A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-927 With ABBV-368, Budigalimab (ABBV-181) and/or Chemotherapy in Participants With Locally Advanced or Metastatic Solid Tumors
- Conditions
- Advanced Solid TumorsCancerTriple-Negative Breast Cancer (TNBC)Non-small-cell-lung-cancer (NSCLC)Metastatic Solid Tumors
- Interventions
- Registration Number
- NCT03893955
- Lead Sponsor
- AbbVie
- Brief Summary
- A study evaluating the safety, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of ABBV-927 with ABBV-368, Budigalimab (ABBV-181) and/or chemotherapy in participants with selected solid tumors. This study consists of 2 main parts, a dose-escalation phase and a dose-expansion phase. The dose-expansion phase can begin once the recommended phase 2 dose/maximum tolerated dose (RP2D/MTD) is determined in the dose-escalation phase. 
- Detailed Description
- Not available 
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 150
- Adequate liver, kidney and hematology function as demonstrated by laboratory values detailed in the study protocol.
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Dose-Escalation:
- Arm A: Participants with an advanced solid tumor who have progressed on standard therapies known to provide clinical benefit and/or participants who have refused or are intolerant of such therapy.
- Arm B (non-small-cell-lung-cancer [NSCLC]): Participants with histologically or cytologically confirmed NSCLC who previously progressed during or after an anti-programmed cell death (PD)-1 or PD ligand 1 (PD-L1) therapy and a platinum-based regimen in the recurrent or metastatic setting.
Dose-Expansion:
- Arm 1, 2, and 3 (triple-negative breast cancer [TNBC]): Participants with histologically or cytologically confirmed breast adenocarcinoma that is estrogen receptor/progesterone receptor/human epidermal growth factor receptor (HER)2-negative who must have disease progression during or after at least 1 systemic therapy that included a taxane in the metastatic or recurrent setting and who are treatment-naïve to immunotherapy.
- Arm 4 (TNBC): Participants with histologically or cytologically confirmed TNBC who have received no previous anti-cancer therapy for TNBC, and who are PD-L1 negative on tumor tissue by immunohistochemistry (IHC) assay.
- Arm 5 (NSCLC): Participants with histologically or cytologically confirmed NSCLC who previously progressed either during or after an anti-PD-1 or PD-L1 therapy and a platinum-based regimen in the recurrent or metastatic setting.
- Has history of inflammatory bowel disease or pneumonitis.
- Has uncontrolled metastases to the central nervous system.
- Has a concurrent malignancy that is clinically significant, treatment is required, or the participant is not clinically stable.
- Has had a major surgery ≤ 28 days prior to the first dose of study drug or the surgical wound is not fully healed.
- Has previously treated with an anti-PD- or PD-L1-targeting agent and had during the course of their therapy:
- any immune-mediated toxicity of Grade 3 or worse severity
- treatment of the toxicity with systemic corticosteroids
- any hypersensitivity to the PD-1 or PD-L1-targeting agent
- any treatment-related toxicity resulting in discontinuation of the PD-1 or PD-L1 targeting agent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
- Group - Intervention - Description - Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-368 - Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV. - Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-927 - Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181. - Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-927 - Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV. - Dose Escalation Arm A: ABBV-927 + ABBV-368 Solid Tumors - ABBV-368 - Participants with Solid Tumors will receive various doses of ABBV-927 by intravenous (IV) infusion plus ABBV-368. This will determine the recommended phase two dose (RP2D) of ABBV-927. - Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-368 - Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181. - Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC - ABBV-927 - Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV. - Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC - ABBV-927 - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV. - Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC - Nab-paclitaxel - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV. - Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC - ABBV-368 - Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV. - Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC - ABBV-927 - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV. - Dose Expansion Arm 3: ABBV-927 + Carboplatin TNBC - ABBV-927 - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin by IV. - Dose Expansion Arm 4: ABBV-927+ Nab-paclitaxel + ABBV-368 TNBC - ABBV-368 - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Nab-paclitaxel + ABBV-368 by IV. - Dose Expansion Arm 3: ABBV-927 + Carboplatin TNBC - Carboplatin - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin by IV. - Dose Escalation Arm A: ABBV-927 + ABBV-368 Solid Tumors - ABBV-927 - Participants with Solid Tumors will receive various doses of ABBV-927 by intravenous (IV) infusion plus ABBV-368. This will determine the recommended phase two dose (RP2D) of ABBV-927. - Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC - ABBV-181 - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV. - Dose Expansion Arm 5: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-181 - Participants with NSCLC will receive ABBV-927 (at the RP2D established in Arm B) + ABBV-368 + ABBV-181 by IV. - Dose Escalation Arm B: ABBV-927 + ABBV-368 + ABBV-181 NSCLC - ABBV-181 - Participants with non-small-cell-lung-cancer (NSCLC) will receive ABBV-927 IV at various dose levels + ABBV-368 + ABBV-181. This will determine the recommended phase two dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181. - Dose Expansion Arm 1: ABBV-927 + Carboplatin + ABBV-368 TNBC - Carboplatin - Participants with Triple Negative Breast Cancer (TNBC) will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-368 by IV. - Dose Expansion Arm 2: ABBV-927 + Carboplatin + ABBV-181 TNBC - Carboplatin - Participants with TNBC will receive ABBV-927 (at the RP2D established in Arm A) + Carboplatin + ABBV-181 by IV. 
- Primary Outcome Measures
- Name - Time - Method - Dose Expansion: Objective Response Rate (ORR) - Up to approximately 2 years following the first dose of study drug - ORR is defined as the percentage of participants with either complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. - Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368 - Up to approximately 6 months - The RP2D of ABBV-927 + ABBV-368 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data. - Dose-Escalation Phase: Recommended Phase 2 Dose (RP2D) of ABBV-927 + ABBV-368 + ABBV-181 - Up to approximately 6 months - The RP2D of ABBV-927 + ABBV-368 + ABBV-181 will be determined during the dose-escalation phase of the study. RP2D will be determined using available safety and pharmacokinetics data. 
- Secondary Outcome Measures
- Name - Time - Method - Maximum Serum Concentration (Cmax) - Up to approximately 12 weeks after participant's initial dose of study drug - Maximum Serum Concentration (Cmax) - Dose-Expansion Phase: Progression-free Survival (PFS) - Up to approximately 2 years since the first dose of study drug - PFS is defined as the time from date of first study drug exposure to disease progression or death, whichever occurs first. - Time to Maximum Observed Serum Concentration (Tmax) - Up to approximately 12 weeks after participant's initial dose of study drug - Time to Maximum Observed Serum Concentration (Tmax) - Terminal Phase Elimination Half-life (t1/2) - Up to approximately 4 weeks after participant's initial dose of study drug - Terminal Phase Elimination Half-life (t1/2) - Area Under the Serum Concentration Versus Time Curve from Time 0 to the Time of the Last Measurable Concentration (AUCτ) - Up to approximately 12 weeks after participant's initial dose of study drug - Area under the serum concentration versus time curve from time 0 to the time of the last measurable concentration (AUCτ). - Dose-Expansion Phase: Duration of Response (DOR) - Up to approximately 2 years since the first dose of study drug - DOR defined as the time from the participant's initial response to study drug therapy to disease progression or death, whichever occurs first. 
Related Research Topics
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Trial Locations
- Locations (26)
- Highlands Oncology Group, PA /ID# 218863 🇺🇸- Springdale, Arkansas, United States - St Jude Hospital dba St Joseph /ID# 211130 🇺🇸- Santa Rosa, California, United States - Yale University School of Medicine /ID# 210678 🇺🇸- New Haven, Connecticut, United States - Moffitt Cancer Center /ID# 215037 🇺🇸- Tampa, Florida, United States - Fort Wayne Medical Oncology and Hematology, Inc /ID# 226072 🇺🇸- Fort Wayne, Indiana, United States - Washington University-School of Medicine /ID# 221399 🇺🇸- Saint Louis, Missouri, United States - Duke Cancer Center /ID# 217641 🇺🇸- Durham, North Carolina, United States - Carolina BioOncology Institute /ID# 210664 🇺🇸- Huntersville, North Carolina, United States - UPMC Hillman Cancer Ctr /ID# 222747 🇺🇸- Pittsburgh, Pennsylvania, United States - Tennessee Oncology-Nashville Centennial /ID# 221400 🇺🇸- Nashville, Tennessee, United States Scroll for more (16 remaining)Highlands Oncology Group, PA /ID# 218863🇺🇸Springdale, Arkansas, United States
