Recruiting
Phase 1/2
Safety and Tolerability Study of GIM-122 in Subjects With Advanced Solid Malignancies
Condition(s) studied
Advanced Solid Malignancies
Investigational drug(s) / intervention(s)
GIM122
GIM122: GIM-122 administered IV once every 3 weeks or every 2 weeks
Study summary
GIM-122 is a first-in-class, humanized immunoglobulin G1 kappa dual functioning monoclonal antibody (DFA). This phase 1 / 2 study plans to evaluate the safety, tolerability, pharmacokinetics and clinical efficacy of intravenous (IV) administration of GIM-122 in adults with advanced malignancies.
Eligibility
Inclusion Criteria:
General
* Written informed consent
* ECOG performance status 0-1.
* Laboratory assessment 28 days prior to enrollment for assessment of acceptable cardiac, renal and hepatic functions
* Recommended Double methods of contraception 90-days post treatment Cancer Specific
* Histologically or cytologically confirmed locally advanced/unresectable or metastatic solid tumor
* Received FDA approved treatment of PD-1 inhibitor or PD-L1 inhibitor for advance malignant tumors and have progressed/relapsed, are refractory, or intolerant
* Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1
* Had prior therapy with PD-1/PD-L1 inhibitors. Other checkpoint inhibitors (ie, CTLA4, LAG3) are permitted if they did not lead to treatment discontinuation
* No other lines of therapy that are available
Exclusion Criteria:
General
* Enrolled in any other interventional clinical trial, starting within 4 weeks of the first dose of GIM-122 and throughout the duration of the study, or is receiving other therapy directed at their malignancy
* Women who are pregnant or breastfeeding
* History of cardiac issues, pulmonary embolism, active and clinically significant bacterial, fungal, or viral infection ≤ 6 months prior to dosing
* Contraindications to the imaging assessments or other study procedures that subjects will undergo or any medical or social condition that, in the opinion of the investigator, might place a subject at an increased risk, affect compliance, or confound safety or other clinical study data interpretation Cancer Specific
* Current second malignancy at other sites
* Leptomeningeal disease
* Spinal cord compression
* Symptomatic or new or enlarging central nervous system (CNS) metastases
Treatment-specific Exclusion Criteria
* Ongoing toxicity \> Grade 1 from prior therapy according to Common Terminology Criteria for Adverse Events (CTCAE) v 5.0
* Has undergone a major surgery \< 1 month prior to administration of GIM-122
* Has received radiation therapy within 2 weeks prior to administration of GIM-122
* Has undergone or is anticipated to undergo organ transplantation including allogeneic or autologous stem cell transplantation at any time
* Has received systemic anti-cancer therapy within 2 weeks and cytotoxic agents that have a major delayed toxicity within 4 weeks, of the first dose of GIM-122
* Prior treatment with other immune modulating agents within \< 4 weeks prior to the first dose of GIM-122.
* Has a diagnosis of immunodeficiency, either primary or acquired
* Has received treatment with systemic steroids or any form of immunosuppressive therapy within 14 days prior to administration of GIM-122
* Has active or prior history of autoimmune disease, including ulcerative colitis and Crohn's disease, or any condition that requires systemic steroids.
* Has a known severe intolerance to or hypersensitivity reactions to monoclonal antibodies, Fc-bearing proteins, or IV immunoglobulin preparations; prior history of human anti-human antibody response; known allergy to any of the study medications, or excipients in the various formulations of any agent.
* Has received live vaccines within 30 days of study initiation (inactivated vaccines are allowed; seasonal vaccines should be up to date \> 30 days prior to administration of GIM-122).
Primary outcome measure(s)
- Dose limiting toxicities [DLT] with GIM-122 — 18 months
To identify dose limiting toxicities \[DLT\] with GIM-122
- Maximum tolerated dose [MTD] of GIM-122 — 18 months
To identify maximum tolerated dose \[MTD\] of GIM-122
- Recommended Phase 2 Dose [RP2D] of GIM-122 — 18 Months
To identify Recommended Phase 2 Dose \[RP2D\] of GIM-122
- Overall response rate (ORR) -Part B of the study — 36 months
To identify overall response rate (ORR) in patients with advanced malignant tumors who are refractory/ resistant to PD-1 and PD-L1 therapy
- Anti-tumor activity of GIM-122 — 36 months
To assess anti-tumor activity of GIM-122 as a single agent in patients with advanced malignant tumors who are refractory/ resistant to PD-1 and PD-L1 therapy
- Incidence and severity of AE / SAEs and tolerability — 36 months
To assess incidence and severity of AE / SAEs and tolerability assessed by CTCAE grading
Trial sites (11)
| Facility | City | Region | Status |
| The Angeles Clinic and Research Institute |
Los Angeles |
California |
Recruiting |
| USC/Norris Comprehensive Cancer Center |
Los Angeles |
California |
Recruiting |
| UCLA Hematology/Oncology |
Los Angeles |
California |
Recruiting |
| UCSF Helen Diller Family Comprehensive Cancer Center |
San Francisco |
California |
Recruiting |
| Florida Cancer Specialists |
Sarasota |
Florida |
Recruiting |
| Norton Cancer Institute |
Louisville |
Kentucky |
Recruiting |
| Rutgers Cancer Institute of NJ |
New Brunswick |
New Jersey |
Recruiting |
| Tennessee Oncology, PLLC |
Nashville |
Tennessee |
Recruiting |
| Texas Oncology - Baylor Sammons Cancer Center |
Dallas |
Texas |
Recruiting |
| NEXT Oncology Dallas |
Irving |
Texas |
Recruiting |
| Virginia Commonwealth University |
Richmond |
Virginia |
Recruiting |
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