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
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