This study will be conducted in adult participants diagnosed with advanced tumors to characterize the safety, tolerability, pharmacokinetics (PK), and activity of FS118. This is a Phase 1/2, multi-center, open-label, multiple-dose, first-in-human study, designed to systematically assess safety and tolerability, to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for FS118 in participants with advanced tumors and to determine the efficacy of FS118 in participants with squamous cell carcinoma of the head and neck (SCCHN) as monotherapy and in combination with paclitaxel. In addition to safety, pharmacokinetics, pharmacodynamics, immunogenicity and efficacy will also be assessed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Dosing of participants will occur intravenously (IV) weekly in 3-week treatment cycles until iCPD (i.e., immune confirmed progressive disease), unacceptable toxicity, or discontinuation.
Dosing on Days 1, 8 and 15 of each 28 day cycle in combination with FS118 given on days 1, 8, 15 and 22 of each 28 day cycle.
University of California Los Angeles (UCLA)
Los Angeles, California, United States
Yale University School of Medicine
New Haven, Connecticut, United States
Emory Healthcare
Atlanta, Georgia, United States
University of Cincinnati
Cincinnati, Ohio, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
MD Anderson Cancer Center
Houston, Texas, United States
South Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
CHU Bordeaux
Bordeaux, France
Centre Oscar Lambret
Lille, France
Centre Lyon Berard
Lyon, France
...and 2 more locations
Dose escalation: Incidence of Treatment Emergent Adverse Events (Safety and Tolerability)
Incidence, severity and duration of adverse events will be assessed by CTCAEv4.03
Time frame: 12 months
Dose escalation: Serum Concentration vs time profile of FS118
Blood samples for serum PK analysis will be obtained (concentrations measured in mcg/mL)
Time frame: 7 months
Dose escalation: Maximum Serum Concentration of FS118
Blood samples for serum PK analysis will be obtained (Cmax measured in mcg/mL)
Time frame: 7 months
Dose escalation: Time to reach maximum serum concentration (Tmax) of FS118
Blood samples for serum PK analysis will be obtained (Tmax measured in hours)
Time frame: 7 months
Dose escalation: Trough serum concentration (Ctrough) of FS118 prior to the next dose
Blood samples for serum PK analysis will be obtained (Ctrough measured in mcg/mL)
Time frame: 7 months
Dose escalation: Area under the serum FS118 concentration vs time Curve (AUC)
Blood samples for serum PK analysis will be obtained (AUC measured in d.mcg/mL)
Time frame: 7 months
Dose escalation: Systemic Clearance (CL) of FS118
Blood samples for serum PK analysis will be obtained (CL measured in mL/day)
Time frame: 7 months
Expansion cohort: Disease control rate as assessed by RECIST 1.1 in evaluable participants with PD-L1 and LAG-3 positive SCCHN
Assessed by RECIST 1.1
Time frame: 24 weeks
Expansion cohort (FS118 + paclitaxel): Incidence of Treatment Emergent Adverse Events (safety and Tolerability) Incidence, severity and duration of adverse events
Assessed by CTCAE v 5.0
Time frame: 12 months
Dose escalation: Disease Response as assessed by RECIST 1.1 and iRECIST
Assessed by RECIST 1.1 and iRECIST
Time frame: 7 months
Dose escalation and expansion cohort of FS118 + paclitaxel
Incidence of FS118 immunogenicity will include ADA detection and analysis (incidence measured in titre)
Time frame: 7 months
Expansion cohort: Disease Response as assessed by RECIST 1.1 and iRECIST in all SCCHN participants
Assessed by RECIST 1.1 and iRECIST
Time frame: 24 months
Expansion cohort: Incidence of Treatment Emergent Adverse Events (Safety and Tolerability)
Incidence, severity and duration of adverse events will be assessed by CTCAEv4.03
Time frame: 12 months
Expansion cohort: Maximum Serum Concentration of FS118
Blood samples for serum PK analysis will be obtained (Cmax measured in mcg/mL)
Time frame: 7 months
Expansion cohort: Time to reach maximum serum concentration (Tmax) of FS118
Blood samples for serum PK analysis will be obtained (Tmax measured in hours)
Time frame: 7 months
Expansion cohort: Trough serum concentration (Ctrough) of FS118 prior to the next dose
Blood samples for serum PK analysis will be obtained (Ctrough measured in mcg/mL)
Time frame: 7 months
Expansion cohort: Area under the serum FS118 concentration vs time Curve (AUC)
Blood samples for serum PK analysis will be obtained (AUC measured in d.mcg/mL)
Time frame: 7 months
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Expansion cohort: Systemic Clearance (CL) of FS118
Blood samples for serum PK analysis will be obtained (CL measured in mL/day)
Time frame: 7 months