The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-101/GI-101A as a single agent or in combination with pembrolizumab, lenvatinib or local radiotherapy (RT) over a range of advanced and/or metastatic solid tumors.
This is a phase 1/2, open-label, dose-escalation and expansion study to evaluate the safety, tolerability and anti-tumor effect of GI-101/GI-101A as a single agent or in combination with pembrolizumab, lenvatinib or local RT over a range of advanced and/or metastatic solid tumors. This study will comprise six parts. * Part A: Dose-escalation and expansion cohorts of GI-101 monotherapy * Part B: Dose-escalation and expansion cohorts of GI-101 plus pembrolizumab * Part C: Dose-optimization and expansion cohorts of GI-101 plus lenvatinib * Part D: Dose-optimization and expansion cohorts of GI-101 plus local RT * Part E: Dose-escalation and expansion cohorts of GI-101A monotherapy * Part F: Dose-escalation and expansion cohorts of GI-101A plus pembrolizumab GI-101/GI-101A is a novel bi-specific Fc fusion protein containing the CD80 ectodomain as an N-terminal moiety and an interleukin (IL)-2 variant as a C-terminal moiety configurated via a human immunoglobulin G4 (IgG4) Fc. GI-101A is an abbreviation of advanced GI-101 with an improved formulation for manufacture consistency. Drug Information available for: Pembrolizumab (https://www.keytrudahcp.com), Lenvatinib (http://www.lenvima.com)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
430
Recommended phase 2 dose of GI-101 will be administered via IV infusion Q3W up to 2 years (approximately 35 years).
Pembrolizumab will be administered at a dose of 200 mg as IV infusion Q3W.
Lenvatinib will be administered at an approved dose orally.
Patients will receive SBRT prior to the first dose of GI-101
Recommended phase 2 dose of GI-101A will be administered via IV infusion Q3W up to 2 years (approximately 35 years).
Tisch Cancer Institute (TCI), Icahn School of Medicine
New York, New York, United States
RECRUITINGCarolina Biooncology Institute
Huntersville, North Carolina, United States
RECRUITINGChungnam National University Hospital
Daejeon, Daejeon, South Korea
RECRUITINGThe Catholic University of Korea St. Vincent's Hospital
Suwon, Kyeonggi-do, South Korea
RECRUITINGKorea University Anam Hospital
Seoul, Seongbuk-gu, South Korea
RECRUITINGYonsei University Health System, Severance Hospital
Seoul, South Korea
RECRUITINGYonsei University Health System, Severance Hospital
Seoul, South Korea
RECRUITINGAsan Medical Center
Seoul, South Korea
RECRUITINGIncidence and nature of Dose-Limiting Toxicity (DLTs)
Based on toxicities observed.
Time frame: Study Day 1, assessed up to approximately 24 months
Incidence, nature, and severity of adverse events (AEs) and immune-related AEs (irAEs)
Based on toxicities observed.
Time frame: Study Day 1, assessed up to approximately 24 months
Objective Response Rate (ORR) according to RECIST version 1.1
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
Peak plasma concentration (Cmax) of GI-101/GI-101A
Based on the concentration vs time profile by dose level
Time frame: Study Day 1, assessed up to approximately 24 months
Half-life of GI-101/GI-101A (T1/2)
Based on the concentration vs time profile by dose level
Time frame: Study Day 1, assessed up to approximately 24 months
Area under the plasma concentration versus time curve (AUC) of GI-101/GI-101A
Based on the concentration vs time profile by dose level
Time frame: Study Day 1, assessed up to approximately 24 months
Disease control rate (DCR) according to RECIST version 1.1
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
Duration of objective Response (DoR) according to RECIST version 1.1
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
Time to Tumor Response (TTR) according to RECIST version 1.1
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
Progression-Free Survival (PFS) according to RECIST version 1.1
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
ORR per iRECIST guidelines
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
DCR per iRECIST guidelines
Based on Investigator review of radiographic imaging.
Time frame: Study Day 1, assessed up to approximately 24 months
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CONTACT
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