A Safety and Preliminary Efficacy Study of SBT6290 Alone and in Combination With PD-(L)1 Inhibitors in Select Advanced Solid Tumors

Silverback Therapeutics

Status and phase: Withdrawn; Phase 2; Phase 1

Conditions: Hormone Receptor-positive/HER2-negative Breast Cancer; Squamous Cell Carcinoma of Head and Neck; Non-small Cell Lung Cancer; Urothelial Carcinoma; Triple Negative Breast Cancer

Treatments: Drug: SBT6290; Drug: pembrolizumab

Study type: Interventional

Funder types: Industry

Identifiers

NCT05234606

SBT6290-101

Details and patient eligibility

About

This is a first-in-human, open-label, multicenter, dose-escalation and expansion study designed to investigate SBT6290 administered alone and in combination with pembrolizumab in advanced solid tumors associated with Nectin-4 expression.

Full description

This is a first-in-human study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, immunogenicity, and preliminary antitumor activity of SBT6290 administered subcutaneously (SC) as a monotherapy and in combination with pembrolizumab in solid tumors associated with Nectin-4 expression. There are 4 parts to this study:

• Part 1: A dose escalation of SBT6290 monotherapy
• Part 2: Tumor-specific expansion cohorts evaluating SBT6290 monotherapy administered at the recommended phase 2 dose (RP2D) identified in Part 1
• Part 3: A dose escalation of SBT6290 in combination with pembrolizumab
• Part 4: An expansion cohort of SBT6290 in combination with pembrolizumab administered at the RP2D identified in Part 3 for the combination

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

• Locally advanced or metastatic solid tumors associated associated with Nectin-4 expression (locally advanced or metastatic urothelial carcinoma, TNBC, NSCLC, SCCHN, and HR+/HER2- negative breast cancer)
• Measurable disease per the the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria
• Tumor lesion amenable for biopsy available to submit for retrospective baseline testing of Nectin-4; archived tumor tissue may be acceptable depending upon study Part detailed criteria
• ECOG Performance Status of 0 or 1
• Adequate organ and marrow function Note: Other protocol-defined inclusion/exclusion criteria may apply.

Key Exclusion Criteria:

• History of allergic reactions to certain components of study treatments
• Untreated brain metastases
• Currently active (or history of) autoimmune disease
• Taking the equivalent of >10 mg / day of prednisone
• Uncontrolled or clinically significant interstitial lung disease (ILD)
• History of ongoing, uncontrolled, symptomatic eye disorders requiring intervention or associated with marked visual field defects or limiting age-appropriate instrumental activities of daily living
• HIV infection, active hepatitis B or hepatitis C infection Note: Other protocol-defined inclusion/exclusion criteria may apply.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 4 patient groups

Part 1: SBT6290

Experimental group

Description:

SBT6290 every 3 weeks

Treatment:

Drug: SBT6290

Drug: SBT6290

Part 2: SBT6290

Experimental group

Description:

SBT6290 every 3 weeks

Treatment:

Drug: SBT6290

Drug: SBT6290

Part 3: SBT6290 + pembrolizumab

Experimental group

Description:

SBT6290 plus pembrolizumab every 3 weeks

Treatment:

Drug: SBT6290

Drug: SBT6290

Drug: pembrolizumab

Part 4: SBT6290 + pembrolizumab

Experimental group

Description:

SBT6290 plus pembrolizumab every 3 weeks

Treatment:

Drug: SBT6290

Drug: SBT6290

Drug: pembrolizumab