This study is an open-label, Phase 1 study to evaluate the safety, tolerability, PK, and pharmacodynamic profiles of AGEN1223 as a single-agent and in combination with balstilimab, as well as to assess the maximum tolerated dose and determine the RP2D of AGEN1223 as a single-agent and in combination with balstilimab in subjects with advanced solid tumors.
This study is an open-label, Phase 1 study to evaluate the safety, tolerability, PK, and pharmacodynamic profiles of AGEN1223 as a single-agent and in combination with balstilimab, as well as to assess the maximum tolerated dose and determine the RP2D of AGEN1223 as a single-agent and in combination with balstilimab in subjects with advanced solid tumors. This Phase 1 study will be conducted in an accelerated titration (for the first 2 single agent AGEN1223 dosing cohorts) and standard 3+3 dose escalation format. Study drug treatment will be administered on Day 1 of each 3-week cycle for up to 2 years or until any progressive disease (PD) or unacceptable toxicity is reported. The timing of the administration of doses may be adjusted for management of adverse events (AEs). The safe starting dose of AGEN1223 single-agent will be at the estimated minimally anticipated biological effect level. The treatment phase is divided into 3-week cycles with associated evaluations and procedures that must be performed at specific time points. Tumor assessments will be conducted every 6 weeks (±7 days) from first dose until treatment discontinuation or disease progression. In subjects that discontinue treatment for reasons other than PD, imaging will continue until PD or initiation of a new therapy. If the subject discontinues treatment because of PD, imaging may be performed if clinically beneficial or if deemed necessary by the investigator until the initiation of new antineoplastic therapy. This must be approved by the Sponsor. A Safety Monitoring Committee (SMC) will be established to assess safety and determine dose escalation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
19
AGEN1223 is a bispecific antibody.
AGEN1223 is a bispecific antibody and balstilimab an anti-PD-1 Monoclonal Antibody.
HonorHealth Research Institute
Scottsdale, Arizona, United States
University of Southern California
Los Angeles, California, United States
University of Miami/Sylvester Comprehensive Cancer Center
Miami, Florida, United States
Abramson Cancer Center at the University of Pennsylvania
Philadelphia, Pennsylvania, United States
Dose Limiting Toxicity (DLT)
In subjects in dose escalation
Time frame: First 28 days of treatment
Frequency, severity, and duration of treatment-emergent AEs (TEAEs)
For all dose groups according to NCI-CTCAE Version 5.0
Time frame: Screening through 90 days after last dose
Maximum observed concentration at steady state (Cmax-ss)
PK profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Minimum observed concentration at steady state (Cmin-ss)
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Area under the plasma/serum concentration-time curve within time span t1 to t2 at steady-state (AUC(t1-t2)-ss)
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Area under the plasma/serum concentration-time curve from time zero to time t (AUC(0-t))
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Area under the plasma/serum concentration-time curve from time zero to infinity (AUC(0-∞))
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Time to maximum observed concentration (tmax)
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PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
terminal disposition rate constant (λz)
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Terminal elimination half-life (t1/2)
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Systemic clearance (CL)
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Volume of distribution (Vd).
PK Profile of AGEN1223 and balstilimab
Time frame: From first dose through 2 year of treatment
Immunogenicity
Incidence of anti-AGEN1223 antibodies and anti-Balstilimab antibodies
Time frame: From first dose through 2 year of treatment
Overall Response Rate
Per RECIST 1.1 based on Investigator assessment
Time frame: Screening up to 2 years of treatment
Duration of Response
Per RECIST 1.1 based on Investigator assessment
Time frame: Screening up to 2 years of treatment
Disease Control Rate
Including complete and partial responders and stable disease (SD) for at least 12 weeks, per RECIST 1.1 based on Investigator assessment.
Time frame: Screening up to 2 years of treatment
Progression-free Survival median and/or rate
As defined in the Statistical Analysis Plan
Time frame: Screening up to 2 years of treatment