search
Back to results

Study of NGM120 in Subjects With Advanced Solid Tumors, Pancreatic Cancer, and Prostate Cancer Using Combination Therapy

Primary Purpose

Pancreatic Cancer, Metastatic Castration-resistant Prostate Cancer, Bladder Cancer

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NGM120
NGM120
NGM120
NGM120
NGM120
NGM120
Placebo
Sponsored by
NGM Biopharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer

Eligibility Criteria

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

Inclusion Criteria (Part 1 and 2):

  1. Have histologically confirmed metastatic pancreatic adenocarcinoma. Recurrent unresectable pancreatic cancer is acceptable as long as the treatment is first-line.
  2. Have not received any approved chemotherapy, except in the adjuvant setting.
  3. Life expectancy of at least 12 weeks
  4. Male subjects must agree to use contraception as per protocol during the treatment period and for at least 90 days after the last study treatment administration and refrain from donating sperm during this period.
  5. Provision of an archival tumor sample (within 5 years). If an archival sample is unavailable, a fresh biopsy can be obtained during Screening. If archival tissue or biopsy sample is unavailable, the subject is ineligible.

Inclusion Criteria (Part 3 Prostate Cancer):

  1. Metastatic, castrate resistance, histologically confirmed prostate cancer; continuous medical castration for ≥8 weeks prior to screening.
  2. Effective castration with serum testosterone levels <0.5 ng/mL (50 ng/dL; 1.7 nmol/L).
  3. Have serum GDF15 levels ≥1300 pg/mL.
  4. Have experienced PSA progression under 1 or more lines of ADT in the absence or presence of radiographic and/or clinical progression, who decline or are not eligible to receive chemotherapy.
  5. Have had PSA doubling time of >3 months.

Exclusion Criteria (All parts):

  1. Subject was using immunosuppressive medications within 14 days before Screening with the exception of topical (intranasal, inhaled, and local injection), systemic (prednisone equivalent 10 mg/day or less), or as needed for hypersensitivity reactions such as computed tomography (CT) scan premedication.
  2. Subject has active infections or other serious underlying significant medical illness, abnormal and clinically significant laboratory findings or psychiatric illness/social situation.
  3. Subject is using a pacemaker, implantable cardiac defibrillator, neurostimulator, cochlear implants, cochlear implants, or other electronic medical equipment.
  4. Subject has documented immunodeficiency or organ transplant.
  5. Subject has an untreated central nervous system disease, leptomeningeal disease or cord compression.
  6. Subject has a history, or presence, of significant cardiovascular diseases; including uncontrolled hypertension, clinically relevant cardiac arrhythmia, unstable angina or myocardial infarction within 6 months before randomization, congestive heart failure > New York Heart Association Class II, severe peripheral vascular disease, corrected QT (QTc) prolongation >470 msec, clinically significant pericardial effusion.
  7. Subject has a history or presence of documented inflammatory bowel disease.
  8. Subject is known to be positive for human immunodeficiency virus (HIV) infection.

Sites / Locations

  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site
  • NGM Clinical Study Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

NGM120 Dose 1

NGM120 Dose 2

NGM120 Dose 3

NGM120 Dose 4

NGM120 Dose 5

NGM120 Dose 6

Placebo

Arm Description

NGM120 Subcutaneous Injection

NGM120 Subcutaneous Injection

NGM120 Subcutaneous Injection

NGM120 Subcutaneous Injection

NGM120 Subcutaneous Injection

NGM120 Subcutaneous Injection

Placebo

Outcomes

Primary Outcome Measures

Number of patients with Dose-Limiting Toxicities:
A DLT is defined as an AE that meets at least one of the criteria listed in protocol, according to National Cancer Institute (NCI) common terminology criteria for AE (CTCAE) version 5.0 and is considered by the investigator to be clinically relevant and attributed to the study treatment during the first 28 days after the first dose of study treatment.
Incidence of Adverse Events
Number of patients with adverse events (AEs) according to severity, seriousness, and relationship to study drug
Number of Patients with Clinically Significant Laboratory Abnormalities:
Number of patients with clinically significant change from baseline in laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE version 5.0) and timing.

Secondary Outcome Measures

Pharmacokinetics (PK) of NGM120
Pharmacokinetics (PK) of NGM120 by measuring serum concentration of NGM120 at specified timepoints
Immunogenicity against NGM120
Immunogenicity against NGM120 by measuring percentage of subjects to develop antidrug antibodies and neutralizing antibodies
Assessment of Antitumor and Anticachexia Activity Assessed using the RECIST Version 1.1 criteria
Assessment of Antitumor and Anticachexia Activity Assessed using the RECIST Version 1.1 criteria
Body weight during therapy with NGM120
Body weight during therapy with NGM120 by measuring change in body weight (in lb).
Skeletal muscle index during therapy with NGM120
Skeletal muscle index during therapy with NGM120 by measuring skeletal muscle mass and adiposity at level of L3 on serial CT scan.

Full Information

First Posted
August 22, 2019
Last Updated
May 2, 2023
Sponsor
NGM Biopharmaceuticals, Inc
search

1. Study Identification

Unique Protocol Identification Number
NCT04068896
Brief Title
Study of NGM120 in Subjects With Advanced Solid Tumors, Pancreatic Cancer, and Prostate Cancer Using Combination Therapy
Official Title
A Phase 1/2 Dose-Finding Study Followed by Expansion Cohorts of NGM120, a GFRAL Antagonist Monoclonal Antibody Blocking GDF15 Signaling, in Subjects With Advanced Solid Tumors and Pancreatic Cancer Using Combination Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 16, 2019 (Actual)
Primary Completion Date
July 2024 (Anticipated)
Study Completion Date
January 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NGM Biopharmaceuticals, 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
Study of NGM120 in subjects with advanced solid tumors and and pancreatic cancer (Part 1 and 2) and metastatic castration resistant prostate cancer (Part 3).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer, Metastatic Castration-resistant Prostate Cancer, Bladder Cancer, Melanoma, Non-small Cell Lung Cancer, Colorectal Cancer, Gastric Cancer, Esophageal Cancer, Ovarian Cancer, Head Neck Squamous Cell Carcinoma, Prostate Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
75 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
NGM120 Dose 1
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
NGM120 Dose 2
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
NGM120 Dose 3
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
NGM120 Dose 4
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
NGM120 Dose 5
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
NGM120 Dose 6
Arm Type
Experimental
Arm Description
NGM120 Subcutaneous Injection
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 1
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 2
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 3
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 4
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 5
Intervention Type
Biological
Intervention Name(s)
NGM120
Intervention Description
NGM120 Dose 6
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Number of patients with Dose-Limiting Toxicities:
Description
A DLT is defined as an AE that meets at least one of the criteria listed in protocol, according to National Cancer Institute (NCI) common terminology criteria for AE (CTCAE) version 5.0 and is considered by the investigator to be clinically relevant and attributed to the study treatment during the first 28 days after the first dose of study treatment.
Time Frame
12 weeks
Title
Incidence of Adverse Events
Description
Number of patients with adverse events (AEs) according to severity, seriousness, and relationship to study drug
Time Frame
12 weeks
Title
Number of Patients with Clinically Significant Laboratory Abnormalities:
Description
Number of patients with clinically significant change from baseline in laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE version 5.0) and timing.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK) of NGM120
Description
Pharmacokinetics (PK) of NGM120 by measuring serum concentration of NGM120 at specified timepoints
Time Frame
19 weeks
Title
Immunogenicity against NGM120
Description
Immunogenicity against NGM120 by measuring percentage of subjects to develop antidrug antibodies and neutralizing antibodies
Time Frame
19 weeks
Title
Assessment of Antitumor and Anticachexia Activity Assessed using the RECIST Version 1.1 criteria
Description
Assessment of Antitumor and Anticachexia Activity Assessed using the RECIST Version 1.1 criteria
Time Frame
19 weeks
Title
Body weight during therapy with NGM120
Description
Body weight during therapy with NGM120 by measuring change in body weight (in lb).
Time Frame
19 weeks
Title
Skeletal muscle index during therapy with NGM120
Description
Skeletal muscle index during therapy with NGM120 by measuring skeletal muscle mass and adiposity at level of L3 on serial CT scan.
Time Frame
19 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria (Part 1 and 2): Have histologically confirmed metastatic pancreatic adenocarcinoma. Recurrent unresectable pancreatic cancer is acceptable as long as the treatment is first-line. Have not received any approved chemotherapy, except in the adjuvant setting. Life expectancy of at least 12 weeks Male subjects must agree to use contraception as per protocol during the treatment period and for at least 90 days after the last study treatment administration and refrain from donating sperm during this period. Provision of an archival tumor sample (within 5 years). If an archival sample is unavailable, a fresh biopsy can be obtained during Screening. If archival tissue or biopsy sample is unavailable, the subject is ineligible. Inclusion Criteria (Part 3 Prostate Cancer): Metastatic, castrate resistance, histologically confirmed prostate cancer; continuous medical castration for ≥8 weeks prior to screening. Effective castration with serum testosterone levels <0.5 ng/mL (50 ng/dL; 1.7 nmol/L). Have serum GDF15 levels ≥1300 pg/mL. Have experienced PSA progression under 1 or more lines of ADT in the absence or presence of radiographic and/or clinical progression, who decline or are not eligible to receive chemotherapy. Have had PSA doubling time of >3 months. Exclusion Criteria (All parts): Subject was using immunosuppressive medications within 14 days before Screening with the exception of topical (intranasal, inhaled, and local injection), systemic (prednisone equivalent 10 mg/day or less), or as needed for hypersensitivity reactions such as computed tomography (CT) scan premedication. Subject has active infections or other serious underlying significant medical illness, abnormal and clinically significant laboratory findings or psychiatric illness/social situation. Subject is using a pacemaker, implantable cardiac defibrillator, neurostimulator, cochlear implants, cochlear implants, or other electronic medical equipment. Subject has documented immunodeficiency or organ transplant. Subject has an untreated central nervous system disease, leptomeningeal disease or cord compression. Subject has a history, or presence, of significant cardiovascular diseases; including uncontrolled hypertension, clinically relevant cardiac arrhythmia, unstable angina or myocardial infarction within 6 months before randomization, congestive heart failure > New York Heart Association Class II, severe peripheral vascular disease, corrected QT (QTc) prolongation >470 msec, clinically significant pericardial effusion. Subject has a history or presence of documented inflammatory bowel disease. Subject is known to be positive for human immunodeficiency virus (HIV) infection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
NGM Study Director
Organizational Affiliation
NGM Biopharmaceuticals, Inc
Official's Role
Study Director
Facility Information:
Facility Name
NGM Clinical Study Site
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85719
Country
United States
Facility Name
NGM Clinical Study Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
NGM Clinical Study Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90084
Country
United States
Facility Name
NGM Clinical Study Site
City
Sacramento
State/Province
California
ZIP/Postal Code
98517
Country
United States
Facility Name
NGM Clinical Study Site
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
NGM Clinical Study Site
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
NGM Clinical Study Site
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
NGM Clinical Study Site
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
NGM Clinical Study Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
NGM Clinical Study Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
NGM Clinical Study Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
Facility Name
NGM Clinical Study Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Facility Name
NGM Clinical Study Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
NGM Clinical Study Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
NGM Clinical Study Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
NGM Clinical Study Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
NGM Clinical Study Site
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States
Facility Name
NGM Clinical Study Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
NGM Clinical Study Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
NGM Clinical Study Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
NGM Clinical Study Site
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
NGM Clinical Study Site
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of NGM120 in Subjects With Advanced Solid Tumors, Pancreatic Cancer, and Prostate Cancer Using Combination Therapy

We'll reach out to this number within 24 hrs