This study is a Phase 1, open-label, dose escalation and cohort expansion trial designed to characterize the safety, tolerability, PK, PD, immunogenicity and preliminary antitumor activity of enoblituzumab administered IV on a weekly schedule for up to 96 doses (approximately 2 years) in children and young adults with B7-H3-expressing relapsed or refractory malignant solid tumors.
This study is a Phase 1, open-label, dose escalation and cohort expansion trial designed to characterize the safety, tolerability, PK, PD, immunogenicity and preliminary antitumor activity of enoblituzumab administered IV on a weekly schedule for up to 96 doses (approximately 2 years) in children and young adults with B7-H3-expressing relapsed or refractory malignant solid tumors. The study consists of a Dose Escalation Phase to determine the MTD (or MAD) of enoblituzumab followed by a Cohort Expansion Phase to further define the safety and initial antitumor activity of enoblituzumab. In the cohort expansion phase, 5 cohorts of 10 patients each will be enrolled to further evaluate the safety and potential efficacy of enoblituzumab administered at the MTD/MAD in patients with:1) neuroblastoma - measurable disease, 2) neuroblastoma - non-measurable disease, 3) rhabdomyosarcoma, 4) osteosarcoma, and 5) Ewing's sarcoma, Wilms' tumor, desmoplastic small round cell tumors, or malignant solid tumors of any other histology that test positive for B7-H3. All tumor evaluations will be carried out by both Response Evaluation Criteria in Solid Tumors (RECIST) and immune-related response criteria (irRC). Disease assessment in patients with neuroblastoma will use neuroblastoma overall response criteria.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
enoblituzumab administered IV weekly for up to 96 weeks
Lucile Packard Children's Hospital, Stanford
Palo Alto, California, United States
National Cancer Institute, Center for Cancer Research
Bethesda, Maryland, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Texas Children's Hospital
Houston, Texas, United States
Seattle Children's
Seattle, Washington, United States
University of Wisconsin, American Family Children's Hospital
Madison, Wisconsin, United States
Safety and tolerability of enoblituzumab.
Adverse events, SAEs, incidence of treatment-emergent AE
Time frame: Time of first dose through end of treatment (up to 2 years)
Peak plasma concentration
PK of enoblituzumab
Time frame: Time of first dose through end of treatment (up to 96 weeks)
Number of participants that develop anti-drug antibodies
Proportion of patients who develop anti-MGA271 antibodies, immunogenicity
Time frame: Time of first dose through end of treatment (up to 96 weeks)
Antitumor activity of enoblituzumab
Anti-tumor activity of enoblituzumab using conventional RECIST 1.1 and immune related RECIST criteria
Time frame: Time of first dose through end of treatment (up to 96 weeks)
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