GEN1042 Safety Trial and Anti-tumor Activity in Subjects With Malignant Solid Tumors

Purpose

To evaluate the safety and anti-tumor activity of GEN1042 in patients with metastatic or locally advanced solid tumors.

Conditions

  • Malignant Solid Tumor
  • Non Small Cell Lung Cancer (NSCLC)
  • Colorectal Cancer (CRC)
  • Melanoma
  • Head and Neck Squamous Cell Carcinoma (HNSCC)
  • Pancreatic Ductal Adenocarcinoma (PDAC)

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Monotherapy - Dose Escalation and Dose Expansion Parts - Subjects with non-CNS solid tumors that is metastatic or unresectable and for whom there is no available standard therapy. - Subjects with a confirmed diagnosis of relapsed or refractory, advanced and/or metastatic melanoma, NSCLC, or CRC and for whom there is no available standard therapy Combination Therapy - Dose Expansion Part - Subjects with unresectable Stage III or Stage IV melanoma with no prior systemic anticancer therapy for unresectable or metastatic disease. Primary ocular or mucosal melanoma is excluded. - Subjects with Stage IV metastatic or recurrent NSCLC with no prior systemic anticancer therapy, no actionable mutation. - Subjects with recurrent or metastatic HNSCC with no prior systemic therapy administered in the recurrent or metastatic setting. - Subjects with confirmed metastatic PDAC with no previous radiotherapy, surgery, chemotherapy, or investigational therapy for the treatment of metastatic disease. General (all phases): - Must be age ≥ 18 years of age on the day of signing informed consent, or the legal age of consent in the jurisdiction in which the trial is taking place. - Measurable disease according to RECIST 1.1 - Eastern Cooperative Oncology Group (ECOG) 0-1 - Normal or adequate liver, renal, cardiac and bone marrow function

Exclusion Criteria

Monotherapy - Dose Escalation and Dose Expansion Parts - Treatment with an anti-cancer agent (within 21 days or after at least 5 half-lives of the drug, whichever is shorter), prior to GEN1042 administration - Radiotherapy within 14 days prior to first GEN1042 administration - Toxicities from previous anti-cancer therapies that have not resolved Combination Therapy - Dose Expansion Part - Has received prior systemic cytotoxic chemotherapy, biological therapy, OR major surgery within 3 weeks or at least 5 half-lives of the drug (whichever is shorter) of the first dose of trial treatment. - Radiotherapy within 14 days of start of trial treatment or received lung radiation therapy of > 30 Gy within 6 months of the first dose of trial treatment. General (all phases) - Subject has an active, known, or suspected autoimmune disease. - History of non-infectious pneumonitis that required steroids or currently has pneumonitis. - History of ≥ grade 3 allergic reactions to monoclonal antibody (mAb) therapy - Subject with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of first treatment. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Monotherapy - Dose Escalation and Dose Expansion parts
Escalating doses of GEN1042 monotherapy in subjects with non-central nervous system (CNS) solid malignant tumors followed by monotherapy expansion cohorts at selected dose(s) in subjects with relapsed or refractory, advanced and/or metastatic melanoma, or non-small-cell lung cancer (NSCLC), or colorectal cancer (CRC).
  • Biological: GEN1042
    Intravenous
Experimental
Combination Therapy - Dose Expansion Part
GEN1042 safety and efficacy will be evaluated in combination with pembrolizumab with or without chemotherapy in treatment-naive subjects with advanced or metastatic melanoma, non-small-cell lung cancer [NSCLC], head and neck squamous cell carcinoma [HNSCC], and pancreatic cancer.
  • Biological: GEN1042
    Intravenous
  • Drug: Pembrolizumab
    Intravenous
  • Drug: Cisplatin
    Intravenous
  • Drug: Carboplatin
    Intravenous
  • Drug: 5-FU
    Intravenous
  • Drug: Gemcitabine
    Intravenous
  • Drug: Nab paclitaxel
    Intravenous
  • Drug: Pemetrexed
    Intravenous
  • Drug: Paclitaxel
    Intravenous

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

University of Kentucky
Lexington, Kentucky 40536

More Details

NCT ID
NCT04083599
Status
Recruiting
Sponsor
Genmab

Study Contact

Genmab A/S Trial Information
+4570202728
clinicaltrials@genmab.com

Detailed Description

This is an open-label, multicenter phase 1/2 study designed to assess the safety, pharmacokinetics, pharmacodynamics and anti-tumor activity of GEN1042 administered as a monotherapy or in combination in subjects with metastatic or locally advanced solid tumors.