GEN1046 Safety Trial in Patients With Malignant Solid Tumors
Cervical Cancer
Lung Cancer
18 Years and older, Male and Female
GCT1046-01 (primary)
NCI-2020-03735
Summary
The purpose of the trial is to evaluate the safety of GEN1046 as monotherapy and in
combination therapies in patients with malignant solid tumors
Objectives
The trial is an open-label, multi-center safety trial of GEN1046. The trial consists of two
parts, a dose escalation part (phase 1, first-in-human (FIH) and an expansion part (phase
2a)). The expansion part of the trial will be initiated once the Recommended Phase 2 Dose
(RP2D) has been determined.
Eligibility
- Key Inclusion Criteria:
For Dose Escalation:
• Have a histologically or cytologically confirmed non-CNS solid tumor that is metastatic
or unresectable and for whom there is no available standard therapy
For Expansion:
• Have histologically or cytological confirmed diagnosis of relapsed or refractory,
advanced and/or metastatic NSCLC, EC, UC, TNBC, SCCHN, or cervical cancer who are not
anymore candidates for standard therapy For separate expansion cohorts: metastatic NSCLC
without prior systemic treatment regimens for metastatic disease.
For Both Dose Escalation and Expansion
- Have measurable disease according to RECIST 1.1
- Have Eastern Cooperative Oncology Group (ECOG) 0-1
- Have an acceptable hematological status
- Have acceptable liver function
- Have an acceptable coagulation status
- Have acceptable renal function
Key Exclusion Criteria:
- Have uncontrolled intercurrent illness, including but not limited to:
- Ongoing or active infection requiring intravenous treatment with antiinfective
therapy
- Symptomatic congestive heart failure (Grade III or IV as classified by the New
York Heart Association), unstable angina pectoris or cardiac arrhythmia
- Uncontrolled hypertension defined as systolic blood pressure = 160 mmHg and/or
diastolic blood pressure = 100 mmHg, despite optimal medical management
- Ongoing or recent evidence of autoimmune disease
- History of irAEs that led to prior checkpoint treatment discontinuation
- Prior history of myositis, Guillain-Barré syndrome, or myasthenia gravis of any
grade
- History of chronic liver disease or evidence of hepatic cirrhosis
- History of non-infectious pneumonitis that has required steroids or currently has
pneumonitis
- History of organ allograft (except for corneal transplant) or autologous or
allogeneic bone marrow transplant, or stem cell rescue within 3 months prior to
the first dose of GEN1046
- Serious, non-healing wound, skin ulcer (of any grade), or bone fracture
- Any history of intracerebral arteriovenous malformation, cerebral aneurysm, new
(younger than 6 months) or progressive brain metastases or stroke
- Prior therapy:
- Radiotherapy: Radiotherapy within 14 days prior to first GEN1046 administration.
Palliative radiotherapy will be allowed.
- Treatment with an anti-cancer agent (within 28 days or after at least 5
half-lives of the drug, whichever is shorter), prior to GEN1046 administration.
Accepted exceptions are bisphosphonates (e.g., pamidronate, zoledronic acid,
etc.) and denosumab
- Toxicities from previous anti-cancer therapies that have not adequately resolved
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Treatment Sites in Georgia
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