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Study of WM-A1-3389 in Participants With Advanced or Metastatic Solid Tumors and Non-Small Cell Lung Cancer

Primary Purpose

Advanced Solid Tumor, Metastatic Solid Tumor, Lung Cancer

Status
Not yet recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
WM-A1-3389
Pembrolizumab
Sponsored by
Wellmarker Bio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor

Eligibility Criteria

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

Inclusion Criteria: [Stage 1: monotherapy] Be ≥19 years of age histologically or cytologically confirmed diagnosis of unresectable advanced or metastatic solid tumors which has progressed after treatment with standard therapy(s) or for which no further standard therapy is available due to intolerance or incompatibility to standard therapies IGSF1 positive expression Have at least one measurable lesion based on RECIST v1.1 Have ECOG performance status of 0 or 1 Have life expectancy of at least 12 weeks Have adequate organ functions defined as follow (examination with abnormal result may be retested once while the screening phase is underway) Absolute neutrophil count (ANC) ≥ 1500/mm3 Platelet count ≥ 100,000/mm3 Hemoglobin (Hb) ≥ 9 g/dL Total bilirubin ≤ 1.5 X Institutional Upper Limit of Normal (IULN) (this does not apply to patients with Gilbert's syndrome.) Serum creatinine ≤ 1.5 X IULN Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT) ≤ 2.5 X IULN (or, if liver metastasis is found, AST and ALT ≤ 5 X IULN) Prothrombin time (PT) ≤ 1.5 X IULN *IULN: Institutional Upper Limit of Normal Have agreed to provide archival tumor sample collected within 3 months before screening or conduct tumor biopsy at pre-treatment Have agreed to receive up to two on-treatment biopsies Have expressed his/her voluntary agreement and provide written informed consent based on an understanding of the sufficient information to the study. [Stage 2: Combination therapy] Be ≥ 19 years of age histologically or cytologically confirmed diagnosis of unresectable advanced or metastatic NSCLC has progressed after standard therapy(s) or no further standard therapy is available due to intolerance or incompatibility to standard therapies has progressed during or after anticancer therapy with anti-PD-1/L1 IGSF1 positive expression PD-L1 low or negative expression (TPS < 50%) Have at least one measurable lesion based on RECIST v1.1 Have ECOG performance status score of 0 or 1 Have life expectancy of at least 12 weeks Have adequate organ functions defined as follow (examination with abnormal result may be retested once while the screening phase is underway) Absolute neutrophil count (ANC) ≥ 1500/mm3 Platelet count ≥ 100,000/mm3 Hemoglobin (Hb) ≥ 9 g/dL Total bilirubin ≤ 1.5 X IULN (this does not apply to patients with Gilbert's syndrome.) Serum creatinine ≤ 1.5 X IULN Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT) ≤ 2.5 X IULN (or, if liver metastasis is found, AST and ALT ≤ 5 X IULN) Prothrombin time (PT) ≤ 1.5 X IULN *IULN: Institutional Upper Limit of Normal Have agreed to provide archival tumor sample collected within 3 months before screening or conduct tumor biopsy at pre-treatment Have agreed to receive up to two on-treatment biopsies Have expressed his/her voluntary agreement and provide written informed consent based on an understanding of the sufficient information to the study. Exclusion Criteria: [Common] Have experienced hypersensitivity to Investigational Product (IP), any of its excipients or other monoclonal antibody Have a history of diseases, surgical procedure, or operation as below Other primary malignant tumor (subject neither having received any treatment nor experienced the disease progression within 3 years can be enrolled) or hematologic malignancy Major surgery within 4 weeks or minor surgery within 2 weeks before the IP administration Clinically significant arrhythmia, acute myocardial infarction, unstable angina or New York Heart Association (NYHA) class Ⅲ or Ⅳ heart failure within 6 months before IP administration Severe cerebrovascular disease within 6 months before IP administration Pulmonary thrombosis, deep vein thrombosis, bronchial asthma, obstructive pulmonary disease, other severe or life-threatening pulmonary diseases (e.g., acute respiratory distress syndrome, lung failure), considered inappropriate for the subject, within 6 months before IP administration Infection that requires systemic antibiotics, antiviral agents, etc. or Grade 3 or severer active infectious disease within 2 weeks before IP administration Risk factors of ileus or gastrointestinal perforation (including but not limited to acute diverticulitis, intra-abdominal abscess or abdominal carcinomatosis) Auto-immune diseases Have any of the following diseases Metastasis to the central nervous system that is uncontrolled or with clinically significant symptoms (unless systemic use of corticosteroid is stopped 4 weeks before IP administration, and clinically stable over 4 weeks) Abnormal ECG regarded as clinically significant by the investigator Uncontrolled hypertension (systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg) Active infection that requires treatment Active hepatitis B or C virus Human immunodeficiency virus infection (HIV) positive Symptomatic ascites or pleural effusion (unless clinically stable after treatment) Any diseases affecting the results of the study, deemed by investigator Have history of medications or therapies as follow Anticancer therapy such as chemotherapy, hormone therapy, targeted therapy and radiation therapy within the past 4 weeks from IP administration Immunotherapy such as anti-PD-1/L1 or anti-cytotoxic T-lymphocyte associated protein 4 (CTLA-4) within the past 4 weeks from IP administration Live attenuated vaccine within the past 4 weeks from IP administration Immunosuppressants or immunomodulators within the past 4 weeks from IP administration (except for immunosuppressants used in prevention or treatment of adverse events, nonsystemic corticosteroids, prednisolone 10 mg/day or under equivalent dose of systemic corticosteroids) Bone marrow or organ transplantation Pregnant women, lactating women or any men/women in child-bearing age who are not willing to maintain sexual abstinence or use appropriate contraceptive method*, or do not consent to refrain from donation sperm/ova for at least 6 months from the date of IP administration * Appropriate contraceptive method Oral or injectable hormone therapy Intrauterine device or system implant Male or female sterilization (vasectomy, tubal ligation, etc.) Have received any other IP or implantation of investigational medical device within the past 4 weeks from IP administration Inappropriate or impossible to participate in the study, deemed by investigator

Sites / Locations

  • Seoul St. Mary's Hospital
  • Incheon St. Mary's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Dose escalation (Stage 1)

Dose escalation (Stage 2)

Arm Description

WM-A1-3389 administered intravenously, weekly for 21 days of each cycle

WM-A1-3389 administered intravenously, weekly for 21 days of each cycle Pembrolizumab 200 mg administered intravenously, every 3 weeks for 21 days of each cycle

Outcomes

Primary Outcome Measures

Incidence of Dose Limit Toxicities (DLT)
Number of Participants Who Experienced an Adverse Event (AE)
Frequency of dose discontinuation and dose reduction due to ADRs

Secondary Outcome Measures

Objective response rate (ORR) based on Response Evaluation Criteria in Solid Tumor (RECIST) v1.1
Disease control rate (DCR) based on RECIST v1.1
Disease control rate (DCR) based on Immune RECIST (iRECIST)
Duration of response (DOR) based on RECIST v1.1
Duration of response (DOR) based on iRECIST
Overall survival (OS)
Progression free survival (PFS) based on RECIST v1.1
Progression free survival (PFS) based on iRECIST
Target tumor size
Maximum rate of change in the sum of the maximum length of the target lesion For target tumor size, the number of subjects, average, standard deviation, median, minimum, and maximum values by each dosing group are presented.
Time to progression (TTP), time to response (TTR), time to failure (TTF), and other assessable efficacy endpoints
Maximum Concentration (Cmax) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Maximum Concentration at steady state (Cmax,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Minimum Concentration (Cmin) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Minimum Concentration at steady state (Cmin,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Average Concentration at steady state (Cav,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Area under the curve (AUC) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Area under the curve (AUC) from 0 to infinity of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time to maximum concentration of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time to maximum concentration at steady state of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Half life of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Peak trough fluctuation (PTF) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Accumulation ratio (AR) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Clearance rate (CL) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Volume of distribution (Vz) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Number of participants with anti-WM-A1-3389 antibodies (Stage 1 only)

Full Information

First Posted
April 19, 2023
Last Updated
May 14, 2023
Sponsor
Wellmarker Bio
Collaborators
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05872867
Brief Title
Study of WM-A1-3389 in Participants With Advanced or Metastatic Solid Tumors and Non-Small Cell Lung Cancer
Official Title
An Open-label, Dose-escalation, Phase 1 Study to Investigate the Safety and Tolerability of WM-A1-3389, in Combination With Pembrolizumab in Patients With Advanced or Metastatic Solid Tumors and Non-Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 1, 2023 (Anticipated)
Primary Completion Date
September 1, 2025 (Anticipated)
Study Completion Date
September 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wellmarker Bio
Collaborators
Merck Sharp & Dohme LLC

4. Oversight

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

5. Study Description

Brief Summary
The purpose of the present study is to determine the safety, tolerability, and efficacy of WM-A1-3389 in combination with pembrolizumab in participants with advanced or metastatic solid tumors and non-small cell lung cancer (NSCLC).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Metastatic Solid Tumor, Lung Cancer, Colorectal Cancer, Pancreatic Cancer, Cholangiocarcinoma, Head and Neck Cancer, Non Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
54 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose escalation (Stage 1)
Arm Type
Experimental
Arm Description
WM-A1-3389 administered intravenously, weekly for 21 days of each cycle
Arm Title
Dose escalation (Stage 2)
Arm Type
Experimental
Arm Description
WM-A1-3389 administered intravenously, weekly for 21 days of each cycle Pembrolizumab 200 mg administered intravenously, every 3 weeks for 21 days of each cycle
Intervention Type
Biological
Intervention Name(s)
WM-A1-3389
Intervention Description
Anti-IGSF1 (Immunoglobulin superfamily member 1)
Intervention Type
Biological
Intervention Name(s)
Pembrolizumab
Other Intervention Name(s)
KEYTRUDA®
Intervention Description
Anti-PD-1(Programmed cell death protein 1)
Primary Outcome Measure Information:
Title
Incidence of Dose Limit Toxicities (DLT)
Time Frame
At the end of Cycle 1 (each cycle is 21 days)
Title
Number of Participants Who Experienced an Adverse Event (AE)
Time Frame
Up to 6 Cycles (18 weeks)
Title
Frequency of dose discontinuation and dose reduction due to ADRs
Time Frame
Up to 6 Cycles (18 weeks)
Secondary Outcome Measure Information:
Title
Objective response rate (ORR) based on Response Evaluation Criteria in Solid Tumor (RECIST) v1.1
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Disease control rate (DCR) based on RECIST v1.1
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Disease control rate (DCR) based on Immune RECIST (iRECIST)
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Duration of response (DOR) based on RECIST v1.1
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Duration of response (DOR) based on iRECIST
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Overall survival (OS)
Time Frame
every 12 weeks after EOT (18 weeks)
Title
Progression free survival (PFS) based on RECIST v1.1
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Progression free survival (PFS) based on iRECIST
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Target tumor size
Description
Maximum rate of change in the sum of the maximum length of the target lesion For target tumor size, the number of subjects, average, standard deviation, median, minimum, and maximum values by each dosing group are presented.
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Time to progression (TTP), time to response (TTR), time to failure (TTF), and other assessable efficacy endpoints
Time Frame
Screening, Subsequent Cycles (every 6 weeks), EOT (up to 18 weeks)
Title
Maximum Concentration (Cmax) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Maximum Concentration at steady state (Cmax,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Minimum Concentration (Cmin) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Minimum Concentration at steady state (Cmin,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Average Concentration at steady state (Cav,ss) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Area under the curve (AUC) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Area under the curve (AUC) from 0 to infinity of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Time to maximum concentration of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Time to maximum concentration at steady state of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Half life of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Peak trough fluctuation (PTF) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Accumulation ratio (AR) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Clearance rate (CL) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Volume of distribution (Vz) of WM-A1-3389 or WM-A1-3389 with Pembrolizumab
Time Frame
Cycle 1, Cycle 2, Subsequent Cycles up to EOT (up to 18 weeks)
Title
Number of participants with anti-WM-A1-3389 antibodies (Stage 1 only)
Time Frame
Up to EOT (up to 18 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: [Stage 1: monotherapy] Be ≥19 years of age histologically or cytologically confirmed diagnosis of unresectable advanced or metastatic solid tumors which has progressed after treatment with standard therapy(s) or for which no further standard therapy is available due to intolerance or incompatibility to standard therapies IGSF1 positive expression Have at least one measurable lesion based on RECIST v1.1 Have ECOG performance status of 0 or 1 Have life expectancy of at least 12 weeks Have adequate organ functions defined as follow (examination with abnormal result may be retested once while the screening phase is underway) Absolute neutrophil count (ANC) ≥ 1500/mm3 Platelet count ≥ 100,000/mm3 Hemoglobin (Hb) ≥ 9 g/dL Total bilirubin ≤ 1.5 X Institutional Upper Limit of Normal (IULN) (this does not apply to patients with Gilbert's syndrome.) Serum creatinine ≤ 1.5 X IULN Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT) ≤ 2.5 X IULN (or, if liver metastasis is found, AST and ALT ≤ 5 X IULN) Prothrombin time (PT) ≤ 1.5 X IULN *IULN: Institutional Upper Limit of Normal Have agreed to provide archival tumor sample collected within 3 months before screening or conduct tumor biopsy at pre-treatment Have agreed to receive up to two on-treatment biopsies Have expressed his/her voluntary agreement and provide written informed consent based on an understanding of the sufficient information to the study. [Stage 2: Combination therapy] Be ≥ 19 years of age histologically or cytologically confirmed diagnosis of unresectable advanced or metastatic NSCLC has progressed after standard therapy(s) or no further standard therapy is available due to intolerance or incompatibility to standard therapies has progressed during or after anticancer therapy with anti-PD-1/L1 IGSF1 positive expression PD-L1 low or negative expression (TPS < 50%) Have at least one measurable lesion based on RECIST v1.1 Have ECOG performance status score of 0 or 1 Have life expectancy of at least 12 weeks Have adequate organ functions defined as follow (examination with abnormal result may be retested once while the screening phase is underway) Absolute neutrophil count (ANC) ≥ 1500/mm3 Platelet count ≥ 100,000/mm3 Hemoglobin (Hb) ≥ 9 g/dL Total bilirubin ≤ 1.5 X IULN (this does not apply to patients with Gilbert's syndrome.) Serum creatinine ≤ 1.5 X IULN Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT) ≤ 2.5 X IULN (or, if liver metastasis is found, AST and ALT ≤ 5 X IULN) Prothrombin time (PT) ≤ 1.5 X IULN *IULN: Institutional Upper Limit of Normal Have agreed to provide archival tumor sample collected within 3 months before screening or conduct tumor biopsy at pre-treatment Have agreed to receive up to two on-treatment biopsies Have expressed his/her voluntary agreement and provide written informed consent based on an understanding of the sufficient information to the study. Exclusion Criteria: [Common] Have experienced hypersensitivity to Investigational Product (IP), any of its excipients or other monoclonal antibody Have a history of diseases, surgical procedure, or operation as below Other primary malignant tumor (subject neither having received any treatment nor experienced the disease progression within 3 years can be enrolled) or hematologic malignancy Major surgery within 4 weeks or minor surgery within 2 weeks before the IP administration Clinically significant arrhythmia, acute myocardial infarction, unstable angina or New York Heart Association (NYHA) class Ⅲ or Ⅳ heart failure within 6 months before IP administration Severe cerebrovascular disease within 6 months before IP administration Pulmonary thrombosis, deep vein thrombosis, bronchial asthma, obstructive pulmonary disease, other severe or life-threatening pulmonary diseases (e.g., acute respiratory distress syndrome, lung failure), considered inappropriate for the subject, within 6 months before IP administration Infection that requires systemic antibiotics, antiviral agents, etc. or Grade 3 or severer active infectious disease within 2 weeks before IP administration Risk factors of ileus or gastrointestinal perforation (including but not limited to acute diverticulitis, intra-abdominal abscess or abdominal carcinomatosis) Auto-immune diseases Have any of the following diseases Metastasis to the central nervous system that is uncontrolled or with clinically significant symptoms (unless systemic use of corticosteroid is stopped 4 weeks before IP administration, and clinically stable over 4 weeks) Abnormal ECG regarded as clinically significant by the investigator Uncontrolled hypertension (systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg) Active infection that requires treatment Active hepatitis B or C virus Human immunodeficiency virus infection (HIV) positive Symptomatic ascites or pleural effusion (unless clinically stable after treatment) Any diseases affecting the results of the study, deemed by investigator Have history of medications or therapies as follow Anticancer therapy such as chemotherapy, hormone therapy, targeted therapy and radiation therapy within the past 4 weeks from IP administration Immunotherapy such as anti-PD-1/L1 or anti-cytotoxic T-lymphocyte associated protein 4 (CTLA-4) within the past 4 weeks from IP administration Live attenuated vaccine within the past 4 weeks from IP administration Immunosuppressants or immunomodulators within the past 4 weeks from IP administration (except for immunosuppressants used in prevention or treatment of adverse events, nonsystemic corticosteroids, prednisolone 10 mg/day or under equivalent dose of systemic corticosteroids) Bone marrow or organ transplantation Pregnant women, lactating women or any men/women in child-bearing age who are not willing to maintain sexual abstinence or use appropriate contraceptive method*, or do not consent to refrain from donation sperm/ova for at least 6 months from the date of IP administration * Appropriate contraceptive method Oral or injectable hormone therapy Intrauterine device or system implant Male or female sterilization (vasectomy, tubal ligation, etc.) Have received any other IP or implantation of investigational medical device within the past 4 weeks from IP administration Inappropriate or impossible to participate in the study, deemed by investigator
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
HEEJIN LEE
Phone
+82-2-6933-5841
Email
hjlee@wmbio.co
Facility Information:
Facility Name
Seoul St. Mary's Hospital
City
Seoul
State/Province
Seocho-gu
ZIP/Postal Code
06591
Country
Korea, Republic of
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Seong-Joon Kim
Facility Name
Incheon St. Mary's Hospital
City
Incheon
State/Province
Yeonsu-gu
ZIP/Postal Code
21999
Country
Korea, Republic of
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ju Sang Kim

12. IPD Sharing Statement

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Study of WM-A1-3389 in Participants With Advanced or Metastatic Solid Tumors and Non-Small Cell Lung Cancer

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