A Phase 1/2 Study to Evaluate the Safety, Tolerability, and Efficacy of TROP2-Directed Antibody-Drug Conjugate LCB84, as a Single Agent and in Combination With an Anti-PD-1 Ab, in Patients With Advanced Solid Tumors
Summary
This is a first-in-human, Phase 1/2 study to evaluate LCB84, a TROP2-directed antibody-drug conjugate, alone and in combination with an anti-PD-1 Ab, in dose escalation (Phase 1) followed by dose expansion (Phase 2). The study population in dose escalation (Phase 1) consists of patients with advanced solid tumors refractory to standard of care, or for whom no standard of care exists. After the MTD and/or RP2D for single agent LCB84 is determined, dose escalation cohorts with select tumor types will be enrolled. Combination LCB84 and anti-PD-1 Ab will be evaluated in dose escalation after a minimum of 2 dose levels of single agent LCB84 have established DLT safety, to determine the MTD and/or RP2D of combination LCB84 and anti-PD-1 Ab, and to continue into dose expansion cohorts in select tumor types.
Arms & interventions
- DrugLCB84
TROP2-directed human monoclonal antibody (Ab) linked to a monomethyl auristatin E (MMAE) prodrug
- DrugAnti-PD-1 monoclonal antibody
anti-PD-1 Ab
Outcome measures
Primary
Safety of LCB84 alone and LCB84 in combination with an anti-PD-1 Ab (Phase 1 and 2)
Incidence and severity of AEs and SAEs
Time frame: Up to 48 months
Recommended Phase 2 Dose of LCB84 alone and LCB84 in combination with an anti-PD-1 Ab (Phase 1)
Based on tolerability, preliminary anti tumor activity, and pharmacokinetics
Time frame: Up to 24 months
Objective Response Rate (Phase 2)
Assessed by RECIST 1.1, iRECIST, and RANO-BM
Time frame: Up to 24 months
Clinical Benefit Rate (Phase 2)
Assessed by RECIST 1.1, iRECIST, and RANO-BM
Time frame: Up to 24 months
Duration of Response (Phase 2)
Assessed by RECIST 1.1, iRECIST, and RANO-BM
Time frame: Up to 24 months
Time to Progression (Phase 2)
Assessed by RECIST 1.1, iRECIST, and RANO-BM
Time frame: Up to 24 months
Progression Free Survival (Phase 2)
Assessed by RECIST 1.1, iRECIST, and RANO-BM
Time frame: Up to 24 months
Overall Survival (Phase 2)
Survival rates
Time frame: Up to 24 months
Secondary
Plasma Concentrations of LCB84 (Phase 1 and 2)
Time frame: Up to 48 months
Evaluation of the immunogenicity of LCB84 (Phase 1 and 2)
Time frame: Up to 48 months
Objective Response Rate (Phase 1)
Time frame: Up to 24 months
Duration of Response (Phase 1)
Time frame: Up to 24 months
Time to Progression (Phase 1)
Time frame: Up to 24 months
Progression Free Survival (Phase 1)
Time frame: Up to 24 months
Eligibility criteria
Study locations (7)
Cedars Sinai Medical Center
Los Angeles, California, 90048
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
University of Michigan
Ann Arbor, Michigan, 48109
Tennessee Oncology
Nashville, Tennessee, 37203
Mary Crowley Cancer Research
Dallas, Texas, 75230
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
MD Anderson Cancer Center
Houston, Texas, 77030