Status
Recruiting
Facility Name
National Cancer Center East
City
Chiba
ZIP/Postal Code
277-8577
Country
Japan
Individual Site Status
Recruiting
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis
City
Amsterdam
ZIP/Postal Code
1066 CX
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Erasmus MC; Afdeling Kindergeneeskunde
City
Rotterdam
ZIP/Postal Code
3015 AA
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
National Cancer Centre
City
Singapore
ZIP/Postal Code
169610
Country
Singapore
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Quironsalud Madrid; Servicio de Farmacia
City
Pozuelo de Alarcón
State/Province
Madrid
ZIP/Postal Code
28223
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Name
Fundacion Jimenez Diaz; Servicio de Farmacia
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Name
Centro Integral Oncológico Clara Campal Ensayos Clínicos START
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clinico Universitario de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Individual Site Status
Recruiting
Facility Name
China Medical University Hospital
City
Taichung
ZIP/Postal Code
40447
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
Individual Site Status
Recruiting
Facility Name
Churchill Hospital
City
Oxford
ZIP/Postal Code
OX3 7LJ
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Southampton General Hospital
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom
Individual Site Status
Withdrawn
12. IPD Sharing Statement
Learn more about this trial
A Study of Runimotamab in Participants With Locally Advanced or Metastatic HER2-Expressing Cancers
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