EVOLVE104: EVOLVE104 is provided as a solution for injection via IV infusion
EVOLVE104: Dose levels for Phase 1b will be determined based on the outcome of Phase 1a
Study summary
The goal of this study is to evaluate the safety and effectiveness of EVOLVE104 in participants with advanced urothelial and squamous cell carcinomas who have previously taken standard treatment options, have declined or have been ineligible for treatment with these medications. Participants with advanced or metastatic cancer who meet all eligibility criteria may be eligible to participate in the study.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria:
Participants must have locally advanced or metastatic cancer with one of the following tumor types: bladder cancer, squamous cell carcinoma of the lung, esophagus, skin, or an anogenital squamous cell carcinoma.
1. Participant must have documented disease progression during or post treatment with standard of care, dependent upon tumor type.
2. The cancer must be measurable by CT scan or MRI.
3. Eastern Cooperative Oncology Group (ECOG) performance status score ≤1.
4. Anticipated life expectancy of at least 3 months.
5. Adequate organ function, as indicated by standard blood tests.
6. Able to provide a fresh or archival tumor biopsy.
7. Male and female participants must agree to use contraception during the study and for 120 days after the last dose of study drug, except for women who are post-menopausal or surgically sterile.
Key Exclusion Criteria:
1. The participant is a candidate for treatment with a targeted agent known to provide a benefit.
2. Persistent significant toxicities from prior anticancer therapy.
3. Brain metastases unless previously treated and stable.
4. Prior severe or life-threatening immunologic reactions to previous therapies.
5. Significant medical conditions, including but not limited to:
* History of clinically significant cardiac disease
* Severe esophageal disease such as esophageal rupture or severe erosive esophagitis.
* Active inflammatory corneal or conjunctival inflammation, erosion, or ulcerations.
* History of cirrhosis or significant portal hypertension.
* Uncontrolled or significant infection.
* History of certain other cancers in the past 3 years.
* History of arterial thrombosis, stroke and transient ischemic attack within 6 months.
* Active or uncontrolled HIV, HBV or HCV infection.
* Autoimmune or other condition requiring chronic systemic immunosuppression.
Primary outcome measure(s)
Incidence and Severity of Treatment Emergent Adverse Events (TEAEs) — Baseline, through study completion, an average of 10 months. TEAEs will be assessed during routine study visits and compared to Baseline to continuously evaluate safety and tolerability
Number of patients with Dose Limiting Toxicities (DLTs) — Baseline, through study completion, an average of 10 months. Protocol-defined potential DLTs will be assessed by the Safety Review Committee at routine intervals.
To determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) for EVOLVE104 — Baseline, through study completion, an average of 10 months. Safety evaluations will occur consistently for each subject and across patients to assess MTD or RDE. Evaluations include analysis of TEAEs as well as ongoing assessments of laboratories, ECGs and physical examinations.
To determine the recommended phase 2 dose (RP2D) of EVOLVE104 — Safety evaluations will be done as described above. PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months. Selection of the RP2D will be based on the aggregate safety, efficacy, PK, and PD observations for the entire study
Trial sites (16)
Facility
City
Region
Status
City of Hope
Duarte
California
Recruiting
USC/Norris Comprehensive Cancer Center
Los Angeles
California
Recruiting
UCSF Medical center Parnassus
San Francisco
California
Recruiting
Yale University Cancer Center
New Haven
Connecticut
Recruiting
The Winship Cancer Institute Emory University
Atlanta
Georgia
Recruiting
START Midwest
Grand Rapids
Michigan
Recruiting
Icahn School of Medicine at Mount Sinai
New York
New York
Recruiting
Columbia University Irving Medical Center
New York
New York
Recruiting
Memorial Sloan Kettering Cancer Center
New York
New York
Recruiting
Duke University Medical Center - Duke Cancer Center
Durham
North Carolina
Recruiting
University Hospitals Cleveland Medical Center
Cleveland
Ohio
Recruiting
Thomas Jefferson University, Sidney Kimmel Cancer Center
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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