A Study of TSR-022 in Participants With Advanced Solid Tumors (AMBER)

Estado del programa

Reclutamiento

Fase

Fase 1

Inmunoterapia previa permitida

No

Ensayo dirigido por el CRC

Drogas

Carboplatin, cisplatin, Docetaxel, Nivolumab, Pemetrexed, TSR-022, TSR-033, TSR-042

Etiquetas

MSI-H/ MMRd, MSS/ MMRp
Ubicación Situación
Estados Unidos
GSK Investigational Site
Goodyear, Arizona 85338
Completado
GSK Investigational Site
Scottsdale, Arizona 85258
Completado
GSK Investigational Site
Tucson, Arizona 85704
Completado
GSK Investigational Site
Tucson, Arizona 85711
Completado
GSK Investigational Site
Encinitas, California 92024
Reclutamiento
GSK Investigational Site
Fountain Valley, California 92708
Reclutamiento
GSK Investigational Site
Los Angeles, California 90024
Reclutamiento
GSK Investigational Site
Los Angeles, California 90025
Reclutamiento
GSK Investigational Site
San Marcos, California 92069
Reclutamiento
GSK Investigational Site
Whittier, California 90606
Reclutamiento
GSK Investigational Site
Aurora, Colorado 80012
Reclutamiento
GSK Investigational Site
Aurora, Colorado 80045
Reclutamiento
GSK Investigational Site
Denver, Colorado 80218
Completado
GSK Investigational Site
Denver, Colorado 80218
Reclutamiento
GSK Investigational Site
New Haven, Connecticut 06511
Reclutamiento
GSK Investigational Site
Washington, Distrito de Columbia 20007
Reclutamiento
GSK Investigational Site
Jacksonville, Florida 32224
Completado
GSK Investigational Site
Miami Beach, Florida 33140
Completado
GSK Investigational Site
Sarasota, Florida 34232
Reclutamiento
GSK Investigational Site
Tampa, Florida 33612
Reclutamiento
GSK Investigational Site
Atlanta, Georgia 30322
Completado
GSK Investigational Site
Augusta, Georgia 30912
Completado
GSK Investigational Site
Arlington Heights, Illinois 60005
Reclutamiento
GSK Investigational Site
Chicago, Illinois 60637
Reclutamiento
GSK Investigational Site
Niles, Illinois 60714
Reclutamiento
GSK Investigational Site
Iowa City, Iowa 52242-1009
Reclutamiento
GSK Investigational Site
Wichita, Kansas 67214
Completado
GSK Investigational Site
Louisville, Kentucky 40202
Completado
GSK Investigational Site
Pikeville, Kentucky 41501
Reclutamiento
GSK Investigational Site
Rockville, Maryland 20850
Reclutamiento
GSK Investigational Site
Boston, Massachusetts 02114
Reclutamiento
GSK Investigational Site
Detroit, Michigan 48202
Completado
GSK Investigational Site
Rochester, Minnesota 55905
Completado
GSK Investigational Site
Hackensack, Nueva Jersey 07601
Completado
GSK Investigational Site
Bronx, Nueva York 10461
Reclutamiento
GSK Investigational Site
Nueva York, Nueva York 10016
Reclutamiento
GSK Investigational Site
Cincinnati, Ohio 45242
Completado
GSK Investigational Site
Cleveland, Ohio 44106
Reclutamiento
GSK Investigational Site
Toledo, Ohio 43623
Reclutamiento
GSK Investigational Site
Eugene, Oregón 97401
Reclutamiento
GSK Investigational Site
Portland, Oregon 97213-2982
Completado
GSK Investigational Site
Bethlehem, Pennsylvania 18015
Completado
GSK Investigational Site
Pittsburgh, Pennsylvania 15213-2584
Reclutamiento
GSK Investigational Site
Charleston, South Carolina 29425
Reclutamiento
GSK Investigational Site
Greenville, Carolina del Sur 29605
Completado
GSK Investigational Site
Nashville, Tennessee 37203
Reclutamiento
GSK Investigational Site
Austin, Texas 78705
Completado
GSK Investigational Site
Dallas, Texas 75246
Reclutamiento
GSK Investigational Site
Fort Worth, Texas 76104
Completado
GSK Investigational Site
Houston, Texas 77030
Reclutamiento
GSK Investigational Site
Houston, Texas 77030
Reclutamiento
GSK Investigational Site
Longview, Texas 75601
Reclutamiento
GSK Investigational Site
McAllen, Texas 78503-1298
Reclutamiento
GSK Investigational Site
San Antonio, Texas 78229
Completado
GSK Investigational Site
Temple, Texas 76508
Completado
GSK Investigational Site
Tyler, Texas 75702
Reclutamiento
GSK Investigational Site
Weslaco, Texas 78596
Reclutamiento
GSK Investigational Site
Fairfax, Virginia 8613
Reclutamiento
GSK Investigational Site
Kennewick, Washington 99336
Reclutamiento
GSK Investigational Site
Puyallup, Washington 98373
Reclutamiento
GSK Investigational Site
Tacoma, Washington 98405
Reclutamiento
GSK Investigational Site
Madison, Wisconsin 53792
Completado
Corea, República de
GSK Investigational Site
Daegu 41931
Reclutamiento
GSK Investigational Site
Seongnam-si, Gyeonggi-do 13620
Reclutamiento
GSK Investigational Site
Seoul 02841
Reclutamiento
GSK Investigational Site
Seúl 03722
Reclutamiento
GSK Investigational Site
Seúl 06351
Reclutamiento
GSK Investigational Site
Seoul 7061
Reclutamiento
España
GSK Investigational Site
Palma de Mallorca, Islas Baleares 07120
Reclutamiento
GSK Investigational Site
Madrid, Navarra 28027
Reclutamiento
GSK Investigational Site
Barcelona 08017
Reclutamiento
GSK Investigational Site
Barcelona 08035
Reclutamiento
GSK Investigational Site
Barcelona 8028
Reclutamiento
GSK Investigational Site
Girona 17007
Reclutamiento
GSK Investigational Site
Jerez de la Frontera 11407
Reclutamiento
GSK Investigational Site
L'Hospitalet De Llobregat 08908
Reclutamiento
GSK Investigational Site
Las Palmas De Gran Canaria 35016
Reclutamiento
GSK Investigational Site
Madrid 28040
Reclutamiento
GSK Investigational Site
Madrid 28041
Reclutamiento
GSK Investigational Site
Madrid 28046
Reclutamiento
GSK Investigational Site
Majadahonda (Madrid) 28222
Reclutamiento
GSK Investigational Site
Málaga 29010
Reclutamiento
GSK Investigational Site
Pamplona 31008
Completado
GSK Investigational Site
Santander 39008
Reclutamiento
GSK Investigational Site
Sevilla 41013
Reclutamiento
GSK Investigational Site
Valencia 46010
Reclutamiento
GSK Investigational Site
Valencia 46026
Reclutamiento

Contactos

US GSK Clinical Trials Call Cente
Póngase en contacto con
877-379-3718 GSKClinicalSupportHD@gsk.com
EU GSK Clinical Trials Call Center
Póngase en contacto con
+44 (0) 20 89904466 GSKClinicalSupportHD@gsk.com

Criterios de inclusión

Criterios de inclusión

Participant is at least 18 years of age.
Female participants of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the date of the first dose of study medication or be of non-childbearing potential.
Participant has an ECOG performance status of less than or equal to (=)18 years old, is able to understand the study procedures, and agrees to participate in the study by providing written informed consent which includes compliance with the requirements and restrictions listed in the Informed consent form (ICF) and protocol.
Participant has histologically or cytologically proven advanced or metastatic NSCLC, and only squamous or non-squamous cell carcinoma.
Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum-based (eg, cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or anti-PD-L1 antibody (no other biologic agents alone or in combination; novel combinations are not allowed). Participants previously treated with targeted therapies, including angiogenesis inhibitors (eg, bevacizumab, ramucirumab, lenvatinib), are not eligible.
Participant has measurable disease, that is, presenting with at least 1 measurable lesion per RECIST v1.1 as determined by the local site Investigator/radiology assessment. Target lesions situated in a previously irradiated area are considered measurable if disease progression has been demonstrated in such lesions and if there are other target lesions. If there is only 1 target lesion that was previously irradiated, the participant is not eligible.
Participant has documented radiological disease progression on prior platinum-based chemotherapy and on prior anti-PD-1 or anti-PD-L1 therapy according to RECIST v1.1.
Participant agrees to submit an archival formalin fixed paraffin embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
Participant has an ECOG performance status score of 0 or 1.
Participant has a life expectancy of at least 3 months and is anticipated to be able to complete 4 cycles of docetaxel treatment.
Participant has adequate organ function as defined in the protocol
Contraceptive use by male and female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Inclusion Criteria for Participants in Part 2 Cohort F

Histologically confirmed locally advanced or metastatic and/or unresectable Hepatocellcular Carcinoma (HCC) a Barcelona Clinic Liver Cancer Stage B or C b Cirrhosis grade of Child-Pugh Class A
No prior systemic therapy for HCC
Documented HBV testing at screening, including hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAB) and hepatitis B core antibody (HBcAb). Participants with a positive HBsAg will require negative hepatitis B virus (HBV) DNA testing at screening.

a Participants with chronic HBV infection (HBsAg +) are required to be receiving effective antiviral therapy (i.e., with Tenofovir or Entecavir) for at least 14 days with willingness to continue for the length of the study and have HBV deoxyribonucleic acid (DNA) less than 100 International Units Per Milliliter (IU/mL) within 28 days prior to initiation of study treatment.

b Participants with a negative (HBsAg) and positive HBcAb result are eligible only if HBV DNA is negative (Past HBV participants).

Documented hepatitis C virus (HCV) antibody testing conducted at screening. If HCV antibody is positive, then hepatitis C virus ribonucleic acid (HCV ribonucleic acid (RNA) must be negative. Participants with recently treated HCV prior to study start must be greater than (>)12 weeks from final HCV treatment.
Must have measurable disease, defined as at least one tumor lesion that can be accurately measured according to RECIST v1.1

Participant agrees to submit an archival FFPE tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.

a. Participants are also encouraged, but not required, to have a fresh tumor tissue biopsy of a primary or metastatic tumor prior to dosing (samples will be used to enable biomarker analysis).

International normalized ratio (INR) or prothrombin time (PT) <= 2× upper limit of normal (ULN) unless participant is receiving anticoagulant therapy as long as PT or partial thromboplastin (PTT) is within therapeutic range of intended use of anticoagulants. Activated partial thromboplastin time (aPTT) =)3 immune-related AE with prior immunotherapy, with the exception of non-clinically significant lab abnormalities.
Participant has known uncontrolled central nervous system (CNS) metastases and/or carcinomatous meningitis.
Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen may be included only after discussion with the Medical Monitor.
Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active infection requiring systemic therapy.
Participant is pregnant or breastfeeding or expecting to conceive children within the projected duration of the study, starting with the Screening Visit through 150 days after the last dose of study treatment.
Participant has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.

Criterios de exclusión

Exclusion Criteria for Participants in Part 2 Cohort D

A participant with negative (as determined by Central Testing Lab) or unevaluable TIM-3 expression from tissue obtained prior to study entry will not be eligible for the study.
Participant has received prior therapy as defined below:
Prior treatment with anti-PD-1, anti-PD-L1, or anti-PD-L2 agent that resulted in permanent discontinuation due to an AE.
Prior treatment with an anti-lymphocyte activation gene (LAG)-3 or anti-TIM-3.
Radiologic or clinical progression <= 8 weeks after initiation of prior anti-PD-1 or anti-PD-L1 antibody.
Participants with known epidermal growth factor receptor (EGFR) mutation, anaplastic lymphoma kinase (ALK) translocation, or receptor tyrosine kinase (ROS1) mutation.
Participant has received a vaccine other than a vaccine against severe acute respiratory syndrome (SARS)-coronavirus 2 (CoV-2) infection ("Coronavirus Disease 2019" [COVID-19]) within 7 days of planned start of study therapy. The use of all COVID-19 vaccines is allowed, with the exception of COVID-19 vaccines using the recombinant adenoviral vector platform within 30 days of planned start of study therapy. If a COVID-19 vaccine using this platform is to be administered within 30 days of planned start of study therapy, this must first be discussed with and approved by the Sponsor's Medical Monitor.

Exclusion Criteria for Participants in Part 2 Cohort E

Participant has been previously treated with an anti PD 1, anti PD L1, or anti PD L2 agent that resulted in permanent discontinuation due to an AE
Participant has been previously treated with an anti TIM-3 or anti cytotoxic T lymphocyte-associated protein 4 (CTLA 4) agent or docetaxel.
Participant has a documented sensitizing EGFR, ALK, or ROS-1 mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
Participant had radiological or clinical disease progression (that is [ie,] worsening performance status, clinical symptoms, and laboratory data) 30 Gray (Gy) within 6 months prior to the first dose of study treatment.
Participant has completed palliative radiotherapy within 7 days prior to the first dose of study treatment.
Participant has an additional malignancy or a history of prior malignancy, with the exception of adequately treated basal or squamous skin cancer, cervical carcinoma in situ, or bladder carcinoma in situ without evidence of disease, or had a malignancy treated with curative intent and with no evidence of disease recurrence for 5 years since the initiation of that therapy.
Participant has known new or progressive brain metastases and/or leptomeningeal metastases. Participants who have received prior therapy for their brain metastases and have radiologically stable central nervous system disease may participate, provided they are neurologically stable for at least 4 weeks before study entry and are off corticosteroids within 3 days prior to the first dose of study treatment.
Participant has tested positive for the following at Screening or within 3 months before the first dose of study treatment:
Presence of hepatitis B surface antigen.
Presence of hepatitis C antibody in the absence of an Ribonucleic acid (RNA) test for hepatitis C virus.
Participant has known human immunodeficiency virus (HIV) (positive for HIV 1 or HIV 2 antibodies).
Participant has active autoimmune disease that required systemic treatment in the past 2 years, is immunocompromised in the opinion of the Investigator, or is receiving systemic immunosuppressive treatment. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy of prednisone, or equivalent, for adrenal or pituitary insufficiency) is not considered a form of systemic treatment.
Participant has received systemic steroid therapy within 3 days prior to the first dose of the study treatment or is receiving any other form of immunosuppressive medication. Replacement therapy is not considered a form of systemic therapy. Use of inhaled corticosteroids, local steroid injection, or steroid eye drops is allowed.
Participant has current interstitial lung disease, current pneumonitis, or a history of pneumonitis that required the use of glucocorticoids to assist with management. Lymphangitic spread of the NSCLC is not exclusionary.
Participant does not meet requirements per local prescribing guidelines for receiving treatment with docetaxel, including severe hypersensitivity reactions to drugs formulated with polysorbate 80.
Participant has received prior anticancer therapy (chemotherapy, targeted therapies, radiotherapy, or immunotherapy) within 21 days, or less than 5 times the half life of the most recent therapy prior to study Day 1, whichever is shorter.

Exclusion Criteria for Participants in Part 2 Cohort F

Known fibrolamellar HCC, sarcomatoid HCC or mixed cholangiocarcinoma and HCC
Participant must not have had major surgery <= 3 weeks prior to initiating protocol therapy and participant must have recovered from any surgical effects
Participants must not have received investigational therapy <= 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is shorter, prior to initiating protocol therapy.
Active or untreated central nervous system (CNS) and leptomeningeal metastases
Prior therapy with any medication targeting PD-1, PD-L1, or TIM-3
Participant must not have a known hypersensitivity to TSR-042 and TSR-022 components or excipients.
Participants with active malignancy (other than HCC) or a prior malignancy within the past 2 years are excluded. Participants with completely resected cutaneous melanoma (early stage), basal cell carcinoma, cutaneous squamous cell carcinoma, cervical carcinoma in-situ, breast carcinoma in-situ, and localized prostate cancer are eligible.
Participant must not have serious, uncontrolled medical disorder, or nonmalignant systemic disease as determined by the treating physician. Examples include, but are not limited to uncontrolled ventricular arrhythmia, uncontrolled major seizure disorder, unstable spinal cord compression, or superior vena cava syndrome.

Has a history or evidence of cardiac abnormalities within the 6 months prior to enrollment, including:

Serious, uncontrolled cardiac arrhythmia or clinically significant ECG abnormalities including second-degree (Type II) or third-degree atrioventricular (AV) block.
Cardiomyopathy, myocarditis, myocardial infarction, acute coronary syndromes (including angina pectoris), coronary angioplasty, stenting, or bypass grafting.
Congestive heart failure [New York Heart Association (NYHA) Class III or IV]
Symptomatic pericarditis
Known history of Human Immunodeficiency Virus (HIV) infection
Active tuberculosis infection or other microbial infection or any active systemic infection requiring parenteral antibiotic therapy. All prior infections must have resolved following optimal therapy.
Participant has an active autoimmune disease that has required systemic treatment in the past 2 years (. i.e., with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
History of idiopathic pulmonary fibrosis, interstitial lung disease, bronchial asthma, organizing pneumonia, bronchiolitis obliterans, drug-induced pneumonitis, or idiopathic pneumonitis
History of organ transplantation including allogeneic bone marrow transplantation
Participant has a diagnosis of immunodeficiency or has been receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to initiating protocol therapy.
Participant has received a live vaccine within 7 days of initiating protocol therapy.
Psychiatric illness/social situations that would limit compliance with study requirements
Pregnant, lactating, breastfeeding, or intending to become pregnant during the study and for 150 days after the study

NCT ID

NCT06322693

Fecha en que se añadió el juicio

2024-03-21

Fecha de actualización

2024-03-21