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A First-in-human Study Using BDC-1001 as a Single Agent and in Combination With Nivolumab in Advanced HER2-Expressing Solid Tumors

Primary Purpose

HER2-positive Solid Tumors, HER2-positive Breast Cancer, HER2-positive Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BDC-1001
Nivolumab
Sponsored by
Bolt Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HER2-positive Solid Tumors focused on measuring HER2, ERBB2, Immunotherapy, Gastric Cancer, Gastroesophageal junction, Breast Cancer, Stomach Cancer, Colorectal Cancer, Gastrointestinal Cancer, Non-Small Cell Lung Cancer, Biliary Tract Cancer, Head and Neck Cancer, Urothelial Cancer, Endometrial Cancer, TLR7/8 agonist

Eligibility Criteria

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

Key Inclusion Criteria:

  • Patient must have an advanced solid tumor with documented HER2-protein expression or gene amplification for which approved therapies have been exhausted or are not clinically indicated.
  • Measurable disease as determined by RECIST v.1.1.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Tumor tissue (archival or collected prior to the study start) available for exploratory biomarker evaluation.

Key Exclusion Criteria:

  • History of severe hypersensitivity to any ingredient of the study drug(s), including trastuzumab or other monoclonal antibody.
  • Previous treatment with a TLR 7, TLR 8 or a TLR 7/8 agonist.
  • Impaired cardiac function or history of clinically significant cardiac disease
  • Human Immunodeficiency virus (HIV) infection, active hepatitis B infection, or hepatitis C infection.
  • Active SARS-CoV-2 infection
  • Untreated central nervous system (CNS), epidural tumor or metastasis, or brain metastasis.

Other protocol defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Stanford UniversityRecruiting
  • Georgetown University Medical CenterRecruiting
  • The University of Chicago Medical CenterRecruiting
  • Dana-Farber Cancer InstituteRecruiting
  • START MidwestRecruiting
  • Memorial Sloan-Kettering Cancer CenterRecruiting
  • Levine Cancer InstituteRecruiting
  • Stephenson Cancer CenterRecruiting
  • The University of Texas MD Anderson Cancer CenterRecruiting
  • South Texas Accelerated Research TherapeuticsRecruiting
  • Virginia Cancer SpecialistsRecruiting
  • Samsung Medical CenterRecruiting
  • Seoul National University Bundang HospitalRecruiting
  • Asan Medical CenterRecruiting
  • Hospital del MarRecruiting
  • Hospital Universitario Vall d'HebronRecruiting
  • Hospital Universitario Ramón y CajalRecruiting
  • Hospital Universitario 12 de OctubreRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single agent BDC-1001

Combination BDC-1001 plus nivolumab

Arm Description

Escalating doses followed by expansion targeting HER2-expressing advanced malignancies

Escalating doses followed by expansion targeting HER2-expressing advanced malignancies

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs) and serious adverse events (SAEs)
Escalation period
Incidence and nature of dose-limiting toxicities (DLTs)
Escalation period
Incidence of potential-immune related toxicities
Escalation period
Maximum tolerable dose (MTD) or a tolerated dose below MTD
Escalation period
Objective response rate (ORR) of confirmed complete or partial responses (CR, PR)
Expansion period

Secondary Outcome Measures

PK (Cmax) of BDC-1001
Escalation and expansion periods
PK (Cmin) of BDC-1001
Escalation and expansion periods
PK (AUC0-t) of BDC-1001
Escalation period
PK (AUC0-inf) of BDC-1001
Escalation period
PK (CL) of BDC-1001
Escalation period
PK (Vz) of BDC-1001
Escalation period
PK (t1/2) of BDC-1001
Escalation period
Objective response rate (ORR) using RECIST 1.1
Escalation period
Duration of response (DOR)
Escalation and expansion periods
Disease control rate (DCR) of confirmed CR, PR, or stable disease (SD) lasting 4 or more weeks
Escalation and expansion periods
Progression Free Survival (PFS)
Escalation and expansion periods
Incidence of anti-BDC-1001 antibodies
Escalation and expansion periods
Incidence of adverse events (AEs) and serious adverse events (SAEs)
Expansion period
Incidence of potential-immune related toxicities
Expansion period

Full Information

First Posted
February 12, 2020
Last Updated
September 8, 2023
Sponsor
Bolt Biotherapeutics, Inc.
Collaborators
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT04278144
Brief Title
A First-in-human Study Using BDC-1001 as a Single Agent and in Combination With Nivolumab in Advanced HER2-Expressing Solid Tumors
Official Title
Phase 1/2 Study of BDC-1001 as a Single Agent and in Combination With Nivolumab in Patients With Advanced HER2-Expressing Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 24, 2020 (Actual)
Primary Completion Date
January 31, 2025 (Anticipated)
Study Completion Date
October 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bolt Biotherapeutics, Inc.
Collaborators
Bristol-Myers Squibb

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
A first-in-human study using BDC-1001 as a single agent and in combination with nivolumab in HER2 expressing advanced malignancies
Detailed Description
This study has four parts. Part 1 is a dose escalation of BDC-1001 as a single agent to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 3. In Part 3, the selected dose will be administered as monotherapy to patients with selected advanced malignancies. Part 2 is a dose escalation of BDC-1001 in combination with nivolumab to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 4. In Part 4, the selected dose will be administered in combination with nivolumab to patients with selected advanced malignancies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HER2-positive Solid Tumors, HER2-positive Breast Cancer, HER2-positive Colorectal Cancer, HER2-positive Gastroesophageal Cancer, HER2-positive Endometrial Cancer
Keywords
HER2, ERBB2, Immunotherapy, Gastric Cancer, Gastroesophageal junction, Breast Cancer, Stomach Cancer, Colorectal Cancer, Gastrointestinal Cancer, Non-Small Cell Lung Cancer, Biliary Tract Cancer, Head and Neck Cancer, Urothelial Cancer, Endometrial Cancer, TLR7/8 agonist

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Multiple ascending dose and dose-expansion of BDC-1001 administered as a single agent or in combination with nivolumab.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
390 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single agent BDC-1001
Arm Type
Experimental
Arm Description
Escalating doses followed by expansion targeting HER2-expressing advanced malignancies
Arm Title
Combination BDC-1001 plus nivolumab
Arm Type
Experimental
Arm Description
Escalating doses followed by expansion targeting HER2-expressing advanced malignancies
Intervention Type
Drug
Intervention Name(s)
BDC-1001
Intervention Description
Immune stimulating antibody conjugate (ISAC), consisting of an anti-HER2 monoclonal antibody conjugated to a TLR 7/8 dual agonist
Intervention Type
Drug
Intervention Name(s)
Nivolumab
Other Intervention Name(s)
Opdivo
Intervention Description
Programmed death receptor-1 (PD 1)-blocking antibody
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs) and serious adverse events (SAEs)
Description
Escalation period
Time Frame
2 years
Title
Incidence and nature of dose-limiting toxicities (DLTs)
Description
Escalation period
Time Frame
up to 21 days
Title
Incidence of potential-immune related toxicities
Description
Escalation period
Time Frame
2 years
Title
Maximum tolerable dose (MTD) or a tolerated dose below MTD
Description
Escalation period
Time Frame
2 years
Title
Objective response rate (ORR) of confirmed complete or partial responses (CR, PR)
Description
Expansion period
Time Frame
2 years
Secondary Outcome Measure Information:
Title
PK (Cmax) of BDC-1001
Description
Escalation and expansion periods
Time Frame
2 years
Title
PK (Cmin) of BDC-1001
Description
Escalation and expansion periods
Time Frame
2 years
Title
PK (AUC0-t) of BDC-1001
Description
Escalation period
Time Frame
2 years
Title
PK (AUC0-inf) of BDC-1001
Description
Escalation period
Time Frame
2 years
Title
PK (CL) of BDC-1001
Description
Escalation period
Time Frame
2 years
Title
PK (Vz) of BDC-1001
Description
Escalation period
Time Frame
2 years
Title
PK (t1/2) of BDC-1001
Description
Escalation period
Time Frame
2 years
Title
Objective response rate (ORR) using RECIST 1.1
Description
Escalation period
Time Frame
2 years
Title
Duration of response (DOR)
Description
Escalation and expansion periods
Time Frame
2 years
Title
Disease control rate (DCR) of confirmed CR, PR, or stable disease (SD) lasting 4 or more weeks
Description
Escalation and expansion periods
Time Frame
2 years
Title
Progression Free Survival (PFS)
Description
Escalation and expansion periods
Time Frame
2 years
Title
Incidence of anti-BDC-1001 antibodies
Description
Escalation and expansion periods
Time Frame
2 years
Title
Incidence of adverse events (AEs) and serious adverse events (SAEs)
Description
Expansion period
Time Frame
2 years
Title
Incidence of potential-immune related toxicities
Description
Expansion period
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Patient must have an advanced solid tumor with documented HER2-protein expression or gene amplification for which approved therapies have been exhausted or are not clinically indicated. Measurable disease as determined by RECIST v.1.1. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Tumor tissue (archival or collected prior to the study start) available for exploratory biomarker evaluation. Key Exclusion Criteria: History of severe hypersensitivity to any ingredient of the study drug(s), including trastuzumab or other monoclonal antibody. Previous treatment with a TLR 7, TLR 8 or a TLR 7/8 agonist. Impaired cardiac function or history of clinically significant cardiac disease Human Immunodeficiency virus (HIV) infection, active hepatitis B infection, or hepatitis C infection. Active SARS-CoV-2 infection Untreated central nervous system (CNS), epidural tumor or metastasis, or brain metastasis. Other protocol defined inclusion/exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Bolt Biotherapeutics
Phone
+1 650 434 8640
Email
clinicaltrials@boltbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bolt Clinical Development
Organizational Affiliation
Bolt Biotherapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Stanford University
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Grace A Castaneda
Phone
650-721-4076
Email
annabelc@stanford.edu
Facility Name
Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Stephanie Wagner, RN
Phone
202-687-9782
Email
sw1095@georgetown.edu
Facility Name
The University of Chicago Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Intake
Phone
855-702-8222
Email
cancerclinicaltrials@bsd.uchicago.edu
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
DFCI Clinical Trials Hotline
Phone
877-338-7425
Facility Name
START Midwest
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49546
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Katie L Robinson, BSN, RN, OCN
Email
katie.robinson@startmidwest.com
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bob Li, MD
Phone
646-888-4201
Facility Name
Levine Cancer Institute
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Carrie Chiluck, BSN, RN, OCN
Email
carrie.chiluck@atriumhealth.org
Facility Name
Stephenson Cancer Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Phase I Referrals
Email
phaseI-referrals@ouhsc.edu
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
Ecaterina I Dumbrava, MD
Phone
713-563-1930
Email
EEIleana@mdanderson.org
Facility Name
South Texas Accelerated Research Therapeutics
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Isabel Jimenez, RN
Phone
210-593-5265
Email
isabel.jimenez@startsa.com
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, MD, PhD, FACP
Phone
703-280-5390
Facility Name
Samsung Medical Center
City
Seoul
State/Province
Gangnam-gu
ZIP/Postal Code
06351
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jeeyun Lee, MD
Phone
+82-2-3410-1754
Email
jyunlee@skku.edu
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
State/Province
Gyeonggi-do
ZIP/Postal Code
13620
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Keun-Wook Lee, MD, PhD
Phone
+82-31-787-7037
Email
hmodoctor@snubh.org
Facility Name
Asan Medical Center
City
Seoul
State/Province
Songpa-gu
ZIP/Postal Code
05505
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yoon-Koo Kang, MD, PhD
Phone
+82-2-3010-3230
Email
ykkang@amc.seoul.kr
Facility Name
Hospital del Mar
City
Barcelona
State/Province
Cataluna
ZIP/Postal Code
08003
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laia Cano
Phone
34 678 165 121
Ext
20090
Email
lcano@parcdesalutmar.cat
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
State/Province
Cataluna
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marta Beltran
Email
mbeltran@vhio.net
Facility Name
Hospital Universitario Ramón y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Asier Artazcoz Calvo
Phone
+34 913368263
Email
artazcozec@gmail.com
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elisa Lorente
Phone
+34 913908922
Email
Elorente.imas12@h12o.es

12. IPD Sharing Statement

Learn more about this trial

A First-in-human Study Using BDC-1001 as a Single Agent and in Combination With Nivolumab in Advanced HER2-Expressing Solid Tumors

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