This is a phase 1/2, open-label, multi-center, first-in-human, two-stage (Part 1: dose escalation and Part 2: dose expansion) study evaluating multiple doses and schedules of intravenously (IV) administered HMBD-002, with or without pembrolizumab KEYTRUDA®, in patients with advanced solid tumors (i.e., locally advanced and unresectable, or metastatic).
This is a phase 1/2, open-label, multi-center study whose principal phase 1 stage objective is to determine the recommended phase 2 dose (RP2D) of the anti-VISTA monoclonal antibody (mAb) as a single agent and combined with the anti-PD-1 mAb pembrolizumab KEYTRUDA® in subjects with advanced solid malignancies. In the phase 2 stage, the antitumor activity of HMBD-002 alone or combined with pembrolizumab KEYTRUDA® will be evaluated in patients with triple negative breast cancer (TNBC), non-small cell lung cancer (NSCLC) and a wide range of other malignancies known or documented to express VISTA.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
48
IgG4 monoclonal antibody (mAb) targeting the V-domain immunoglobulin suppressor of T cell activation (VISTA) receptor.
IgG4 mAb with high specificity of binding to the PD-1 receptor, thus inhibiting its interaction with PD-L1 and programmed cell death ligand 2 (PD-L2).
The City of Hope National Medical Center
Duarte, California, United States
Cedars-Sinai Medical Center
Los Angeles, California, United States
Stanford Cancer Institute
Palo Alto, California, United States
Smilow Cancer Hospital - Yale New Heaven Health
New Haven, Connecticut, United States
UTSW Medical Center
Dallas, Texas, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Dose-limiting Toxicity
The incidence of DLTs during the DLT assessment period.
Time frame: First 21 days of treatment.
Dose-Finding
Determination of the MTD or maximum tested dose, and the RP2D.
Time frame: Screening to 90 days from last dose.
Frequency and Severity of Adverse Events (AE)
The incidences and percentages of patients experiencing AEs summarized by NCI CTCAE version 5.0 grade and by causality.
Time frame: Screening to 90 days from last dose.
Pharmacokinetics of HMBD-002
Maximum Plasma Concentration (Cmax)
Time frame: Day 1 of dosing through 21 days post last dose.
Pharmacokinetics of HMBD-002
Area Under the Curve (AUC)
Time frame: Day 1 of dosing through 21 days post last dose.
Objective Response Rate (ORR)
ORR according to RECIST v1.1.
Time frame: Day 1 of dosing through every 90 after the last dose.
Duration of Response (DoR)
Time from the date measurement criteria are first met for PR or CR to the date measurement criteria are first met for PD.
Time frame: Day 1 of dosing through every 90 after the last dose.
Progression Free Survival (PFS)
Time from the date of initiation of study therapy to the date measurement criteria are first met for PD or death from any cause, whichever occurs first.
Time frame: Day 1 of dosing through every 90 after the last dose.
Overall Survival (OS)
Time from the date of initiation of study therapy to the date of death from any cause.
Time frame: Day 1 of dosing through every 90 after the last dose.
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