IMA401 TCER® in Recurrent and/or Refractory Solid Tumors
Primary Purpose
Refractory Cancer, Recurrent Cancer, Solid Tumor, Adult
Status
Recruiting
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
IMA401 (Phase Ia)
IMA401 (Phase Ib)
Sponsored by
About this trial
This is an interventional treatment trial for Refractory Cancer
Eligibility Criteria
Inclusion Criteria:
- Patients must have voluntarily signed a written ICF, be able to understand and comply with clinical trial procedures
- Patients ≥ 18 years old
- Patients must have pathologically confirmed and documented advanced and/or metastatic solid tumor
- Confirmed HLA status and IMA401 tumor target MAGEA4/8 expression (IMADetect®)
- Life expectancy > 2 months
- ECOG Performance Status of 0 to 2
- Measurable disease according to RECIST 1.1
- Adequate baseline hematologic, renal and hepatic function; acceptable coagulation status
- Patients must have recurrent and/or refractory solid tumors and must have received or not be eligible for all available indicated standard of care treatments
- The patient must have recovered from any side effects of prior therapy to Grade 1 or lower (except for non-clinically significant toxicities; e.g., alopecia, vitiligo) prior to treatment start. As determined by the investigator, the patient may still be eligible if the patient has not fully recovered from Grade ≥ 2 toxicities, in case if these toxicities are not anticipated to further improve (e.g., chronic peripheral neuropathy) and such toxicities are not anticipated to worsen with the IMA401 therapy
Exclusion Criteria:
- Other active malignancies that require treatment or that might interfere with the trial endpoints (ongoing adjuvant anti-hormonal treatment is allowed)
- History of hypersensitivity to components of IMA401 or rescue medications, if no alternative treatment option is available
- Patients with prior allogeneic stem cell transplantation or organ transplantation
- Patients with autoimmune diseases needing disease-directed treatment
- Any serious or uncontrolled health condition, which, in the opinion of the Investigator, would place the subject at undue risk from the study, impair the ability of the subject to receive protocol specified therapy, or interfere with the interpretation of study results
- Active infection by human immunodeficiency virus, hepatitis B or C
- Patients with any clinically relevant, active viral infection
- Systemic corticosteroids (≥ 10 mg/day prednisone or equivalent) received 2 weeks prior to starting IMA401 therapy
- Patients with active brain metastases
Sites / Locations
- Universitätklinikum Tübingen Comprehensive Cancer Center TübingenRecruiting
- Universitätsklinikum FreiburgRecruiting
- Heidelberg University Hospital (UKHD) Nationales Zentrum für TumorkrankheitenRecruiting
- Universitätsklinikum Ulm Zentrum für Innere Medizin Klinik für Innere Medizin III Clinical Trials Unit (CTU)Recruiting
- Universitätsklinikum Erlangen Interdisciplinary Clinical Trial Unit with ECTURecruiting
- Klinikum rechts der Isar der TU MünchenRecruiting
- Klinikum NürnbergRecruiting
- Universitätsklinikum RegensburgRecruiting
- Universitätsklinikum Würzburg Medizinische Klinik und Poliklinik II Interdisziplinäres Studienzentrum mit ECTURecruiting
- Universitätsklinikum MünsterRecruiting
- Universitätsklinikum BonnRecruiting
- Marien Hospital DüsseldorfRecruiting
- Universitätsmedizin der Johannes Gutenberg-Universität MainzRecruiting
- Klinikum Chemnitz Klinik für Innere Medizin IIIRecruiting
- Universitätsklinikum C. - G. - Carus Universitäts KrebsCentrum Bereich: Early Clinical Trial UnitRecruiting
- Charité Benjamin FranklinRecruiting
- Universitäres Krebszentrum Leipzig (UCCL)Recruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Dose-Finding Escalation/De-escalation (Phase Ia) and Extension Part (Phase Ib)
Arm Description
Dose-Finding Escalation/De-escalation of IMA401 (Phase Ia) IMA401 monotherapy extension cohort following the determination of the recommended dose for extension (RDE) (Phase Ib)
Outcomes
Primary Outcome Measures
Number of patients with dose limiting toxicities
Secondary Outcome Measures
Number of patients with treatment-emergent adverse events (TEAEs)
Number of patients with serious TEAEs
Number of patients with treatment emergent adverse events of special interest (AESIs)
Frequency of dose interruptions and reductions
Duration of dose interruptions and reductions
Overall response rate (ORR) based on best overall response (BOR) of complete response (CR) and partial response (PR) locally assessed using RECIST v1.1 and iRECIST
Disease control rate (DCR) of CR, PR or stable disease (SD) lasting 6 or more weeks following the initiation of IMA401
Duration of response (DOR) of CR or PR based on RECIST v1.1 and iRECIST
Progression-free survival (PFS) based on RECIST v1.1 and iRECIST
Overall survival (OS)
Determination of PK parameter: maximal serum concentration (Cmax)
Determination of PK parameter: time at Cmax (Tmax)
Determination of PK parameter: minimal serum concentration (Cmin)
Determination of PK parameter: area under the serum concentration-time curve (AUC)
Determination of PK parameter: clearance (Cl)
Determination of PK parameter: volume of distribution (Vss)
Determination of PK parameter: half-life (t1/2)
Determination of PK parameter: assessment of dose-proportionality
Determination of PK parameter: steady-state attainment
Full Information
NCT ID
NCT05359445
First Posted
April 11, 2022
Last Updated
October 24, 2023
Sponsor
Immatics Biotechnologies GmbH
Collaborators
Bristol-Myers Squibb
1. Study Identification
Unique Protocol Identification Number
NCT05359445
Brief Title
IMA401 TCER® in Recurrent and/or Refractory Solid Tumors
Official Title
A Phase Ia/Ib First-In-Human Clinical Trial to Evaluate the Safety, Tolerability and Initial Anti-tumor Activity of IMA401, a Bispecific T Cell Engaging Receptor Molecule (TCER®), in Patients With Recurrent and/or Refractory Solid Tumors.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 19, 2022 (Actual)
Primary Completion Date
November 2025 (Anticipated)
Study Completion Date
November 2027 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immatics Biotechnologies GmbH
Collaborators
Bristol-Myers Squibb
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Primary objective:
To determine the maximum tolerated dose and/or recommended dose for extension for IMA401
Secondary objectives:
To characterize the safety and tolerability of IMA401
To evaluate initial anti-tumor activity of IMA401
To describe the pharmacokinetics of IMA401
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Refractory Cancer, Recurrent Cancer, Solid Tumor, Adult, Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Dose-Finding Escalation/De-escalation (Phase Ia) and Extension Part (Phase Ib)
Arm Type
Experimental
Arm Description
Dose-Finding Escalation/De-escalation of IMA401 (Phase Ia)
IMA401 monotherapy extension cohort following the determination of the recommended dose for extension (RDE) (Phase Ib)
Intervention Type
Biological
Intervention Name(s)
IMA401 (Phase Ia)
Intervention Description
Weekly intravenous infusions in escalating dose levels
Intervention Type
Biological
Intervention Name(s)
IMA401 (Phase Ib)
Intervention Description
Treatment at recommended dose for extension (RDE) with weekly intravenous infusion
Primary Outcome Measure Information:
Title
Number of patients with dose limiting toxicities
Time Frame
44 months
Secondary Outcome Measure Information:
Title
Number of patients with treatment-emergent adverse events (TEAEs)
Time Frame
68 months
Title
Number of patients with serious TEAEs
Time Frame
68 months
Title
Number of patients with treatment emergent adverse events of special interest (AESIs)
Time Frame
68 months
Title
Frequency of dose interruptions and reductions
Time Frame
68 months
Title
Duration of dose interruptions and reductions
Time Frame
68 months
Title
Overall response rate (ORR) based on best overall response (BOR) of complete response (CR) and partial response (PR) locally assessed using RECIST v1.1 and iRECIST
Time Frame
68 months
Title
Disease control rate (DCR) of CR, PR or stable disease (SD) lasting 6 or more weeks following the initiation of IMA401
Time Frame
68 months
Title
Duration of response (DOR) of CR or PR based on RECIST v1.1 and iRECIST
Time Frame
68 months
Title
Progression-free survival (PFS) based on RECIST v1.1 and iRECIST
Time Frame
68 months
Title
Overall survival (OS)
Time Frame
68 months
Title
Determination of PK parameter: maximal serum concentration (Cmax)
Time Frame
44 months
Title
Determination of PK parameter: time at Cmax (Tmax)
Time Frame
44 months
Title
Determination of PK parameter: minimal serum concentration (Cmin)
Time Frame
44 months
Title
Determination of PK parameter: area under the serum concentration-time curve (AUC)
Time Frame
44 months
Title
Determination of PK parameter: clearance (Cl)
Time Frame
44 months
Title
Determination of PK parameter: volume of distribution (Vss)
Time Frame
44 months
Title
Determination of PK parameter: half-life (t1/2)
Time Frame
44 months
Title
Determination of PK parameter: assessment of dose-proportionality
Time Frame
44 months
Title
Determination of PK parameter: steady-state attainment
Time Frame
44 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must have voluntarily signed a written ICF, be able to understand and comply with clinical trial procedures
Patients ≥ 18 years old
Patients must have pathologically confirmed and documented advanced and/or metastatic solid tumor
Confirmed HLA status and IMA401 tumor target MAGEA4/8 expression (IMADetect®)
Life expectancy > 2 months
ECOG Performance Status of 0 to 2
Measurable disease according to RECIST 1.1
Adequate baseline hematologic, renal and hepatic function; acceptable coagulation status
Patients must have recurrent and/or refractory solid tumors and must have received or not be eligible for all available indicated standard of care treatments
The patient must have recovered from any side effects of prior therapy to Grade 1 or lower (except for non-clinically significant toxicities; e.g., alopecia, vitiligo) prior to treatment start. As determined by the investigator, the patient may still be eligible if the patient has not fully recovered from Grade ≥ 2 toxicities, in case if these toxicities are not anticipated to further improve (e.g., chronic peripheral neuropathy) and such toxicities are not anticipated to worsen with the IMA401 therapy
Exclusion Criteria:
Other active malignancies that require treatment or that might interfere with the trial endpoints (ongoing adjuvant anti-hormonal treatment is allowed)
History of hypersensitivity to components of IMA401 or rescue medications, if no alternative treatment option is available
Patients with prior allogeneic stem cell transplantation or organ transplantation
Patients with autoimmune diseases needing disease-directed treatment
Any serious or uncontrolled health condition, which, in the opinion of the Investigator, would place the subject at undue risk from the study, impair the ability of the subject to receive protocol specified therapy, or interfere with the interpretation of study results
Positive for HIV or with active hepatitis B or C infection.
Patients with any clinically relevant, active infection
Systemic corticosteroids (≥ 10 mg/day prednisone or equivalent) received 2 weeks prior to starting IMA401 therapy
Patients with active brain metastases
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Immatics Biotechnologies GmbH
Phone
Please E-Mail
Email
Ctgovinquiries@immatics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Immatics Biotechnologies GmbH
Organizational Affiliation
Immatics Biotechnologies GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Universitätklinikum Tübingen Comprehensive Cancer Center Tübingen
City
Tübingen
State/Province
Baden-Wurttemberg
ZIP/Postal Code
72076
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Freiburg
City
Freiburg
State/Province
Baden-Württemberg
ZIP/Postal Code
79106
Country
Germany
Individual Site Status
Recruiting
Facility Name
Heidelberg University Hospital (UKHD) Nationales Zentrum für Tumorkrankheiten
City
Heidelberg
State/Province
Baden-Württemberg
ZIP/Postal Code
69120
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Ulm Zentrum für Innere Medizin Klinik für Innere Medizin III Clinical Trials Unit (CTU)
City
Ulm
State/Province
Baden-Württemberg
ZIP/Postal Code
89081
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Erlangen Interdisciplinary Clinical Trial Unit with ECTU
City
Erlangen
State/Province
Bavaria
ZIP/Postal Code
91054
Country
Germany
Individual Site Status
Recruiting
Facility Name
Klinikum rechts der Isar der TU München
City
Munich
State/Province
Bavaria
ZIP/Postal Code
81675
Country
Germany
Individual Site Status
Recruiting
Facility Name
Klinikum Nürnberg
City
Nürnberg
State/Province
Bavaria
ZIP/Postal Code
90419
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Regensburg
City
Regensburg
State/Province
Bavaria
ZIP/Postal Code
93053
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Würzburg Medizinische Klinik und Poliklinik II Interdisziplinäres Studienzentrum mit ECTU
City
Würzburg
State/Province
Bavaria
ZIP/Postal Code
97078
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Münster
City
Münster
State/Province
Lower Saxony
ZIP/Postal Code
48149
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Bonn
City
Bonn
State/Province
North Rhine-Westphalia
ZIP/Postal Code
53127
Country
Germany
Individual Site Status
Recruiting
Facility Name
Marien Hospital Düsseldorf
City
Düsseldorf
State/Province
North Rhine-Westphalia
ZIP/Postal Code
40479
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
City
Mainz
State/Province
North Rhine-Westphalia
ZIP/Postal Code
55131
Country
Germany
Individual Site Status
Recruiting
Facility Name
Klinikum Chemnitz Klinik für Innere Medizin III
City
Chemnitz
State/Province
Saxony
ZIP/Postal Code
09116
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum C. - G. - Carus Universitäts KrebsCentrum Bereich: Early Clinical Trial Unit
City
Dresden
State/Province
Saxony
ZIP/Postal Code
01307
Country
Germany
Individual Site Status
Recruiting
Facility Name
Charité Benjamin Franklin
City
Berlin
ZIP/Postal Code
12203
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitäres Krebszentrum Leipzig (UCCL)
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Individual Site Status
Recruiting
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
There is not a plan to make IPD available.
Links:
URL
http://immatics.com/
Description
Corporate Website
Learn more about this trial
IMA401 TCER® in Recurrent and/or Refractory Solid Tumors
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