AI-061 is a co-formulation drug product (DP) consisting of 1:1 ratio mix of AI-025, an anti-PD-1 antibody, and ONC-392, an anti-CTLA-4 antibody. This is a dose escalation study to identify the maximum toxicity dose (MTD) or the recommended phase 2 dose (RP2D).
AI-061 is a co-formulation drug product (DP) consisting of 1:1 ratio mix of AI-025, an anti-PD-1 antibody, and ONC-392, an anti-CTLA-4 antibody. Both CTLA-4 and PD-1 are known targets for immunotherapy. This Phase I study will test 3 fixed doses of AI-061 given as intravenous (IV) infusion, once every 21 days (q3w): 200 mg (consists of 100 mg ONC-392 and 100 mg AI-025), 400 mg and 600 mg. The target population is patient with advanced or metastatic solid tumors that progressed on standard care systemic therapy or intolerable to standard of care systemic therapy. The primary objective is to determine the maximum toxicity dose (MTD) or the Recommended Phase 2 dose (RP2D). The study design follows the classical 3+3 design for Phase 1 study that will enroll up to 18 subjects. The treatment will be terminated when patient has intolerable toxicity, or death, or disease progression, or complete of 17 cycles of treatment in approximate 1 year, whichever come first.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
18
A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC- 392 (Anti-CTLA-4) Antibodies.
St. Vincent's Private Hospital
Darlinghurst, New South Wales, Australia
Mater Misericordiae Ltd.
Brisbane, Queensland, Australia
Tasman Oncology Research
Southport, Queensland, Australia
Cancer Research SA
Adelaide, South Australia, Australia
Southern Oncology Clinical Research Unit
Bedford Park, South Australia, Australia
Dose Limiting Toxicity (DLT)
The number of subjects who have Dose limiting toxicity (DLT) as defined by protocol DLT criteria during the first cycle of study drug, AI-061, administration.
Time frame: 21 days after first treatment
Maximum Toxicity Dose (MTD)
Maximal tolerable dose (MTD), the study drug, AI-061, dose level that has two out of six subjects who have DLT.
Time frame: 21 day after first treatment
Recommended Phase II Dose (RP2D)
Recommended Phase II Dose (RP2D), the study drug, AI-061, dose level that is one level below MTD, or an intermediate dose level that below MTD and pre-specified in protocol. This dose level will be the RP2D.
Time frame: 21 days after first treatment
Incidence of treatment emergent adverse events (TEAE)
Incidence of treatment emergent adverse events (TEAE) according to CTCAE v5.0.
Time frame: From the day with first treatment to 90 days after the last treatment.
Cmax of AI-061
The highest Serum concentration of AI-061 after IV infusion at cycle 1 and cycle 3 dosings from different timepoints after drug administration.
Time frame: Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
The serum half-life of AI-061
To determine the drug concentration in serum samples that are taken in various timepoints during the treatment in order to calculate drug half life.
Time frame: Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
Objective Response Rate (ORR)
Objective Response Rate (ORR), evaluated by investigators on radiological images according to RECIST 1.1.
Time frame: Up to 1 year.
Progression free survival (PFS)
Progression free survival (PFS), the event is the time that diseased progressed evaluated by investigators or death occurs.
Time frame: Up to 1 year.
Overall survival (OS),
Overall survival (OS), the event is the time that all cause death occurs.
Time frame: Up to 1 year.
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