A Dose Escalation and Expansion Trial With the SIRPα-directed Monoclonal Antibody BYON4228 Alone and in Combination to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics and Efficacy in Patients With Advanced or Metastatic Solid Tumors
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 发起方
- Byondis B.V.
- 入组人数
- 7
- 试验地点
- 11
- 主要终点
- Incidence of Dose-Limiting Toxicities
研究概览
简要总结
This is a phase I trial with BYON4228, a humanized monoclonal antibody (mAb) directed against signal regulatory protein (SIRP)α in solid tumors, alone and in combination with pembrolizumab.
详细描述
This study includes a dose escalation part (Part 1) in which the MTD or OBD and RDE(s) will be determined. This trial includes an expansion part (Part 2) to evaluate efficacy and safety of BYON4228 in combination with pembrolizumab in specific patient cohorts.
BYON4228 is a humanized IgG1 mAb directed against SIRPα. BYON4228 binds SIRPα expressed on innate immune cells, especially monocytes, macrophages and neutrophils. BYON4228 blocks binding of SIRPα to CD47 and inhibits signaling through the CD47-SIRPα axis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 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
- •Patient with histologically confirmed, locally advanced or metastatic cancer who has progressed on standard therapy or for whom no standard therapy exists:
- •Part 1 (dose escalation): Solid tumors of any origin;
- •Part 2 (expansion): Patients with other solid tumor types indicated for pembrolizumab monotherapy;
- •Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1;
- •For Part 2 only: at least one measurable cancer lesion as defined by the Response Evaluation Criteria for Solid Tumors (RECIST version 1.1);
- •Adequate baseline organ function.
排除标准
- •Having been treated with CD47 or SIRPα targeting agents or other anticancer therapy within 4 weeks prior to the start of IMP treatment;
- •History of hypersensitivity or allergic reaction to any of the excipients of BYON4228;
- •Any contraindication to pembrolizumab treatment;
- •For Part 2: Patients previously given a PD-1 or PD-L1 inhibitor who had subsequent disease progression within 8 weeks of initiation;
- •Symptomatic brain metastases;
- •History of autoimmune disorders;
- •Severe active infection or other severe uncontrolled systemic disease;
- •Having clinically significant cardiovascular disease;
- •Known infection of Hepatitis B, C or E.
- •Key inclusion and exclusion criteria details are listed here, additional requirements may apply.
研究组 & 干预措施
BYON4228 + Pembrolizumab
干预措施: BYON4228 + Pembrolizumab (Drug)
结局指标
主要结局
Incidence of Dose-Limiting Toxicities
时间窗: 21 days
Objective Response Rate
时间窗: 2 years
Part 2 (expansion): To evaluate the objective tumor response rate (ORR).
次要结局
未报告次要终点