A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors
Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC)
About this trial
This is an interventional treatment trial for Cancer focused on measuring Cancer, Advanced Solid Tumors, Triple-Negative Breast Cancer (TNBC), Non-small-cell-lung-cancer (NSCLC), ABBV-927, ABBV-368, ABBV-181, metastatic solid tumors, dose-escalation, recommended phase 2 dose, budigalimab
Eligibility Criteria
Inclusion Criteria:
- Adequate liver, kidney and hematology function as demonstrated by laboratory values detailed in the study protocol.
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Dose-Escalation:
- Arm A: Participants with an advanced solid tumor who have progressed on standard therapies known to provide clinical benefit and/or participants who have refused or are intolerant of such therapy.
- Arm B (non-small-cell-lung-cancer [NSCLC]): Participants with histologically or cytologically confirmed NSCLC who previously progressed during or after an anti-programmed cell death (PD)-1 or PD ligand 1 (PD-L1) therapy and a platinum-based regimen in the recurrent or metastatic setting.
Dose-Expansion:
- Arm 1, 2, and 3 (triple-negative breast cancer [TNBC]): Participants with histologically or cytologically confirmed breast adenocarcinoma that is estrogen receptor/progesterone receptor/human epidermal growth factor receptor (HER)2-negative who must have disease progression during or after at least 1 systemic therapy that included a taxane in the metastatic or recurrent setting and who are treatment-naïve to immunotherapy.
- Arm 4 (TNBC): Participants with histologically or cytologically confirmed TNBC who have received no previous anti-cancer therapy for TNBC, and who are PD-L1 negative on tumor tissue by immunohistochemistry (IHC) assay.
- Arm 5 (NSCLC): Participants with histologically or cytologically confirmed NSCLC who previously progressed either during or after an anti-PD-1 or PD-L1 therapy and a platinum-based regimen in the recurrent or metastatic setting.
Exclusion Criteria:
- Has history of inflammatory bowel disease or pneumonitis.
- Has uncontrolled metastases to the central nervous system.
- Has a concurrent malignancy that is clinically significant, treatment is required, or the participant is not clinically stable.
- Has had a major surgery ≤ 28 days prior to the first dose of study drug or the surgical wound is not fully healed.
- Has previously treated with an anti-PD- or PD-L1-targeting agent and had during the course of their therapy:
- any immune-mediated toxicity of Grade 3 or worse severity
- treatment of the toxicity with systemic corticosteroids
- any hypersensitivity to the PD-1 or PD-L1-targeting agent
- any treatment-related toxicity resulting in discontinuation of the PD-1 or PD-L1 targeting agent
Sites / Locations
- Highlands Oncology Group, PA /ID# 218863
- St Jude Hospital dba St Joseph /ID# 211130
- Yale University /ID# 210678
- Moffitt Cancer Center /ID# 215037
- Fort Wayne Medical Oncology and Hematology, Inc /ID# 226072
- Washington University-School of Medicine /ID# 221399
- Duke Cancer Center /ID# 217641
- Carolina BioOncology Institute /ID# 210664
- UPMC Hillman Cancer Ctr /ID# 222747
- Tennessee Oncology-Nashville Centennial /ID# 221400
- Mary Crowley Cancer Research /ID# 210716
- NEXT Oncology /ID# 210717
- Virginia Cancer Specialists - Fairfax /ID# 210671
- Icon Cancer Centre /ID# 224084
- Institut Curie /ID# 223475
- Institut de Cancérologie de l'Ouest René Gauducheau /ID# 212880
- Centre Leon Berard /ID# 217910
- Centre Jean Perrin /ID# 217911
- AP-HP - Hopital Bichat - Claude-Bernard /ID# 212869
- The Chaim Sheba Medical Center /ID# 211699
- Hospital Universitario Vall d'Hebron /ID# 212804
- Hospital Universitario Fundacion Jimenez Diaz /ID# 212806
- Hospital Universitario HM Sanchinarro /ID# 212805
- Hospital Universitario Virgen de la Victoria /ID# 221671
- China Medical University Hospital /ID# 221090
- National Taiwan University Hospital /ID# 210993
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Dose Escalation Arm A: ABBV-927 + ABBV-368 Solid Tumors
Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC
Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC
Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC
Dose Expansion Arm 3: ABBV-927 + Carboplatin TNBC
Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC
Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC
Participants with Solid Tumors will receive various doses of ABBV-927 by intravenous (IV) infusion plus ABBV-368. This will determine the recommended phase two dose (RP2D) of ABBV-927.
Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181.
Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV.
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV.
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin by IV.
Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV.
Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV.