FS120 First in Human Study in Patients With Advanced Malignancies
Primary Purpose
Advanced Cancer, Metastatic Cancer
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
FS120
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Cancer focused on measuring Immuno-oncology, Bispecific antibody, Dose escalation, Cohort expansion, OX40, CD137 (4-1BB), F-star, Pembrolizumab, PD-1
Eligibility Criteria
Inclusion Criteria:
- Age ≥18 years.
- Measurable disease.
- Eastern Cooperative Oncology Group Performance Status 0-1.
- The participant agrees to undergo a pretreatment and on-treatment biopsy of the tumor.
- Highly effective contraception.
- A female participant is eligible if not pregnant, not breastfeeding, not a woman of childbearing potential (WOCBP) or is a WOCBP that uses highly effective contraception.
- Participants with human immunodeficiency virus (HIV) who are healthy and have a low risk of acquired immunodeficiency syndrome related outcomes.
- For monotherapy part: participants must have histologically confirmed, locally advanced, unresectable or metastatic solid tumors of specific types.
- For combination part: participants must have histologically confirmed, locally advanced, unresectable or metastatic solid tumors where there is regulatory approval for use of pembrolizumab as a monotherapy agent.
Exclusion Criteria:
- Prior systemic anticancer therapy within 28 days or 5 half-lives, whichever is shorter, before the first dose of study drug.
- Prior therapy with any OX40 agonist, CD137 (4-1BB) agonist, CD40 agonist, GITR, or CD27 targeting therapy (single agent or combination).
- Prior therapy with more than 1 line of treatment with immune-checkpoint inhibitors (including ICB combination therapy).
- Prior radiotherapy within 2 weeks of start of study treatment.
- HIV-infected participants with a history of Kaposi sarcoma and/or Multicentric Castleman Disease.
- Uncontrolled central nervous system (CNS) metastases and/or carcinomatous meningitis, primary CNS tumours, or solid tumours with CNS metastases as the only measurable disease.
- Prior history of any grade ≥3 immune-related AE (irAE) that has not improved to grade ≤1; any grade ≥3 irAE that resulted in discontinuation of treatment; significant (grade ≥3 NCI CTCAE Version 5.0) treatment-related cytokine release syndrome; systemic inflammatory response syndrome.
- Use of immunosuppressive agents, hypersensitivity or intolerance to monoclonal antibodies or their excipients, persistent grade >1 NCI CTCAE Version 5.0 toxicity related to prior therapy or any condition that would significantly impair and/or prohibit the participant's participation in the study, as per the investigator's judgment.
- Vaccination with a live vaccine within 30 days before first dose of study drug.
- Participants with a known additional malignancy that is progressing or has required active treatment in the past 3 years.
- Participants with severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
Sites / Locations
- Yale University
- MD Anderson Cancer CenterRecruiting
- South Texas Accelerated Research Therapeutics (START)Recruiting
- Huntsman Cancer Institute, University of UtahRecruiting
- NEXT Oncology, Hospital Quironsalud BarcelonaRecruiting
- Hospital Universitario Vall d'HebronRecruiting
- Hospital Universitario Fundacion Jimenez DiazRecruiting
- Hospital Universitario 12 de OctubreRecruiting
- Hospital Clinico Universitario de ValenciaRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
FS120
Arm Description
Open-label study where FS120 will be administered as monotherapy or in combination with pembrolizumab in dose escalation and expansion cohorts
Outcomes
Primary Outcome Measures
Incidence, severity, and duration of adverse events (AEs), serious adverse events (SAEs) and dose limiting toxicities (DLTs)
Safety and tolerability will be evaluated by collection of AEs, SAEs and DLTs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0.
Determination of a maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) by evaluation of DLTs
Toxicity will be evaluated according to the NCI CTCAE Version 5.0.
Secondary Outcome Measures
Full Information
NCT ID
NCT04648202
First Posted
November 23, 2020
Last Updated
July 18, 2023
Sponsor
invoX Pharma Limited
Collaborators
Merck Sharp & Dohme LLC
1. Study Identification
Unique Protocol Identification Number
NCT04648202
Brief Title
FS120 First in Human Study in Patients With Advanced Malignancies
Official Title
A Phase 1 Open-Label Study to Evaluate the Safety and Antitumor Activity of FS120, an OX40/CD137 Bispecific Antibody, Alone and in Combination With Pembrolizumab, in Subjects With Advanced Malignancies
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 18, 2020 (Actual)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
November 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
invoX Pharma Limited
Collaborators
Merck Sharp & Dohme LLC
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
This is a Phase 1, multicenter, open-label, multiple-dose, multi part, first in human study in adult subjects with specific advanced malignancies. The study is designed to systematically assess safety, and tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, clinical activity and to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for FS120 as a monotherapy and in combination with pembrolizumab.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Cancer, Metastatic Cancer
Keywords
Immuno-oncology, Bispecific antibody, Dose escalation, Cohort expansion, OX40, CD137 (4-1BB), F-star, Pembrolizumab, PD-1
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
277 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
FS120
Arm Type
Experimental
Arm Description
Open-label study where FS120 will be administered as monotherapy or in combination with pembrolizumab in dose escalation and expansion cohorts
Intervention Type
Drug
Intervention Name(s)
FS120
Intervention Description
Dosing of participants with FS120 or the combination will occur intravenously (IV), at a fixed dose in treatment cycles once every 4 weeks (Q4W) or once every 3 weeks (Q3W) until confirmed progressive disease (CPD)/immune-confirmed progressive disease (iCPD) or unacceptable toxicity.
Primary Outcome Measure Information:
Title
Incidence, severity, and duration of adverse events (AEs), serious adverse events (SAEs) and dose limiting toxicities (DLTs)
Description
Safety and tolerability will be evaluated by collection of AEs, SAEs and DLTs according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0.
Time Frame
15 months
Title
Determination of a maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) by evaluation of DLTs
Description
Toxicity will be evaluated according to the NCI CTCAE Version 5.0.
Time Frame
28 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age ≥18 years.
Measurable disease.
Eastern Cooperative Oncology Group Performance Status 0-1.
Highly effective contraception if risk of conception exists.
A female participant is eligible if not pregnant, not breastfeeding, not a woman of childbearing potential (WOCBP) or is a WOCBP that uses highly effective contraception.
Participants with human immunodeficiency virus (HIV) who are healthy and have a low risk of acquired immunodeficiency syndrome related outcomes.
For monotherapy part: participants must have histologically confirmed, locally advanced, unresectable or metastatic solid tumor type with a regulatory approval for PD-1 or PD-L1 antagonist as monotherapy or in combination with other agents.
For combination part: participants must have histologically confirmed, locally advanced, unresectable or metastatic solid tumors where there is regulatory approval for use of pembrolizumab as a monotherapy agent.
Exclusion Criteria:
Prior systemic anticancer therapy within 28 days or 5 half-lives, whichever is shorter, before the first dose of study drug.
Prior therapy with any OX40 agonist, CD137 (4-1BB) agonist, CD40 agonist, GITR, or CD27 targeting therapy (single agent or combination).
Prior radiotherapy within 2 weeks of start of study treatment.
HIV-infected participants with a history of Kaposi sarcoma and/or Multicentric Castleman Disease.
Uncontrolled central nervous system (CNS) metastases and/or carcinomatous meningitis, primary CNS tumours, or solid tumours with CNS metastases as the only measurable disease.
Prior history of any grade ≥3 immune-related AE (irAE) that has not improved to grade ≤1; any grade ≥3 irAE that resulted in discontinuation of treatment; significant (grade ≥3 NCI CTCAE Version 5.0) treatment-related cytokine release syndrome.
Use of immunosuppressive agents, hypersensitivity or intolerance to monoclonal antibodies or their excipients, persistent grade >1 NCI CTCAE Version 5.0 toxicity related to prior therapy or any condition that would significantly impair and/or prohibit the participant's participation in the study, as per the investigator's judgment.
Vaccination with a live vaccine within 30 days before first dose of study drug.
Participants with a known additional malignancy that is progressing or has required active treatment in the past 3 years.
Participants with severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
invoX Clinical Trials
Phone
+44 1223 497400
Email
info@invoxpharma.com
Facility Information:
Facility Name
Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
Country
United States
Individual Site Status
Completed
Facility Name
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
Sarina Piha-Paul, MD
Facility Name
South Texas Accelerated Research Therapeutics (START)
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
Kyriakos Papadopoulos, MD
Facility Name
Huntsman Cancer Institute, University of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Siwen Hu-Lieskovan, MD
Facility Name
NEXT Oncology, Hospital Quironsalud Barcelona
City
Barcelona
ZIP/Postal Code
08023
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fabricio Racca, MD
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Enriqueta Felip Font, Ldo.
Facility Name
Hospital Universitario Fundacion Jimenez Diaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Victor Moreno, Ldo.
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
Guillermo De Velasco Oria De Rueda, Ldo.
Facility Name
Hospital Clinico Universitario de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andrés Cervantes Ruiperez, Ldo.
12. IPD Sharing Statement
Learn more about this trial
FS120 First in Human Study in Patients With Advanced Malignancies
We'll reach out to this number within 24 hrs