跳至主要内容
临床试验/NL-OMON56048
NL-OMON56048招募中不适用

A Phase I/IIa Open-label Dose Escalation and Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of AZD7789, an anti-PD-1 and anti-TIM-3 Bispecific Antibody, in Participants with Advanced or Metastatic Solid Tumors - D9570C00001 (study with AZD7789)

Astra Zeneca0 个研究点目标入组 14 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
14

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • General Inclusion Criteria for all cohorts:
  • Must be >= 18 years of age
  • Part A, B1, B2 and B3: Histologically or cytologically documented Stage IIIB
  • to IV non-small cell lung carcinoma (NSCLC) not amenable to curative surgery or
  • Part B4: Histologically or cytologically documented advanced or metastatic
  • gastric and GEJC not amendable to curative surgery
  • Must have at least one measurable lesion according to Response Evaluation
  • Criteria in Solid Tumors (RECIST) v1.1
  • Provision of fresh tumor tissue sample and consent to undergo mandatory
  • on-treatment biopsy for participants enrolled in Part A Dose-escalation
  • participants
  • Provision of archival tumor tissue sample or fresh tissue sample for Part B
  • Dose-expansion participants
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Non-pregnant women and willingness of female participants to avoid pregnancy
  • or male participants willing to avoid fathering children through highly
  • effective methods of contraception
  • Adequate organ and bone marrow function measured within 28*days prior to
  • first dose.
  • Part A Dose Escalation Additional Inclusion Criteria:
  • May have squamous or non-squamous NSCLC
  • Must have received at least one prior line of systemic therapy, of which at
  • least one prior line of therapy contained approved anti-PD-1/PD-L1
  • Must have had immune-oncology (IO) acquired resistance
  • PD-L1 <1% of >1% documented
  • Part B Dose Expansion Cohort B1 and B3 Additional Inclusion Criteria:
  • May have squamous or non-squamous NSCLC
  • Must have received at least one prior line of systemic therapy, of which only
  • one prior line of therapy contained approved anti-PD-1/PD-L1
  • Must have had IO acquired resistance
  • PD- L1 expression >= 1% as determined by IHC
  • Part B Dose Expansion Cohort B2 Additional Inclusion Criteria:
  • May have squamous or non-squamous NSCLC
  • Must not have received prior systemic therapy including IO therapy in the
  • first-line setting
  • PD-L1 expression >= 50% as determined by IHC
  • Part B Dose Expansion Cohort B4 Additional Inclusion Criteria:
  • Must not have received at least one but no more than two prior lines of
  • systemic therapy in the advanced/metastatic setting, of which only one prior
  • line of therapy contained an approved anti-PD-1/PD-L1 therapy
  • Must have had IO acquired resistance
  • There are no PD-L1 status requirements for this cohort

排除标准

  • Patients with sensitizing epidermal growth factor receptor (EGFR) mutations
  • or anaplastic lymphoma kinase (ALK) fusions
  • Documented test result for any other known genomic alteration for which a
  • targeted first line therapy is approved per local standard of care (SoC)
  • Part B dose-expansion Cohort B4: documented HER2 amplification (unless an SoC
  • including an anti-HER2 therapy has been received)
  • Unresolved toxicities of >= Grade 2 from prior therapy
  • Any prior >= Grade 3 immune-mediated adverse event (imAE) while receiving
  • immunotherapy or any unresolved imAE >= Grade 2
  • Must not have experienced a toxicity that led to permanent discontinuation of
  • prior immunotherapy
  • Symptomatic central nervous system (CNS) metastasis or leptomeningeal disease
  • History of symptomatic and objectively confirmed arterial (including
  • myocardial infarction) or venous thromboembolic event within 6 months prior to
  • study drug dosing, unless participant is on treatment with adequate
  • antithrombotic medication and is considered to be stable by the investigator.
  • History of organ transplant or allogenic hematopoietic stem cell transplant.
  • Infectious disease exclusions: Active infection including TB, HIV, hepatitis
  • A, chronic or active hepatitis B, chronic or active hepatitis C, active
  • COVID-19 infection
  • History of clinically significant arrhythmia as judged by the Investigator.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or
  • active infection, cardiomyopathy of any etiology, symptomatic congestive heart
  • failure, uncontrolled hypertension, uncontrolled diabetes mellitus, unstable
  • angina pectoris, history of myocardial infarction within the past 6 months,
  • serious chronic gastrointestinal conditions associated with diarrhea, active
  • non infectious skin disease. For Part B Dose-expansion Cohort B4,
  • medication-resistant ascites requiring drainage in the last 28 days prior the
  • start of AZD7789 and/or the occurrence of active gastro-intestinal bleeding, as
  • judged by the Investigator.
  • Active or prior documented autoimmune or inflammatory disorders, including
  • inflammatory bowel disease (eg, colitis or Crohn's disease), diverticulitis
  • (with the exception of diverticulosis), systemic lupus erythematosus,
  • Sarcoidosis syndrome, or Wegener syndrome (granulomatosis with polyangiitis),
  • Graves' disease, rheumatoid arthritis, Hypophysitis, uveitis, etc.. Some
  • exceptions have been specified in the protocol.
  • Past medical history of interstitial lung disease (ILD), drug-induced ILD,
  • radiation pneumonitis requiring steroid treatment, or any evidence of
  • clinically active ILD
  • Major surgical procedure within 28 days prior to the first dose of study
  • intervention or still recovering from prior surgery
  • Other invasive malignancy within 2 years prior to screening
  • Congenital long QT syndrome or history of QT prolongation associated with
  • other medications that cannot be changed or discontinued based on a
  • cardiologist assessment
  • Any previous treatment with anti-TIM-3 therapy in any setting is not
  • permitted. For Part A, B1 and B3: treatment with investigational therapy prior
  • to initiation of study treatment except where the most recent line of therapy
  • was investigational agents added to approved anti-PD-1/PD-L1 as part of
  • standard of care. Investigational agents

研究者

发起方
Astra Zeneca

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