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Study to Assess Adverse Events and Pharmacokinetics in Adult Participants With Non-Small Cell Lung Cancer (NSCLC), Head and Neck Squamous Cell Carcinoma (HNSCC) and Other Solid Tumors, Receiving Intravenous (IV) Infusion of Azirkitug (ABBV-514) Alone or in Combination With Budigalimab or Bevacizumab

Phase 1
Recruiting
Conditions
Non-Small Cell Lung Cancer
Head and Neck Squamous Cell Carcinoma
Micro Satellite Stable Colorectal Cancer
Gastric/Esophageal Cancer
High-Grade Serous Ovarian Cancer
Pancreatic Cancer
Triple Negative Breast Cancer
Interventions
Registration Number
NCT05005403
Lead Sponsor
AbbVie
Brief Summary

Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. Non-Small Cell Lung Cancer (NSCLC) is a solid tumor, a disease in which cancer cells form in the tissues of the lung. Head and Neck Squamous Cell Carcinoma (HNSCC) is a solid tumor, a disease in which cancer cells form in the tissues of the head and neck. The purpose of this study is to assess adverse events and pharmacokinetics of Azirkitug (ABBV-514) as a monotherapy and in combination with Budigalimab or Bevacizumab,.

Bevacizumab is an approved product, while Budigalimab and Azirkitug (ABBV-514) are investigational drugs being developed for the treatment of NSCLC, HNSCC, and other solid tumors. Study doctors put the participants in groups called treatment arms. The maximum-tolerated dose (MTD)/maximum administered dose (MAD) of Azirkitug (ABBV-514) will be explored. Each treatment arm receives a different dose of Azirkitug (ABBV-514) in monotherapy and in combination with Budigalimab or Bevacizumab. Approximately 512 adult participants will be enrolled in the study across approximately 80 sites worldwide.

Participants will receive Azirkitug (ABBV-514) as a monotherapy or in combination with Budigalimab or Bevacizumab as an Intravenous (IV) Infusion for an estimated treatment period of up to 2 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
512
Inclusion Criteria
  • Pre Treatment biopsy or archive tissue within 6 months without intervening treatment
  • Eastern Cooperative Oncology Group (ECOG) performance status of <=1
  • Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST)
  • Laboratory values meeting criteria outlined in the protocol
  • NSCLC - Advanced or metastatic progressed on standard of care (SOC) including chemotherapy and prior anti-PD-(L)1 antibody (separately or in combination). Actionable gene alterations are eligible if failed targeted therapeutic options.
  • HSNCC - Advanced/metastatic progressed on platinum and PD-1/PD-LI in recurrent or metastatic setting.
  • Micro Satellite Stable Colorectal Cancer (MSS-CRC) - Progressed on Oxaliplatin, Irinotecan, a fluoropyrimidine, anti-EGFR, VEGF or VEGFR therapies, TAS-102, Regorafenib and not MSI-h or MMR-deficient
  • Gastric and Gastroesophageal Junction adenocarcinoma (GEA) - Advanced/metastatic progressed on at least 1 prior cytotoxic chemotherapeutic regimen and if applicable immune checkpoint inhibitor and/or HER2 therapy
  • High-Grade Serous Ovarian Cancer (HGSOC) - Progressed serous epithelial ovarian, fallopian tube or primary peritoneal cancer post SOC and not eligible for surgical resection. Platinum resistant cannot have >5 lines of prior therapy.
  • Pancreatic Adenocarcinoma (PDAC) - Advanced/metastatic progressed after SOC. Includes adenosquamous carcinoma and post-Whipple.
  • Triple Negative Breast Cancer (TNBC) - Progressed after >1 systemic therapy that must have included taxane and treatment naïve to immunotherapy targeting T-cell co-stimulation
Exclusion Criteria
  • Pancreatic Ductal Adenocarcinoma (PDAC) - Excludes neuroendocrine or acinar pancreatic carcinoma and participants with coagulopathy or at risk of or history of Deep vein thrombosis (DVT)/PE
  • No major surgery within 28 days prior to dosing
  • No active autoimmune/immunodeficiency disease with limited exceptions
  • Combination treatment excludes participants treated with anti-programmed cell death protein 1(PD-1)/Programmed cell death ligand 1 (PD-L1) who had immune mediated toxicity G3 or greater, interstitial lung disease, or hypersensitivity Combination treatment may also require no significant cardiac deficiencies and/or events
  • Pregnancy
  • Excluded medications include anticancer therapy within 5 half-live or 28 days (whichever is shorter), agent targeting Chemokine Receptor (CCR)8, live vaccines, immunosuppressive medication with limited exceptions

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part 2 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 3 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 3 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 4 Dose Expansion: Azirkitug (ABBV-514)AzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion.
Part 4 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 4 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 5 Dose Expansion: Azirkitug (ABBV-514)AzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion.
Part 5 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 5 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 6 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 6 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 7 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 7 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 8 Dose Escalation: Azirkitug (ABBV-514) + BevacizumabAzirkitugParticipants will receive Azirkitug (ABBV-514) in combination with bevacizumab.
Part 8 Dose Escalation: Azirkitug (ABBV-514) + BevacizumabBevacizumabParticipants will receive Azirkitug (ABBV-514) in combination with bevacizumab.
Part 8 Dose Expansion: Azirkitug (ABBV-514) + BevacizumabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with bevacizumab.
Part 8 Dose Expansion: Azirkitug (ABBV-514) + BevacizumabBevacizumabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with bevacizumab.
Part 9 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 9 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 2 Dose Expansion: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Part 1 Dose Escalation: Azirkitug (ABBV-514)AzirkitugParticipants will receive Azirkitug (ABBV-514).
Part 1 Dose Escalation: Azirkitug (ABBV-514) + BudigalimabAzirkitugParticipants will receive Azirkitug (ABBV-514) in combination with budigalimab.
Part 1 Dose Escalation: Azirkitug (ABBV-514) + BudigalimabBudigalimabParticipants will receive Azirkitug (ABBV-514) in combination with budigalimab.
Part 2 Dose Expansion: Azirkitug (ABBV-514)AzirkitugParticipants will receive Azirkitug (ABBV-514) at recommended dose determined in Dose Escalation portion.
Primary Outcome Measures
NameTimeMethod
Time to Maximum Observed Serum Concentration (Tmax) of ABBV-514Up to 2 Years

Time to maximum Observed Serum Concentration (Tmax) of of ABBV-514.

Antidrug Antibody (ADA)Up to 2 Years

Incidence and concentration of anti-drug antibodies.

Number of Participants with Adverse Events (AE)Up to 2 Years

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Terminal Elimination Half-Life (t1/2) of ABBV-514Up to 2 Years

Terminal elimination half-life (t1/2) of ABBV-514.

Neutralizing Antidrug Antibody (nADA)Up to 2 Years

Incidence and concentration of neutralizing anti-drug antibodies.

Maximum Observed Serum Concentration (Cmax) of ABBV-514Up to 2 Years

Maximum Observed Serum Concentration (Cmax) of of ABBV-514.

Area Under the Serum Concentration Versus Time Curve (AUC) of ABBV-514Up to 2 Years

Area under the serum concentration versus time curve (AUC) of ABBV-514.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (29)

Rambam Health Care Campus /ID# 238333

🇮🇱

Haifa, H_efa, Israel

Hadassah Medical Center-Hebrew University /ID# 252287

🇮🇱

Jerusalem, Israel

Rabin Medical Center /ID# 250497

🇮🇱

Petah Tikva, Israel

Kobe University Hospital /ID# 250409

🇯🇵

Kobe, Hyogo, Japan

Shizuoka Cancer Center /ID# 250408

🇯🇵

Sunto-gun, Shizuoka, Japan

National Cheng Kung University Hospital /ID# 252262

🇨🇳

Tainan, Taiwan

Taipei Medical University Hospital /ID# 252450

🇨🇳

Taipei City, Taiwan

Tri-Service General Hospital /ID# 252263

🇨🇳

Taipei City, Taiwan

The University of Texas MD Anderson Cancer Center /ID# 270059

🇺🇸

Houston, Texas, United States

University of Illinois at Chicago /ID# 251750

🇺🇸

Chicago, Illinois, United States

Fort Wayne Medical Oncology and Hematology, Inc /ID# 232593

🇺🇸

Fort Wayne, Indiana, United States

Community Health Network, Inc. /ID# 243011

🇺🇸

Indianapolis, Indiana, United States

Norton Cancer Institute /ID# 248903

🇺🇸

Louisville, Kentucky, United States

Nebraska Cancer Specialists - Omaha - Wright Street /ID# 247399

🇺🇸

Omaha, Nebraska, United States

Carolina BioOncology Institute /ID# 232597

🇺🇸

Huntersville, North Carolina, United States

NEXT Oncology Austin /ID# 243005

🇺🇸

Austin, Texas, United States

NEXT Oncology /ID# 243007

🇺🇸

San Antonio, Texas, United States

Virginia Cancer Specialists - Fairfax /ID# 232592

🇺🇸

Fairfax, Virginia, United States

The Chaim Sheba Medical Center /ID# 238332

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Aichi Cancer Center Hospital /ID# 250405

🇯🇵

Nagoya-shi, Aichi, Japan

National Cancer Center Hospital East /ID# 238840

🇯🇵

Kashiwa-shi, Chiba, Japan

National Cancer Center Hospital /ID# 238372

🇯🇵

Chuo-ku, Tokyo, Japan

National Cancer Center /ID# 252290

🇰🇷

Goyang-si, Gyeonggido, Korea, Republic of

CHA Bundang Medical Center /ID# 252291

🇰🇷

Seongnam, Gyeonggido, Korea, Republic of

Yonsei University Health System Severance Hospital /ID# 252288

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Asan Medical Center /ID# 252289

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

The Catholic University of Korea, Seoul St. Marys Hospital /ID# 252867

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

National Taiwan University Hospital /ID# 251894

🇨🇳

Taipei City, Taipei, Taiwan

Taipei Medical University Shuang Ho Hospital /ID# 252449

🇨🇳

New Taipei City, Taiwan

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