Clinical trial

A Phase 1/2, Open-label, Dose-escalation, and Expansion Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Therapeutic Activity of GI-101 as a Single Agent and in Combination With Pembrolizumab, Lenvatinib or Local Radiotherapy in Patients With Advanced or Metastatic Solid Tumors (Keynote B59)

Name
GII-101-P101 (MK-3475-B59)
Description
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-101/GI-101A as a single agent or in combination with pembrolizumab, lenvatinib or local radiotherapy (RT) over a range of advanced and/or metastatic solid tumors.
Trial arms
Trial start
2021-08-02
Estimated PCD
2025-10-01
Trial end
2026-10-01
Status
Recruiting
Phase
Early phase I
Treatment
GI-101
Recommended phase 2 dose of GI-101 will be administered via IV infusion Q3W up to 2 years (approximately 35 years).
Arms:
GI-101, GI-101 + Lenvatinib, GI-101 + Local Radiotherapy, GI-101 + Pembrolizumab
Pembrolizumab (KEYTRUDA®)
Pembrolizumab will be administered at a dose of 200 mg as IV infusion Q3W.
Arms:
GI-101 + Pembrolizumab, GI-101A + Pembrolizumab
Other names:
KEYTRUDA®
Lenvatinib
Lenvatinib will be administered at an approved dose orally.
Arms:
GI-101 + Lenvatinib
Other names:
Lenvima®
Local Radiotherapy
Patients will receive SBRT prior to the first dose of GI-101
Arms:
GI-101 + Local Radiotherapy
GI-101A
Recommended phase 2 dose of GI-101A will be administered via IV infusion Q3W up to 2 years (approximately 35 years).
Arms:
GI-101A, GI-101A + Pembrolizumab
Size
430
Primary endpoint
Incidence and nature of Dose-Limiting Toxicity (DLTs)
Study Day 1, assessed up to approximately 24 months
Incidence, nature, and severity of adverse events (AEs) and immune-related AEs (irAEs)
Study Day 1, assessed up to approximately 24 months
Objective Response Rate (ORR) according to RECIST version 1.1
Study Day 1, assessed up to approximately 24 months
Eligibility criteria
Key Inclusion Criteria: * Males and females aged ≥ 18 years (or ≥ 19 years according to local regulatory guidelines) at the time of screening. * Has adequate organ and marrow function as defined in protocol. * Measurable disease as per RECIST v1.1. * ECOG performance status 0-1. * Adverse events related to any prior chemotherapy, radiotherapy, immunotherapy, other prior systemic anti-cancer therapy, or surgery must have resolved to Grade ≤1, except alopecia and Grade 2 peripheral neuropathy. * HIV infected patients must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease as defined in protocol. Key Exclusion Criteria: * Has known active CNS metastases and/or carcinomatous meningitis. * An active second malignancy * Has active or a known history of Hepatitis B or known active Hepatitis C virus infection. * Has active tuberculosis or has a known history of active tuberculosis * Active or uncontrolled infections, or severe infection within 4 weeks before study treatment administration. * History of chronic liver disease or evidence of hepatic cirrhosis, except patients with liver metastasis. * Has an active autoimmune disease that has required systemic treatment in past 2 years. * Previous immunotherapies related to mode of action of GI-101. * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive medications within 2 weeks prior to Cycle 1 Day 1. * Administration of prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to treatment. * Radiotherapy within the last 2 weeks before start of study treatment administration, with exception of limited field palliative radiotherapy (except Part D). * Administration of a live, attenuated vaccine within 4 weeks before Cycle 1 Day 1. * Known hypersensitivity to any of the components of the drug products and/or excipients of GI-101, pembrolizumab or lenvatinib. Other protocol defined inclusion exclusion criteria may apply
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1', 'PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 430, 'type': 'ESTIMATED'}}
Updated at
2024-02-22

1 organization

4 products

14 indications

Product
GI-101
Indication
Lung Cancer
Indication
Bladder Cancer
Indication
Melanoma
Indication
Sarcoma
Indication
Cervical Cancer
Indication
Vaginal Cancer
Indication
Vulvar Cancer
Product
Lenvatinib
Product
GI-101A
Organization
GI Innovation