Study to Assess Adverse Events and Change in Disease Activity in Adult Participants With Advanced Solid Tumors Receiving Intravenous (IV) ABBV-400 as Monotherapy and in Combination With IV Bevacizumab
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess adverse events and change in disease activity when ABBV-400 is given to adult participants to treat advanced solid tumors.
ABBV-400 is an investigational drug being developed for the treatment of advanced solid tumors. Study doctors put the participants in groups called treatment arms. The Recommended Phase 2 dose (RP2D) will be explored. Each treatment arm receives a different dose of ABBV-400. This study will include a dose escalation phase to determine the best dose of ABBV-400, followed by a dose expansion phase to confirm the dose and combination with bevacizumab. Approximately 500 adult participants with NSCLC, gastroesophageal adenocarcinoma/gastroesophagel junction adenocarcinoma (GEA) and colorectal cancer (CRC) or advanced solid tumors, will be enrolled in the study in approximately 7-10 sites in the Dose Escalation phase and 85-95 sites in the Dose Expansion phase worldwide.
Dose escalation arms, participants will receive intravenous (IV) escalating doses of ABBV-400 monotherapy. Dose expansion arms, participants in the following advanced solid tumor indications: non-squamous NSCLC with wildtype EGFR-expression (wtEGFR NSCLC) \[Part 2i\] or mutated EGFR-expression (mutEGFR NSCLC) \[Part 2ii\], squamous NSCLC \[Part 2iii\], GEA \[Part 3\] will receive intravenous (IV) ABBV-400 monotherapy, participants CRC will receive IV ABBV-400 monotherapy in expansion \[Part 4\], participants MET amplification will receive IV ABBV-400 monotherapy in expansion \[Part 5\], participants MET mutation will receive IV ABBV-400 monotherapy in expansion \[Part 6\], participants CRC safety lead in will receive escalating doses of IV ABBV-400 in combination with IV bevacizumab \[Part 7a\], and participants CRC dose optimization in will the low or high dose of IV ABBV-400 determined in Part 7a in combination with IV bevacizumab or oral trifluridine/tipiracil (TAS-102) tablets \[Part 7b\].
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Diagnosis of malignant solid tumor (World Health Organization \[WHO\] criteria).
* Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
* For Part 1 only - advanced solid tumors including (but not limited to) non-small cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), gastroesophagel junction adenocarcinoma (GEA), colorectal cancer (CRC), and renal cell carcinoma (RCC), who have progressed on all standard of care therapy and are not amenable to surgical resection or other approved therapeutic options that have demonstrated clinical benefit.
* For Part 2 only - advanced non-squamous squamous Non-Small Cell Lung Cancer (NSCLC) that have progressed after treatment with at least:
* Platinum-based chemotherapy and an immune checkpoint inhibitor and/or appropriate targeted therapy for an actionable gene alteration, if applicable, for non-squamous wtEGFR NSCLC (Part 2i) and squamous NSCLC (Part 2iii).
* Platinum-based chemotherapy doublet and tyrosine kinase inhibitor(s) (TKI\[s\]) for non- squamous mutEGFR NSCLC (Part 2ii).
* Must have no more than 2 lines of prior cytotoxic chemotherapy excluding adjuvant therapy and must have advanced NSCLC that is not amenable to surgical resection or other approved therapeutic options that have demonstrated clinical benefit.
* For Part 3 only - Participants with advanced GEA that has progressed after treatment with at least 1 prior cytotoxic chemotherapeutic regimen for locally advanced or metastatic disease and have not received more than 2 prior lines of cytotoxic chemotherapy regimens. Participants must have progressed on
* If applicable, an immune checkpoint inhibitor.
* If applicable, appropriate available therapies, including HER2-directed therapies.
Participants who are considered ineligible for or are intolerant of standard therapy per investigator are eligible.
* For Part 4 only - Participants with history of advanced histopathologically or cytologically confirmed colorectal cancer (CRC) that does not harbor the BRAF V600E mutation and are not dMMR+/MSI-Hi with progression on:
* A fluoropyrimidine (e.g., 5-fluorouracil or capecitabine).
* Oxaliplatin.
* Irinotecan.
* If applicable, anti-EGFR (including, but not limited to cetuximab or panitumumab).
* If applicable, anti-vascular endothelial growth factor (VEGF) monoclonal antibody (including but not limited to bevacizumab, ramucirumab, or aflibercept).
* If applicable, targeted therapy
* Participants who are considered ineligible for or are intolerant of standard therapy per investigator are eligible. Prior trifluridine/tipiracil (TAS-102) or Regorafenib treated participants are eligible.
* For Part 5 only - participants with advanced histologically or cytologically confirmed solid tumors characterized by MET amplification who are not amenable to surgical resection and who have disease progression after at least one prior systemic therapy and/or who have no satisfactory alternative treatment options. Participants who are intolerant to standard treatment are eligible.
For Part 6 only - Participants with advanced histologically or cytologically confirmed solid tumors harboring MET mutations including: mutations in the tyrosine kinase domain, the juxtamembrane region and the extracellular domain (as locally determined by next-generation sequencing (NGS) or a validated qPCR on tissue), who are not amenable to surgical resection and who have disease progression after at least one prior systemic therapy and/or who have no satisfactory alternative treatment options.
* Intolerant to the standard treatment are eligible
* For Part 7 (CRC combination) only: Participants with history of advanced histopathologically or cytologically confirmed CRC that does not harbor the mutation and are not dMMR+/MSI-H with progression on:
* A fluoropyrimidine (e.g., 5-fluorouracil or capecitabine)
* Oxaliplatin
* Irinotecan
* If applicable, anti-EGFR (including, but not limited to cetuximab or panitumumab)
* If applicable, anti-vascular endothelial growth factor (VEGF) monoclonal antibody (including but not limited to bevacizumab, ramucirumab, or aflibercept)
* If applicable, targeted therapy Participants who are considered ineligible for or are intolerant of standard therapy per investigator are eligible. Participants treated previously with TAS-102 or regorafenib are not eligible.
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
* Laboratory values meeting the criteria outlined in the protocol.
Exclusion Criteria:
* History of interstitial lung disease (ILD) or pneumonitis that required treatment with systemic steroids, nor any evidence of active ILD or on screening chest CT scan..
* History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis.
* History of clinically significant, intercurrent lung-specific illnesses, as noted in the protocol.
* For Part 7 only: Prior TAS-102 or regorafenib treated participants are not eligible.
Primary outcome measure(s)
Objective Response Rate (ORR) — Up to 48 Months ORR defined as percentage of participants with confirmed best overall response of Confirmed complete response (CR) and partial response (PR) per investigator review according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Trial sites (82)
Facility
City
Region
Status
University of California, Los Angeles /ID# 243841
Los Angeles
California
University Of Colorado Denver /ID# 231574
Aurora
Colorado
Yale School of Medicine /ID# 248418
New Haven
Connecticut
University of Illinois Hospital and Health Sciences System /ID# 251386
Chicago
Illinois
Fort Wayne Medical Oncology and Hematology - Fort Wayne - East Dupont Road /ID# 267338
Fort Wayne
Indiana
Indiana University Melvin and Bren Simon Cancer Center /ID# 245133
Indianapolis
Indiana
Community Health Network, Inc. /ID# 245331
Indianapolis
Indiana
Comprehensive Cancer Centers of Nevada /ID# 242930
Henderson
Louisiana
START Midwest /ID# 231551
Grand Rapids
Michigan
Memorial Sloan Kettering Cancer Center-Koch Center /ID# 250668
New York
New York
Duke Cancer Institute /ID# 247236
Durham
North Carolina
Carolina BioOncology Institute /ID# 231541
Huntersville
North Carolina
Duplicate_Gabrail Cancer Center Research /ID# 248419
Canton
Ohio
MD Anderson Cancer Center at Texas Medical Center /ID# 248656
Houston
Texas
Oncology Consultants /ID# 267347
Houston
Texas
NEXT Oncology /ID# 231578
San Antonio
Texas
Virginia Cancer Specialists - Fairfax /ID# 231575
Fairfax
Virginia
Northwest Medical Specialties Tacoma /ID# 267339
Tacoma
Washington
Mater Misericordiae Limited /ID# 249995
South Brisbane
Queensland
Austin Health /ID# 247667
Heidelberg
Victoria
Institut Bergonie /ID# 248028
Bordeaux
Gironde
CHU Nantes - Hopital Laennec /ID# 244723
Saint-Herblain
Loire-Atlantique
Institut de Cancérologie de l'Ouest René Gauducheau /ID# 248399
Saint-Herblain
Loire-Atlantique
Centre Antoine-Lacassagne /ID# 231730
Nice
Provence-Alpes-Côte d'Azur Region
Centre Leon Berard /ID# 250987
Lyon
Rhone
Institut Gustave Roussy /ID# 246824
Villejuif
Val-de-Marne
Centre Georges François Leclerc /ID# 244450
Dijon
France
AP-HP - Hopital Européen Georges Pompidou /ID# 250481
Paris
France
Meir Medical Center /ID# 244179
Kfar Saba
Central District
Hadassah Medical Center /ID# 243821
Jerusalem
Jerusalem
The Chaim Sheba Medical Center /ID# 231217
Ramat Gan
Tel Aviv
Tel Aviv Sourasky Medical Center /ID# 245271
Tel Aviv
Tel Aviv
Rambam Health Care Campus /ID# 231218
Haifa
Israel
Rabin Medical Center /ID# 243363
Petah Tikva
Israel
NHO Nagoya Medical Center /ID# 250286
Nagoya
Aichi-ken
Aichi Cancer Center Hospital /ID# 250284
Nagoya
Aichi-ken
National Cancer Center Hospital East /ID# 232008
Kashiwa-shi
Chiba
Yokohama Municipal Citizen's Hospital /ID# 248842
Yokohama
Kanagawa
Kyoto University Hospital /ID# 250291
Kyoto
Kyoto
Niigata University Medical & Dental Hospital /ID# 250952
Niigata
Niigata
+ 42 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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