A Phase 1/2, Open-label, Multi-center Study of the Safety, Tolerability, and Efficacy of GIM-531 as a Single Agent and in Combination With Anti-PD-1 in Advanced Solid Tumors
Summary
GIM-531 is a first-in-class, orally bioavailable small molecule that is being developed for the treatment of advanced solid tumors as a single agent and rescue therapy. GIM-531 exhibits its primary effect through selective inhibition of regulatory T-cells (Tregs).
Detailed description
GIM531-CT01 is a Phase 1/2 open label, first-in-human, multicenter study. The Phase 1 portion will include a dose escalation with GIM-531 administered as a single agent. Additionally, there will be a dose expansion portion at the safety-cleared dose levels with participants allocated 1:1 within the proposed therapeutic range to accrue additional data for determining the safety profile, pharmacokinetics (PK) profile, pharmacodynamic (PD) effects and early anti-tumor activity of GIM-531. In Phase 2, GIM-531will be administered to participants with advanced/metastatic cutaneous melanoma who have progressed following treatment with an anti-PD-1 therapy.
Arms & interventions
- DrugGIM-531
GIM-531 administered orally daily
- DrugAnti-PD-1 monoclonal antibody
Continued treatment with anti-PD-1 therapy
Outcome measures
Primary
Incidence and severity of adverse events (AEs) / serious adverse events (SAEs) and tolerability
To assess incidence and severity of AE / SAEs and tolerability assessed by CTCAE grading
Time frame: Through study completion, an average of 1 year
Dose limiting toxicities (DLT) with GIM-531
To identify dose limiting toxicities with GIM-531
Time frame: 21 days
Secondary
Maximum plasma concentration (Cmax)
Time frame: Predose, 0.5, 1, 2, 4, 6, 8, 24 hours post-dose
Time to maximum plasma concentration (Tmax)
Time frame: Predose, 0.5, 1, 2, 4, 6, 8, 24 hours post-dose
Area under the plasma concentration versus time curve (AUC)
Time frame: Predose, 0.5, 1, 2, 4, 6, 8, 24 hours post-dose
Objective response rate (ORR)
Time frame: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 2 years)
Best overall response (BOR)
Time frame: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 2 years)
Duration of response (DOR)
Time frame: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 2 years)
Disease control rate (DCR)
Time frame: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 2 years)
Progression-free survival (PFS)
Time frame: From study enrollment until participant discontinuation, first occurrence of progressive disease, or death from any cause, whichever occurs first (approximately 2 years)
Overall survival (OS) rates
Time frame: From study enrollment until death from any cause (OS rate assessed at 12 months)
Tumor expression of immunological markers
Time frame: Cycle 1 Days 1, 2 and 8; Cycle 2 Days 1 and 8; Cycle 3 Day 1 (each Cycle is 14 days)
Eligibility criteria
Study locations (11)
HonorHealth Research Institute
Scottsdale, Arizona, 85258
Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Providence Medical Foundation
Fullerton, California, 92835
The Angeles Clinic and Research Institute, A Cedars-Sinai Affiliate
Los Angeles, California, 90025
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94143
Massachusetts General Hospital
Boston, Massachusetts, 02114
Intermountain Health St. Vincent Regional Hospital - Cancer Centers of Montana
Billings, Montana, 59102
Weill Cornell Medicine - New York Presbyterian Hospital
New York, New York, 10065
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45267
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Virginia Commonwealth University
Richmond, Virginia, 23219