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A Study of SGN-B6A in Advanced Solid Tumors

Primary Purpose

Carcinoma, Non-Small Cell Lung, Squamous Cell Carcinoma of Head and Neck, HER2 Negative Breast Neoplasms

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SGN-B6A
pembrolizumab
cisplatin
carboplatin
Sponsored by
Seagen Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Non-Small Cell Lung focused on measuring NSCLC, HNSCC, cSCC, ESCC, EAC, GEJ, HGSOC, Advanced HER2-Negative Breast Cancer, High Grade Serous Ovarian Cancer, Non-Small Cell Lung Cancer, Head and Neck Squamous Cell Cancer, Esophageal Cancer, Bladder Cancer, Cervical Cancer, Gastric Cancer, Seattle Genetics

Eligibility Criteria

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

Inclusion Criteria:

  • Disease indication

    • Participants must have histologically or cytologically confirmed metastatic or unresectable solid malignancy within one of the tumor types listed below (dependent on study part). Participants must have disease that is relapsed or refractory or be intolerant to standard-of-care therapies and should have no appropriate standard-of-care therapeutic option.
  • Non-small cell lung cancer (NSCLC)
  • Head and neck squamous cell cancer (HNSCC)
  • Advanced HER2-negative breast cancer
  • Esophageal squamous cell carcinoma (ESCC)
  • Esophageal/Gastro-esophageal junction adenocarcinoma (EAC/GEJ)
  • Cutaneous squamous cell cancer (cSCC)
  • Exocrine pancreatic adenocarcinoma
  • Bladder cancer
  • Cervical cancer
  • Gastric cancer
  • High grade serous ovarian cancer (HGSOC)
  • Participants enrolled in the following study parts should have a tumor site accessible for biopsy and agree to biopsy as follows:

    • Disease-specific expansion cohorts, participant 16 onwards: pretreatment biopsy
    • Biology expansion cohort: pretreatment biopsy and on-treatment (Cycle 1) biopsy
  • An Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Measurable disease per the RECIST v1.1 at baseline

Exclusion Criteria

  • History of another malignancy within 3 years before first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death.
  • Known active central nervous system metastases. Participants with previously treated brain metastases may participate provided they:

    • are clinically stable for at least 4 weeks prior to study entry after brain metastasis treatment,
    • have no new or enlarging brain metastases, and
    • are off of corticosteroids prescribed for symptoms associated with brain metastases for at least 7 days prior to first dose of study drug.
  • Carcinomatous meningitis
  • Previous receipt of an MMAE-containing agent or an agent targeting integrin beta-6
  • Pre-existing neuropathy Grade 2 or greater per the National Cancer Institute's Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0)
  • Any uncontrolled Grade 3 or higher (per NCI CTCAE v5.0) viral, bacterial, or fungal infection within 2 weeks prior to the first dose of SGN-B6A.

    • Routine antimicrobial prophylaxis is permitted

Sites / Locations

  • Florida Cancer Specialists - Lake NonaRecruiting
  • Beth Israel Deaconess Medical CenterRecruiting
  • Dana Farber Cancer InstituteRecruiting
  • Comprehensive Cancer Centers of NevadaRecruiting
  • University Hospitals Cleveland Medical CenterRecruiting
  • Providence Portland Medical CenterRecruiting
  • MD Anderson Cancer Center / University of TexasRecruiting
  • South Texas Accelerated Research TherapeuticsRecruiting
  • Institut Gustave RoussyRecruiting
  • Hospital HM Nou DelfosRecruiting
  • Hospital Universitari Vall d'HebronRecruiting
  • Hospital Universitario HM SanchinarroRecruiting
  • Hospital Universitario Marques de ValdecillaRecruiting
  • University Hospital Lausanne CHUVRecruiting
  • Sarah Cannon Research Institute UKRecruiting
  • The Royal Marsden Hospital (Surrey)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A: Dose escalation

Part B: Dose expansion

Part C: SGN-B6A combination therapy in NSCLC, HNSCC, ESCC

Part D: SGN-B6A combination therapy in 1L NSCLC

Part D: SGN-B6A combination therapy in 1L HNSCC

Arm Description

SGN-B6A monotherapy

SGN-B6A monotherapy

SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)

SGN-B6A + pembrolizumab +/- (carboplatin)

SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)

Outcomes

Primary Outcome Measures

Number of participants with adverse events (AEs)
Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.
Number of patients with laboratory abnormalities
Number of participants with dose-limiting toxicities (DLTs)

Secondary Outcome Measures

Confirmed objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by investigator assessment
The proportion of participants with complete response (CR) or partial response (PR) which is subsequently confirmed as assessed according to RECIST v1.1.
Duration of objective response (DOR) per RECIST v1.1 by investigator assessment
The time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of progressive disease (PD) or to death due to any cause
Progression-free survival (PFS) per RECIST v1.1 by investigator assessment
The time from the start of any study treatment to the first documentation of PD, or death due to any cause
Overall survival (OS)
The time from the start of any study treatment to the date of death due to any cause
Area under the concentration-time curve (AUC)
Pharmacokinetic (PK) endpoint
Concentration at the end of infusion (Ceoi)
PK endpoint
Maximum observed concentration (Cmax)
PK endpoint
Time to maximum observed concentration (Tmax)
PK endpoint
Trough concentration (Ctrough)
PK endpoint
Apparent terminal elimination half-life (t1/2)
PK endpoint
Number of participants with antidrug antibodies (ADAs)

Full Information

First Posted
May 12, 2020
Last Updated
September 29, 2023
Sponsor
Seagen Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04389632
Brief Title
A Study of SGN-B6A in Advanced Solid Tumors
Official Title
A Phase 1 Study of SGN-B6A in Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 8, 2020 (Actual)
Primary Completion Date
July 31, 2024 (Anticipated)
Study Completion Date
October 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Seagen Inc.

4. Oversight

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

5. Study Description

Brief Summary
This trial will look at a drug called SGN-B6A alone and with pembrolizumab, with or without chemotherapy, to find out whether it is safe for people who have solid tumors. It will study SGN-B6A to find out what its side effects are. A side effect is anything the drug does besides treating cancer. It will also study whether SGN-B6A works to treat solid tumors. The study will have four parts. Part A of the study will find out how much SGN-B6A should be given to participants. Part B will use the dose found in Part A to find out how safe SGN-B6A is and if it works to treat solid tumors. Part C of the study will find out how safe SGN-B6A is in combination with these other drugs. Part D will include people who have not received treatment. This part of the study will find out how safe SGN-B6A is in combination with these other drugs and if these combinations work to treat solid tumors. In Parts C and D, participants will receive SGN-B6A with either: Pembrolizumab or, Pembrolizumab and carboplatin, or Pembrolizumab and cisplatin.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Non-Small Cell Lung, Squamous Cell Carcinoma of Head and Neck, HER2 Negative Breast Neoplasms, Esophageal Squamous Cell Carcinoma, Esophageal Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma, Ovarian Neoplasms, Cutaneous Squamous Cell Cancer, Exocrine Pancreatic Adenocarcinoma, Urinary Bladder Neoplasms, Uterine Cervical Neoplasms, Stomach Neoplasms
Keywords
NSCLC, HNSCC, cSCC, ESCC, EAC, GEJ, HGSOC, Advanced HER2-Negative Breast Cancer, High Grade Serous Ovarian Cancer, Non-Small Cell Lung Cancer, Head and Neck Squamous Cell Cancer, Esophageal Cancer, Bladder Cancer, Cervical Cancer, Gastric Cancer, Seattle Genetics

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1006 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A: Dose escalation
Arm Type
Experimental
Arm Description
SGN-B6A monotherapy
Arm Title
Part B: Dose expansion
Arm Type
Experimental
Arm Description
SGN-B6A monotherapy
Arm Title
Part C: SGN-B6A combination therapy in NSCLC, HNSCC, ESCC
Arm Type
Experimental
Arm Description
SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)
Arm Title
Part D: SGN-B6A combination therapy in 1L NSCLC
Arm Type
Experimental
Arm Description
SGN-B6A + pembrolizumab +/- (carboplatin)
Arm Title
Part D: SGN-B6A combination therapy in 1L HNSCC
Arm Type
Experimental
Arm Description
SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)
Intervention Type
Drug
Intervention Name(s)
SGN-B6A
Intervention Description
Administered into the vein (IV; intravenously)
Intervention Type
Drug
Intervention Name(s)
pembrolizumab
Other Intervention Name(s)
Keytruda
Intervention Description
200mg every 3 weeks or 400mg every 6 weeks, given by IV
Intervention Type
Drug
Intervention Name(s)
cisplatin
Intervention Description
75 mg/m2 every 3 weeks, given by IV
Intervention Type
Drug
Intervention Name(s)
carboplatin
Intervention Description
AUC 5 mg/mL per min every 3 weeks, given by IV
Primary Outcome Measure Information:
Title
Number of participants with adverse events (AEs)
Description
Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.
Time Frame
Through 30-37 days following last dose of SGN-B6A. For participants receiving pembrolizumab up to 90 days after last dose of pembrolizumab; up to 3 years
Title
Number of patients with laboratory abnormalities
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Number of participants with dose-limiting toxicities (DLTs)
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Secondary Outcome Measure Information:
Title
Confirmed objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by investigator assessment
Description
The proportion of participants with complete response (CR) or partial response (PR) which is subsequently confirmed as assessed according to RECIST v1.1.
Time Frame
Up to approximately 3 years
Title
Duration of objective response (DOR) per RECIST v1.1 by investigator assessment
Description
The time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of progressive disease (PD) or to death due to any cause
Time Frame
Up to approximately 3 years
Title
Progression-free survival (PFS) per RECIST v1.1 by investigator assessment
Description
The time from the start of any study treatment to the first documentation of PD, or death due to any cause
Time Frame
Up to approximately 3 years
Title
Overall survival (OS)
Description
The time from the start of any study treatment to the date of death due to any cause
Time Frame
Up to approximately 3 years
Title
Area under the concentration-time curve (AUC)
Description
Pharmacokinetic (PK) endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Concentration at the end of infusion (Ceoi)
Description
PK endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Maximum observed concentration (Cmax)
Description
PK endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Time to maximum observed concentration (Tmax)
Description
PK endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Trough concentration (Ctrough)
Description
PK endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Apparent terminal elimination half-life (t1/2)
Description
PK endpoint
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years
Title
Number of participants with antidrug antibodies (ADAs)
Time Frame
Through 30-37 days following last dose of SGN-B6A; up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Disease indication Participants must have histologically or cytologically confirmed metastatic or unresectable solid malignancy within one of the tumor types listed below (dependent on study part). Non-small cell lung cancer (NSCLC) Head and neck squamous cell cancer (HNSCC) Advanced HER2-negative breast cancer Esophageal squamous cell carcinoma (ESCC) Esophageal/Gastro-esophageal junction adenocarcinoma (EAC/GEJ) Cutaneous squamous cell cancer (cSCC) Exocrine pancreatic adenocarcinoma Bladder cancer Cervical cancer Gastric cancer High grade serous ovarian cancer (HGSOC) Part A only: Participants must have disease that is relapsed or refractory or be intolerant to standard-of-care therapies and should have no appropriate standard-of-care therapeutic options. Part B only: Participants must have disease that is relapsed or refractory or be intolerant to standard-of-care therapies. Participants must have received platinum-based therapy and a PD-1/PD-L1 inhibitor, if applicable and available. Part C only: For pembrolizumab combination cohorts, participants must be eligible for pembrolizumab monotherapy per local standard of care. For pembrolizumab with cisplatin or carboplatin, participants must be eligible for both pembrolizumab and the platinum agent per local standard of care. Part D only: Participants must be treatment naive for locally advanced or metastatic systemic therapy (prior definitively intended or adjuvant therapy is allowed with the exception of PD-[L]1 inhibitors). Participants enrolled in the following study parts should have a tumor site accessible for biopsy and agree to biopsy as follows: Disease-specific expansion cohorts (Part B and Part D): A baseline fresh tumor biopsy is required. An archival biopsy collected within 90 days may be used. Biology expansion cohort: pretreatment biopsy and on-treatment (Cycle 1) biopsy An Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 Measurable disease per the RECIST v1.1 at baseline Exclusion Criteria History of another malignancy within 3 years before first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death. Known active central nervous system metastases. Participants with previously treated brain metastases may participate provided they: are clinically stable for at least 4 weeks prior to study entry after brain metastasis treatment, have no new or enlarging brain metastases, and are off of corticosteroids prescribed for symptoms associated with brain metastases for at least 7 days prior to first dose of study drug. Carcinomatous meningitis Previous receipt of an MMAE-containing agent or an agent targeting integrin beta-6 Pre-existing neuropathy Grade 1 or greater per the National Cancer Institute's Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0) for Parts C and D cohorts with cisplatin or carboplatin; Grade 2 or greater per the NCI CTCAE v5.0 for all other cohorts Any uncontrolled Grade 3 or higher (per NCI CTCAE v5.0) viral, bacterial, or fungal infection within 2 weeks prior to the first dose of SGN-B6A. Routine antimicrobial prophylaxis is permitted Grade ≥3 pulmonary disease unrelated to underlying malignancy. This includes clinically severe pulmonary function compromise resulting from clinically significant pulmonary illnesses Part C and D: Prior therapy with a PD-1 inhibitor, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor and was discontinued from that treatment due to a Grade 3 or higher immune-mediated adverse event (IMAE). History of noninfectious interstitial lung disease (ILD) or pneumonitis that required steroids, current ILD or pneumonitis, or suspected ILD or pneumonitis that cannot be ruled out by imaging at screening Known diffusing capacity of the lung for carbon monoxide (DLCO; adjusted for hemoglobin) <50% predicted
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Seagen Trial Information Support
Phone
866-333-7436
Email
clinicaltrials@seagen.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Knowles, MD, PhD
Organizational Affiliation
Seagen Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Florida Cancer Specialists - Lake Nona
City
Orlando
State/Province
Florida
ZIP/Postal Code
32827
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ingrid Acker
Phone
689-216-8500
First Name & Middle Initial & Last Name & Degree
Cesar Perez Batista, MD
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alisa Posner
Phone
617-975-7423
Email
aposner1@bidmc.harvard.edu
First Name & Middle Initial & Last Name & Degree
Bruno Bockorny, MD
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Illya Dixon
Phone
617-632-5084
Email
Illya_Dixon@dfci.harvard.edu
First Name & Middle Initial & Last Name & Degree
Kartik Sehgal
Facility Name
Comprehensive Cancer Centers of Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89169
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Edwin C Kingsley
Phone
702-952-3400
Email
edwin.kingsley@usoncology.com
First Name & Middle Initial & Last Name & Degree
Edwin C Kingsley
Facility Name
University Hospitals Cleveland Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Megan Magdinec
Phone
216-286-3369
Email
Megan.Magdinec@UHhospitals.org
First Name & Middle Initial & Last Name & Degree
Afshin Dowlati
Facility Name
Providence Portland Medical Center
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Providence Cancer Institute CT.Gov Contact
Phone
503-215-2614
Email
CanClinRsrchStudies@providence.org
First Name & Middle Initial & Last Name & Degree
Rachel E Sanborn
Facility Name
MD Anderson Cancer Center / University of Texas
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-4095
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rabia Khan
Phone
713-745-4667
Email
RKhan@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Sarina A Piha-Paul
Facility Name
South Texas Accelerated Research Therapeutics
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Isabel Jimenez
Phone
210-593-5265
Email
isabel.jimenez@startsa.com
First Name & Middle Initial & Last Name & Degree
Amita Patnaik
Facility Name
Institut Gustave Roussy
City
Villejuif Cedex
State/Province
Other
ZIP/Postal Code
94805
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Antoine Hollebecque
Facility Name
Hospital HM Nou Delfos
City
Barcelona
State/Province
Other
ZIP/Postal Code
08023
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tatiana Carolina Hernandez Guerrero
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
State/Province
Other
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Garralda Cabanas
Facility Name
Hospital Universitario HM Sanchinarro
City
Madrid
State/Province
Other
ZIP/Postal Code
28050
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Emiliano Calvo
Facility Name
Hospital Universitario Marques de Valdecilla
City
Santander
State/Province
Other
ZIP/Postal Code
39008
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fernando Rivera Herrero
Facility Name
University Hospital Lausanne CHUV
City
Lausanne
State/Province
Other
ZIP/Postal Code
1011
Country
Switzerland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Solange Peters
Facility Name
Sarah Cannon Research Institute UK
City
London
State/Province
Other
ZIP/Postal Code
W1G 6AD
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elisa Fontana
Facility Name
The Royal Marsden Hospital (Surrey)
City
Sutton
State/Province
Other
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juanita Lopez

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of SGN-B6A in Advanced Solid Tumors

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