A First-in-Human, Open-Label, Phase 1/2 Dose-Escalation with Enrichment and Dose-Expansion Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor activity of GIM-122 as a Single Agent in Adult Subjects with Advanced Solid Malignancies
Primary Objective Part A and B
To characterize the safety and tolerability of GIM-122 as a single agent in subjects
with programmed cell death protein-1 (PD-1)/programmed cell death ligand-1
(PD-L1) refractory/resistant advanced solid tumor malignancies that have a Food and
Drug Administration (FDA) approval for anti-PD-1/PD-L1 therapy at time of
recruitment.
Primary Objectives Dose Expansion (Part B)
To identify a recommended dose for future studies (RP2D)
To assess the anti-tumor activity of GIM-122 as a single agent in subjects with
programmed cell death protein-1 (PD-1)/programmed cell death ligand-1 (PD-L1)
refractory/resistant advanced solid tumor malignancies that have FDA approval for
anti-PD-1/PD-L1 therapy at time of recruitment.
Secondary Objectives
To assess safety and tolerability (Part B only)
To characterize the pharmacokinetic (PK) profile of GIM-122 (Part A and Part B)
To assess the emergence and persistence of anti-drug antibodies (ADA) and the
impact on GIM-122 exposure (Part A and Part B)
To assess the change from baseline in tumor tissue markers as potential predictors of
efficacy of GIM-122 (Part A and Part B)
To evaluate the preliminary anti-tumor activity of GIM-122 (Part A only)
- Rutgers University
Inclusion Criteria: General - Written informed consent - ECOG performance status 0-1. - Laboratory assessment 28 days prior to enrollment for assessment of acceptable cardiac, renal and hepatic functions - Recommended Double methods of contraception 90-days post treatment Cancer Specific - Histologically or cytologically confirmed locally advanced/unresectable or metastatic solid tumor - Received FDA approved treatment of PD-1 inhibitor or PD-L1 inhibitor for advance malignant tumors and have progressed/relapsed, are refractory, or intolerant - Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 - Had prior therapy with PD-1/PD-L1 inhibitors. Other checkpoint inhibitors (ie, CTLA4, LAG3) are permitted if they did not lead to treatment discontinuation - No other lines of therapy that are available Exclusion Criteria: General - Enrolled in any other interventional clinical trial, starting within 4 weeks of the first dose of GIM-122 and throughout the duration of the study, or is receiving other therapy directed at their malignancy - Women who are pregnant or breastfeeding - History of cardiac issues, pulmonary embolism, active and clinically significant bacterial, fungal, or viral infection ≤ 6 months prior to dosing - Contraindications to the imaging assessments or other study procedures that subjects will undergo or any medical or social condition that, in the opinion of the investigator, might place a subject at an increased risk, affect compliance, or confound safety or other clinical study data interpretation Cancer Specific - Current second malignancy at other sites - Leptomeningeal disease - Spinal cord compression - Symptomatic or new or enlarging central nervous system (CNS) metastases Treatment-specific Exclusion Criteria - Ongoing toxicity > Grade 1 from prior therapy according to Common Terminology Criteria for Adverse Events (CTCAE) v 5.0 - Has undergone a major surgery < 1 month prior to administration of GIM-122 - Has received radiation therapy within 2 weeks prior to administration of GIM-122 - Has undergone or is anticipated to undergo organ transplantation including allogeneic or autologous stem cell transplantation at any time - Has received systemic anti-cancer therapy within 2 weeks and cytotoxic agents that have a major delayed toxicity within 4 weeks, of the first dose of GIM-122 - Prior treatment with other immune modulating agents within < 4 weeks prior to the first dose of GIM-122. - Has a diagnosis of immunodeficiency, either primary or acquired - Has received treatment with systemic steroids or any form of immunosuppressive therapy within 14 days prior to administration of GIM-122 - Has active or prior history of autoimmune disease, including ulcerative colitis and Crohn's disease, or any condition that requires systemic steroids. - Has a known severe intolerance to or hypersensitivity reactions to monoclonal antibodies, Fc-bearing proteins, or IV immunoglobulin preparations; prior history of human anti-human antibody response; known allergy to any of the study medications, or excipients in the various formulations of any agent. - Has received live vaccines within 30 days of study initiation (inactivated vaccines are allowed; seasonal vaccines should be up to date > 30 days prior to administration of GIM-122).
Please note that we have obtained the inclusion and exclusion criteria information from the National Institutes of Health’s clinical trials web site ClinicalTrials.gov. The listed criteria may not necessarily reflect recent amendments to the protocol and the current criteria.
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