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A Study of NM21-1480 in Adult Patients With Advanced Solid Tumors

Primary Purpose

Advanced Solid Tumor, Non-small Cell Lung Cancer, Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
NM21-1480
Sponsored by
Numab Therapeutics AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring Carcinoma, Neoplasms

Eligibility Criteria

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

Inclusion Criteria:

Part A

  • Patients with any previously treated solid tumor-type other than hepatocellular carcinoma or intrahepatic cholangiocarcinoma that is advanced, or recurrent and progressing since last anti-tumor therapy, and for which no alternative, standard therapy exists.
  • Prior chemotherapy, radiation therapy or immunotherapy must have been completed at least 4 weeks prior to the administration of the first dose of study drug, and patient has recovered

Part B:

  • Patients with Non-small Cell Lung Cancer (NSCLC) or other protocol-specified solid tumors with locally advanced or metastatic, non-resectable disease, which has progressed despite treatment with first-line standard-of-care treatment, or first- and second-line treatment, dependent on expansion cohort.
  • Prior therapy must have been completed 2-4 weeks prior to the administration of the first dose of study drug as specified per protocol according to type of prior therapy.

Exclusion Criteria:

  • Patient previously had known immediate or delayed hypersensitivity reaction or idiosyncrasy to the excipients
  • Part A: Treatment with any PD-1, or Cytotoxic T-Lymphocyte Associated Protein (CTLA)-4 directed antibody, or with any other immunotherapy within 4 weeks prior to initiation of the study drug.
  • Part A: Use of other biological investigational drugs (drugs not marketed for any indication), including use of investigational drugs targeting CD137/4-1BB within at least 5 half-lives (or within 8 weeks, whatever is longer) prior to the administration of the first dose of study drug.
  • Part B: As defined per protocol for each expansion cohort, has not been treated with specified first/second-line standard-of-care therapies biological drugs (marketed or investigational) for treatment of the current cancer, or has not adequately recovered from AEs that occurred with prior therapy.
  • Patient has an active autoimmune disease or a documented history of autoimmune disease.

Sites / Locations

  • Augusta University Medical CenterRecruiting
  • Tulane University Medical CenterRecruiting
  • Henry Ford Health SystemRecruiting
  • St. Joseph Mercy HospitalRecruiting
  • Montefiore Medical CenterRecruiting
  • NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute)Recruiting
  • Thomas Jefferson UniversityRecruiting
  • UPMC Hillman Cancer CenterRecruiting
  • Medical University of South Carolina (MUSC)Recruiting
  • Sarah Cannon Cancer CenterRecruiting
  • The University Of Texas MD Anderson Cancer CenterRecruiting
  • Virginia Cancer SpecialistsRecruiting
  • Hospital Universitario de A CorunaRecruiting
  • Hospital General Universitario de ElcheRecruiting
  • Complejo Hospitalario de JaenRecruiting
  • Centro Integral Oncologico Clara CampalRecruiting
  • Clinica Universidad de Navarra - MadridRecruiting
  • Hospital Universitario Virgen de la VictoriaRecruiting
  • Hospital Universitario Son LlatzerRecruiting
  • Clinica Universidad de Navarra - PamplonaRecruiting
  • Hospital Universitario Virgen MacarenaRecruiting
  • Hospital Universitari i Politecnic La FeRecruiting
  • National Taiwan University HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

NM21-1480 Treatment arm

Arm Description

Outcomes

Primary Outcome Measures

Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Frequency and severity of adverse events
Maximum Tolerated Dose (MTD) of NM21-1480
To determine the MTD of NM21-1480
Determination of Phase 2 dose of NM21-1480
To determine the recommended Phase 2 dose of NM21-1480 for Part B of the study
To determine the anti-tumor activity (Best Overall Response) of NM21-1480 according to RECIST 1.1
To determine the anti-tumor activity (Overall Response Rate) of NM21-1480 according to RECIST 1.1

Secondary Outcome Measures

Assessment of the maximum observed serum concentration determined by direct inspection of the concentration versus time data (Cmax)
Assessment of the the minimum observed serum concentration determined by direct inspection of the concentration versus time data (Cmin)
Assessment of the time from dosing at which Cmax is apparent determined by direct inspection of the concentration versus time data (Tmax)
Assessment of the terminal phase (apparent elimination) rate constant (λz)
Assessment of the elimination half-life (t½)
Assessment of the area under the serum concentration-time curve extrapolated from the last quantifiable concentration to infinity (AUC[0-infinity])
Assessment of the area under serum concentration-time curve over dosing interval (AUCtau)
Assessment of the clearance (CL)
Assessment of the volume of distribution (Vd)
Assessment of the frequency of specific anti-drug antibodies to NM21-1480
To determine the anti-tumor activity (Disease Control Rate) of NM21-1480 according to RECIST 1.1
To determine the anti-tumor activity (Duration of Response) of NM21-1480 according to RECIST 1.1
To determine the anti-tumor activity (Time-to-response) of NM21-1480 according to RECIST 1.1
To determine the anti-tumor activity (Progression-free survival) of NM21-1480 according to RECIST 1.1
To determine the anti-tumor activity (Overall Survival) of NM21-1480 according to RECIST 1.1

Full Information

First Posted
June 18, 2020
Last Updated
January 13, 2023
Sponsor
Numab Therapeutics AG
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1. Study Identification

Unique Protocol Identification Number
NCT04442126
Brief Title
A Study of NM21-1480 in Adult Patients With Advanced Solid Tumors
Official Title
A Phase 1/2 Study of NM21-1480 (Anti-PDL-1/Anti-4-1BB/Anti-HSA Tri-Specific Antibody) in Adult Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
January 2024 (Anticipated)
Study Completion Date
January 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Numab Therapeutics AG

4. Oversight

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

5. Study Description

Brief Summary
This is a first-in-human, open-label, multi-center, Phase 1/2, dose-escalation study with expansion cohorts to evaluate NM21-1480 for safety and immunogenicity, to determine the maximal tolerated dose and recommended Phase 2 dose, define the pharmacokinetics, to explore the pharmacodynamics, and to obtain preliminary evidence of the clinical activity in adult patients with selected advanced solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Non-small Cell Lung Cancer, Colorectal Cancer, Squamous Cell Carcinoma, Ovarian Carcinoma, Peritoneal Carcinoma, Fallopian Tube Cancer, Head and Neck Squamous Cell Carcinoma, Triple Negative Breast Cancer
Keywords
Carcinoma, Neoplasms

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
406 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
NM21-1480 Treatment arm
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
NM21-1480
Intervention Description
Trispecific anti-PD-L1/anti-4-1BB/anti-Human Serum Albumin (HSA) single-chain Fv fusion protein
Primary Outcome Measure Information:
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Description
Frequency and severity of adverse events
Time Frame
Up to 3 years
Title
Maximum Tolerated Dose (MTD) of NM21-1480
Description
To determine the MTD of NM21-1480
Time Frame
Up to 3 years
Title
Determination of Phase 2 dose of NM21-1480
Description
To determine the recommended Phase 2 dose of NM21-1480 for Part B of the study
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Best Overall Response) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Overall Response Rate) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Secondary Outcome Measure Information:
Title
Assessment of the maximum observed serum concentration determined by direct inspection of the concentration versus time data (Cmax)
Time Frame
Up to 3 years
Title
Assessment of the the minimum observed serum concentration determined by direct inspection of the concentration versus time data (Cmin)
Time Frame
Up to 3 years
Title
Assessment of the time from dosing at which Cmax is apparent determined by direct inspection of the concentration versus time data (Tmax)
Time Frame
Up to 3 years
Title
Assessment of the terminal phase (apparent elimination) rate constant (λz)
Time Frame
Up to 3 years
Title
Assessment of the elimination half-life (t½)
Time Frame
Up to 3 years
Title
Assessment of the area under the serum concentration-time curve extrapolated from the last quantifiable concentration to infinity (AUC[0-infinity])
Time Frame
Up to 3 years
Title
Assessment of the area under serum concentration-time curve over dosing interval (AUCtau)
Time Frame
Up to 3 years
Title
Assessment of the clearance (CL)
Time Frame
Up to 3 years
Title
Assessment of the volume of distribution (Vd)
Time Frame
Up to 3 years
Title
Assessment of the frequency of specific anti-drug antibodies to NM21-1480
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Disease Control Rate) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Duration of Response) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Time-to-response) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Progression-free survival) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years
Title
To determine the anti-tumor activity (Overall Survival) of NM21-1480 according to RECIST 1.1
Time Frame
Up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Part A Patients with any previously treated solid tumor-type other than hepatocellular carcinoma or intrahepatic cholangiocarcinoma that is advanced, or recurrent and progressing since last anti-tumor therapy, and for which no alternative, standard therapy exists. Prior chemotherapy, radiation therapy or immunotherapy must have been completed at least 4 weeks prior to the administration of the first dose of study drug, and patient has recovered Part B: Patients with Non-small Cell Lung Cancer (NSCLC) or other protocol specified solid tumors with locally advanced or metastatic, non-resectable disease, which has progressed despite treatment with first-line standard of-care treatment, or first- and second-line treatment, dependent on expansion cohort. Prior therapy must have been completed 2-4 weeks prior to the administration of the first dose of study drug as specified per protocol according to type of prior therapy Exclusion Criteria: Patient previously had known immediate or delayed hypersensitivity reaction or idiosyncrasy to the excipients Part A: Treatment with any PD-1, or Cytotoxic T-Lymphocyte Associated Protein (CTLA)-4 directed antibody, or with any other immunotherapy within 4 weeks prior to initiation of the study drug. Part A: Use of other biological investigational drugs (drugs not marketed for any indication), including use of investigational drugs targeting CD137/4-1BB within at least 5 half-lives (or within 8 weeks, whatever is longer) prior to the administration of the first dose of study drug. Part B: As defined per protocol for each expansion cohort, has not been treated with specified first/second-line standard-of-care therapies biological drugs (marketed or investigational) for treatment of the current cancer, or has not adequately recovered from AEs that occurred with prior therapy. Patient has an active autoimmune disease or a documented history of autoimmune disease.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Peter Lichtlen, MD, PhD, BBA
Phone
+41-44-533-22-92
Email
clinicaltrials@numab.com
Facility Information:
Facility Name
Augusta University Medical Center
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sharad Ghamande
Phone
706-721-2535
Email
sghamande@augusta.edu
Facility Name
Tulane University Medical Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mark Sides
Phone
504-988-6121
Email
msides@tulane.edu
Facility Name
Henry Ford Health System
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shirish Gadgeel
Phone
734-647-6883
Email
sgadgee1@hfhs.org
Facility Name
St. Joseph Mercy Hospital
City
Ypsilanti
State/Province
Michigan
ZIP/Postal Code
48197
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tareq Al Baghdadi
Phone
734-712-1000
Email
tareq_albaghdadi@ihacares.com
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10461-2374
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Balazs Halmos
Phone
718-405-8404
Email
bahalmos@montefiore.org
Facility Name
NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute)
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elaine Shum
Phone
212-731-6363
Email
Elaine.Shum@nyulangone.org
Facility Name
Thomas Jefferson University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Johnson
Phone
215-955-8875
Email
jennifer.m.johnson@jefferson.edu
Facility Name
UPMC Hillman Cancer Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jason Luke
Phone
412-623-4511
Email
lukejj@upmc.edu
Facility Name
Medical University of South Carolina (MUSC)
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Brian Orr
Phone
843-792-1634
Email
orrb@musc.edu
Facility Name
Sarah Cannon Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Melissa L. Johnson, MD
Phone
615-524-4195
Email
mjohnson@tnonc.com
Facility Name
The University Of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David S Hong, MD
Phone
713-563-7930
Email
dshong@mdanderson.org
Facility Name
Virginia Cancer Specialists
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alexander Spira
Phone
703-280-5390
Email
alexander.spira@usoncology.com
Facility Name
Hospital Universitario de A Coruna
City
A Coruña
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joaquin Mosquera Martine
Phone
34981178000
Email
joaquin.mosquera.martinez@sergas.es
Facility Name
Hospital General Universitario de Elche
City
Elche
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Guirado Risueno
Phone
966616250
Email
mguiradorisu@gmail.com
Facility Name
Complejo Hospitalario de Jaen
City
Jaén
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ana-Laura Ortega Granados
Phone
953220306
Email
analauraortega@gmail.com
Facility Name
Centro Integral Oncologico Clara Campal
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Jose de Miguel Luken
Phone
917567825
Email
maria.demiguel@startmadrid.com
Facility Name
Clinica Universidad de Navarra - Madrid
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ignacio Melero
Email
imelero@unav.es
Facility Name
Hospital Universitario Virgen de la Victoria
City
Málaga
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Medina Rodriguez
Phone
0034 951 032 250
Email
laura.medina@ibima.eu
Facility Name
Hospital Universitario Son Llatzer
City
Palma De Mallorca
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juan Coves Sarto
Email
jcoves@hsll.es
Facility Name
Clinica Universidad de Navarra - Pamplona
City
Pamplona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ignacio Melero
Email
imelero@unav.es
Facility Name
Hospital Universitario Virgen Macarena
City
Sevilla
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Vicente Baz
Phone
954712941
Email
dvicentebaz@yahoo.es
Facility Name
Hospital Universitari i Politecnic La Fe
City
Valencia
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Oscar Juan Vidal
Phone
961245872
Email
juan_osc@gva.es
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
James Chih-Hsin Yang, MD, PhD
Phone
02-23123456
Ext
67511
Email
chihyang@ntu.edu.tw

12. IPD Sharing Statement

Learn more about this trial

A Study of NM21-1480 in Adult Patients With Advanced Solid Tumors

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