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A Study of HFB200603 as a Single Agent and in Combination With Tislelizumab in Adult Patients With Advanced Solid Tumors

Primary Purpose

Renal Cell Carcinoma, Melanoma, Non Small Cell Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
HFB200603
Tislelizumab
Sponsored by
HiFiBiO Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria: Patient must have one of the following cancers and previously received the following lines of systemic therapy for the advanced/metastatic disease: Renal cell carcinoma: at least 2 lines of therapy Non-small cell lung cancer: at least 2 lines of therapy Melanoma: BRAF V600E positive: must have received at least 2 lines of therapy BRAF V600E negative: must have received at least 1 line of therapy Gastric cancer: at least 1 line of therapy Colorectal cancer: at least 3 lines of therapy Suitable site to biopsy at pre-treatment and on-treatment Measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Eastern Cooperative Oncology Group performance status of 0 or 1 Exclusion Criteria: Systemic anti-cancer therapy within 2 weeks prior to start of study drug or within 4 weeks for immune-oncologic therapy. For cytotoxic agents with major delayed toxicity (e.g., mitomycin C), 6 weeks of washout are mandated. Therapeutic radiation therapy within the past 2 weeks Active autoimmune diseases or history of autoimmune disease that may relapse Any malignancy ≤ 5 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively Systemic steroid therapy (>10 mg/day of prednisone or equivalent) or any immune suppressive medication ≤ 14 days before first dose Patients with toxicities (as a result of prior anticancer therapy) which have not recovered to baseline or stabilized, except for adverse events not considered a likely safety risk (e.g., alopecia, neuropathy, and specific laboratory abnormalities) Severe or unstable medical condition, including uncontrolled diabetes, coagulopathy, or unstable psychiatric condition Major surgery within 28 days of the first dose of study drug History of interstitial lung disease, non-infectious pneumonitis, or uncontrolled lung diseases including pulmonary fibrosis or acute lung diseases. For combination only: non-small cell lung cancer patients, or patients with significantly impaired pulmonary function or who require supplemental oxygen at baseline must undergo an assessment of pulmonary function at screening History of allergic reactions, immune related reactions, or cytokine release syndrome (CRS) attributed to compounds of similar chemical or biologic composition to monoclonal antibodies or any excipient of HFB200603 or tislelizumab For combination only: Prior randomization in a tislelizumab study regardless of the treatment arm, until the primary and key secondary endpoints of the study have read out

Sites / Locations

  • USC Norris Comprehensive Cancer CenterRecruiting
  • New Experimental Therapeutics of Virginia - NEXT OncologyRecruiting
  • Istituto Nazionale Tumori IRCCS Fondazione G. PascaleRecruiting
  • Clinica Universidad de Navarra - MadridRecruiting
  • South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez DiazRecruiting
  • South Texas Accelerated Research Therapeutics (START) Madrid - CIOCCRecruiting
  • Clinica Universidad de Navarra - PamplonaRecruiting
  • Hospital Clinico Universitario de ValenciaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose Escalation - HFB200603 monotherapy

Dose Escalation - HFB200603 in combination with tislelizumab

Dose Expansion - HFB200603 monotherapy (optional)

Dose Expansion - HFB200603 in combination with tislelizumab

Arm Description

Participants will be administered HFB200603 at dose levels 1-4 as an intravenous infusion to determine the Recommended Dose for Expansion (RDE).

Participants will be administered HFB200603 at dose levels 1-3 in combination with one dose level of tislelizumab as an intravenous infusion to determine the combination Recommended Doses for Expansion (RDEs).

Participants will be administered HFB200603 at monotherapy RDE as an intravenous infusion.

Participants will be administered HFB200603 in combination with tislelizumab at combination RDEs as an intravenous infusion. Based on the cancer type, participants will be randomized to combination HFB200603 RDE 1 or RDE 2.

Outcomes

Primary Outcome Measures

Number of participants with adverse events (AEs) meeting protocol-defined Dose-Limiting Toxicity (DLT) criteria during Dose Escalation
Severity of adverse events will be based on common terminology criteria for adverse events (CTCAE) version 5.0
Number of participants with AEs
Severity of AEs will be assessed based on CTCAE version 5.0 (except for cytokine release syndrome which will be assessed by American Society for Transplantation and Cellular Therapy grading)
Number of participants with changes in laboratory values
Number of participants with changes in vital signs
Number of participants with changes in electrocardiogram (ECG)
Number of participants with changes in tolerability (dose interruptions and dose intensity)
To determine a Recommended Phase 2 Dose (RP2D) during Dose Expansion

Secondary Outcome Measures

Objective Response Rate (ORR) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and immune-RECIST (iRECIST)
Disease Control Rate (DCR) as determined by RECIST 1.1 and iRECIST
Duration of Response (DOR) as determined by RECIST 1.1 and iRECIST
Progression Free Survival (PFS) as determined by RECIST 1.1 and iRECIST
Minimum serum concentration (Cmin)
Maximum serum concentration (Cmax)
Area under the concentration versus time curve (AUC)
Terminal half-life (T1/2)
Serum concentration for measurement of anti-HFB200603 antibodies

Full Information

First Posted
February 24, 2023
Last Updated
October 24, 2023
Sponsor
HiFiBiO Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05789069
Brief Title
A Study of HFB200603 as a Single Agent and in Combination With Tislelizumab in Adult Patients With Advanced Solid Tumors
Official Title
A Phase 1a/1b, Open-Label, Multi-Center, Dose Escalation and Expansion Study of HFB200603 (Anti-BTLA Antibody) as a Single Agent and in Combination With Tislelizumab (Anti-PD-1 Antibody) in Adult Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 9, 2023 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HiFiBiO Therapeutics

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to test the safety and tolerability of HFB200603 as a single agent and in combination with tislelizumab in patients with advanced cancers. There are two parts in this study. During the escalation part, groups of participants will receive increasing doses of HFB200603 as a monotherapy or in combination with tislelizumab until a safe and tolerable dose of HFB200603 as a single agent or combination therapy is determined. During the expansion part, participants will take the doses of HFB200603 as a monotherapy (optional arm) or in combination with tislelizumab that were determined from the escalation part of the study and will be assigned to a group based on the type of cancer the participants have.
Detailed Description
This is a Phase 1a/b, first in human, open-label, dose escalation and expansion study in adults with advanced cancers. The study will comprise of A Screening Period of up to 28 days A Treatment Period during which participants will receive the study drug on the first day of each cycle where each cycle is 21 days. Number of cycles depends on how the disease responds to the study drug A Follow-up Period which involves 2 visits

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Cell Carcinoma, Melanoma, Non Small Cell Lung Cancer, Gastric Cancer, Colorectal Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation - HFB200603 monotherapy
Arm Type
Experimental
Arm Description
Participants will be administered HFB200603 at dose levels 1-4 as an intravenous infusion to determine the Recommended Dose for Expansion (RDE).
Arm Title
Dose Escalation - HFB200603 in combination with tislelizumab
Arm Type
Experimental
Arm Description
Participants will be administered HFB200603 at dose levels 1-3 in combination with one dose level of tislelizumab as an intravenous infusion to determine the combination Recommended Doses for Expansion (RDEs).
Arm Title
Dose Expansion - HFB200603 monotherapy (optional)
Arm Type
Experimental
Arm Description
Participants will be administered HFB200603 at monotherapy RDE as an intravenous infusion.
Arm Title
Dose Expansion - HFB200603 in combination with tislelizumab
Arm Type
Experimental
Arm Description
Participants will be administered HFB200603 in combination with tislelizumab at combination RDEs as an intravenous infusion. Based on the cancer type, participants will be randomized to combination HFB200603 RDE 1 or RDE 2.
Intervention Type
Drug
Intervention Name(s)
HFB200603
Intervention Description
Participants will be administered HFB200603 as described in the experimental arm.
Intervention Type
Drug
Intervention Name(s)
Tislelizumab
Other Intervention Name(s)
BGB-A317
Intervention Description
Participants will be administered tislelizumab as described in the experimental arm.
Primary Outcome Measure Information:
Title
Number of participants with adverse events (AEs) meeting protocol-defined Dose-Limiting Toxicity (DLT) criteria during Dose Escalation
Description
Severity of adverse events will be based on common terminology criteria for adverse events (CTCAE) version 5.0
Time Frame
The first cycle of treatment (Day 1 up to Day 21)
Title
Number of participants with AEs
Description
Severity of AEs will be assessed based on CTCAE version 5.0 (except for cytokine release syndrome which will be assessed by American Society for Transplantation and Cellular Therapy grading)
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Number of participants with changes in laboratory values
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Number of participants with changes in vital signs
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Number of participants with changes in electrocardiogram (ECG)
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Number of participants with changes in tolerability (dose interruptions and dose intensity)
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
To determine a Recommended Phase 2 Dose (RP2D) during Dose Expansion
Time Frame
Cycle 1 Day 1 to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and immune-RECIST (iRECIST)
Time Frame
Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Disease Control Rate (DCR) as determined by RECIST 1.1 and iRECIST
Time Frame
Baseline to 90 days after the last dose of study drug(s) (each cycle is 21 days), assessed up to 3 years
Title
Duration of Response (DOR) as determined by RECIST 1.1 and iRECIST
Time Frame
Start of first response to first date of disease progression, clinical progression or death, whichever occurs first, assessed up to 3 years
Title
Progression Free Survival (PFS) as determined by RECIST 1.1 and iRECIST
Time Frame
Baseline to disease progression or death, whichever occurs first, assessed up to 3 years
Title
Minimum serum concentration (Cmin)
Time Frame
Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
Title
Maximum serum concentration (Cmax)
Time Frame
Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
Title
Area under the concentration versus time curve (AUC)
Time Frame
Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
Title
Terminal half-life (T1/2)
Time Frame
Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year
Title
Serum concentration for measurement of anti-HFB200603 antibodies
Time Frame
Cycle 1 Day 1 to day of the last dose of study drug(s) (each cycle is 21 days), through study completion, an average of 3 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient must have one of the following cancers and previously received the following lines of systemic therapy for the advanced/metastatic disease: Renal cell carcinoma: at least 2 lines of therapy Non-small cell lung cancer: at least 2 lines of therapy Melanoma: BRAF V600E positive: must have received at least 2 lines of therapy BRAF V600E negative: must have received at least 1 line of therapy Gastric cancer: at least 1 line of therapy Colorectal cancer: at least 3 lines of therapy Suitable site to biopsy at pre-treatment and on-treatment Measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Eastern Cooperative Oncology Group performance status of 0 or 1 Exclusion Criteria: Systemic anti-cancer therapy within 2 weeks prior to start of study drug or within 4 weeks for immune-oncologic therapy. For cytotoxic agents with major delayed toxicity (e.g., mitomycin C), 6 weeks of washout are mandated. Therapeutic radiation therapy within the past 2 weeks Active autoimmune diseases or history of autoimmune disease that may relapse Any malignancy ≤ 5 years before first dose of study drug except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively Systemic steroid therapy (>10 mg/day of prednisone or equivalent) or any immune suppressive medication ≤ 14 days before first dose Patients with toxicities (as a result of prior anticancer therapy) which have not recovered to baseline or stabilized, except for adverse events not considered a likely safety risk (e.g., alopecia, neuropathy, and specific laboratory abnormalities) Severe or unstable medical condition, including uncontrolled diabetes, coagulopathy, or unstable psychiatric condition Major surgery within 28 days of the first dose of study drug History of interstitial lung disease, non-infectious pneumonitis, or uncontrolled lung diseases including pulmonary fibrosis or acute lung diseases. For combination only: non-small cell lung cancer patients, or patients with significantly impaired pulmonary function or who require supplemental oxygen at baseline must undergo an assessment of pulmonary function at screening History of allergic reactions, immune related reactions, or cytokine release syndrome (CRS) attributed to compounds of similar chemical or biologic composition to monoclonal antibodies or any excipient of HFB200603 or tislelizumab For combination only: Prior randomization in a tislelizumab study regardless of the treatment arm, until the primary and key secondary endpoints of the study have read out
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Edward Steele, Clinical Trial Manager
Phone
(513)579-9911
Email
e.steele@medpace.com
Facility Information:
Facility Name
USC Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Individual Site Status
Recruiting
Facility Name
New Experimental Therapeutics of Virginia - NEXT Oncology
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Name
Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Individual Site Status
Recruiting
Facility Name
Clinica Universidad de Navarra - Madrid
City
Madrid
ZIP/Postal Code
28027
Country
Spain
Individual Site Status
Recruiting
Facility Name
South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez Diaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Name
South Texas Accelerated Research Therapeutics (START) Madrid - CIOCC
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinica Universidad de Navarra - Pamplona
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clinico Universitario de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Study of HFB200603 as a Single Agent and in Combination With Tislelizumab in Adult Patients With Advanced Solid Tumors

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