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A Study to Evaluate the Safety, Pharmacokinetics, and Activity of RO7502175 as a Single Agent and in Combination With Checkpoint Inhibitor in Participants With Locally Advanced or Metastatic Solid Tumors

Phase 1
Recruiting
Conditions
Locally Advanced or Metastatic Solid Tumors
NSCLC
HNSCC
Melanoma
TNBC
Esophageal Cancer
Gastric Cancer
Cervical Cancer
Colorectal Cancer
Urothelial Carcinoma
Interventions
Registration Number
NCT05581004
Lead Sponsor
Genentech, Inc.
Brief Summary

This is a first-in-human study to evaluate the safety, tolerability, pharmacokinetics (PK), and anti-tumor activity of RO7502175 when administered as a single agent and in combination with atezolizumab or pembrolizumab in adult participants with locally advanced or metastatic solid tumors, including non-small-cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), melanoma, triple-negative breast cancer (TNBC), esophageal cancer, gastric cancer, cervical cancer, colorectal cancer (CRC), urothelial carcinoma (UC), clear cell renal cell carcinoma (RCC) and hepatocellular carcinoma (HCC). Participants will be enrolled in 2 stages: dose escalation and dose expansion.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
450
Inclusion Criteria
  • Life expectancy at least 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Measurable disease according to Response Evaluation criteria in Solid Tumors (RECIST) Version 1.1
  • Histologically confirmed locally advanced, recurrent, or metastatic incurable solid tumor malignancy
  • Tumor Specimen availability
Exclusion Criteria
  • Pregnant or breastfeeding or intention of becoming pregnant during the study or within 4 months after the final dose of RO7501275, or 4 months after the final dose of pembrolizumab, or 5 months after the final dose of atezolizumab
  • Any anti-cancer therapy, whether investigational or approved, including chemotherapy, hormonal therapy, or radiotherapy, within 3 weeks prior to initiation of study treatment
  • Active hepatitis B or C or tuberculosis
  • Positive test for human immunodeficiency virus (HIV) infection
  • Acute or chronic active Epstein-Barr virus (EBV) infection at screening
  • Administration of a live, attenuated vaccine (e.g., FluMist) within 4 weeks before first RO7502175 infusion
  • Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
  • Active or history of autoimmune disease
  • Prior allogeneic stem cell or organ transplantation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Phase Ia: Dose EscalationRO7502175Participants in successive cohorts will receive escalating doses of RO7502175, as an intravenous (IV) infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ib: Dose EscalationAtezolizumabParticipants in successive cohorts will receive escalating doses of RO7502175, as an IV infusion, in combination with a fixed dose of atezolizumab, as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ib: ExpansionPembrolizumabParticipants with select solid tumors will receive a recommended dose of RO7502175, determined in Phase Ib Dose Escalation phase, as an IV infusion, in combination with a fixed dose of atezolizumab or pembrolizumab, as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ib: ExpansionAtezolizumabParticipants with select solid tumors will receive a recommended dose of RO7502175, determined in Phase Ib Dose Escalation phase, as an IV infusion, in combination with a fixed dose of atezolizumab or pembrolizumab, as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ia: ExpansionRO7502175Participants with select solid tumors will receive a recommended dose of RO7502175, determined in Phase Ia Dose Escalation phase as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ib: ExpansionRO7502175Participants with select solid tumors will receive a recommended dose of RO7502175, determined in Phase Ib Dose Escalation phase, as an IV infusion, in combination with a fixed dose of atezolizumab or pembrolizumab, as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Phase Ib: Dose EscalationRO7502175Participants in successive cohorts will receive escalating doses of RO7502175, as an IV infusion, in combination with a fixed dose of atezolizumab, as an IV infusion on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Phase Ia: Number of Participants with Treatment Emergent Adverse EventsUp to approximately 5 years
Phase Ib: Number of Participants with Treatment Emergent Adverse EventsUp to approximately 5 years
Phase Ia: Number of Participants with Dose Limiting Toxicities (DLTs)From Day 1 to Day 21 of Cycle 1 (21 days from date of first dose of study treatment)
Phase Ib: Number of Participants with DLTsFrom Day 1 to Day 21 of Cycle 1 (21 days from date of first dose of study treatment)
Secondary Outcome Measures
NameTimeMethod
Phase Ia and Phase Ib: Maximum Serum Concentration (Cmax) of RO7502175From Cycle 1 (each cycle is 21 days) Day1 and at multiple timepoints up to each follow-up visits (up to approximately 5 years)
Phase Ia and Phase Ib: Objective Response Rate (ORR)From Cycle 1(each cycle is 21 days) Day 1, until disease progression, death, or end of study (up to approximately 5 years)
Phase Ia and Phase Ib: Duration of Response (DOR)From Cycle 1 (each cycle is 21 days) Day 1, until disease progression, death, or end of study (up to approximately 5 years)
Phase Ia and Phase Ib: Progression Free Survival (PFS)From Cycle 1 (each cycle is 21 days) Day 1, until disease progression, death, or end of study (up to approximately 5 years)
Phase Ia and Phase Ib: Percentage of Participants With Anti-Drug Antibody (ADA) to RO7502175From Cycle 1 (each cycle is 21 days) Day 1 and at multiple timepoints up to treatment discontinuation (up to approximately 5 years)

Trial Locations

Locations (33)

Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis

🇳🇱

Amsterdam, Netherlands

Universitair Medisch Centrum Groningen

🇳🇱

Groningen, Netherlands

Florida Cancer Specialists - Sarasota

🇺🇸

Sarasota, Florida, United States

ICO l?Hospitalet ? Hospital Duran i Reynals

🇪🇸

L?Hospitalet De Llobregat, Barcelona, Spain

Winship Cancer Institute

🇺🇸

Atlanta, Georgia, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Samsung Medical Center - PPDS

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System - Clinical Trials Center Pharmacy

🇰🇷

Seoul, Korea, Republic of

Hospital Universitario Vall d'Hebron - PPDS

🇪🇸

Barcelona, Spain

Hospital Clinico Universitario de Valencia

🇪🇸

Valencia, Spain

START MADRID_Hospital Universiario Fundacion Jimenez Diaz

🇪🇸

Madrid, Spain

Hospital Universitario 12 De Octubre

🇪🇸

Madrid, Spain

Hospital Universitario Virgen de la Victoria

🇪🇸

Malaga, Spain

Stanford University

🇺🇸

San Francisco, California, United States

University Of Colorado

🇺🇸

Aurora, Colorado, United States

Washington University Medical Center, Division of Oncology

🇺🇸

Saint Louis, Missouri, United States

Rutgers Cancer Institute of New Jersey

🇺🇸

New Brunswick, New Jersey, United States

The West Clinic - Memphis (Union Ave)

🇺🇸

Germantown, Tennessee, United States

SCRI Oncology Partners

🇺🇸

Nashville, Tennessee, United States

South Texas Accelerated Research Therapeutics (START)

🇺🇸

San Antonio, Texas, United States

Kinghorn Cancer Centre

🇦🇺

Darlinghurst, New South Wales, Australia

Monash Health Monash Medical Centre

🇦🇺

Clayton, Victoria, Australia

Linear Clinical Research Ltd

🇦🇺

Nedlands, Western Australia, Australia

UZ Antwerpen

🇧🇪

Edegem, Belgium

CHU de Liège

🇧🇪

Herstal, Belgium

GasthuisZusters Antwerpen

🇧🇪

Wilrijk, Belgium

British Columbia Cancer Agency

🇨🇦

Vancouver, British Columbia, Canada

Ottawa Hospital Regional Cancer Centre

🇨🇦

Ottawa, Ontario, Canada

Princess Margaret Cancer Centre

🇨🇦

Toronto, Ontario, Canada

Sir Mortimer B Davis Jewish General Hospital

🇨🇦

Montreal, Quebec, Canada

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center - PPDS

🇰🇷

Seoul, Korea, Republic of

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