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A Study of OMP-313M32 in Subjects With Locally Advanced or Metastatic Solid Tumors

Primary Purpose

Locally Advanced Cancer, Metastatic Cancer

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
OMP-313M32
Nivolumab
Sponsored by
OncoMed Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Locally Advanced Cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Histologic documentation of locally advanced, recurrent or metastatic solid malignancy that has progressed and standard therapy has been ineffective or intolerable. Phase 1b subjects must also have experienced disease progression after treatment with an anti PD-1 or PDL-1 agent.
  2. Ability to understand the willingness and to sign a written informed consent document
  3. Age >/= 18 years
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  5. Life expectancy >/=12 weeks
  6. Measurable disease per response evaluation criteria in solid tumors.
  7. Adequate hematologic and organ function
  8. For women of childbearing potential and men with partners of childbearing potential, agreement (by patient and/or partner) to use two effective forms of contraception from study entry through at least 6 months after the termination visit.

Exclusion Criteria:

  1. Anti-cancer therapy, including chemotherapy, hormonal therapy, or radiotherapy, within 3 weeks or 5 half lives, whichever is shorter, prior to initiation of study treatment
  2. Active autoimmune disease or a history of severe autoimmune disease or syndrome
  3. History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins.
  4. Inability to comply with study and follow-up procedures.
  5. Pregnancy, lactation, or breastfeeding women.
  6. Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or greater), myocardial infarction within the previous 3 months, unstable arrhythmias, or unstable angina.
  7. Known clinically significant liver disease,
  8. Major surgical procedure within 28 days prior to initiation of study treatment or anticipation of need for a major surgical procedure during the course of the study.
  9. Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the patient at high risk from treatment complications.

Sites / Locations

  • Scottsdale
  • Durham
  • Oklahoma
  • Nashville
  • Salt Lake City

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

OMP-313M32

OMP-313M32 and Nivolumab

Arm Description

Intravenous (in the vein) infusions of OMP-313M32 as a single agent

Intravenous (in the vein) infusions of OMP-313M32 in combination with nivolumab

Outcomes

Primary Outcome Measures

Incidence of dose limiting toxicities (DLTs)
The Maximum tolerated dose (MTD) or maximum administered dose (MAD) will be determined in patients treated with OMP-313M32 in combination with nivolumab
Incidence of treatment emergent adverse events
Percentage of patients with adverse events

Secondary Outcome Measures

Pharmacokinetic Outcome Measures (AUC) - Phase 1a
Area under the plasma concentration versus time curve (AUC) will be evaluated
Pharmacokinetic Outcome Measures (AUC) - Phase 1b
Area under the plasma concentration versus time curve (AUC) will be evaluated
Pharmacokinetic Outcome Measures (T1/2) - Phase 1a
The half life (T1/2) of OMP-313M32 will be assessed
Pharmacokinetic Outcome Measures (T1/2) - Phase 1b
The half life (T1/2) of OMP-313M32 will be assessed
Immunogenicity of OMP-313M32
Percentage of patients with anti-OMP-313M32 antibodies assessed
Objective Response
Measured by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Progression-free survival
Measured by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)

Full Information

First Posted
March 29, 2017
Last Updated
August 10, 2020
Sponsor
OncoMed Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03119428
Brief Title
A Study of OMP-313M32 in Subjects With Locally Advanced or Metastatic Solid Tumors
Official Title
A Phase 1a/b Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of OMP-313M32 Administered as a Single Agent or in Combination With Nivolumab to Subjects With Locally Advanced or Metastatic Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Terminated
Why Stopped
Sponsor decision
Study Start Date
May 2, 2017 (Actual)
Primary Completion Date
May 15, 2019 (Actual)
Study Completion Date
May 15, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OncoMed Pharmaceuticals, 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
The purpose of this study is to evaluate the safety and tolerability of OMP-31M32 as a single agent or in combination with nivolumab. OMP-313M32 is an experimental anti-TIGIT antibody that was developed to block TIGIT from binding PVR allowing the body's T-cells to destroy cancer cells.
Detailed Description
This is an open-label, Phase 1a/b dose escalation study of OMP-31M32 administered as a single agent or in combination with nivolumab to evaluate the safety, tolerability pharmacokinetics, and pharmacodynamics in patients with locally advanced or metastatic solid tumors. This study consists of a screening period, a treatment period and a post-treatment follow-up period in which patients will be followed for survival for up to 2 years. Subjects will be enrolled in two stages in the Phase 1a (dose escalation and expansion) and one stage in the Phase 1b (dose escalation).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Locally Advanced Cancer, Metastatic Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
OMP-313M32
Arm Type
Experimental
Arm Description
Intravenous (in the vein) infusions of OMP-313M32 as a single agent
Arm Title
OMP-313M32 and Nivolumab
Arm Type
Experimental
Arm Description
Intravenous (in the vein) infusions of OMP-313M32 in combination with nivolumab
Intervention Type
Drug
Intervention Name(s)
OMP-313M32
Other Intervention Name(s)
Anti-TIGIT monoclonal antibody
Intervention Description
OMP-313M32 is a monoclonal antibody which binds to the human TIGIT receptor on T cells.
Intervention Type
Drug
Intervention Name(s)
Nivolumab
Other Intervention Name(s)
Opdivo
Intervention Description
Human IgG4 anti-PD-1 monoclonal antibody
Primary Outcome Measure Information:
Title
Incidence of dose limiting toxicities (DLTs)
Description
The Maximum tolerated dose (MTD) or maximum administered dose (MAD) will be determined in patients treated with OMP-313M32 in combination with nivolumab
Time Frame
Subjects will be assessed for DLTs through the end of the first cycle (Days 1-29)
Title
Incidence of treatment emergent adverse events
Description
Percentage of patients with adverse events
Time Frame
up to approximately 2 years
Secondary Outcome Measure Information:
Title
Pharmacokinetic Outcome Measures (AUC) - Phase 1a
Description
Area under the plasma concentration versus time curve (AUC) will be evaluated
Time Frame
1st dose and 4th dose: pre-dose, post-infusion, and 1, 3, 7 and 10 days. All other doses: pre-dose, 15 minutes and 7 days post-infusion. PK sample will be taken at treatment termination and every 4 wks for 12 wks.
Title
Pharmacokinetic Outcome Measures (AUC) - Phase 1b
Description
Area under the plasma concentration versus time curve (AUC) will be evaluated
Time Frame
1st dose and 4th dose: pre-dose and 15 minutes post-infusion. All other doses: pre-dose. PK sample will be taken at treatment termination and every 4 wks for 12 wks.
Title
Pharmacokinetic Outcome Measures (T1/2) - Phase 1a
Description
The half life (T1/2) of OMP-313M32 will be assessed
Time Frame
1st dose and 4th dose: pre-dose, post-infusion, and 1, 3, 7 and 10 days. All other doses: pre-dose, 15 minutes and 7 days post-infusion. PK sample will be taken at treatment termination and every 4 wks for 12 wks.
Title
Pharmacokinetic Outcome Measures (T1/2) - Phase 1b
Description
The half life (T1/2) of OMP-313M32 will be assessed
Time Frame
1st dose and 4th dose: pre-dose and 15 minutes post-infusion. All other doses, pre-dose.PK sample will be taken at treatment termination and every 4 wks for 12 wks.
Title
Immunogenicity of OMP-313M32
Description
Percentage of patients with anti-OMP-313M32 antibodies assessed
Time Frame
up to approximately 2 years
Title
Objective Response
Description
Measured by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame
up to approximately 2 years
Title
Progression-free survival
Description
Measured by Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time Frame
approximately 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic documentation of locally advanced, recurrent or metastatic solid malignancy that has progressed and standard therapy has been ineffective or intolerable. Phase 1b subjects must also have experienced disease progression after treatment with an anti PD-1 or PDL-1 agent. Ability to understand the willingness and to sign a written informed consent document Age >/= 18 years Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Life expectancy >/=12 weeks Measurable disease per response evaluation criteria in solid tumors. Adequate hematologic and organ function For women of childbearing potential and men with partners of childbearing potential, agreement (by patient and/or partner) to use two effective forms of contraception from study entry through at least 6 months after the termination visit. Exclusion Criteria: Anti-cancer therapy, including chemotherapy, hormonal therapy, or radiotherapy, within 3 weeks or 5 half lives, whichever is shorter, prior to initiation of study treatment Active autoimmune disease or a history of severe autoimmune disease or syndrome History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins. Inability to comply with study and follow-up procedures. Pregnancy, lactation, or breastfeeding women. Significant cardiovascular disease, such as New York Heart Association cardiac disease (Class II or greater), myocardial infarction within the previous 3 months, unstable arrhythmias, or unstable angina. Known clinically significant liver disease, Major surgical procedure within 28 days prior to initiation of study treatment or anticipation of need for a major surgical procedure during the course of the study. Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the patient at high risk from treatment complications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Lewicki, PhD
Organizational Affiliation
Mereo BioPharma
Official's Role
Study Director
Facility Information:
Facility Name
Scottsdale
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
Durham
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Oklahoma
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Nashville
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Salt Lake City
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34844977
Citation
Mettu NB, Ulahannan SV, Bendell JC, Garrido-Laguna I, Strickler JH, Moore KN, Stagg R, Kapoun AM, Faoro L, Sharma S. A Phase 1a/b Open-Label, Dose-Escalation Study of Etigilimab Alone or in Combination with Nivolumab in Patients with Locally Advanced or Metastatic Solid Tumors. Clin Cancer Res. 2022 Mar 1;28(5):882-892. doi: 10.1158/1078-0432.CCR-21-2780.
Results Reference
derived

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A Study of OMP-313M32 in Subjects With Locally Advanced or Metastatic Solid Tumors

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