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A Study of SGN-EGFRd2 in Advanced Solid Tumors

Primary Purpose

Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung, Squamous Cell Carcinoma of the Head and Neck

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
SGN-EGFRd2
Sponsored by
Seagen Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Neoplasms focused on measuring CRC, Colon Cancer, Rectal Cancer, NSCLC, HNSCC, PDAC, Seattle Genetics

Eligibility Criteria

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

Inclusion Criteria: Tumor types: For Part A: Participants must have disease that is relapsed, refractory, or be intolerant to standard of care therapies, and in the judgement of the investigator must have no appropriate standard therapy available at the time of enrollment. Participants must have histologically- or cytologically confirmed metastatic or unresectable solid malignancy from one of the following tumor types: Colorectal cancer (CRC) Non-small cell lung cancer (NSCLC) Head and neck squamous cell cancer (HNSCC) For Part B: Participants must have disease that is relapsed, refractory, or be intolerant to standard of care therapies, and in the judgement of the investigator must have no appropriate standard therapy available at the time of enrollment. The tumor type(s) to be enrolled in dose optimization will be identified by the sponsor from among those specified in Part A. For Part C: Participants must have disease that is relapsed or refractory or be intolerant to standard of care therapies as specified below, unless contraindicated: CRC Participants must have unresectable locally advanced or metastatic CRC. Prior therapy: Participants must have received prior fluoropyrimidine, oxaliplatin and irinotecan. Participants with defective mismatch repair and microsatellite instability high (dMMR/MSI-H) should have received prior treatment with pembrolizumab, a nivolumab-containing regimen, or other available anti-PD-1 (programmed cell death protein 1) or anti PD L1 (programmed cell death 1 ligand) agents. NSCLC Participants must have unresectable locally advanced or metastatic NSCLC. Prior therapy: Participants must have received platinum-based therapy and at least 1 PD-1/PD-L1 inhibitor. These agents may have been administered either as single agents or in combination. Participants with an activating mutation or rearrangement (eg, EGFR, anaplastic lymphoma kinase [ALK], etc.) must have received available targeted agents if eligible by biomarker status and local standard of care. HNSCC Participants must have unresectable locally advanced or metastatic HNSCC Prior therapy: Participants must have received platinum-based therapy and a PD-1/PD-L1 inhibitor, if eligible by biomarker status and local standard of care. These agents may have been administered either as single agents or in combination. Pancreatic ductal adenocarcinoma (PDAC) Participants must have unresectable locally advanced or metastatic PDAC. Prior therapy: Participants must have received gemcitabine- or FOLFIRINOX-based therapy. Participants should provide archival tumor tissue if available and also agree to biopsies, if medically feasible An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1. Measurable disease at baseline per RECIST 1.1 criteria. Exclusion Criteria: History of another malignancy within 3 years before the first dose of study treatment, 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 or leptomeningeal disease. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry after brain metastases treatment, they 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 the first dose of study drug. Treatment with an aminobisphosphonate IV (eg ibandronate, pamidronate, zoledronate, etc.) within 4 weeks of the first dose of study treatment. Participants with history of thromboembolic phenomena (pulmonary embolism, deep vein thrombosis, stroke, or ischemic attack) within 6 months prior to the first dose of study drug, currently receiving chronic anticoagulation therapy, or with contraindication to treatment for thromboembolism prophylaxis.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    SGN-EGFRd2

    Arm Description

    SGN-EGFRd2 monotherapy

    Outcomes

    Primary Outcome Measures

    Number of participants with adverse events (AEs)
    An AE is any untoward medical occurrence in a clinical study subject, temporally associated with the use of study intervention, whether or not considered related to the study intervention
    Number of participants with laboratory abnormalities
    Number of participants with dose limiting toxicities (DLTs)
    Number of participants with DLTs by dose level

    Secondary Outcome Measures

    Number of participants with antidrug antibodies (ADAs)
    To be summarized using descriptive statistics
    Pharmacokinetic (PK) parameter - Area under the curve (AUC)
    To be summarized using descriptive statistics
    PK parameter - Maximum concentration (Cmax)
    To be summarized using descriptive statistics
    PK parameter - Time to maximum concentration (Tmax)
    To be summarized using descriptive statistics
    PK parameter - Apparent terminal half-life (t1/2)
    To be summarized using descriptive statistics
    PK parameter - Trough concentration (Ctrough)
    To be summarized using descriptive statistics
    Objective response rate (ORR)
    ORR is defined as the proportion of participants with an objective response per Response Evaluation in Solid Tumors (RECIST) 1.1 per investigator. A participant is determined to have an objective response if, based on RECIST 1.1, they achieve a complete response (CR) or partial response (PR) after initiation of treatment and at or prior to the EOT disease assessment.
    Duration of response (DOR)
    DOR is defined as the time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression per RECIST 1.1 or to death due to any cause, whichever comes first
    Progression-free survival (PFS)
    PFS is defined as the time from start of SGN-EGFRd2 to first documentation of disease progression or death due to any cause, whichever comes first
    Overall survival (OS)
    OS is defined as the time from start of SGN-EGFRd2 to date of death due to any cause

    Full Information

    First Posted
    August 1, 2023
    Last Updated
    September 28, 2023
    Sponsor
    Seagen Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05983133
    Brief Title
    A Study of SGN-EGFRd2 in Advanced Solid Tumors
    Official Title
    A Phase 1 Study of SGN-EGFRd2 in Advanced Solid Tumors
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 31, 2023 (Anticipated)
    Primary Completion Date
    July 31, 2027 (Anticipated)
    Study Completion Date
    September 30, 2028 (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 study will test the safety of a drug called SGN-EGFRd2 in participants with advanced solid tumors. It will also study the side effects of this drug. A side effect is anything a drug does to the body besides treating the disease. Participants will have cancer that cannot be removed (unresectable) or has spread through the body (metastatic). This study will have three parts. Parts A and B of the study will find out how much SGN-EGFRd2 should be given to participants. Part C will use the dose found in parts A and B to find out how safe SGN-EGFRd2 is and if it works to treat solid tumor cancers.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung, Squamous Cell Carcinoma of the Head and Neck, Pancreatic Ductal Adenocarcinoma
    Keywords
    CRC, Colon Cancer, Rectal Cancer, NSCLC, HNSCC, PDAC, 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
    275 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SGN-EGFRd2
    Arm Type
    Experimental
    Arm Description
    SGN-EGFRd2 monotherapy
    Intervention Type
    Drug
    Intervention Name(s)
    SGN-EGFRd2
    Intervention Description
    Given into the vein (IV; intravenously)
    Primary Outcome Measure Information:
    Title
    Number of participants with adverse events (AEs)
    Description
    An AE is any untoward medical occurrence in a clinical study subject, temporally associated with the use of study intervention, whether or not considered related to the study intervention
    Time Frame
    Through 90 days after last study treatment, up to approximately 1 year
    Title
    Number of participants with laboratory abnormalities
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    Number of participants with dose limiting toxicities (DLTs)
    Time Frame
    Up to 35 days
    Title
    Number of participants with DLTs by dose level
    Time Frame
    Up to 35 days
    Secondary Outcome Measure Information:
    Title
    Number of participants with antidrug antibodies (ADAs)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    Pharmacokinetic (PK) parameter - Area under the curve (AUC)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    PK parameter - Maximum concentration (Cmax)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    PK parameter - Time to maximum concentration (Tmax)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    PK parameter - Apparent terminal half-life (t1/2)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    PK parameter - Trough concentration (Ctrough)
    Description
    To be summarized using descriptive statistics
    Time Frame
    Through 30-37 days after last study treatment, up to approximately 1 year
    Title
    Objective response rate (ORR)
    Description
    ORR is defined as the proportion of participants with an objective response per Response Evaluation in Solid Tumors (RECIST) 1.1 per investigator. A participant is determined to have an objective response if, based on RECIST 1.1, they achieve a complete response (CR) or partial response (PR) after initiation of treatment and at or prior to the EOT disease assessment.
    Time Frame
    Up to approximately 2 years
    Title
    Duration of response (DOR)
    Description
    DOR is defined as the time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression per RECIST 1.1 or to death due to any cause, whichever comes first
    Time Frame
    Up to approximately 2 years
    Title
    Progression-free survival (PFS)
    Description
    PFS is defined as the time from start of SGN-EGFRd2 to first documentation of disease progression or death due to any cause, whichever comes first
    Time Frame
    Up to approximately 2 years
    Title
    Overall survival (OS)
    Description
    OS is defined as the time from start of SGN-EGFRd2 to date of death due to any cause
    Time Frame
    Up to approximately 3 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Tumor types: For Part A: Participants must have disease that is relapsed, refractory, or be intolerant to standard of care therapies, and in the judgement of the investigator must have no appropriate standard therapy available at the time of enrollment. Participants must have histologically- or cytologically confirmed metastatic or unresectable solid malignancy from one of the following tumor types: Colorectal cancer (CRC) Non-small cell lung cancer (NSCLC) Head and neck squamous cell cancer (HNSCC) For Part B: Participants must have disease that is relapsed, refractory, or be intolerant to standard of care therapies, and in the judgement of the investigator must have no appropriate standard therapy available at the time of enrollment. The tumor type(s) to be enrolled in dose optimization will be identified by the sponsor from among those specified in Part A. For Part C: Participants must have disease that is relapsed or refractory or be intolerant to standard of care therapies as specified below, unless contraindicated: CRC Participants must have unresectable locally advanced or metastatic CRC. Prior therapy: Participants must have received prior fluoropyrimidine, oxaliplatin and irinotecan. Participants with defective mismatch repair and microsatellite instability high (dMMR/MSI-H) should have received prior treatment with pembrolizumab, a nivolumab-containing regimen, or other available anti-PD-1 (programmed cell death protein 1) or anti PD L1 (programmed cell death 1 ligand) agents. NSCLC Participants must have unresectable locally advanced or metastatic NSCLC. Prior therapy: Participants must have received platinum-based therapy and at least 1 PD-1/PD-L1 inhibitor. These agents may have been administered either as single agents or in combination. Participants with an activating mutation or rearrangement (eg, EGFR, anaplastic lymphoma kinase [ALK], etc.) must have received available targeted agents if eligible by biomarker status and local standard of care. HNSCC Participants must have unresectable locally advanced or metastatic HNSCC Prior therapy: Participants must have received platinum-based therapy and a PD-1/PD-L1 inhibitor, if eligible by biomarker status and local standard of care. These agents may have been administered either as single agents or in combination. Pancreatic ductal adenocarcinoma (PDAC) Participants must have unresectable locally advanced or metastatic PDAC. Prior therapy: Participants must have received gemcitabine- or FOLFIRINOX-based therapy. Participants should provide archival tumor tissue if available and also agree to biopsies, if medically feasible An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1. Measurable disease at baseline per RECIST 1.1 criteria. Exclusion Criteria: History of another malignancy within 3 years before the first dose of study treatment, 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 or leptomeningeal disease. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry after brain metastases treatment, they 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 the first dose of study drug. Treatment with an aminobisphosphonate IV (eg ibandronate, pamidronate, zoledronate, etc.) within 4 weeks of the first dose of study treatment. Participants with history of thromboembolic phenomena (pulmonary embolism, deep vein thrombosis, stroke, or ischemic attack) within 6 months prior to the first dose of study drug, currently receiving chronic anticoagulation therapy, or with contraindication to treatment for thromboembolism prophylaxis.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Corinna Palanca-Wessels
    Organizational Affiliation
    Seagen Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of SGN-EGFRd2 in Advanced Solid Tumors

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