Active, not recruiting
Phase 1/2
GEN1042 Safety Trial and Anti-tumor Activity in Participants With Malignant Solid Tumors
Condition(s) studied
Malignant Solid TumorNon-Small Cell Lung Cancer (NSCLC)Colorectal Cancer (CRC)MelanomaHead and Neck Squamous Cell Carcinoma (HNSCC)Pancreatic Ductal Adenocarcinoma (PDAC)
Investigational drug(s) / intervention(s)
GEN1042PembrolizumabCisplatinCarboplatin5-FUGemcitabineNab paclitaxelPemetrexedPaclitaxel
GEN1042: Intravenous
Pembrolizumab: Intravenous
Cisplatin: Intravenous
Carboplatin: Intravenous
5-FU: Intravenous
Gemcitabine: Intravenous
Nab paclitaxel: Intravenous
Pemetrexed: Intravenous
Paclitaxel: Intravenous
Study summary
The goal of this trial is to learn about the antibody GEN1042 when it is used alone and when it is used together with another antibody cancer drug, pembrolizumab (with or without chemotherapy), for treatment of participants with certain types of cancer.
Eligibility
Key Inclusion Criteria:
Monotherapy - Dose Escalation and Dose Expansion Parts
* Participants with non-CNS solid tumors that is metastatic or unresectable and for whom there is no available standard therapy.
* Participants 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
* Participants 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.
* Participants with Stage IV metastatic or recurrent NSCLC with no prior systemic anticancer therapy, no actionable mutation.
* Participants with recurrent or metastatic HNSCC with no prior systemic therapy administered in the recurrent or metastatic setting.
* Participants 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
Key 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)
* Participants 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
* Participants 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.
Primary outcome measure(s)
- Dose Escalation and Safety Run-in Parts: Number of Participants With Dose-Limiting Toxicities (DLTs) — First Cycle (21 days)
Toxicities will be graded for severity according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0
- Dose Expansion: Objective Response Rate (ORR) — Up to approximately 2 years and 4 months
ORR is defined as the percentage of participants with best overall response (BOR) \[complete or partial response (PR or CR)\] based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as assessed by the investigator.
Trial sites (76)
| Facility | City | Region | Status |
| Alaska Oncology and Hematology LLC |
Anchorage |
Alaska |
|
| Cancer & Blood Specialty Clinic |
Los Alamitos |
California |
|
| Moores Cancer Center at the UC San Diego Health |
San Diego |
California |
|
| Yale University Cancer Center |
New Haven |
Connecticut |
|
| ChristianaCare |
Newark |
Delaware |
|
| Mount Sinai Comprehensive Cancer Center |
Miami Beach |
Florida |
|
| Florida Cancer Affiliates |
Ocala |
Florida |
|
| Hope and Healing Cancer Services |
Hinsdale |
Illinois |
|
| University of Kentucky |
Lexington |
Kentucky |
|
| Norton Cancer Institute |
Louisville |
Kentucky |
|
| Maryland Oncology Hematology PA |
Columbia |
Maryland |
|
| Washington University School of Medicine |
St Louis |
Missouri |
|
| Levine Cancer Center |
Charlotte |
North Carolina |
|
| Novant Health Cancer Institute - Forsyth (Medical Oncology) |
Winston-Salem |
North Carolina |
|
| Kaiser Permanente (KP) Oncology/Hematology |
Portland |
Oregon |
|
| University of Pennsylvania |
Philadelphia |
Pennsylvania |
|
| Fox Chase Cancer Center |
Philadelphia |
Pennsylvania |
|
| Sarah Cannon Research Institute |
Nashville |
Tennessee |
|
| Lumi Research |
Kingwood |
Texas |
|
| Utah Cancer Specialists |
Salt Lake City |
Utah |
|
| Virgina Cancer Specialists |
Fairfax |
Virginia |
|
| Adventist Health System/Sunbelt,Inc |
Seattle |
Washington |
|
| Medical Oncology Associates, PS |
Spokane |
Washington |
|
| Rigshospitalet (Copenhagen University Hospital) |
Copenhagen |
Denmark |
|
| Herlev University Hospital |
Herlev |
Denmark |
|
| University Hospital of Southern Denmark, Vejle Hospital |
Vejle |
Denmark |
|
| Centre hospitalier Universitaire de Bordeaux |
Bordeaux |
France |
|
| Centre Antoine Lacassagne |
Nice |
France |
|
| Gustave Roussy |
Villejuif |
France |
|
| ARENSIA Research Clinic at the Research Institute of Clinical Medicine |
Tbilisi |
Georgia |
|
| Nationales Centrum fr Tumorerkrankungen NCT |
Heidelberg |
Germany |
|
| Klinikum der Stadt Ludwigshafen am Rhein gGmbH |
Ludwigshafen |
Germany |
|
| Department of Dermatology, University of Mainz |
Mainz |
Germany |
|
| Universitätsmedizin Mannheim Dermatologie |
Mannheim |
Germany |
|
| Universitaetsklinikum Wuerzburg |
Würzburg |
Germany |
|
| Rabin Medical Center |
Petah Tikva |
Israel |
|
| Tel Aviv Sourasky Medical Center |
Tel Aviv |
Israel |
|
| Azienda Ospedaliera Spedali Civili di Brescia |
Brescia |
Italy |
|
| Azienda Ospedaliera S.Croce e Carle Cuneo |
Cuneo |
Italy |
|
| Istituto Nazionale dei Tumori |
Milan |
Italy |
|
+ 36 more sites — see the full list on the official registry below.