A Phase 1a/1b Dose Escalation and Dose Expansion Study of NPX887 in Participants With Solid Tumor Malignancies Known to Express B7-H7/HHLA2
Summary
NPX887 is a human, antagonistic immunoglobulin G1 (IgG1) monoclonal antibody targeting B7-H7 (HHLA2) that may potentiate an anti-tumor immune response. The goal of this first-in-human study is to learn whether NPX887 is safe and tolerable and shows a preliminary efficacy in participants with B7-H7 (HHLA2) expressing tumors at selected dose(s). The main questions it aims to answer are: * what is an appropriate dose to be given to participants? * are the side effects of treatment manageable? * what is the preliminary anti-tumor activities? Participants who are treated will receive an intravenous (IV) infusion of NPX887 if their disease has not progressed, and be closely monitored by the treating physicians.
Detailed description
This study is comprised of Phase 1a (Dose Escalation) and Phase 1b including Part 1b (Dose Expansion) and Part 1c (Randomized Dose Comparison). Phase 1a will test different doses of NPX887 to determine the optimal dose(s) to continue with in Phase 1b. In the Phase 1b, more participants will be tested to evaluate preliminary activities in multiple disease-specific cohorts and compare the efficacy of the higher and lower doses chosen in Phase 1a. Throughout the study, safety and preliminary efficacy data will be collected to characterize the clinical activity of NPX887. Samples of blood will be taken to help in an understanding of how NPX887 behaves in the body by assessing the amount of drug in the blood over time, and changes in blood components. Tumor tissue samples will be collected at screening and on-treatment stages for biomarker analysis and pharmacodynamics (PD) evaluation.
Arms & interventions
- DrugNPX887
NPX887 will be administered by IV infusion every 3 weeks until documented disease progression or participant withdrawal for up to 2 years
Outcome measures
Primary
Incidence of dose limiting toxicity (DLT)
Number of participants with DLT in Ph1a
Time frame: From first dose through 21 days
Incidence of treatment-emergent adverse events (AEs)
Number and type of AEs categorized by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 in Ph1a
Time frame: From first dose up to 24 months
Incidence of discontinuations, dosing interruptions, and dose reductions
Number of participants with changes to their dosing schedule as a result of treatment-related AEs in Ph1a
Time frame: From first dose up to 24 months
Objective response rate (ORR)
The proportion of participants with best overall response of complete response (CR) or partial response (PR) per RECIST 1.1 in Ph1b
Time frame: Up to 2 years or until progressive disease, unacceptable toxicity, participant withdraw consent or investigator's decision, whichever occurs first.
Duration of response (DOR)
The time interval from first occurrence of a documented objective response to the time of disease progression as determined by the Investigator using RECIST 1.1 or death from any cause, whichever comes first, in Ph1b
Time frame: Up to 2 years or until progressive disease, unacceptable toxicity, participant withdraw consent or investigator's decision, whichever occurs first.
Disease control rate (DCR)
The proportion of participants with a best ORR + Stable Disease (SD) in Ph1b
Time frame: Up to 2 years or until progressive disease, unacceptable toxicity, participant withdraw consent or investigator's decision, whichever occurs first.
Progression-free Survival (PFS)
The duration from the start of treatment until tumor progression or death of any cause in Ph1b
Time frame: Up to 2 years or until progressive disease, death, unacceptable toxicity, participant withdraw consent or investigator's decision, whichever occurs first.
Secondary
Area under the concentration curve (AUC0-24) of NPX887
Time frame: Following dosing on day 1 of each 21-day treatment cycles up to Cycle 7, then on day 1 every 3 cycles, up to end of treatment and 90-day follow-up
Maximum plasma concentration (Cmax) of NPX887
Time frame: Following dosing on day 1 of each 21-day treatment cycles up to Cycle 7, then on day 1 every 3 cycles, up to end of treatment and 90-day follow-up
Half-life in blood circulation (T1/2) of NPX887
Time frame: Following dosing on day 1 of each 21-day treatment cycles up to Cycle 7, then on day 1 every 3 cycles, up to end of treatment and 90-day follow-up
Immunogenicity of NPX887
Time frame: Following dosing on day 1 of each 21-day treatment cycles up to Cycle 4, then on day 1 every 3 cycles, up to 90-day follow-up
Overall survival (OS)
Time frame: From first dose until death from any cause through 24 months
Incidence of AEs, DLTs, PD changes within the tumor and in blood
Time frame: From first dose through 21 days, or up to 24 months
ORR, DOR, DCR, and PFS
Time frame: Up to 2 years or until progressive disease, death, unacceptable toxicity, participant withdraw consent or investigator's decision, whichever occurs first.
Eligibility criteria
Study locations (6)
Johns Hopkins University Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21287
Beth Israel Deaconess Medical Center (BIDMC)
Boston, Massachusetts, 02215
Albert Einstein Medical College Montefiore Medical Center
The Bronx, New York, 10461
MD Anderson Cancer Center
Houston, Texas, 77030
Next Oncology
San Antonio, Texas, 78229
NEXT Oncology-Fairfax
Fairfax, Virginia, 22031