A Phase 1 First In Human Study Evaluating Safety And Efficacy Of ABBV-637 As Either Monotherapy Or In Combination In Adult Subjects With Relapsed And Refractory Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 81
- 试验地点
- 33
- 主要终点
- Number of Participants Experiencing Adverse Events (AEs)
研究概览
简要总结
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. The purpose of this study is to evaluate the safety and efficacy (how well the study drug works against the disease) of ABBV-637 alone or in combination with docetaxel/osimertinib in participants with solid tumors (NSCLC). Adverse events and change in disease activity will be assessed.
ABBV-637 is an investigational drug being developed for the treatment of solid tumors. Study consists of 3 parts - monotherapy dose escalation (Part 1), combination dose escalation and expansion (Parts 2a and 2b) with docetaxel and combination dose escalation and expansion (Parts 3a and 3b) with osimertinib. Approximately 109 adult participants with relapsed/refractory (R/R) solid tumors will be enrolled in approximately 30 sites across the world.
In Part 1, participants with solid tumors will receive intravenous (IV) ABBV-637 in 28-day cycles. In Part 2a and 2b, participants will receive IV ABBV-637 in combination with IV docetaxel in 28-day cycles. In Part 3a and 3b, participants will receive intravenous (IV) ABBV-637 in combination with daily oral tablets of osimertinib in 28-day cycle.
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. Treatment effects will be monitored by medical assessments, blood tests, side effect reporting, and questionnaires.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologic solid tumor diagnosis (Part 1).
- •For Part 2 docetaxel combination therapy: EGFR WT expressing relapsed/refractory (R/R) non-small cell lung cancer (NSCLC) participants.
- •For Part 3 osimertinib combination therapy: mutEGFR-expressing RR NSCLC participants.
- •Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.
- •Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or
- •For Part 1 only - history of R/R disease that has progressed on all standard of care therapy.
- •For Part 2 only - history of RR NSCLC that has progressed after treatment with platinum-based chemotherapy regimen and either immune checkpoint inhibitor or targeted therapy and may not have been treated with prior single agent chemotherapy.
- •For Part 3 only - history of RR NSCLC that has progressed on osimertinib
- •Meet the laboratory values as described in the protocol.
排除标准
- •History (within 6 months) of congestive heart failure (defined as New York Heart Association, Class 2 or higher), ischemic cardiovascular event, cardiac arrhythmia requiring pharmacological or surgical intervention, pericardial effusion, or pericarditis.
- •Unresolved Grade 2 or higher toxicities related to previous anticancer therapy except alopecia.
- •For Part 3 only: History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, nor any evidence of active ILD or pneumonitis.
研究组 & 干预措施
Part 1: ABBV-637 Monotherapy
Participants will receive escalating doses of ABBV-637 in 28-day cycles.
干预措施: ABBV-637 (Drug)
Part 2a: ABBV-637 + Docetaxel
Participants will receive escalating doses of ABBV-637 in combination with docetaxel in 28-day cycles.
干预措施: ABBV-637 (Drug)
Part 2a: ABBV-637 + Docetaxel
Participants will receive escalating doses of ABBV-637 in combination with docetaxel in 28-day cycles.
干预措施: Docetaxel (Drug)
Part 2b: ABBV-637 + Docetaxel
Participants will receive ABBV-637 at dose determined in Part 2a in combination with docetaxel in 28-day cycles.
干预措施: ABBV-637 (Drug)
Part 2b: ABBV-637 + Docetaxel
Participants will receive ABBV-637 at dose determined in Part 2a in combination with docetaxel in 28-day cycles.
干预措施: Docetaxel (Drug)
Part 3a: ABBV-637 + Osimertinib
Participants will receive escalating doses of ABBV-637 in combination with osimertinib in 28-day cycles.
干预措施: ABBV-637 (Drug)
Part 3a: ABBV-637 + Osimertinib
Participants will receive escalating doses of ABBV-637 in combination with osimertinib in 28-day cycles.
干预措施: Osimertinib (Drug)
Part 3b: ABBV-637 + Osimertinib
Participants will receive ABBV-637 at dose determined in Part 3a in combination with osimertinib in 28-day cycles.
干预措施: ABBV-637 (Drug)
Part 3b: ABBV-637 + Osimertinib
Participants will receive ABBV-637 at dose determined in Part 3a in combination with osimertinib in 28-day cycles.
干预措施: Osimertinib (Drug)
结局指标
主要结局
Number of Participants Experiencing Adverse Events (AEs)
时间窗: Up to approximately 3 years
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.
Percentage of Participants With Objective Response Rate (ORR) (Part 2 & 3)
时间窗: Up to approximately 3 years
ORR is defined as the percentage of participants with a confirmed response (CR) or partial response (PR) per investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
次要结局
- Percentage of Participants With Objective Response Rate (ORR) (Part 1)(Up to approximately 3 years)
- Duration of Response (DOR) for ABBV-637 in Combination With Docetaxel and Osimertinib (Part 2 & 3)(Up to approximately 20 months)
- Overall Survival (OS) for ABBV-637 in Combination With Docetaxel and Osimertinib (Part 2 & 3)(Up to approximately 12 months after last dose of study drug)
- Duration of Response (DOR) for ABBV-637 Administered as Monotherapy (Part 1)(Up to approximately 12 months)
- Progression-Free Survival (PFS) for ABBV-637 in Combination With Docetaxel and Osimertinib (Part 2 & 3)(Up to approximately 20 months)
