This is a first in human, open-label, multi-center Phase 1 / 2 study to evaluate the safety, tolerability, and initial efficacy of AU-007 in patients with advanced solid tumors. AU-007 will be administered either as a monotherapy, or in combination with a single loading dose of aldesleukin, or with both AU-007 and aldesleukin given every 2 weeks (Q2w). Once the recommended phase 2 dose (RP2D) of AU-007 plus aldesleukin was determined, (AU-007 Q2w plus a single loading dose of aldesleukin), AU-007 plus aldesleukin is also being administered with avelumab or nivolumab.
This is a first in human, multicenter, open-label Phase 1-2 study evaluating the safety, tolerability, and initial efficacy of AU-007 with or without aldesleukin, in patients with unresectable locally advanced or metastatic cancer. Patients must either be ineligible for or have progressed on prior standard of care therapy. Part 1 consists of 3 escalation Arms, each starting with a single 1+2 escalation cohort followed by 3+3 escalation cohorts to define the RP2D or maximum tolerated dose (MTD). The study begins in Arm A evaluating escalating doses of AU-007 (Q2w) in sequential escalation cohorts to define RP2D or MTD. In Arm B, AU-007 (Q2w) is evaluated in combination with a single dose of aldesleukin given with the first AU-007 dose. AU-007 is administered Q2w with an escalating single aldesleukin dose in sequential escalation cohorts. In Arm C, AU-007 is evaluated in combination with aldesleukin, both given Q2w. AU-007 will be administered with an escalating dose of aldesleukin in each sequential Arm C escalation cohort. The Part 2 cohort expansion portion of the study consists of up to three expansion Arms evaluating the initial efficacy of the RP2D (AU-007 plus a single loading dose of aldesleukin) in selected solid tumor types, prioritizing cutaneous melanoma and non-small cell lung cancer (NSCLC). Part 3 evaluates the safety of AU-007 in combination with aldesleukin and avelumab, followed by one expansion cohort, in NSCLC. Part 4 evaluates the safety of AU-007 plus aldesleukin in combination with nivolumab, followed by one expansion cohort, in cutaneous melanoma.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
159
Monoclonal Antibody Targeting IL-2
IL-2
Monoclonal Antibody Targeting PD-L1
Monoclonal Antibody Targeting PD-1
START Midwest
Grand Rapids, Michigan, United States
RECRUITINGMinnesota Oncology and Hematology PA
Minneapolis, Minnesota, United States
RECRUITINGWashington University
St Louis, Missouri, United States
RECRUITINGCarolina Biooncology Institute
Huntersville, North Carolina, United States
RECRUITINGSarah Cannon Research Institute
Nashville, Tennessee, United States
RECRUITINGTexas Oncology (Balcones) - SCRI
Austin, Texas, United States
RECRUITINGMD Anderson Cancer Center
Houston, Texas, United States
RECRUITINGSTART South Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
RECRUITINGUniversity of Utah - Huntsman Cancer Institute
Salt Lake City, Utah, United States
RECRUITINGSouthside Cancer Care Centre
Miranda, New South Wales, Australia
RECRUITING...and 6 more locations
Evaluate the safety and tolerability of AU-007
Measured by the frequency of DLTs (Dose limiting toxicity) and safety profile
Time frame: Day 1 thru end of treatment (EOT) visit (28 days after last dose)
Establish the maximum tolerated dose (MTD) and/or RP2D
With AU-007 alone or in combination with aldesleukin measured by pharmacokinetics (PK), pharmacodynamics (PD), and Biomarkers
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of PK changes in the blood after dosing determined by area under the curve (AUC) of AU-007
The AUC of AU-007 will be measured at different timepoints after AU-007 administration
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of PK changes in the blood after dosing determined by maximum concentration (Cmax) of AU-007
The Cmax of AU-007 will be measured at different timepoints after AU-007 administration
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of PK changes in the blood after dosing determined by time of maximum concentration (Tmax)
The Tmax of AU-007 will be measured at different timepoints after AU-007 administration
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of PK changes in the blood after dosing determined by Half-life (T1/2) of AU-007
The T1/2 of AU-007 will be measured at different timepoints after AU-007 administration
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of cytokine changes in the blood after dosing
Time frame: Day 1 thru EOT visit (28 days after last dose)
Magnitude of immunogenicity after dosing with AU-007 alone or in combination with aldesleukin, AU-007 in combination with aldesleukin and avelumab or nivolumab
Assessed by summarizing the number of patients who develop detectable anti-drug antibodies (ADAs) at different timepoints after AU-007 alone or in combination with aldesleukin, AU-007 in combination with aldesleukin and avelumab, or nivolumab
Time frame: Day 1 thru EOT visit (28 days after last dose)
Evaluate the preliminary anti-tumor activity of AU-007 alone, in combination with aldesleukin, in combination with aldesleukin and avelumab, and AU-007 plus aldesleukin with nivolumab in patients with unresectable locally advanced or metastatic cancer
Clinical anti-tumor activity will be evaluated using conventional Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) and modified RECIST v1.1.
Time frame: Day 1 thru EOT visit (28 days after last dose)
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