A Phase 1/2, First-in-Human, Open Label, Dose Escalation and Expansion Study of AU-007, A Monoclonal Antibody That Binds to IL-2 and Inhibits IL-2Rα Binding, in Patients With Unresectable Locally Advanced or Metastatic Cancer
Summary
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, also known as imneskibart, 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.
Detailed description
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.
Arms & interventions
- DrugAU-007
Monoclonal Antibody Targeting IL-2
- DrugAldesleukin
IL-2
- DrugAvelumab
Monoclonal Antibody Targeting PD-L1
- DrugNivolumab
Monoclonal Antibody Targeting PD-1
Outcome measures
Primary
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)
Secondary
Magnitude of PK changes in the blood after dosing determined by area under the curve (AUC) of AU-007
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
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)
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
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
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
Time frame: Day 1 thru EOT visit (28 days after last dose)
Eligibility criteria
Study locations (11)
Sylvester Comprehensive Cancer Center - Miami
Miami, Florida, 33136-1002
START Midwest
Grand Rapids, Michigan, 49503-2563
Minnesota Oncology and Hematology PA
Minneapolis, Minnesota, 55404-4526
Washington University
St Louis, Missouri, 63110-1010
Atlantic Healthcare System
Morristown, New Jersey, 07960
Carolina Biooncology Institute
Huntersville, North Carolina, 28078
Sarah Cannon Research Institute
Nashville, Tennessee, 37203-1619
Texas Oncology (Balcones) - SCRI
Austin, Texas, 78731-4214
MD Anderson Cancer Center
Houston, Texas, 77030-4000
START South Texas Accelerated Research Therapeutics
San Antonio, Texas, 78229
University of Utah - Huntsman Cancer Institute
Salt Lake City, Utah, 84112