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Study to Assess Adverse Events and Pharmacokinetics in Adult Participants With Non-Small Cell Lung Cancer, Head and Neck Squamous Cell Carcinoma and Other Solid Tumors, Receiving Intravenous Infusion of Azirkitug Alone or in Combination(s) With Budigalimab, Bevacizumab, or Telisotuzumab Adizutecan

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AbbVie

Status and phase

Enrolling
Phase 1

Conditions

Gastric/Esophageal Cancer
Micro Satellite Stable Colorectal Cancer
Triple Negative Breast Cancer
Pancreatic Cancer
High-Grade Serous Ovarian Cancer
Head and Neck Squamous Cell Carcinoma
Non-Small Cell Lung Cancer

Treatments

Drug: Azirkitug
Drug: Telisotuzumab Adizutecan
Drug: Bevacizumab
Drug: Budigalimab

Study type

Interventional

Funder types

Industry

Identifiers

NCT05005403
M21-410

Details and patient eligibility

About

Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. Non-Small Cell Lung Cancer (NSCLC) is a solid tumor, a disease in which cancer cells form in the tissues of the lung. Head and Neck Squamous Cell Carcinoma (HNSCC) is a solid tumor, a disease in which cancer cells form in the tissues of the head and neck. The purpose of this study is to assess adverse events and pharmacokinetics of azirkitug as a monotherapy and in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan.

Bevacizumab is an approved product, while budigalimab, azirkitug, and telisotuzumab adizutecan are investigational drugs being developed for the treatment of NSCLC, HNSCC, and other solid tumors. Study doctors put the participants in groups called treatment arms. The maximum-tolerated dose (MTD)/maximum administered dose (MAD) of azirkitug will be explored. Each treatment arm receives a different dose of azirkitug in monotherapy and in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan. Approximately 694 adult participants will be enrolled in the study across approximately 80 sites worldwide.

Participants will receive azirkitug as a monotherapy or in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan as an Intravenous (IV) Infusion for an estimated treatment period of up to 2 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Enrollment

694 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Pre Treatment biopsy or archive tissue within 6 months without intervening treatment
  • Eastern Cooperative Oncology Group (ECOG) performance status of <= 0 or 1 and a life expectancy of >= 3 months.
  • Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST)
  • Laboratory values meeting criteria outlined in the protocol
  • NSCLC - Advanced or metastatic progressed on standard of care (SOC) including chemotherapy and prior anti-PD-(L)1 antibody (separately or in combination). Actionable gene alterations are eligible if failed targeted therapeutic options.
  • HSNCC - Advanced/metastatic progressed on platinum and PD-1/PD-LI in recurrent or metastatic setting.
  • Micro Satellite Stable Colorectal Cancer (MSS-CRC) - Progressed on Oxaliplatin, Irinotecan, a fluoropyrimidine, anti-EGFR, VEGF or VEGFR therapies, BRAFV600E or HER2, other targetable mutations targeted with locally approved therapy, TAS-102, Regorafenib and not MSI-h or MMR-deficient
  • Gastric and Gastroesophageal Junction adenocarcinoma (GEA) - Advanced/metastatic progressed on at least 1 prior cytotoxic chemotherapeutic regimen and if applicable immune checkpoint inhibitor and/or HER2 therapy
  • High-Grade Serous Ovarian Cancer (HGSOC) - Progressed serous epithelial ovarian, fallopian tube or primary peritoneal cancer post SOC and not eligible for surgical resection. Platinum resistant cannot have >5 lines of prior therapy.
  • Pancreatic Adenocarcinoma (PDAC) - Advanced/metastatic progressed after SOC. Includes adenosquamous carcinoma and post-Whipple.
  • Triple Negative Breast Cancer (TNBC) - Progressed after 1 or 2 systemic therapy that must have included taxane and treatment naïve to immunotherapy targeting T-cell co-stimulation

Exclusion criteria

  • Pancreatic Ductal Adenocarcinoma (PDAC) - Excludes neuroendocrine or acinar pancreatic carcinoma and participants with coagulopathy or at risk of or history of Deep vein thrombosis (DVT)/PE
  • No major surgery within 28 days prior to dosing
  • No active autoimmune/immunodeficiency disease with limited exceptions
  • Combination treatment excludes participants treated with anti-programmed cell death protein 1(PD-1)/Programmed cell death ligand 1 (PD-L1) who had immune mediated toxicity G3 or greater, interstitial lung disease, or hypersensitivity Combination treatment may also require no significant cardiac deficiencies and/or events
  • Pregnancy
  • Excluded medications include anticancer therapy within 5 half-live or 28 days (whichever is shorter), agent targeting Chemokine Receptor (CCR)8, live vaccines, immunosuppressive medication with limited exceptions

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

694 participants in 17 patient groups

Part 1 Dose Escalation: Azirkitug
Experimental group
Description:
Participants will receive Azirkitug.
Treatment:
Drug: Azirkitug
Part 1 Dose Escalation: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 2 Dose Expansion: Azirkitug
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion.
Treatment:
Drug: Azirkitug
Part 2 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 3 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 4 Dose Expansion: Azirkitug
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion.
Treatment:
Drug: Azirkitug
Part 4 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 4 Dose Optimization and Randomization: Azirkitug
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion.
Treatment:
Drug: Azirkitug
Part 4 Dose Optimization & Randomization Azirkitug+Budigalimab
Experimental group
Description:
Participants will receive Azirkitug in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 5 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 6 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 7 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 8 Safety Lead In: Azirkitug + Bevacizumab
Experimental group
Description:
Participants will receive Azirkitug in combination with bevacizumab.
Treatment:
Drug: Bevacizumab
Drug: Azirkitug
Part 8 Dose Expansion: Azirkitug + Bevacizumab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with bevacizumab.
Treatment:
Drug: Bevacizumab
Drug: Azirkitug
Part 9 Dose Expansion: Azirkitug + Budigalimab
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in Dose Escalation portion in combination with budigalimab.
Treatment:
Drug: Budigalimab
Drug: Azirkitug
Part 10 Safety Lead In: Azirkitug + Telisotuzumab Adizutecan
Experimental group
Description:
Participants will receive Azirkitug in combination with telisotuzumab adizutecan.
Treatment:
Drug: Telisotuzumab Adizutecan
Drug: Azirkitug
Part 10 Dose Expansion: Azirkitug+Telisotuzumab Adizutecan
Experimental group
Description:
Participants will receive Azirkitug at recommended dose determined in the safety lead in portion in combination with telisotuzumab adizutecan.
Treatment:
Drug: Telisotuzumab Adizutecan
Drug: Azirkitug

Trial contacts and locations

44

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Central trial contact

ABBVIE CALL CENTER

Data sourced from clinicaltrials.gov

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