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A Study of PRS-344/S095012 (PD-L1x4-1BB Bispecific Antibody-Anticalin Fusion) in Patients With Solid Tumors

Phase 1
Completed
Conditions
Solid Tumor
Interventions
Registration Number
NCT05159388
Lead Sponsor
Servier Bio-Innovation LLC
Brief Summary

This is a first-in-human (FIH), phase 1/2, multi center, open-label, dose escalation and cohort expansion study designed to determine the safety and tolerability of PRS-344/S095012 in patients with advanced and/or metastatic solid tumors.

Detailed Description

The trial is an open-label, multi-center safety trial of PRS-344/S095012. The trial consists of two parts, a dose escalation part (phase 1, first-in-human (FIH) and an expansion part (phase 2)). The expansion part of the trial will be initiated once the optimal biological dose (OBD) has been determined.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  1. Age β‰₯18 years on the day the consent is signed.
  2. Patients with histologically confirmed diagnosis of unresectable, locally advanced or metastatic solid tumor for which standard treatment options are not available, no longer effective, or not tolerated.
  3. Patient should have a documented disease progression on prior therapy before entry into this study.
  4. Patients must have at least one measurable target lesion as per RECIST 1.1.
  5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  6. Patient with no available archived material must have one or more tumor lesions amenable to biopsy.
  7. Adequate organ function as assessed by laboratory tests within 7 days prior to pretreatment with obinutuzumab.
  8. A female patient must use a highly effective method of birth control during study treatment and for 120 days after last dose of PRS-344/S095012, or 18 months after the last obinutuzumab infusion, whichever comes the latest.
Exclusion Criteria
  1. Patients with previously treated brain metastases may participate provided they are radiologically stable, clinically asymptomatic and are off immunosuppressive therapies for at least 4 weeks. Low dose of steroid <10 mg/day prednisone or equivalent) is allowed.

  2. Patients who have received prior:

    1. Small molecule inhibitors, and/or other similar investigational agent: ≀ 2 weeks or 5 half-lives, whichever is shorter.
    2. Chemotherapy, other monoclonal antibodies, antibody-drug conjugates, or other similar experimental therapies: ≀3 weeks or 5 half-lives, whichever is shorter.
    3. Radioimmunoconjugates or other similar experimental therapies ≀6 weeks or 5 half-lives, whichever is shorter.
  3. Patients who have received 4-1BB agonists in the past.

  4. Patients who had a major surgery within 4 weeks prior to first administration of IMP.

  5. History of progressive multifocal leukoencephalopathy.

  6. Active tuberculosis requiring treatment within 3 years prior to the start of treatment or a suspicion of latent tuberculosis by the investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PRS-344/S095012PRS-344/S095012PRS-344/S095012
Primary Outcome Measures
NameTimeMethod
Safety measurements28 days

Phase 1: Incidence of dose-limiting toxicities (DLTs) over the first 28-days of study treatment

Safety Measurementstime on trial, average of 6 months

Phase 1: Discontinuation of study treatment due to an AE

Objective Response (OR)Through study completion up to 24 months

Phase 2: Defined as Complete Response (CR) plus Partial Response (PR). For arms 1 and 2, per central assessment according to RECIST v1.1 criteria. For Arm 3, per central assessment and composite response criteria (digital medical photography and/or imaging as per RECIST v1.1)

Secondary Outcome Measures
NameTimeMethod
Mean PRS-344/S095012 concentrations at the end of the infusionThrough study completion up to 24 months

Phase 1

Mean PRS-344/S095012 trough concentrations (Ctrough)Through study completion up to 24 months

Phase 1

Detection of anti-drug antibodies (ADA) against PRS-344/S095012Through study completion up to 24 months

Phase 1 and 2

Objective Response (OR)Through study completion up to 24 months

Phase 1 and 2: Defined as Complete Response (CR) plus Partial Response (PR), per investigator assessment

Duration of Response (DoR)Through study completion up to 24 months

Phase 1 and 2: Defined as the time from first demonstration of response to progression or death, whichever occurs first

Progression-free Survival (PFS)Through study completion up to 24 months

Phase 1 and 2: Defined as the time from the first dose of treatment to first documented disease progression or death due to any cause, whichever occurs first

Overall Survival (OS)Through study completion up to 24 months

Phase 1 and 2: Defined as the time from first dose of study drug to death due to any cause

Disease Control (DC)Through study completion up to 24 months

Phase 2: The proportion of patients who achieved SD, PR, or CR (based on patient's best response)

Time to Response (TTR)Through study completion up to 24 months

Phase 2: The time from the first dose of PRS-344/S095012 to the first documentation of CR or PR

Serum concentrations of PRS-344/S095012Through study completion up to 24 months

Phase 2

Safety measurementstime on trial, average of 6 months

Phase 2: Incidence of serious adverse events (AEs)

Trial Locations

Locations (11)

Hospital Universitario Gregorio

πŸ‡ͺπŸ‡Έ

Madrid, Spain

Chris O'Brian Lifehouse

πŸ‡¦πŸ‡Ί

Camperdown, Australia

START

πŸ‡ͺπŸ‡Έ

Madrid, Spain

Carolina Bio Oncology

πŸ‡ΊπŸ‡Έ

Huntersville, North Carolina, United States

NEXT Oncology

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

The Queen Elizabeth Hospital

πŸ‡¦πŸ‡Ί

Woodville South, Australia

Hospital Vall d'Hebron

πŸ‡ͺπŸ‡Έ

Barcelona, Spain

Institute Jules Bordet

πŸ‡§πŸ‡ͺ

Brussels, Belgium

Universitair Ziekenhuis

πŸ‡§πŸ‡ͺ

Edegem, Belgium

U.Z. Gent Medical Oncology

πŸ‡§πŸ‡ͺ

Gent, Belgium

Cabrini Oncology Research

πŸ‡¦πŸ‡Ί

Malvern, Victoria, Australia

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