Study to Assess Adverse Events and Pharmacokinetics in Adult Participants With Non-Small Cell Lung Cancer, Head and Neck Squamous Cell Carcinoma and Other Solid Tumors, Receiving Intravenous Infusion of Azirkitug Alone or in Combination(s) With Budigalimab, Bevacizumab, or Telisotuzumab Adizutecan
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. Non-Small Cell Lung Cancer (NSCLC) is a solid tumor, a disease in which cancer cells form in the tissues of the lung. Head and Neck Squamous Cell Carcinoma (HNSCC) is a solid tumor, a disease in which cancer cells form in the tissues of the head and neck. The purpose of this study is to assess adverse events and pharmacokinetics of azirkitug as a monotherapy and in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan.
Bevacizumab is an approved product, while budigalimab, azirkitug, and telisotuzumab adizutecan are investigational drugs being developed for the treatment of NSCLC, HNSCC, and other solid tumors. Study doctors put the participants in groups called treatment arms. The maximum-tolerated dose (MTD)/maximum administered dose (MAD) of azirkitug will be explored. Each treatment arm receives a different dose of azirkitug in monotherapy and in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan. Approximately 694 adult participants will be enrolled in the study across approximately 80 sites worldwide.
Participants will receive azirkitug as a monotherapy or in combination with budigalimab, bevacizumab, or telisotuzumab adizutecan as an Intravenous (IV) Infusion for an estimated treatment period of up to 2 years.
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 a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Pre Treatment biopsy or archive tissue within 6 months without intervening treatment
* Eastern Cooperative Oncology Group (ECOG) performance status of \<= 0 or 1 and a life expectancy of \>= 3 months.
* Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST)
* Laboratory values meeting criteria outlined in the protocol
* NSCLC - Advanced or metastatic progressed on standard of care (SOC) including chemotherapy and prior anti-PD-(L)1 antibody (separately or in combination). Actionable gene alterations are eligible if failed targeted therapeutic options.
* HSNCC - Advanced/metastatic progressed on platinum and PD-1/PD-LI in recurrent or metastatic setting.
* Micro Satellite Stable Colorectal Cancer (MSS-CRC) - Progressed on Oxaliplatin, Irinotecan, a fluoropyrimidine, anti-EGFR, VEGF or VEGFR therapies, BRAFV600E or HER2, other targetable mutations targeted with locally approved therapy, TAS-102, Regorafenib and not MSI-h or MMR-deficient
* Gastric and Gastroesophageal Junction adenocarcinoma (GEA) - Advanced/metastatic progressed on at least 1 prior cytotoxic chemotherapeutic regimen and if applicable immune checkpoint inhibitor and/or HER2 therapy
* High-Grade Serous Ovarian Cancer (HGSOC) - Progressed serous epithelial ovarian, fallopian tube or primary peritoneal cancer post SOC and not eligible for surgical resection. Platinum resistant cannot have \>5 lines of prior therapy.
* Pancreatic Adenocarcinoma (PDAC) - Advanced/metastatic progressed after SOC. Includes adenosquamous carcinoma and post-Whipple.
* Triple Negative Breast Cancer (TNBC) - Progressed after 1 or 2 systemic therapy that must have included taxane and treatment naïve to immunotherapy targeting T-cell co-stimulation
Exclusion Criteria:
* Pancreatic Ductal Adenocarcinoma (PDAC) - Excludes neuroendocrine or acinar pancreatic carcinoma and participants with coagulopathy or at risk of or history of Deep vein thrombosis (DVT)/PE
* No major surgery within 28 days prior to dosing
* No active autoimmune/immunodeficiency disease with limited exceptions
* Combination treatment excludes participants treated with anti-programmed cell death protein 1(PD-1)/Programmed cell death ligand 1 (PD-L1) who had immune mediated toxicity G3 or greater, interstitial lung disease, or hypersensitivity Combination treatment may also require no significant cardiac deficiencies and/or events
* Pregnancy
* Excluded medications include anticancer therapy within 5 half-live or 28 days (whichever is shorter), agent targeting Chemokine Receptor (CCR)8, live vaccines, immunosuppressive medication with limited exceptions
Primary outcome measure(s)
Number of Participants with Adverse Events (AE) — Up to 2 Years An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
Maximum Observed Serum Concentration (Cmax) of Azirkitug — Up to 2 Years Maximum Observed Serum Concentration (Cmax) of azirkitug.
Time to Maximum Observed Serum Concentration (Tmax) of Azirkitug — Up to 2 Years Time to maximum Observed Serum Concentration (Tmax) of azirkitug.
Terminal Elimination Half-Life (t1/2) of Azirkitug — Up to 2 Years Terminal elimination half-life (t1/2) of azirkitug.
Area Under the Serum Concentration Versus Time Curve (AUC) of Azirkitug — Up to 2 Years Area under the serum concentration versus time curve (AUC) of azirkitug.
Azirkitug Antidrug Antibody (ADA) — Up to 2 Years Incidence and concentration of azirkitug anti-drug antibodies.
Azirkitug Neutralizing Antidrug Antibody (nADA) — Up to 2 Years Incidence and concentration of azirkitug neutralizing anti-drug antibodies.
Cmax of Budigalimab — Up to 2 Years Cmax of budigalimab.
Tmax of Budigalimab — Up to 2 Years Tmax of budigalimab.
t1/2 of Budigalimab — Up to 2 Years t1/2 of budigalimab.
AUC of Budigalimab — Up to 2 Years AUC of budigalimab.
Budigalimab ADA — Up to 2 Years Incidence and concentration of budigalimab ADA.
Budigalimab nADA — Up to 2 Years Incidence and concentration of budigalimab nADA.
Cmax of Telisotuzumab Adizutecan — Up to 2 Years Cmax of telisotuzumab adizutecan.
Tmax of Telisotuzumab Adizutecan — Up to 2 Years Tmax of telisotuzumab adizutecan.
t1/2 of Telisotuzumab Adizutecan — Up to 2 Years t1/2 of telisotuzumab adizutecan.
AUC of Telisotuzumab Adizutecan — Up to 2 Years AUC of telisotuzumab adizutecan.
Telisotuzumab Adizutecan ADA — Up to 2 Years Incidence and concentration of telisotuzumab adizutecan ADA.
Telisotuzumab Adizutecan nADA — Up to 2 Years Incidence and concentration of telisotuzumab adizutecan nADA.
Trial sites (48)
Facility
City
Region
Status
City of Hope National Medical Center /ID# 276272
Duarte
California
Recruiting
City of Hope - Orange County Lennar Foundation Cancer Center /ID# 278589
Irvine
California
Recruiting
USC Norris Comprehensive Cancer Center /ID# 279603
Los Angeles
California
Recruiting
University of Illinois Hospital and Health Sciences System /ID# 251750
Chicago
Illinois
Recruiting
University of Chicago Medical Center /ID# 276271
Chicago
Illinois
Recruiting
Fort Wayne Medical Oncology and Hematology, Inc /ID# 232593
Fort Wayne
Indiana
Recruiting
Community Health Network, Inc. /ID# 243011
Indianapolis
Indiana
Recruiting
Norton Cancer Institute /ID# 248903
Louisville
Kentucky
Recruiting
START Midwest /ID# 248685
Grand Rapids
Michigan
Recruiting
M Health Fairview University of Minnesota Medical Center - East Bank /ID# 276200
Minneapolis
Minnesota
Recruiting
Nebraska Cancer Specialists - Omaha - Wright Street /ID# 247399
Omaha
Nebraska
Recruiting
Duke Cancer Institute /ID# 276267
Durham
North Carolina
Recruiting
Carolina BioOncology Institute /ID# 232597
Huntersville
North Carolina
Recruiting
NEXT Oncology Austin /ID# 243005
Austin
Texas
Recruiting
The University of Texas MD Anderson Cancer Center /ID# 270059
Houston
Texas
Recruiting
Next Oncology Dallas /ID# 276254
Irving
Texas
Recruiting
NEXT Oncology /ID# 243007
San Antonio
Texas
Recruiting
South Texas Accelerated Research Therapeutics (START) /ID# 276268
San Antonio
Texas
Recruiting
Start Mountain Region /ID# 276270
West Valley City
Utah
Recruiting
Virginia Cancer Specialists - Fairfax /ID# 232592
Fairfax
Virginia
Recruiting
Tom Baker Cancer Centre /ID# 276206
Calgary
Alberta
Recruiting
Princess Margaret Cancer Centre /ID# 276275
Toronto
Ontario
Recruiting
Centre Hospitalier de l'Universite de Montreal (CHUM) /ID# 276274
Montreal
Quebec
Recruiting
Shamir Medical Center /ID# 276238
Beer Ya'akov
Central District
Recruiting
Meir Medical Center /ID# 277327
Kefar Sava
Central District
Recruiting
Rabin Medical Center. /ID# 250497
Petah Tikva
Central District
Recruiting
The Chaim Sheba Medical Center /ID# 238332
Ramat Gan
Tel Aviv
Recruiting
Tel Aviv Sourasky Medical Center /ID# 276591
Tel Aviv
Tel Aviv
Recruiting
Rambam Health Care Campus /ID# 238333
Haifa
Israel
Recruiting
Shaare Zedek Medical Center /ID# 276244
Jerusalem
Israel
Recruiting
Hadassah Medical Center-Hebrew University /ID# 252287
Jerusalem
Israel
Recruiting
Aichi Cancer Center Hospital /ID# 250405
Nagoya
Aichi-ken
Recruiting
National Cancer Center Hospital East /ID# 238840
Kashiwa-shi
Chiba
Recruiting
Kobe University Hospital /ID# 250409
Kobe
Hyōgo
Recruiting
Kansai Medical University Hospital /ID# 276805
Hirakata-shi
Osaka
Recruiting
Shizuoka Cancer Center /ID# 250408
Sunto-gun
Shizuoka
Recruiting
National Cancer Center Hospital /ID# 238372
Chuo-ku
Tokyo
Recruiting
Wakayama Medical University Hospital /ID# 276806
Wakayama
Wakayama
Completed
National Cancer Center /ID# 252290
Goyang-si
Gyeonggido
Recruiting
CHA Bundang Medical Center /ID# 252291
Seongnam
Gyeonggido
Recruiting
+ 8 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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