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A Study of ABBV-428, an Immunotherapy, in Subjects With Advanced Solid Tumors

Phase 1
Completed
Conditions
Advanced Solid Tumors Cancer
Interventions
Registration Number
NCT02955251
Lead Sponsor
AbbVie
Brief Summary

This is an open-label, Phase I, dose-escalation study to determine the recommended Phase 2 dose (RPTD), maximum tolerated dose (MTD), and evaluate the safety and pharmacokinetic (PK) profile of ABBV-428 when administered as monotherapy or in combination with nivolumab in participants with advanced solid tumors.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
61
Inclusion Criteria
  • Participants must have an advanced solid tumor that has progressed on standard therapies known to provide clinical benefit or the participants are intolerant to such therapies.
  • Participants have adequate bone marrow, renal, hepatic and coagulation function.
  • For all dose expansion arms, participants must have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
  • Participants in combination therapy cohorts must have an advanced solid tumor where the use of nivolumab is standard therapy.
Exclusion Criteria
  • Active or prior documented autoimmune disease in the last 2 years. Participants with childhood atopy or asthma, vitiligo, alopecia, Hashimoto syndrome, Grave's disease, or psoriasis not requiring systemic treatment (within the past 2 years) are not excluded.
  • Current or prior use of immunosuppressive medication within 14 days prior to the first dose (with certain exceptions).
  • History of primary immunodeficiency, bone marrow transplantation, chronic lymphocytic leukemia, solid organ transplantation, or previous clinical diagnosis of tuberculosis.
  • Confirmed positive test results for human immunodeficiency virus (HIV), or participants with chronic or active hepatitis B or C. Participants who have a history of hepatitis B or C who have undetectable HBV DNA or HCV RNA after anti-viral therapy may be enrolled.
  • Prior grade greater than or equal to 3 immune-mediated neurotoxicity or pneumonitis (or any other unresolved or symptomatic adverse event in the last 3 months) while receiving immunotherapy.
  • Male participants who are considering fathering a child or donating sperm during the study or for at least 3 or 5 months (for monotherapy and combination therapy participants, respectively) after the last dose of study drug.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm 1ABBV-428ABBV-428 will be administered at escalating dose levels in 28-day dosing cycles (2 doses per cycle).
Arm A, B, and CABBV-428Additional participants (with ovarian cancer, NSCLC, etc.) will be enrolled in a dose expansion cohorts that will further evaluate ABBV-428.
Arm 2ABBV-428ABBV-428 plus nivolumab.
Arm 2NivolumabABBV-428 plus nivolumab.
Arm DABBV-428Additional participants with NSCLC will be enrolled in an expansion cohort that will further evaluate ABBV-428 plus nivolumab.
Arm DNivolumabAdditional participants with NSCLC will be enrolled in an expansion cohort that will further evaluate ABBV-428 plus nivolumab.
Primary Outcome Measures
NameTimeMethod
Number of participants with adverse eventsFirst dose of study drug through at least 100 days after end of treatment; up to 2 years after last participants first dose
Recommended Phase 2 Dose (RPTD) of ABBV-428 when administered as monotherapy or in combination with nivolumab1 day of study drug administration within the 28-day cycle at the designated cohort dose

If a maximum tolerated dose (MTD) is reached, the RPTD of ABBV-428 will not be a dose higher than the defined MTD, and will be selected based on the type(s) and occurrence(s) of dose limiting toxicities which occur in addition to the MTD. If a MTD is not reached, then the RPTD will be defined based on the safety and pharmacokinetic data.

Area under the serum concentration-time curve (AUC) of ABBV-428Up to 30 days after a 24-month treatment period
Terminal half-life (t1/2) of ABBV-428Up to 30 days after a 24-month treatment period
Maximum observed serum concentration (Cmax) of ABBV-428Up to 30 days after a 24-month treatment period
Maximum tolerated dose (MTD) of ABBV-428 when administered as monotherapy or in combination with nivolumabUp to 2 years

The highest dose level at which less than 2 of 6 participants or less than 33% of (if cohort is expanded beyond 6) participants experience a dose limiting toxicity.

Time to Cmax (Tmax) of ABBV-428Up to 30 days after a 24-month treatment period
Secondary Outcome Measures
NameTimeMethod
Duration of Objective Response (DOR)Up to 30 days after a 24-month of treatment period

DOR defined as the time from the initial objective response to disease progression or death, whichever occurs first.

Clinical benefit rate (CBR)Up to 30 days after a 24-month of treatment period

CBR defined as the proportion of subjects with a confirmed partial response (PR), complete response (CR), or stable disease for at least 24 weeks to the treatment.

Progression-Free Survival (PFS)Up to 30 days after a 24-month of treatment period

PFS time is defined as the time from the first dose of ABBV-428 to disease progression or death, whichever occurs first

Objective Response Rate (ORR)Up to 30 days after a 24-month of treatment period

ORR is defined as the proportion of subjects with a confirmed partial or complete response to the treatment.

Trial Locations

Locations (15)

Centre Leon Berard /ID# 168072

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Lyon CEDEX 08, Rhone, France

Gustave Roussy /ID# 162257

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Villejuif, Ile-de-France, France

HonorHealth Research Institute - Pima /ID# 155461

πŸ‡ΊπŸ‡Έ

Scottsdale, Arizona, United States

Institut Curie /ID# 162258

πŸ‡«πŸ‡·

Paris CEDEX 05, Ile-de-France, France

Institut Bergonie /ID# 202391

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Bordeaux, Gironde, France

National Taiwan Univ Hosp /ID# 169034

πŸ‡¨πŸ‡³

Taipei City, Taipei, Taiwan

Greenville Hospital System /ID# 154437

πŸ‡ΊπŸ‡Έ

Greenville, South Carolina, United States

Hopital de la Timone /ID# 162256

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Marseille CEDEX 05, Provence-Alpes-Cote-d Azur, France

Northern Cancer Institute /ID# 163132

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St Leonards, New South Wales, Australia

UC Davis Comprehensive Cancer Center - Main /ID# 154439

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

University of Chicago /ID# 154440

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Chicago, Illinois, United States

Fox Chase Cancer Center /ID# 170665

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

South Texas Accelerated Research Therapeutics /ID# 154442

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

MD Anderson Cancer Center at Texas Medical Center /ID# 154441

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Chris O'Brien Lifehouse /ID# 163131

πŸ‡¦πŸ‡Ί

Camperdown, New South Wales, Australia

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