Phase 1a/1b Study of Aplitabart (IGM-8444) Alone or in Combination in Participants with Relapsed, Refractory, or Newly Diagnosed Cancers

Last updated: March 25, 2025
Sponsor: IGM Biosciences, Inc.
Overall Status: Terminated

Phase

1

Condition

Leukemia

Acute Myeloid Leukemia

Lymphoma

Treatment

FOLFIRI

Venetoclax

Aplitabart (IGM-8444)

Clinical Study ID

NCT04553692
IGM-8444-001
  • Ages > 18
  • All Genders

Study Summary

This study is a first-in-human, Phase 1a/1b, multicenter, open-label study to determine the safety, tolerability, and pharmacokinetics of aplitabart as a single agent and in combination in participants with relapsed and/or refractory solid or hematologic cancers, as well as newly diagnosed cancers, and an open-label, randomized study of aplitabart+FOLFIRI+bevacizumab.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Age ≥ 18 years at time of signing ICF

  • ECOG Performance Status of 0 or 1

  • Histologic documentation of incurable, locally advanced or metastatic tumor of thetype being evaluated in individual cohorts.

  • Adequate hepatic and renal function and adequate bone marrow reserve function.

  • For combination cohorts, participants must be eligible to receive the chemotherapyor targeted agent.

  • Ph1a only: No more than three prior therapeutic regimens.

  • Ph1b only: Must be FOLFIRI naïve participants and must have received only 1 priortherapeutic regimen administered for the treatment of cancer in theadvanced/metastatic setting - OR - FOLFIRI naïve participants that only receivedadjuvant therapy who progressed within six months after completing adjuvant therapy,and are confirmed to have locally advanced/metastatic disease

Exclusion

Key Exclusion Criteria:

  • Inability to comply with study and follow-up procedures.

  • Prior DR5 agonist therapy.

  • Concomitant use of agents well-known to cause liver toxicity.

  • Concomitant use of anti-cancer agents

  • Palliative radiation to bone metastases within 2 weeks prior to Day 1.

  • Major surgical procedure within 4 weeks prior to Day 1.

  • Untreated or active central nervous system (CNS) metastases (progressing orrequiring anticonvulsants or corticosteroids for symptomatic control). Participantswith a history of treated CNS metastases are eligible.

  • Prior use of any chemotherapeutic agent or small molecule inhibitors (SMI) within 2weeks or 5 half-lives, prior to the first dose of study treatment

  • Treatment with a monoclonal antibody, or any other anticancer agent (includingbiologic, experimental, or hormonal therapy) investigational or otherwise, that isnot chemotherapy or a SMI, within 4 weeks or five half-lives prior to first dose ofstudy treatment.

  • Ph1b: Participants who have previously received FOLFIRI treatment in the adjuvant,advanced, or metastatic disease setting

Study Design

Total Participants: 272
Treatment Group(s): 10
Primary Treatment: FOLFIRI
Phase: 1
Study Start date:
September 23, 2020
Estimated Completion Date:
January 20, 2025

Study Description

Participants will be enrolled in Phase 1a, which consists of two stages: a dose-escalation stage and an expansion stage. Aplitabart will be used as a single agent and in combination with numerous other agents where standard therapeutic regimens do not exist, have proven to be ineffective or intolerable, or are considered inappropriate.

Colorectal participants may be enrolled in Phase 1b, an open-label, randomized study of aplitabart+FOLFIRI+ bevacizumab.

Aplitabart will be investigated in numerous tumor types including all-comers solid tumors, colorectal carcinoma (CRC), sarcoma, non-Hodgkin's lymphoma (NHL), acute myeloid leukemia (AML), and chronic lymphocytic leukemia (CLL).

Aplitabart will be administered intravenously (IV).

An alternative dosing schedule may be evaluated.

Connect with a study center

  • Westmead

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • Southern Medical Day Care Centre

    Wollongong, New South Wales 2500
    Australia

    Site Not Available

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria 3052
    Australia

    Site Not Available

  • Napean Cancer Care

    Kingswood, 2747
    Australia

    Site Not Available

  • Tasman Health

    Southport, QLD 4215
    Australia

    Site Not Available

  • Tasman Oncology

    Southport, QLD 4215
    Australia

    Active - Recruiting

  • Queen Elizabeth Hospital

    Woodville South, 5011
    Australia

    Site Not Available

  • Institut Bergonié

    Bordeaux, 33076
    France

    Site Not Available

  • Centre Georges Francois Leclerc

    Dijon, 21000
    France

    Site Not Available

  • Saint Louis Hospital

    Paris, 75010
    France

    Site Not Available

  • Institut de Cancérologie de l'Ouest

    Saint-Herblain, 44800
    France

    Site Not Available

  • Gustave Roussy

    Villejuif, 94805
    France

    Site Not Available

  • Samsung Medical Center

    Seoul, Gangnam-gu 06351
    Korea, Republic of

    Site Not Available

  • Gachon University Gil Hospital

    Gyeonggi-do, Seongnam-si 13620
    Korea, Republic of

    Site Not Available

  • Seoul National University Bundang Hospital

    Gyeonggi-do, Seongnam-si 13620
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Severance Hospital - Yonsei Cancer Center

    Soeul,
    Korea, Republic of

    Site Not Available

  • Vall d'Hebron Institut d'Oncologia

    Barcelona, 08035
    Spain

    Site Not Available

  • Clinica Universidad de Navarra

    Madrid, 28027
    Spain

    Site Not Available

  • Madrid CIOCC - HM Universitario Sanchinnarro

    Madrid, 28050
    Spain

    Site Not Available

  • Madrid FJD

    Madrid, 28040
    Spain

    Site Not Available

  • Mayo Clinic

    Phoenix, Arizona 85054
    United States

    Site Not Available

  • City of Hope Comprehensive Cancer Center

    Duarte, California 91010
    United States

    Site Not Available

  • Cancer and Blood Specialty Clinic (CBSC)

    Los Alamitos, California 90720
    United States

    Site Not Available

  • UCLA

    Los Angeles, California 90404
    United States

    Site Not Available

  • USC Norris

    Los Angeles, California 90033
    United States

    Site Not Available

  • UC Irvine Manchester Pavilion

    Orange, California 92868
    United States

    Site Not Available

  • UCSF

    San Francisco, California 94143
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers

    Denver, Colorado 80218
    United States

    Site Not Available

  • SCRI at Healthone

    Denver, Colorado 80218
    United States

    Site Not Available

  • Yale Cancer Center

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • Mayo Clinic

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • FL Cancer Specialists - Lake Mary

    Lake Mary, Florida 32746
    United States

    Site Not Available

  • Memorial Cancer Institute

    Pembroke Pines, Florida 33028
    United States

    Site Not Available

  • Florida Cancer Specialists

    Sarasota, Florida 34232
    United States

    Site Not Available

  • Fort Wayne Medical Oncology and Hematology

    Fort Wayne, Indiana 46804
    United States

    Site Not Available

  • Norton Cancer Institute

    Louisville, Kentucky 40241
    United States

    Site Not Available

  • Ochsner Cancer

    Jefferson, Louisiana 70121
    United States

    Site Not Available

  • Maryland Oncology Hematology, PA - Columbia

    Columbia, Maryland 21044
    United States

    Site Not Available

  • START Midwest

    Grand Rapids, Michigan 49546
    United States

    Site Not Available

  • Mayo Clinic

    Minneapolis, Minnesota 55905
    United States

    Site Not Available

  • Minnesota Oncology - Minneapolis Clinic

    Minneapolis, Minnesota 55404
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Gabrail Cancer Research

    Canton, Ohio 44718
    United States

    Site Not Available

  • Stephenson Cancer Center

    Oklahoma City, Oklahoma 73104
    United States

    Site Not Available

  • Providence Portland Medical Center

    Portland, Oregon 97213
    United States

    Site Not Available

  • SCRI - Tennessee

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Texas Oncology - Austin

    Austin, Texas 78705
    United States

    Site Not Available

  • Mary Crowley Cancer Research

    Dallas, Texas 75230
    United States

    Site Not Available

  • US Oncology - Dallas

    Dallas, Texas 75246
    United States

    Site Not Available

  • US Oncology- Texas Oncology - Fort Worth

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • The University of Texas, MD Anderson

    Houston, Texas 77030
    United States

    Site Not Available

  • Texas Oncology - San Antonio Northeast

    San Antonio, Texas 78217
    United States

    Site Not Available

  • Texas Oncology - Tyler

    Tyler, Texas 75702
    United States

    Site Not Available

  • Inova Schar Cancer Institute

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • US Oncology- Virginia Oncology - Norfolk

    Norfolk, Virginia 23502
    United States

    Site Not Available

  • Seattle Cancer Alliance - Fred Hutch

    Seattle, Washington 98109
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.