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RECRUITINGPhase 1 / Phase 2INTERVENTIONAL

Study of AU-007, A Monoclonal Antibody That Binds to IL-2 and Inhibits IL-2Rα Binding, in Patients With Unresectable Locally Advanced or Metastatic Cancer

A Phase 1/2, First-in-Human, Open Label, Dose Escalation and Expansion Study of AU-007, A Monoclonal Antibody That Binds to IL-2 and Inhibits IL-2Rα Binding, in Patients With Unresectable Locally Advanced or Metastatic Cancer

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a first in human, open-label, multi-center Phase 1 / 2 study to evaluate the safety, tolerability, and initial efficacy of AU-007 in patients with advanced solid tumors. AU-007 will be administered either as a monotherapy, or in combination with a single loading dose of aldesleukin, or with both AU-007 and aldesleukin given every 2 weeks (Q2w). Once the recommended phase 2 dose (RP2D) of AU-007 plus aldesleukin was determined, (AU-007 Q2w plus a single loading dose of aldesleukin), AU-007 plus aldesleukin is also being administered with avelumab or nivolumab.

Who May Be Eligible (Plain English)

Selected Who May Qualify: - Patients must have measurable disease as per RECIST v1.1 criteria and documented by CT and/or MRI - Part 2 includes but is not limited to: - Cutaneous melanoma that is either locally unresectable or metastatic: - BRAF wild type: progressed after receiving PD-1 containing therapy with or without an anti-CTLA-4 - BRAF mutation: patients who refused BRAF+MEK inhibitor - Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3) - Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet) - LDH ≤ 2.5 x ULN - NSCLC: Unresectable locally advanced or metastatic PD-L1-positive (tumor proportion score \[TPS\] ≥ 1%) NSCLC not harboring an activating EGFR mutation or ALK rearrangement and has progressed during or following treatment with an anti-PDx with or without platinum-based chemotherapy - Part 3: NSCLC as described above - Part 4: cutaneous melanoma - Unresectable locally advanced or metastatic cutaneous melanoma that has progressed during or following treatment with an anti-PDx (unless ineligible for anti-PDx therapy) - Patients with BRAF mutations must either be ineligible for or have refused a BRAF+MEK inhibitor - Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3). - Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet) - LDH ≤ 2.5 x ULN ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Selected Inclusion Criteria: * Patients must have measurable disease as per RECIST v1.1 criteria and documented by CT and/or MRI * Part 2 includes but is not limited to: * Cutaneous melanoma that is either locally unresectable or metastatic: * BRAF wild type: progressed after receiving PD-1 containing therapy with or without an anti-CTLA-4 * BRAF mutation: patients who refused BRAF+MEK inhibitor * Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3) * Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet) * LDH ≤ 2.5 x ULN * NSCLC: Unresectable locally advanced or metastatic PD-L1-positive (tumor proportion score \[TPS\] ≥ 1%) NSCLC not harboring an activating EGFR mutation or ALK rearrangement and has progressed during or following treatment with an anti-PDx with or without platinum-based chemotherapy * Part 3: NSCLC as described above * Part 4: cutaneous melanoma * Unresectable locally advanced or metastatic cutaneous melanoma that has progressed during or following treatment with an anti-PDx (unless ineligible for anti-PDx therapy) * Patients with BRAF mutations must either be ineligible for or have refused a BRAF+MEK inhibitor * Must have objective progression after receiving at least two cycles of prior doublet therapy (anti-PD-1/anti-CTLA-4 or anti-PD-1/anti-LAG-3). * Radiographic progression ≥ 4 weeks prior to the first dose of study drug to rule out late response to most recent therapy. The requirement for documented radiologic progression may be waived after review by Medical Monitor (e.g., in the case of progression beyond 12 weeks after starting a doublet) * LDH ≤ 2.5 x ULN * Female patients of childbearing potential must have a negative serum or urine pregnancy test performed within 72 hours prior to the initiation of study drug administration. Female patients of childbearing potential must be willing to use two forms of contraception throughout the study, starting with Screening through 60 days after the last dose of study drug (or 5 months after the last dose of study drug for patients receiving nivolumab). Abstinence is acceptable if this is the established and the preferred contraception method for the patient * Male patients with partners of childbearing potential must use barrier contraception from the time of consent through 60 days after discontinuation of study drug and must not donate sperm during this period. In addition, male patients should have their partners use contraception (as documented for female patients) for the same period of time * Patients who have previously received an immune checkpoint inhibitor (e.g., anti-PD-L1, anti-PD-1, anti-CTLA-4) prior to enrollment must have checkpoint inhibitor immune-related toxicity resolved to either Grade ≤ 1 or baseline (prior to the checkpoint inhibitor) to be eligible for enrollment. Patients who experienced previous checkpoint inhibitor-related hypothyroidism are eligible for the study regardless of grade resolution if well controlled on thyroid hormone replacement therapy * Symptomatic central nervous system (CNS) metastases must have been treated, be asymptomatic for ≥ 14 days, and meet the following at the time of enrollment: * No concurrent treatment for CNS disease (e.g., surgery, radiation, corticosteroids ≥ 10 mg prednisone/day or equivalent) * No concurrent leptomeningeal disease or cord compression Exclusion Criteria: * Patients with a history of known autoimmune disease with exceptions of * Vitiligo * Psoriasis, atopic dermatitis, or other autoimmune skin condition not requiring systemic treatment * History of Graves' disease in patients now euthyroid for \> 4 weeks * Hypothyroidism managed by thyroid hormone replacement * Alopecia * Arthritis managed without systemic therapy beyond oral nonsteroidal anti- inflammatory drugs * Major surgery or traumatic injury within 3 weeks before first dose of AU-007 * Unhealed wounds from surgery or injury * Treatment with \> 10 mg per day of prednisone (or equivalent) or other immune-suppressive drugs within the 7 days prior to the initiation of study drug. Steroids for topical, ophthalmic, inhaled, or nasal administration are allowed * Prior anti-cancer therapy before the planned start of AU-007 as follows: * Not recovered to baseline from toxicity of prior systemic cancer therapy(ies). * Not recovered from toxicity of radiotherapy. * Concurrent use of hormones either to maintain castrate levels of testosterone in patients with castration-sensitive prostate cancer or for non-cancer-related conditions (e.g., insulin for diabetes, hormone replacement therapy) is acceptable. Bisphosphonates are permitted. * Patients who have experienced serious adverse events during prior IL-2 therapy (including but not limited to bowel perforation, gastrointestinal bleeding, arrythmias, myocardial infarction, repetitive seizures). * Inflammatory process that has not resolved for ≥ 4 weeks from the date of first study dose. Patients with chronic low-grade inflammatory processes such as radiation-induced pneumonitis are excluded regardless of duration * Second primary invasive malignancy not in remission for ≥ 1 year. Exceptions include non-melanoma locally advanced skin cancer, cervical carcinoma in situ, localized prostate cancer (Gleason score ≤ 7), resected melanoma in situ, or any malignancy considered to be indolent and never required therapy, with the exception of indolent lymphomas

Treatments Being Tested

DRUG

AU-007

Monoclonal Antibody Targeting IL-2

DRUG

Aldesleukin

IL-2

DRUG

Avelumab

Monoclonal Antibody Targeting PD-L1

DRUG

Nivolumab

Monoclonal Antibody Targeting PD-1

Locations (18)

Sylvester Comprehensive Cancer Center - Miami
Miami, Florida, United States
START Midwest
Grand Rapids, Michigan, United States
Minnesota Oncology and Hematology PA
Minneapolis, Minnesota, United States
Washington University
St Louis, Missouri, United States
Atlantic Healthcare System
Morristown, New Jersey, United States
Carolina Biooncology Institute
Huntersville, North Carolina, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Texas Oncology (Balcones) - SCRI
Austin, Texas, United States
MD Anderson Cancer Center
Houston, Texas, United States
START South Texas Accelerated Research Therapeutics
San Antonio, Texas, United States
University of Utah - Huntsman Cancer Institute
Salt Lake City, Utah, United States
Southside Cancer Care Centre
Miranda, New South Wales, Australia
Southern Oncology Clinical Research Unit
Bedford Park, South Australia, Australia
Monash Health
Clayton, Victoria, Australia
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, Australia
Austin Health
Heidelberg, Victoria, Australia
The Alfred Hospital
Melbourne, Victoria, Australia
Sunshine Hospital
Saint Albans, Victoria, Australia