This is a Phase II, open-label, 2-arm, multicenter, international study designed to evaluate the efficacy of zenocutuzumab alone or in combination in patients with the following diagnoses: Group A: NRG1+ NSCLC Group B: mCRPC
Study Design: This is an open label (all participants know the identity of the study drug), multicenter (more than one study site), study consisting of 2 parts: Group A (NRG1+ NSCLC): Approximately 50 NRG1+NSCLC patients will be enrolled and will receive zenocutuzumab in combination with afatinib 40 mg orally once daily. Group B (mCRPC): Up to 40 mCRPC patients will be enrolled and will receive zenocutuzumab in combination with the AR targeting agent enzalutamide or abiraterone on which they experienced disease progression immediately before study entry. For the administration of zenocutuzumab in combination in Groups A and B, the Treatment Period will include 2 phases, an initial safety run-in phase, and an expansion phase with an interim efficacy analysis. The study will consist of 4 periods: Screening, Treatment, Safety Follow-up, and Long-term Follow up.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
13
anti epidermal growth factor receptor (EGFR)/HER2 agent
second-generation androgen receptor antagonist
androgen synthesis inhibitor
The Oncology Institute of Hope & Innovation
Whittier, California, United States
Florida Cancer Specialists
Lake Mary, Florida, United States
The Center for Cancer and Blood Disorders
Bethesda, Maryland, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of response.
Objective Response Rate (ORR) by local assessment per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-Specific antigen level ≥ 50% (PSA50) response.
PSA50 response rate
Time frame: Every 4 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator
Objective Response Rate (ORR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator
Duration of Response (DOR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator
Time to Response (TTR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review
Objective Response Rate (ORR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
full length IgG1 bispecific antibody targeting HER2 and HER3
TriHealth Cancer Institute
Cincinnati, Ohio, United States
University Hospitals - Seidman Cancer Center
Cleveland, Ohio, United States
Northwest Medical Specialties
Tacoma, Washington, United States
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review
Duration of Response (DOR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review
Time to Response (TTR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by independent central review
Progression-free Survival (PFS) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of antitumor activity as assessed by local investigator
Progression-free Survival (PFS) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group A: Evaluate efficacy of zenocutuzumab in combination with afatinib in terms of survival
Overall Survival (OS)
Time frame: Continuous through study completion, up to 2 years
Group A: Evaluate safety and tolerability of zenocutuzumab in combination with afatinib
Frequency and nature of adverse events (AEs) that are related to treatment as assessed by Common Terminology Criteria for AEs (CTCAE) version 5.0
Time frame: continuous through study completion, an average of 9 months
Group A: Maximum plasma concentration [Cmax] of zenocutuzumab when given in combination with afatinib
Cmax
Time frame: 12 months
Group A: Characterize immunogenicity of zenocutuzumab.
Incidence of antidrug antibodies against zenocutuzumab
Time frame: 12 months
Group A: Area under the concentration versus time curve from time zero to time t [AUC0-t] of zenocutuzumab when given in combination with afatinib
AUC0-t
Time frame: 12 months
Group A: Area under the concentration versus time curve [AUC0-∞] of zenocutuzumab when given in combination with afatinib
AUC0-∞
Time frame: 12 months
Group A: Area under the concentration versus time curve [AUC0-∞] of afatinib when given in combination with zenocutuzumab
AUC0-∞
Time frame: 12 months
Group A: Area under the concentration versus time curve from time zero to time t [AUC0-t] afatinib when given in combination with zenocutuzumab
AUC0-t
Time frame: 12 months
Group A: Maximum plasma concentration [Cmax] afatinib when given in combination with zenocutuzumab
Cmax
Time frame: 12 months
Group A: Characterize immunogenicity of zenocutuzumab.
Serum titers of antidrug antibodies against zenocutuzumab
Time frame: 12 months
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.
Objective Response Rate (ORR) per RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-specific antigen level ≥ 30% (PSA30) response.
PSA30 response rate
Time frame: Every 4 weeks until study ends, approximately 2 years
Group B: Evaluate efficacy zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of survival parameters
Radiographic Progression Free Survival (rPFS) by local investigator per Prostate Cancer Clinical Trials Working Group 3 Modified Response Evaluation Criteria in Solid Tumors (PCWG3-modified RECIST) v1.1 and Overall Survival (OS)
Time frame: Continuous through study completion, up to 2 years
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.
Duration of Response (DOR) per PCWG3-modified RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of antitumor activity as assessed by local investigator.
Time to Response (TTR) per PCWG3-modified RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group B: Evaluate efficacy of zenocutuzumab in combination with enzalutamide or abiraterone acetate in terms of Prostate-specific antigen level ≥ 30% (PSA30) response.
time to Prostate-specific antigen (PSA) progression per PCWG3-modified RECIST v1.1
Time frame: Every 8 weeks until study ends, approximately 2 years
Group B: Evaluate safety and tolerability of zenocutuzumab in combination with enzalutamide or abiraterone acetate.
Frequency and nature of adverse events (AEs) that are related to treatment as assessed by Common Terminology Criteria for AEs (CTCAE) version 5.0
Time frame: continuous through study completion, an average of 6 months