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Male or female patients ≥ 18 years of age |
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Histologically or cytologically confirmed incurable or metastatic solid tumors - |
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colorectal, gastric, non-small cell lung, renal cell, breast, hepatocellular, ovarian |
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cervical cancer, GBM or with a potential benefit from PD-1/PD-L1 blockade where hypoxia is |
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associated with resistance to PD-1 blockade eg, as reported for or head and neck cancer and |
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is not amenable to curative treatment |
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The malignancy must have progressed after at least 1 available standard therapy for |
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incurable disease, and the patient has failed or is intolerant to all available therapies |
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known to be active for the malignancy and have meaningful impact on the disease |
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Patients with unresectable or metastatic solid tumors, with the exemption of patients with |
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GBM, must have a lesion that can be biopsied with acceptable clinical risk and agree to |
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have a fresh biopsy at Screening and in the first week of Cycle 2 |
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At least 1 measurable lesion according to RECIST Version 1.1 |
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Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2 |
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Adequate organ function and bone marrow reserve as indicated by the following laboratory |
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assessments performed within 14 days prior to the first dose of study drug |
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For female patients of childbearing potential must have a negative serum beta-human |
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chorionic gonadotropin (β-hCG) pregnancy test and agree to use highly effective |
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contraception |
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For men who are not surgically sterile must agree to remain abstinent (refrain from |
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heterosexual intercourse) or use contraception, and agreement to refrain from donating |
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sperm |
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The patient is capable of understanding and complying with the protocol and has signed the |
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required ICF. The appropriate ICF must be signed before relevant study procedures are |
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performed. If applicable, the female partner of a male patient understands and signs the |
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pregnant partner's ICF |
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Treatment with anticancer therapy, including investigational therapy, within 4 weeks prior
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to the first dose of study drug
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Patients with > Grade 1 AEs (except Grade 2 alopecia or hearing impairment) related to
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previous treatment with anticancer or investigational therapy that do not resolve
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Systemic arterial thrombotic or embolic events, such as cerebrovascular accident (including
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ischemic attacks) or hemoptysis within 3 months prior to the first dose of study drug
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Systemic venous thrombotic events (eg, deep vein thrombosis) or pulmonary arterial events
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(eg, pulmonary embolism) within 1 month prior to the first dose of study drug. Patients
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with venous thrombotic events prior to the first dose of study drug on stable
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anticoagulation therapy are eligible
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Left ventricular ejection fraction (LVEF) < 50% or below the lower limit for normal
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institutional level
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Major surgery within 4 weeks and minor surgery within 2 weeks of the first dose of study
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drug; following surgeries, all surgical wounds must be healed and free of infection or
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dehiscence
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The patient has marked proteinuria ≥ 2 g/24 hours and/or nephrotic syndrome. Patients with
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proteinuria 2+ or greater urine dipstick reading should undergo further assessment, eg, a
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-hour urine collection
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Any other clinically significant comorbidities, such as uncontrolled pulmonary disease
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active infection, or any other condition, which in the judgment of the Investigator, could
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compromise compliance with the protocol, interfere with the interpretation of study
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results, or predispose the patient to safety risks
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Known allergy or hypersensitivity to any component of the study drug
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