This is an open-label, multicenter, first in human, Phase 1a/1b study of PY314 in subjects with locally advanced (unresectable) and/or metastatic solid tumors that are refractory or relapsed to standard of care (including pembrolizumab, if approved for that indication).
Part A: Dose escalation of PY314 alone and in combination with pembrolizumab in a standard 3+3 design Part B: Dose expansion of one or more dose levels of PY314 administered alone and in combination with pembrolizumab for predefined tumor histology
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
Dose of PY314 as a single agent given in a standard 3+3 design.
Dose of PY314 alone and given in combination with pembrolizumab
Mayo Clinic Scottsdale - PPDS
Phoenix, Arizona, United States
Honor Health Research Institute
Scottsdale, Arizona, United States
City of Hope - Comprehensive Cancer Center
Duarte, California, United States
Stanford Hospital and Clinics
Palo Alto, California, United States
UC San Diego Moores Cancer Center
San Diego, California, United States
University of Colorado Hospital
Aurora, Colorado, United States
Mayo Clinic Jacksonville - PPDS
Jacksonville, Florida, United States
H Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States
University of Chicago
Chicago, Illinois, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
...and 13 more locations
Incidence of Adverse Events (AE)
Adverse Events will be summarized by MedDRA system organ class and preferred term. Separate tabulations will be produced for all treatment emergent AEs, treatment related AEs, Serious Adverse Events (SAEs), discontinuations due to AEs, and AEs of at least NCI CTCAE grade 3 severity.
Time frame: 36 months
(Part A only) Dose Limiting Toxicity of PY314
Evaluation of dose-limiting toxicity (DLT).
Time frame: Assessed during first 21 days of treatment
Measure PY314 concentration at the end of infusion (CEOI)
Measure PY314 concentration at the end of infusion (CEOI) after the first dose.
Time frame: 36 months
Measure PY314 concentration at the trough level (Ctrough)
Measure PY314 concentration at the trough level (Ctrough). All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing.
Time frame: 36 months
Determining PY314 time to maximum concentration (Tmax)
Determining PY314 time to maximum concentration (Tmax) during Cycle 1.
Time frame: 36 months
Measure PY314 Area under the curve (AUC)0-t
Measure PY314 Area under the curve (AUC)0-t. All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing for at least 1 PK analyte.
Time frame: 36 months
Measure PY314 half-life (T1/2)
Measure PY314 half-life (T1/2). All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing for at least 1 PK analyte.
Time frame: 36 months
Measure PY314 Clearance (CL)
Measure PY314 Clearance (CL). All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing for at least 1 PK analyte.
Time frame: 36 months
Measure PY314 Volume at Steady State (Vss)
Measure PY314 Volume at Steady State (Vss). All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing for at least 1 PK analyte.
Time frame: 36 months
Measure PY314 maximum concentration (Cmax)
Measure PY314 maximum concentration (Cmax) at various time points during Cycle 1. All subjects who received at least 1 dose of PY314 and have at least 1 measured concentration at a scheduled PK time point after start of dosing.
Time frame: 36 months
Incidence of Anti-Drug Antibody (ADA) formation to PY314
To evaluate the incidence of anti-drug antibody (ADA) formation to PY314
Time frame: 36 months
Objective response rate (ORR)
The incidents of ORR is defined as either a complete or partial response per RECIST. Subjects with no baseline data will be considered no responders. ORR will be summarized by dose, tumor type, and overall. ORR will be summarized descriptively.
Time frame: 36 months
Clinical Benefit Rate (CBR)
Defined as the percentage of subjects who have achieved complete response, partial response and stable disease.
Time frame: 36 Months
Duration of response (DOR)
DOR will be calculated to determine durability. DOR will be measured from the time by which the criteria for CR or PR-whichever is recorded first-are met until the first date by which recurrent or progressive disease is objectively documented. DOR will be assessed using KAPLAN-MEIER methods.
Time frame: 36 months
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