The purpose of this study is to evaluate the safety and tolerability, pharmacokinetics (PK) pharmacodynamics and preliminary antitumor activity of lorigerlimab. This Phase 1, open-label study will characterize safety, dose-limiting toxicities (DLTs), and maximum tolerated/administered dose (MTD/MAD) of MGD019. Dose escalation will occur in a 3+3+3 design in patients with advanced solid tumors of any histology. Once the MTD/MAD is determined, a Cohort Expansion Phase will be enrolled to further characterize safety and initial anti-tumor activity in patients with specific tumor types anticipated to be sensitive to dual checkpoint blockade.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
162
Bispecific DART protein binding PD-1 and CTLA-4
University of Chicago Medical Center
Chicago, Illinois, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
START Midwest
Grand Rapids, Michigan, United States
Incidence of treatment-emergent adverse events
Safety is based on evaluation of adverse events (AEs) and serious adverse events (SAEs) from the time of study drug administration through the End of Study visit.
Time frame: 30 days after last dose
Cmax
Maximum Plasma Concentration of lorigerlimab
Time frame: up to 108 weeks
Tmax
Time to reach maximum (peak) plasma concentration of lorigerlimab
Time frame: up to 108 weeks
AUC
Area Under the Plasma Concentration versus Time Curve of lorigerlimab
Time frame: up to 108 weeks
Ctrough
Trough plasma concentration of lorigerlimab
Time frame: up to 108 weeks
CL
Total body clearance of the drug from plasma of lorigerlimab
Time frame: up to 108 weeks
Vss
Apparent volume of distribution at steady state of lorigerlimab
Time frame: up to 108 weeks
t1/2
Terminal half life of lorigerlimab
Time frame: up to 108 weeks
Percent of patients with anti-drug antibodies against lorigerlimab
Immunogenicity
Time frame: up to 108 weeks
Objective response rate (ORR)
The number of participants who have a complete response (CR) or partial response (PR) to treatment. Efficacy assessed using conventional Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)
Time frame: Every 12 weeks, up to 4 years
Duration of Response (DoR)
DoR is defined as the time from the date of initial response (CR or PR) to the date of first documented PD or death from any cause, whichever occurs first
Time frame: Every 12 weeks until withdrawal of consent, lost to follow up, death, or end of the study, up to 4 years
Progression free survival (PFS)
PFS is defined as the time from the first dose date to the date of first documented PD or death from any cause, whichever occurs first.
Time frame: Tumor status assessed every 12 weeks. Survival status is assessed approximately every 12 weeks after the last dose of study treatment until withdrawal of consent, lost to follow up, death, or end of the study, up to 4 years
Overall survival (OS)
OS is defined as the time from the first dose date to the date of death from any cause.
Time frame: OS status is assessed approximately every 12 weeks after the last dose of study treatment until withdrawal of consent, lost to follow up, death, or end of the study, up to 4 years
Prostate specific antigen (PSA) response rate in mCRPC
Percent of patients with 50% or more decline in PSA and confirmed 3 weeks later
Time frame: Every 3 weeks on treatment, then every 3 months up to 2 years post last treatment
Best PSA percent change in mCRPC
Best percent change in PSA from baseline
Time frame: Every 3 weeks on treatment, then every 3 months up to 2 years post last treatment
Duration of PSA response
Time from PSA response to time of PSA progression
Time frame: Every 3 weeks on treatment, then every 3 months up to 2 years post last treatment
Radiographic progression-free survival (PFS) in metastatic castration-resistant prostate cancer (mCRPC)
Time from first dose to first occurrence of radiographic progression, or death
Time frame: up to 2 years post last treatment
Time to PSA progression in mCRPC
The time from the first dose of MGD019 to the first documented PSA progression. PSA progression is defined as an increase that is ≥ 25% and ≥ 2 ng/mL the baseline or lowest value observed, and which confirmed by a second value at least 3 weeks later
Time frame: PSA is assessed every 3 weeks while on treatment, every 3 months for up to 2 years post-treatment
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Oncology Hematology West p.c. dba Nebraska Cancer Specialists
Grand Island, Nebraska, United States
Nebraska Cancer Specialists
Omaha, Nebraska, United States
Providence Portland Medical Center
Portland, Oregon, United States
UPMC Hillman Cancer Center
Camp Hill, Pennsylvania, United States
UPMC Hillman Cancer Center
Carlisle, Pennsylvania, United States
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