A Study of SGN-B6A in Advanced Solid Tumors
Carcinoma, Non-Small Cell Lung, Squamous Cell Carcinoma of Head and Neck, HER2 Negative Breast Neoplasms
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
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
Experimental
Experimental
Experimental
Experimental
Experimental
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
SGN-B6A monotherapy
SGN-B6A monotherapy
SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)
SGN-B6A + pembrolizumab +/- (carboplatin)
SGN-B6A + pembrolizumab +/- (carboplatin or cisplatin)