A Study to Evaluate the Safety and Therapeutic Activity of GI-102 As a Single Agent and in Combination with Conventional Anti-cancer Drugs, Pembrolizumab or Trastuzumab Deruxtecan(T-DXd) in Patients with Advanced Solid Tumors (KEYNOTE-G08)

Last updated: November 21, 2024
Sponsor: GI Innovation, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Melanoma

Carcinoma

Treatment

eribulin

doxorubicin

GI-102

Clinical Study ID

NCT05824975
GII-102-P101
KEYNOTE-G08, MK3475-G08
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-102 as a single agent and in combination with conventional anti-cancer drugs, pembrolizumab or trastuzumab deruxtecan(T-DXd) over a range of advanced and/or metastatic solid tumors.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Males and females aged ≥ 18 years (or ≥ 19 years according to local regulatoryguidelines) 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, otherprior 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 awell-controlled HIV infection/disease as defined in protocol.

Exclusion

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 virusinfection.

  • Has active tuberculosis or has a known history of active tuberculosis.

  • Active or uncontrolled infections, or severe infection within 4 weeks before studytreatment administration.

  • History of chronic liver disease or evidence of hepatic cirrhosis, except patientswith liver metastasis.

  • Has an active autoimmune disease that has required systemic treatment in past 2years.

  • Previous immunotherapies related to mode of action of GI-102.

  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapyor any other form of immunosuppressive medications within 2 weeks prior to Cycle 1Day 1.

  • Administration of prior systemic anti-cancer therapy including investigationalagents 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.

  • 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/orexcipients of GI-102.

Other protocol defined inclusion exclusion criteria may apply

Study Design

Total Participants: 358
Treatment Group(s): 8
Primary Treatment: eribulin
Phase: 1/2
Study Start date:
May 30, 2023
Estimated Completion Date:
April 24, 2027

Study Description

This is a phase 1/2, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, and anti-tumor effect of GI-102 as a single agent and in combination with conventional anti-cancer drugs, pembrolizumab or trastuzumab deruxtecan(T-DXd) over a range of advanced and/or metastatic solid tumors. This study is adaptive in nature.

The study is composed of four parts:

  • Part A: Dose escalation and optimization phase of GI-102 intravenous (IV) monotherapy

    • Part A dose escalation phase

    • Part A dose optimization phase: Dose optimization cohorts in patients with 2L+, CPI-refractory metastatic melanoma

  • Part B: Dose escalation and expansion phase of GI-102 subcutaneous (SC) monotherapy

  • Part C: Indication specific cohorts of GI-102 IV in combination with conventional anti-cancer drugs or trastuzumab deruxtecan (T-DXd)

  • Part D: Indication specific cohorts of GI-102 IV in combination with pembrolizumab

GI-102 is a novel bi-specific Fc fusion protein containing the CD80 ectodomain as an N-terminal moiety and an interleukin (IL)-2 variant as a C-terminal moiety configurated via a human immunoglobulin G4 (IgG4) Fc. GI-102 has unique characteristics by having bispecificity to CD80 and IL2Rβγ. The CD80 portion is responsible for targeting tumor/immune cells while blocking CTLA-4 expressed on the Treg cells. The IL-2v of GI-102 is designed to abolish IL-2Rα affinity and therefore minimize the effect on Treg while it has very outstanding effect on NK and CD8 T cell proliferation and activity through IL-2Rbr affinity.

Connect with a study center

  • Asan Medical Center

    Seoul, 05505
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul, 06351
    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

  • St. Vincent's Hospital

    Suwon, 12647
    Korea, Republic of

    Active - Recruiting

  • Mayo Clinic in Arizona

    Scottsdale, Arizona 85259
    United States

    Active - Recruiting

  • Mayo Clinic in Florida

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Mayo Clinic in Minnesota

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Memorial Sloan-Kettering Cancer Center

    New York, New York 10065
    United States

    Active - Recruiting

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

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