A First-in-human, Dose Escalation and Dose Expansion Study of SAR445877 in Adult Participants With Advanced Solid Tumors

Last updated: May 29, 2024
Sponsor: Sanofi
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Neuroblastoma

Treatment

SAR445877

Cetuximab

Clinical Study ID

NCT05584670
TCD17620
2022-001239-95
U1111-1277-4827
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/2, open label, multiple cohort study to assess the safety and preliminary efficacy of SAR445877 as a monotherapy or in combination with other anticancer therapies for participants aged at least 18 years with advanced unresectable or metastatic solid tumors.

The study will include 2 parts:

A dose escalation Part 1: for finding the therapeutic dose(s) of SAR445877 in a monotherapy given every 2 weeks (Q2W) or weekly (QW) and in combination with other anticancer therapies when applicable.

A multicohort dose expansion/dose optimization Part 2: for the assessment of safety and preliminary efficacy of SAR445877 in monotherapy and in combination with cetuximab: 2 recommended doses for expansion/optimization of SAR445877 identified from dose escalation part 1 will be tested in different indications in monotherapy and in combination with other anticancer therapies as applicable.

Approximately 285 participants will be enrolled to the study intervention: approximately 75 participants in part 1 and up to 210 participants in expansion/dose optimization part (part 2).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Dose escalation Part 1
  • Participants with advanced unresectable or metastatic solid tumors for which,in the judgement of the investigator, no standard alternative therapy isavailable or is not in the best interest of the participant
  1. Dose expansion/optimization Part 2

Cancer diagnosis:

  • Participants in Cohorts A1 and A2: Histologically or cytologically confirmeddiagnosis of metastatic non-small cell lung cancer (NSCLC)

  • Participants in Cohort B: Histologically or cytologically confirmed diagnosis ofadvanced unresectable or metastatic hepatocellular carcinoma (HCC), or clinically byAmerican Association for the Study of Liver Diseases (AASLD) criteria in cirrhoticpatients (patients without cirrhosis must have had histological confirmation ofdiagnosis).

  • Participants in Cohorts C1 and C2: Histologically or cytologically confirmeddiagnosis of advanced unresectable or metastatic gastric cancer (GC) or Siewert Type 2 & 3 gastro esophageal junction (GEJ) adenocarcinoma.

  • For participants in Cohorts C1 and C2: Disease with CPS scoring of <1 as determinedat local laboratory with an Agency approved test (for the other cohorts: Diseasewith any CPS scoring. No need for CPS determination at local laboratory).

  • For participants in Cohorts C1 and C2: Participants must have MSI (metastaticmicrosatellite instability) or MMR (mismatch repair) status known or determinedlocally and must have non-MSI-H or proficient MMR (pMMR) disease to be eligible.

  • For participants in Cohorts C1 and C2: Participants with unknown HER2/neu statusmust have their HER2/neu status determined locally. Participants with HER2/neunegative are eligible. Participants with HER2/neu positive tumors must havedocumentation of disease progression on treatment containing an approved HER2targeted therapy to be eligible.

Measurable Disease:

  • At least 1 measurable lesion per RECIST 1.1 criteria

Participants in Cohorts E1, E2 and E3

  • Histologically or cytologically confirmed diagnosis of advanced unresectable ormetastatic colorectal cancer

  • Participants must have MSI status known or determined locally and must havenon-MSI-H disease to be eligible.

  • Participants with RAS-mutant and BRAF-mutant colorectal cancer are eligible forenrollment.

Capable of giving signed informed consent.

Exclusion

Exclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of ≥2.

  • Predicted life expectancy ≤3 months.

  • For participants with HCC- Cohort B (Part 2): Child Pugh Class B or C liver score.Participants with Child Pugh Class B-7 score are allowed for Part 1.

  • Diagnosed of any other malignancies, either progressing or requiring activetreatments, within 2 years prior to enrollment.

  • Known active brain metastases or leptomeningeal metastases.

  • History of treatment-related immune-mediated (or immune-related) AEs fromimmune-modulatory agents (including but not limited to anti-PD1/PD-L1 agents andanti-cytotoxic T lymphocyte associated protein 4 monoclonal antibodies) that causedpermanent discontinuation of the agent, or that were Grade 4 in severity or have notresolved to Grade ≤1.

  • Has any condition requiring ongoing/continuous corticosteroid therapy (>10 mgprednisone/day or an anti-inflammatory equivalent) within 1 week prior to the firstdose of the study medicine.

  • Any clinically significant cardiac (including valvular) or vascular (thromboembolicdisorders) disease, within 6 months prior to the first IMP administration.

  • Ongoing or recent (within 2 years) evidence of significant autoimmune disease thatrequired treatment with systemic immunosuppressive treatments, which may suggestrisk for immune-related adverse events.

  • Has a known history or any evidence of interstitial lung disease or active,non-infectious pneumonitis within 3 years prior to the first dose of the study drug.

  • Organ transplant requiring immunosuppressive treatment.

  • Uncontrolled or active infection with human immunodeficiency virus (HIV), hepatitisB, or hepatitis C infection, or has a diagnosis of immunodeficiency.

NOTE: Other Inclusion/Exclusion criteria may apply.

The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Study Design

Total Participants: 285
Treatment Group(s): 2
Primary Treatment: SAR445877
Phase: 1/2
Study Start date:
November 29, 2022
Estimated Completion Date:
September 27, 2028

Study Description

The duration of the study for a participant will include:

Screening Period: up to 28 days Treatment Period: enrolled and exposed participants will receive continuous treatment until progressive disease (PD), or an occurrence of an unacceptable AE, a withdrawal of consent, or until other permanent discontinuation criteria described in the protocol are met.

The End of Treatment (EOT) visit will occur 30 days ±7 days from the last IMP administration or prior to the initiation of further therapy, whichever occurs first.

The follow-up period will occur until disease progression, the start of new anticancer therapy, death, or withdrawal of participant's consent, whichever comes first.

Connect with a study center

  • Hadassah Medical Center - PPDS_Investigational Site Number : 3760005

    Jerusalem, 91120
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760005

    Jerusalem, 91120
    Israel

    Site Not Available

  • Sheba Medical Center - PPDS_Investigational Site Number : 3760003

    Ramat Gan, 5262100
    Israel

    Active - Recruiting

  • Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis_Investigational Site Number : 5280001

    Amsterdam, Noord-Holland 1066 CX
    Netherlands

    Active - Recruiting

  • Investigational Site Number : 5280001

    Amsterdam, Noord-Holland 1066 CX
    Netherlands

    Active - Recruiting

  • Erasmus MC_Investigational Site Number : 5280003

    Rotterdam, 3015 GD
    Netherlands

    Active - Recruiting

  • Investigational Site Number : 5280003

    Rotterdam, 3015 GD
    Netherlands

    Active - Recruiting

  • Investigational Site Number : 7240007

    Barcelona, Barcelona [Barcelona] 08035
    Spain

    Active - Recruiting

  • Investigational Site Number :7240007

    Barcelona, Barcelona [Barcelona] 08035
    Spain

    Active - Recruiting

  • Instituto de Investigacion Oncologica Vall d'Hebron (VHIO) - EPON_Investigational Site Number : 7240007

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Investigational Site Number : 7240005

    Madrid, 28050
    Spain

    Active - Recruiting

  • Investigational Site Number :7240005

    Madrid, 28050
    Spain

    Active - Recruiting

  • START MADRID_Hospital Universitario HM Sanchinarro - CIOCC_Investigational Site Number : 7240005

    Madrid, 28050
    Spain

    Active - Recruiting

  • University of Kansas Cancer Center Clinical Research Center (Fairway) Site Number : 8400008

    Fairway, Kansas 66205-2528
    United States

    Active - Recruiting

  • University of Kansas Cancer Center Clinical Research Center (Fairway)-Site Number:8400008

    Fairway, Kansas 66205-2528
    United States

    Active - Recruiting

  • John Theurer Cancer Center Site Number : 8400001

    Hackensack, New Jersey 07601
    United States

    Active - Recruiting

  • John Theurer Cancer Center-Site Number:8400001

    Hackensack, New Jersey 07601
    United States

    Active - Recruiting

  • Rhode Island Hospital Site Number : 8400004

    Providence, Rhode Island 02903
    United States

    Active - Recruiting

  • Rhode Island Hospital-Site Number:8400004

    Providence, Rhode Island 02903
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center Site Number : 8400005

    Houston, Texas 77030-4000
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center-Site Number: 8400005

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Texas MD Anderson Cancer Center-Site Number:8400005

    Houston, Texas 77030
    United States

    Site Not Available

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