The goal of this trial is to learn about the antibody GEN1042 when it is used alone and when it is used together with another antibody cancer drug, pembrolizumab (with or without chemotherapy), for treatment of participants with certain types of cancer.
This is an open-label, multicenter phase 1/2 study designed to assess the safety, pharmacokinetics, pharmacodynamics and anti-tumor activity of GEN1042 administered as a monotherapy or in combination in participants with metastatic or locally advanced solid tumors. Participants will receive either GEN1042 alone, GEN1042 with pembrolizumab, or GEN1042 with pembrolizumab and chemotherapy. All participants will receive active drug; no one will receive placebo. This trial has 2 parts. The purpose of the first part is to find out if GEN1042 is safe and to find out the best doses of GEN1042 to use. The purpose of the second part is to give GEN1042 to more participants to see how well the dose(s) of GEN1042 selected in the first part work against cancer with GEN1042 when given alone or in combination with pembrolizumab or in combination with pembrolizumab and chemotherapy. Trial details include: * The average trial duration will be about 3 years. * The treatment duration will be up to 2 years (when GEN1042 is combined with pembrolizumab). * The visit frequency will be weekly at first and lessening over time until visits are only once every 3 weeks.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
350
Intravenous
Intravenous
Intravenous
Intravenous
Intravenous
Intravenous
Intravenous
Intravenous
Intravenous
Alaska Oncology and Hematology LLC
Anchorage, Alaska, United States
Cancer & Blood Specialty Clinic
Los Alamitos, California, United States
Moores Cancer Center at the UC San Diego Health
San Diego, California, United States
Yale University Cancer Center
New Haven, Connecticut, United States
ChristianaCare
Newark, Delaware, United States
Dose Escalation and Safety Run-in Parts: Number of Participants With Dose-Limiting Toxicities (DLTs)
Toxicities will be graded for severity according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0
Time frame: First Cycle (21 days)
Dose Expansion: Objective Response Rate (ORR)
ORR is defined as the percentage of participants with best overall response (BOR) \[complete or partial response (PR or CR)\] based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as assessed by the investigator.
Time frame: Up to approximately 3 years
All Parts: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From first dose until the end of the study (approximately 3 years)
Dose Escalation: ORR
ORR is defined as the percentage of participants with BOR (PR or CR) based on RECIST version 1.1 as assessed by the investigator.
Time frame: Up to approximately 3 years
All Parts: Duration of Objective Response (DOR)
DOR is defined as time from the first documentation of objective tumor response (CR or PR) to the date of first progressive disease (PD) or death based on RECIST version 1.1 as assessed by the investigator.
Time frame: Up to approximately 3 years
All Parts: Disease Control Rate (DCR)
DCR is defined as the percentage of participants with BOR of CR, PR, or stable disease (SD) based on RECIST version 1.1 as assessed by the investigator.
Time frame: Up to approximately 3 years
All Parts: Progression-Free Survival (PFS)
PFS is defined as the time from Day 1 in Cycle 1 to the first documented progression or death due to any cause based on RECIST version 1.1 as assessed by the investigator.
Time frame: Up to approximately 3 years
All Parts: Overall Survival (OS)
OS is defined as time from Day 1 in Cycle 1 to death due to any cause.
Time frame: Up to approximately 3 years
All Parts: Area Under the Concentration-Time Curve (AUC) of GEN1042
Time frame: Predose and postdose at multiple timepoints up to end of treatment (approximately 2 years)
All Parts: Maximum Observed Plasma Concentration (Cmax) of GEN1042
Time frame: Predose and postdose at multiple timepoints up to end of treatment (approximately 2 years)
All Parts: Half-life (t½) of GEN1042
Time frame: Predose and postdose at multiple timepoints up to end of treatment (approximately 2 years)
All Parts: Number of Participants With Anti-drug Antibody (ADA) Response to GEN1042
Serum samples will be screened for antibodies binding to GEN1042 and the titer of confirmed positive samples will be reported.
Time frame: Predose and postdose at multiple timepoints up to end of treatment (approximately 2 years)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, United States
Florida Cancer Affiliates
Ocala, Florida, United States
Hope and Healing Cancer Services
Hinsdale, Illinois, United States
University of Kentucky
Lexington, Kentucky, United States
Norton Cancer Institute
Louisville, Kentucky, United States
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