This first-in-human (FIH ) study is an open-label, multicenter study that consists of a Phase 1 Dose Escalation/Expansion phase of GB1275 monotherapy or in combination with Anti-PD-1 Antibody or in combination with Standard of Care in Patients with Metastatic Pancreatic Adenocarcinoma followed by a Phase 2 Basket Expansion phase in Patients with Specified Metastatic Solid Tumors
Note: The Phase 2 portion of the study was not initiated.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
61
UCSF Medical Center at Mission Bay
San Francisco, California, United States
University of Colorado Hospital, Anschutz Cancer Pavilion (ACP)
Aurora, Colorado, United States
Washington University School of Medicine - Siteman Cancer Center
St Louis, Missouri, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Duke University Medical Center
Durham, North Carolina, United States
The Sarah Cannon Research Institute/Tennessee Oncology
Nashville, Tennessee, United States
South Texas Accelerated Research Therapeutics, LLC
San Antonio, Texas, United States
The Royals Marsden NHS Foundation Trust
Sutton, Surrey, United Kingdom
Phase 1 Dose Escalation - Regimens A, B,and C: Incidence of dose limiting toxicities (DLTs)
Time frame: Regimen A and B dose escalation Days 1-21, Regimen C dose escalation Days 8-36 days
Phase 1 Dose Escalation - Regimens A, B, and C and Phase 1 Expansion - Regimen B: Incidence of adverse events (AEs)
Time frame: Regimen A and C from first dose through 30 days post last dose, Regimen B from first dose through 90 days post last dose
Phase 1 Dose Escalation - Regimens A and B: Cmax of GB1275
Maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 Dose Escalation - Regimens A and B: Ctrough of GB1275
Trough observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 Dose Escalation - Regimens A and B: Tmax of GB1275
Time of maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 Dose Escalation - Regimens A and B: t1/2 of GB1275
Terminal phase elimination half-life
Time frame: From first dose through 30 days post last dose
Phase 1 Dose Escalation - Regimens A and B: AUC of GB1275
Area under the plasma concentration-time curve
Time frame: From first dose through 30 days post last dose
Phase 1 Dose Escalation - Regimens A and B: CL/F of GB1275
Oral clearance
Time frame: From first dose through 30 days post last dose
Phase 2 - Basket Cohorts 1, 2 and 3: Objective Response Rate (ORR)
ORR defined as the proportion of subjects with best overall confirmed response (BOCR) of either a complete response (CR) or partial response (PR) as assessed by the Investigator based on RECIST v1.1
Time frame: 24 months
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Cmax of GB1275
Maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Ctrough of GB1275
Trough observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: Tmax of GB1275
Time of maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: t1/2 of GB1275
Terminal phase elimination half-life
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: AUC of GB1275
Area under the plasma concentration-time curve
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C and Phase 1 Expansion - Regimen B: CL/F of GB1275
Oral clearance
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C: Cmax of nab-paclitaxel and gemcitabine
Maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C: Tmax of nab-paclitaxel and gemcitabine)
Time of maximum observed plasma concentration
Time frame: From first dose through 30 days post last dose
Phase 1 - Regimen C: AUC of nab-paclitaxel and gemcitabine
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Area under the plasma concentration-time curve
Time frame: From first dose through 30 days post last dose
Phase 2 - Basket Cohorts 1, 2, and 3: Duration of Response (DOR)
DOR defined as time from date of objective response to first documented date of disease progression or death
Time frame: 24 months
Phase 2 - Basket Cohorts 1, 2, and 3: Time to Response (TTR)
TTR defined as time from first dose to first date of objective response
Time frame: 24 months
Phase 2 - Basket Cohorts 1, 2, and 3: Clinical Benefit Rate (CBR)
CBR defined as proportion of subjects with confirmed CR, PR, or stable disease (SD) at six months.
Time frame: 6 months
Phase 2 - Basket Cohorts 1, 2, and 3: Progression Free Survival (PFS)
PFS defined as time from first dose to first documented date of disease progression or death.
Time frame: 24 months
Phase 2 - Basket Cohorts 1, 2, and 3: Time to Progression (TTP)
TTP defined as time from first dose to first documented date of disease progression.
Time frame: 24 months
Phase 2 - Basket Cohorts 1, 2, and 3: Overall Survival (OS)
OS defined as time from first dose to date of death.
Time frame: 24 months
Phase 2 - Basket Cohorts 1, 2, and 3: Incidence of AEs
Time frame: Basket Cohorts 1 from first dose through 30 days post last dose, Basket Cohorts 2 and 3 from first dose through 90 days post last dose.
Phase 2 - Basket Cohort 1, 2 and 3: PK profile of GB1275
Time frame: Basket Cohorts 1, 2, and 3 from first dose through 30 days post last dose.