The purpose of this first-in-human, open-label, multicenter, non-randomized study designed to determine the maximum tolerated dose (MTD)/maximum administered dose (MAD), optimal biological dose (OBD), and recommended phase 2 dose (RP2D) of ES014 by evaluating the safety, tolerability, PK, pharmacodynamics, and preliminary clinical activity of ES014 administered intravenously to subjects with advanced solid tumors.
Adenosine and transforming growth factor-β (TGF-β) are two key immune suppressors in the tumor microenvironment (TME) that cause broad immune suppression resulting in resistance to current checkpoint inhibitor immunotherapies. The bifunctional antibody-fusion protein ES014 was created by fusing the TGF-β receptor II ectodomain to an antibody targeting human ectonucleoside triphosphate diphosphohydrolase-1 (ENTPD1, CD39, UniprotKB: P49961). ES014 simultaneously neutralizes autocrine/paracrine TGF-β and inhibits the enzymatic activity of CD39, which results in the stabilization of pro-inflammatory extracellular adenosine triphosphate (eATP) and the restoration of anti-tumor immunity by impairing the accumulation of immune suppressive adenosine and TGF-β within the TME.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
ES014 is administered via intravenous infusion, once every 14 days, every 28 days as a treatment cycle for a maximum treatment duration per patient of 2 years.
ES014 is administered via intravenous infusion, once every 14 days, every 28 days as a treatment cycle for a maximum treatment duration per patient of 2 years.
The frequency and severity of adverse events of ES014
Adverse events will be assessed and assigned by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0. \[Time Frame: 1-3 years\]
Time frame: 1-3 years
Dose Limiting Toxicity of ES014
Evaluation of dose-limiting toxicity (DLT)
Time frame: Assessed during first 28 days of treatment
Optimal biological dose (OBD) of ES014
The OBD of ES014 will be determined
Time frame: 1-3 years
Maximum observed serum concentration (Cmax) of ES014
Maximum observed serum concentration (Cmax) of ES014 will be measured.
Time frame: 1-3 years
Trough observed serum concentration (Ctrough) of ES014
Trough observed serum concentration (Ctrough)of ES014 will be measured.
Time frame: 1-3 years
Area under the serum concentration time curve (AUC) of ES014
Area under the serum concentration time curve (AUC) of ES014 will be measured
Time frame: 1-3 years
Time to Cmax (Tmax) of ES014
Time to Cmax (Tmax) of ES014 will be measured
Time frame: 1-3 years
The terminal elimination half life of ES014
The terminal elimination half-life (t 1/2) of ES014 will be measured
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Time frame: 1-3 years
The clearance of ES014
A pharmacokinetic measurement of the volume of plasma from which ES014 is completely removed per unit time
Time frame: 1-3 years
The volume of distribution of ES014
The amount of of ES014 in the body divided by the plasma concentration will be measured
Time frame: 1-3 years
The immunogenicity of ES014
The presence and the frequency of anti-drug antibodies (ADA) against ES014 will be measured
Time frame: 1-3 years
The antitumor activity of ES014
Tumor response will be measured by the revised Response Evaluation Criteria in Solid Tumors version 1.1 (RECISTv1.1) by Investigator assessment
Time frame: 1-3 years