Study With ABBV-CLS-484 in Participants With Locally Advanced or Metastatic Tumors

Last updated: May 5, 2025
Sponsor: AbbVie
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasm Metastasis

Treatment

ABBV-CLS-484

Programmed Cell Death-1 (PD-1) Inhibitor

Vascular Endothelial Growth Factor Receptor (VEGFR) Tyrosine Kinase Inhibitor (TKI)

Clinical Study ID

NCT04777994
M20-431
2023-507568-38-00
  • Ages > 18
  • All Genders

Study Summary

The study will assess the safety, PK, PD, and preliminary efficacy of ABBVCLS-484 as monotherapy and in combination with a PD-1 targeting agent or with a or a vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitor (TKI).

The trial aims to establish a safe, tolerable, and efficacious dose of ABBVCLS-484 as monotherapy and in combination. The study will be conducted in three parts. Part 1 Monotherapy Dose Escalation, Part 2 Combination Dose Escalation and Part 3 Dose Expansion (Monotherapy and Combination therapy).

Part 1, ABBV-CLS-484 will be administered alone in escalating dose levels to eligible subjects who have advanced solid tumors.

Part 2, ABBV-CLS-484 will be administered at escalating dose levels in combination with a PD-1 targeting agent or with a VEGFR TKI to eligible subjects who have advanced solid tumors.

Part 3, ABBV-CLS-484 will be administered alone as a monotherapy at the determined recommended dose in subjects with locally advanced or metastatic, relapsed or refractory head and neck squamous cell carcinoma (HNSCC), relapsed or refractory non-small cell lung cancer (NSCLC), and advanced clear cell renal cell carcinoma (ccRCC). ABBV-CLS-484 will also be administered at the determined recommended dose in combination with a PD-1 targeting or with a VEGFR TKI agent in subjects with locally advanced or metastatic, HNSCC, NSCLC, MSI-H tumors refractory to PD-1/PD-L1, and advanced ccRCC.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Must weigh at least 35 kilograms (kg).

  • An Eastern Cooperative Oncology Group (ECOG) performance status <= 2.

  • Life expectancy of >= 12 weeks.

  • Laboratory values meeting protocol criteria.

  • QT interval corrected for heart rate < 470 msec (using Fridericia's correction), andno clinically significant electrocardiographic findings.

  • Measurable disease defined by RECIST 1.1 criteria.

For Monotherapy and Combination Dose Escalation:

  • Participants with histologically or cytologically proven metastatic or locallyadvanced tumors, for which no effective standard therapy exists, or where standardtherapy has failed. Participants must have received at least 1 prior systemicanticancer therapy for the indication being considered.

For Monotherapy Dose Expansion only:

  • Participants must have received at least 1 prior line containing PD-1/PD-L1 targetedtherapy with a best response by RECIST v1.1 of CR/PR/stable (any duration) or stabledisease (for greater than 6 months); AND

  • Must have been previously treated with 1 or more prior lines of therapy in thelocally advanced or metastatic setting with the following tumor types:

  • Relapsed/refractory HNSCC

  • Relapsed/refractory NSCLC

  • Advanced ccRCC

For PD-1 Targeting Agent Combination Dose Expansion only:

  • For the following tumor types, subject must have received at least 1 prior linecontaining PD-1/PD-L1 targeted therapy with response by RECIST v1.1 of CR/PR (anyduration) or stable disease (for greater than 6 months):

  • Relapsed HNSCC

  • Relapsed NSCLC

  • Relapsed Advanced ccRCC

  • For the following tumor types, subject must have received at least 1 prior linecontaining PD-1/PD-L1 targeted therapy and have had disease progression withPD-1/PD-L1 targeted therapy:

  • Locally Advanced or metastatic MSI-H tumors

For VEGFR TKI Combination Dose Expansion only:

  • Relapsed advance ccRCC with no more than 1 prior VEGFR TKI

  • Participants no recent history of hemorrhage, including hemoptysis, hematemesis, ormelena

  • Participants with poorly controlled hypertension are excluded.

Exclusion

Exclusion Criteria:

  • Untreated brain or meningeal metastases (i.e., subjects with history of metastasesare eligible provided they do not require ongoing steroid treatment and have shownclinical and radiographic stability for at least 28 days after definitive therapy)

  • Unresolved Grade 2 or higher toxicities related to previous anticancer therapyexcept alopecia.

  • Unresolved Grade 2 or higher peripheral neuropathy.

  • History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)infection.

  • Recent history (within 6 months) of congestive heart failure (defined as New YorkHeart Association, Class 2 or higher), ischemic cardiovascular event, pericarditis,or clinically significant pericardial effusion or arrythmia.

  • Recent history (within 6 months) of Childs-Pugh B or C classification of liverdisease.

  • History of clinically significant medical and/or psychiatric conditions or any otherreason that, in the opinion of the investigator, would interfere with the subject'sparticipation in this study or would make the subject an unsuitable candidate toreceive study drug.

  • History of uncontrolled, clinically significant endocrinopathy.

  • Known gastrointestinal disorders making absorption of oral medications problematic;subject must be able to swallow capsules.

  • If treated with a PD-1/aPD-L1 targeting or other immune-oncology agents in the past,excluded if had prior pneumonitis, prior Grade 3 or higher immune mediated toxicity,hypersensitivity to administered drug or drug related toxicity requiringdiscontinuation.

  • Active autoimmune disease requiring systemic treatment in past 2-years (exceptionsfor endocrinopathies, vitiligo or atopic conditions).

  • History of solid organ transplant or allogeneic stem cell transplant.

  • History of other malignancy, with the following exceptions:advanced tumors, for which no effective standard therapy exists, or where standard&#xd;therapy has failed. Participants must have received at least 1 prior systemic&#xd;anticancer therapy for the indication being considered.&#xd; &#xd; For Monotherapy Dose Expansion only:&#xd; &#xd;

  • Participants must have received at least 1 prior line containing PD-1/PD-L1 targeted&#xd;therapy with a best response by RECIST v1.1 of CR/PR/stable (any duration) or stable&#xd;disease (for greater than 6 months); AND&#xd; &#xd;

  • Must have been previously treated with 1 or more prior lines of therapy in the&#xd;locally advanced or metastatic setting with the following tumor types:&#xd; &#xd;

  • Relapsed/refractory HNSCC&#xd; &#xd;

  • Relapsed/refractory NSCLC&#xd; &#xd;

  • Advanced ccRCC&#xd; &#xd; For PD-1 Targeting Agent Combination Dose Expansion only:&#xd; &#xd;

  • For the following tumor types, subject must have received at least 1 prior line&#xd;containing PD-1/PD-L1 targeted therapy with response by RECIST v1.1 of CR/PR (any&#xd;duration) or stable disease (for greater than 6 months):&#xd; &#xd;

  • Relapsed HNSCC&#xd; &#xd;

  • Relapsed NSCLC&#xd; &#xd;

  • Relapsed Advanced ccRCC&#xd; &#xd;

  • For the following tumor types, subject must have received at least 1 prior line&#xd;containing PD-1/PD-L1 targeted therapy and have had disease progression with&#xd;PD-1/PD-L1 targeted therapy:&#xd; &#xd;

  • Locally Advanced or metastatic MSI-H tumors&#xd; &#xd; For VEGFR TKI Combination Dose Expansion only:&#xd; &#xd;

  • Relapsed advance ccRCC with no more than 1 prior VEGFR TKI&#xd; &#xd;

  • Participants no recent history of hemorrhage, including hemoptysis, hematemesis, or&#xd;melena&#xd; &#xd;

  • Participants with poorly controlled hypertension are excluded.&#xd; &#xd; Exclusion Criteria:&#xd; &#xd;

  • Untreated brain or meningeal metastases (i.e., subjects with history of metastases&#xd;are eligible provided they do not require ongoing steroid treatment and have shown&#xd;clinical and radiographic stability for at least 28 days after definitive therapy)&#xd; &#xd;

  • Unresolved Grade 2 or higher toxicities related to previous anticancer therapy&#xd;except alopecia.&#xd; &#xd;

  • Unresolved Grade 2 or higher peripheral neuropathy.&#xd; &#xd;

  • History of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)&#xd;infection.&#xd; &#xd;

  • Recent history (within 6 months) of congestive heart failure (defined as New York&#xd;Heart Association, Class 2 or higher), ischemic cardiovascular event, pericarditis,&#xd;or clinically significant pericardial effusion or arrythmia.&#xd; &#xd;

  • Recent history (within 6 months) of Childs-Pugh B or C classification of liver&#xd;disease.&#xd; &#xd;

  • History of clinically significant medical and/or psychiatric conditions or any other&#xd;reason that, in the opinion of the investigator, would interfere with the subject's&#xd;participation in this study or would make the subject an unsuitable candidate to&#xd;receive study drug.&#xd; &#xd;

  • History of uncontrolled, clinically significant endocrinopathy.&#xd; &#xd;

  • Known gastrointestinal disorders making absorption of oral medications problematic;&#xd;subject must be able to swallow capsules.&#xd; &#xd;

  • If treated with a PD-1/aPD-L1 targeting or other immune-oncology agents in the past,&#xd;excluded if had prior pneumonitis, prior Grade 3 or higher immune mediated toxicity,&#xd;hypersensitivity to administered drug or drug related toxicity requiring&#xd;discontinuation.&#xd; &#xd;

  • Active autoimmune disease requiring systemic treatment in past 2-years (exceptions&#xd;for endocrinopathies, vitiligo or atopic conditions).&#xd; &#xd;

  • History of solid organ transplant or allogeneic stem cell transplant.&#xd; &#xd;

  • History of other malignancy, with the following exceptions:&#xd;

  • No known active disease present within >= 3 years before first dose of studytreatment and felt to be at low recurrence by investigator.

  • Adequately treated non-melanoma skin cancer or lentigo maligna without evidenceof disease.

  • Adequately treated carcinoma in situ without evidence of disease.

  • History of interstitial lung disease or pneumonitis.

  • Major surgery <= 28 days prior to first dose of study drug

  • Known active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionper local testing practices.

Study Design

Total Participants: 248
Treatment Group(s): 3
Primary Treatment: ABBV-CLS-484
Phase: 1
Study Start date:
March 09, 2021
Estimated Completion Date:
October 31, 2026

Connect with a study center

  • Institut Paoli-Calmettes /ID# 260956

    Marseille, Bouches-du-Rhone 13009
    France

    Active - Recruiting

  • Hospital Foch

    Suresnes, Ile-de-France 92150
    France

    Site Not Available

  • IUCT Oncopole /ID# 252673

    Toulouse Cedex 9, Occitanie 31059
    France

    Active - Recruiting

  • Centre Antoine-Lacassagne /ID# 252606

    Nice, Provence-Alpes-Cote-d Azur 06189
    France

    Active - Recruiting

  • Centre Antoine Lacassagne - Nice

    Nice, 06189
    France

    Active - Recruiting

  • Hopital Foch /ID# 252607

    Suresnes CEDEX, 92151
    France

    Active - Recruiting

  • IUCT Oncopole

    Toulouse, 31059
    France

    Site Not Available

  • Rabin Medical Center /ID# 263631

    Petah Tikva, HaMerkaz 4941492
    Israel

    Active - Recruiting

  • Rabin Medical Center

    Petah Tikva, Hamerkaz 4941492
    Israel

    Active - Recruiting

  • The Chaim Sheba Medical Center /ID# 226756

    Ramat Gan, Tel-Aviv 5265601
    Israel

    Active - Recruiting

  • Hadassah Medical Center /ID# 252366

    Jerusalem, Yerushalayim 91120
    Israel

    Active - Recruiting

  • Hadassah Medical Center

    Jerusalem, 91120
    Israel

    Active - Recruiting

  • The Chaim Sheba Medical Center

    Ramat Gan, 5262100
    Israel

    Active - Recruiting

  • Wakayama Medical University Hospital

    Wakayama, Kimiidera 641-8510
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Chuo-ku, Tokyo 104-0045
    Japan

    Active - Recruiting

  • National Cancer Center Hospital /ID# 225884

    Chuo-ku, Tokyo 104-0045
    Japan

    Active - Recruiting

  • Wakayama Medical University Hospital /ID# 252988

    Wakayama-shi, Wakayama 641-8510
    Japan

    Active - Recruiting

  • Samsung Medical Center /ID# 260664

    Seoul, Seoul Teugbyeolsi 06351
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital /ID# 254635

    Seoul, Seoul Teugbyeolsi 03080
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • Yonsei University Health System Severance Hospital

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Yonsei University Health System Severance Hospital /ID# 260665

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Institut Català d'Oncologia (ICO) - L'Hospitalet /ID# 252524

    L'Hospitalet de Llobregat, Barcelona 08907
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre /ID# 257374

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario HM Sanchinarro

    Madrid, 28050
    Spain

    Active - Recruiting

  • Hospital Universitario HM Sanchinarro /ID# 228034

    Madrid, 28050
    Spain

    Active - Recruiting

  • University of Arizona Cancer Center - Tucson

    Tucson, Arizona 85719
    United States

    Active - Recruiting

  • University of Arizona Cancer Center - Tucson /ID# 262698

    Tucson, Arizona 85724
    United States

    Active - Recruiting

  • Yale University

    New Haven, Connecticut 06519
    United States

    Active - Recruiting

  • Yale University School of Medicine /ID# 225707

    New Haven, Connecticut 06510
    United States

    Active - Recruiting

  • Johns Hopkins Hospital /ID# 254056

    Baltimore, Maryland 21287
    United States

    Active - Recruiting

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts 02215-5400
    United States

    Active - Recruiting

  • Beth Israel Deaconess Medical Center /ID# 252009

    Boston, Massachusetts 02215-5400
    United States

    Active - Recruiting

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Dana-Farber Cancer Institute /ID# 249642

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • University of Michigan Comprehensive Cancer Center Michigan Medicine

    Ann Arbor, Michigan 48109-5000
    United States

    Active - Recruiting

  • University of Michigan Comprehensive Cancer Center Michigan Medicine /ID# 252010

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • NYU Laura and Isaac Perlmutter Cancer Center

    New York, New York 10016
    United States

    Active - Recruiting

  • NYU Laura and Isaac Perlmutter Cancer Center - 34th Street /ID# 257869

    New York, New York 10016
    United States

    Active - Recruiting

  • Duke Cancer Center /ID# 251975

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • Carolina BioOncology Institute

    Huntersville, North Carolina 28078
    United States

    Active - Recruiting

  • Carolina BioOncology Institute /ID# 225704

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • Perelman Center for Advanced Medicine /ID# 250188

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Active - Recruiting

  • UPMC Hillman Cancer Ctr /ID# 225706

    Pittsburgh, Pennsylvania 15232
    United States

    Active - Recruiting

  • Lifespan Cancer Institute at Rhode Island Hospital

    Providence, Rhode Island 02903
    United States

    Active - Recruiting

  • Lifespan Cancer Institute at Rhode Island Hospital /ID# 225705

    Providence, Rhode Island 02903-4923
    United States

    Active - Recruiting

  • University of Texas Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • University of Texas Southwestern Medical Center /ID# 251974

    Dallas, Texas 75390-7208
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center /ID# 252004

    Houston, Texas 77030
    United States

    Active - Recruiting

  • NEXT Oncology /ID# 225708

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Next Oncology

    San Antonio, Texas 78229
    United States

    Active - Recruiting

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