This study is an open-label, Phase 1, multicenter study to evaluate the safety, tolerability, PK, and PD profiles of AGEN2373 as a monotherapy and in combination with botensilimab (also known as AGEN1181), and to assess the maximum tolerated dose (MTD) in subjects with advanced solid tumors.
This Phase 1 study will enroll up to approximately 200 evaluable adult patients with a histologically confirmed diagnosis of advanced cancer for which no standard therapy is available or standard therapy has failed, regardless of diagnosis and prior therapies. This also includes patients with PD-1/PD-L1 R/R melanoma. Patients may be enrolled into one of 5 treatment arms: 2-Week AGEN2373 monotherapy 3-Week AGEN2373 monotherapy 4-Week AGEN2373 monotherapy Combination of AGEN2373 and botensilimab in patients with programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) relapsed/refractory (R/R) melanoma. Group 1 (Monotherapy Lead-in Combination): AGEN2373 will be administered every 3 weeks (Q3W). Starting on Cycle 4, AGEN1181 will be administered on Day 1 of every other 3-week cycle (Cycles 4, 6, 8, etc.) in combination with AGEN2373. Group 2 (Combination): AGEN2373 will be administered Q3W in combination with botensilimab administered every other cycle. The trial will consist of a 3+3 dose escalation that will evaluate different combination dose levels of AGEN2373 monotherapy and in combination with botensilimab. Each patient will stay on the dose level and schedule assigned at trial entry. Treatment with AGEN2373 monotherapy will be up to 2 years (i.e., maximum of 34 cycles). For combination therapy, AGEN1181 will be continued up to 1 year (i.e., maximum of 8 doses) and for AGEN2373 up to 2 years (i.e., maximum of 34 cycles), or until unacceptable toxicity, disease progression, consent is withdrawn, or any criterion for stopping the study drug or withdrawal of trial occurs. Patients who do not complete the DLT observation period (28 days for the 2-Week and 4-Week AGEN2373 Monotherapy arms and 21 days for the 3-Week AGEN2373 Monotherapy and Combination arms) after the first dose for reasons other than DLT will be replaced.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
91
An Anti-CD137 Monoclonal Antibody
Anti-CTLA-4 Monoclonal Antibody
University of Southern California Norris Comprehensive Cancer Center/ Hoag
Los Angeles, California, United States
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States
University of Miami
Coral Gables, Florida, United States
Occurrence of Dose Limiting Toxicity (DLT)
DLT in patient in dose escalation phase
Time frame: First 28 days of treatment Q2W and Q4W and First 21 days Q3W
Frequency of treatment-emergent adverse events (TEAEs)
According to NCI-CTCAE Version 5.0, vital signs (blood pressure, heartrate, and temperature), physical examinations, 12-lead electrocardiogram, Eastern Cooperative Oncology Group (ECOG) performance status, and clinical laboratory assessments for all dose groups
Time frame: Screening to 90 days from last dose
Severity of treatment-emergent adverse events (TEAEs)
According to NCI-CTCAE Version 5.0, vital signs (blood pressure, heartrate, and temperature), physical examinations, 12-lead electrocardiogram, Eastern Cooperative Oncology Group (ECOG) performance status, and clinical laboratory assessments for all dose groups
Time frame: Screening to 90 days from last dose
Duration of treatment-emergent adverse events (TEAEs)
According to NCI-CTCAE Version 5.0, vital signs (blood pressure, heartrate, and temperature), physical examinations, 12-lead electrocardiogram, Eastern Cooperative Oncology Group (ECOG) performance status, and clinical laboratory assessments for all dose groups
Time frame: Screening to 90 days from last dose
Maximum observed concentration at steady state (Cmax-ss)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Minimum observed concentration at steady state (Cmin-ss)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
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Moffitt Cancer Center
Tampa, Florida, United States
Atlantic Health System
Morristown, New Jersey, United States
Roswell Park Comprehensive Cancer Care
Buffalo, New York, United States
Columbia University
New York, New York, United States
Providence Cancer Institute
Portland, Oregon, United States
UPMC
Pittsburgh, Pennsylvania, United States
Mary Crowley Cancer Research Center
Dallas, Texas, United States
...and 2 more locations
Area under the plasma/serum concentration-time curve within time span t1 to t2 at steady-state (AUC(t1-t2)-ss)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Area under the plasma/serum concentration-time curve from time zero to time t (AUC(0-t))
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Area under the plasma/serum concentration-time curve from time zero to infinity (AUC(0-∞))
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Time to maximum observed concentration (tmax)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Terminal disposition rate constant (λz)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Terminal elimination half-life (t1/2)
PK Profile of AGEN2373
Time frame: Day 1 of dosing through 90 days from the last dose
Systemic clearance (CL)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Volume of distribution (Vd)
PK Profile of AGEN2373 and botensilimab
Time frame: Day 1 of dosing through 90 days from the last dose
Immunogenicity of AGEN2373
ADA Profile of AGEN2373 and botensilimab
Time frame: Pre-dose through 3 months after the last dose
Overall Response Rate (ORR)
per RECIST 1.1
Time frame: Evaluated throughout the protocol up to 2 years
Duration of Response (DOR)
per RECIST 1.1
Time frame: First observation of documented disease progression (or death within 12 weeks of the last tumor assessment)
Disease Control Rate (DCR)
including complete and partial responders and stable disease \[SD\] for at least 12 weeks per RECIST 1.1
Time frame: Time Frame: 24 weeks of first dose
Progression Free Survival (PFS)
median and/or rate as defined in the statistical analysis plan
Time frame: First treatment administration to first observation of documented disease progression (or death within 12 weeks of last tumor assessment)