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NCT03715933PHASE1Recruiting

Phase 1 Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas

Inhibrx Biosciences, Inc

Start Date

10/8/2018

Completion Date

6/1/2029

Summary

This is a first-in-human, open-label, non-randomized, three-part phase 1 trial of INBRX-109, which is a recombinant humanized tetravalent antibody targeting the human death receptor 5 (DR5).

Eligibility Criteria

Age Range: 12 years to 85 years

Inclusion Criteria: 1. Males or females aged ≥12 to less than 85 years for Ewing sarcoma and 18 to less than 85 years of age for other tumors. 2. Part 3 combination therapy expansion tumor types: * Histologically confirmed Ewing sarcoma with a classical fusion: Patients with locally advanced or metastatic, unresectable, relapsed, or refractory disease who have received at least 1 but no more than 2 prior lines of systemic treatment with a preferred first line chemotherapy regimens. * Colorectal adenocarcinoma: Patients who have failed 1 (one) prior line of systemic therapy that did not include irinotecan. * Colorectal adenocarcinoma: Patients who have failed 2 but no more than 3 prior lines of systemic therapy and are FTD/TPI-naïve. 3. Measurable disease as defined by RECISTv1.1 (or modified RECIST for mesothelioma) criteria. 4. Adequate hematologic, coagulation, hepatic and renal function as defined per protocol. 5. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1, or Karnofsky Performance Status score of ≥60, or Lansky Play-Performance Scale for Children score ≥60 (for patients less than 16 years). 6. Estimated life expectancy of at least 12 weeks. 7. Availability of archival tissue or fresh cancer biopsy are mandatory. Exclusion Criteria: 1. Prior treatment with or exposure to DR5 agonists. 2. Receipt of any anticancer therapy (including investigational agents) within 4 weeks or within 5 half-lives prior to the first dose of study treatment. Exceptions per protocol. 3. Allergy or sensitivity to INBRX-109 or known allergies to CHO-produced antibodies. 4. Receipt of radiotherapy within 4 weeks prior to the first dose of study treatment, and liver-directed within 12 months prior to the first dose of study drug. 5. Subject has undergone allogeneic hematopoietic stem cell or bone marrow transplantation within the last 5 years. Exceptions per protocol. 6. Prior or concurrent malignancies. Exceptions per protocol. 7. Hematologic malignancies. 8. Symptomatic active primary CNS tumors, leptomeningeal disease, and CNS metastases. Exceptions per protocol. Patients with any evidence or history of multiple sclerosis (MS) or other demyelinating disorders are excluded. 9. Chronic liver diseases including fatty liver. Exception: Patients \< 45 years old with fatty liver disease may be accepted as long as adequate hepatic function as defined in the inclusion/exclusion criteria is confirmed. 10. Acute viral or toxic liver disease within 12 months prior to the first dose of study drug. 11. Evidence or history of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection. 12. Known sensitivity or contraindications to the following drugs: * Ewing sarcoma: irinotecan or TMZ * colorectal adenocarcinoma: FU, leucovorin, irinotecan, bevacizumab or FTP/TPI 13. Clinically significant cardiac condition, including myocardial infarction, uncontrolled angina, cerebrovascular accident, or other acute uncontrolled heart disease less than 3 months prior to enrollment. 14. Acute, hemodynamically significant deep vein thrombosis or clinically significant pulmonary embolism not resolved or stable for at least 3 months prior to the start of study treatment. 15. Major surgery within 4 weeks prior to enrollment on this trial. 16. Systemic infection requiring antibiotics within 2 weeks prior to the first dose of study drug. 17. Other exclusion criteria per protocol.

Interventions

DRUG

INBRX-109

DRUG

Irinotecan

DRUG

Temozolomide

DRUG

carboplatin

DRUG

pemetrexed

DRUG

Leucovorin

DRUG

Fluorouracil

DRUG

Bevacizumab

DRUG

Trifluridine + Tipiracil

Interested in This Trial?

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Conditions

Ewing SarcomaColorectal Adenocarcinoma

Locations

HonorHealth Research Institute

Scottsdale, Arizona 85258

United States

Precision NextGen Oncology and Research

Beverly Hills, California 90212

United States

City of Hope

Duarte, California 91010

United States

Valkyrie Clinical Trials

Los Angeles, California 90067

United States

University of California, San Diego (UCSD) - Moores Cancer Center

San Diego, California 92093

United States

University of California, San Francisco (UCSF)

San Francisco, California 94110

United States

Sarcoma Oncology Center

Santa Monica, California 90403

United States

University of Colorado Hospital

Aurora, Colorado 80045

United States

Emory University - Winship Cancer Institute

Atlanta, Georgia 30322

United States

The University of Chicago

Chicago, Illinois 60637

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

START Midwest Michigan, PC

Grand Rapids, Michigan 49546

United States

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

New York, New York 10021

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

Oregon Health & Science University

Portland, Oregon 97239

United States

Children's Hospital of Philadelphia- Center for Childhood Cancer Research

Philadelphia, Pennsylvania 19104

United States

University of Pennsylvania Abramson Cancer Center

Philadelphia, Pennsylvania 19106

United States

Vanderbilt University School of Medicine

Nashville, Tennessee 37232

United States

UT MD Anderson Cancer Center

Houston, Texas 77030

United States

NEXT Oncology

San Antonio, Texas 78229

United States

University of Virginia

Charlottesville, Virginia 22903

United States

NEXT Oncology - Virginia

Fairfax, Virginia 22031

United States

Centre Leon Berard

Lyon, 69008

France

Gustave Roussy

Villejuif, 94805

France

La Fondazione e l'Istituto di Candiolo

Candiolo, 10060

Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, 20123

Italy

University Medical Center Groningen

Groningen,

Netherlands

Academisch Ziekenhuis Leiden

Leiden,

Netherlands

Hospital Universitario Vall d'Hebron

Barcelona, 08035

Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, 08041

Spain

Hospital Clinico San Carlos

Madrid, 28040

Spain

Great North Children's Hospital

London, EC4V 3BJ

United Kingdom

University College London Hospital

London, NW1 2PG

United Kingdom

The Royal Marsden NHS Foundation Trust

London, SW3 6JJ

United Kingdom

Royal Manchester Children's Hospital

Manchester, M13 9WL

United Kingdom