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A Phase 1/2, Open-label, Dose-escalation, and Expansion Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Therapeutic Activity of GI-101 As a Single Agent and in Combination with Pembrolizumab, Lenvatinib or Local Radiotherapy in Patients with Advanced or Metastatic Solid Tumors (Keynote B59)


Description

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-101/GI-101A as a single agent or in combination with pembrolizumab, lenvatinib or local radiotherapy (RT) over a range of advanced and/or metastatic solid tumors.This is a phase 1/2, open-label, dose-escalation and expansion study to evaluate the safety, tolerability and anti-tumor effect of GI-101/GI-101A as a single agent or in combination with pembrolizumab, lenvatinib or local RT over a range of advanced and/or metastatic solid tumors. This study will comprise six parts. * Part A: Dose-escalation and expansion cohorts of GI-101 monotherapy * Part B: Dose-escalation and expansion cohorts of GI-101 plus pembrolizumab * Part C: Dose-optimization and expansion cohorts of GI-101 plus lenvatinib * Part D: Dose-optimization and expansion cohorts of GI-101 plus local RT * Part E: Dose-escalation and expansion cohorts of GI-101A monotherapy * Part F: Dose-escalation and expa

Trial Eligibility

Key Inclusion Criteria: * Males and females aged ≥ 18 years (or ≥ 19 years according to local regulatory guidelines) 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, other prior 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 a well-controlled HIV infection/disease as defined in protocol. 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 virus infection. * Has active tuberculosis or has a known history of active tuberculosis * Active or uncontrolled infections, or severe infection within 4 weeks before study treatment administration. * History of chronic liver disease or evidence of hepatic cirrhosis, except patients with liver metastasis. * Has an active autoimmune disease that has required systemic treatment in past 2 years. * Previous immunotherapies related to mode of action of GI-101. * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive medications within 2 weeks prior to Cycle 1 Day 1. * Administration of prior systemic anti-cancer therapy including investigational agents 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 (except Part D). * 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/or excipients of GI-101, pembrolizumab or lenvatinib. Other protocol defined inclusion exclusion criteria may apply

Study Info

Organization

GI Innovation, Inc.


Primary Outcome

Incidence and nature of Dose-Limiting Toxicity (DLTs)


Outcome Timeframe Study Day 1, assessed up to approximately 24 months

NCTID NCT04977453

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2021-08-02

Completion Date 2025-10

Enrollment Target 430

Interventions

DRUG GI-101

DRUG Pembrolizumab (KEYTRUDA®)

DRUG Lenvatinib

RADIATION Local Radiotherapy

DRUG GI-101A

Locations Recruiting

Tisch Cancer Institute (TCI), Icahn School of Medicine

United States, New York, New York


Carolina Biooncology Institute

United States, North Carolina, Huntersville


The Catholic University of Korea St. Vincent's Hospital

Korea, Republic of, Kyeonggi-do, Suwon-si


Korea University Anam Hospital

Korea, Republic of, Seongbuk-gu, Seoul


Chungnam National University Hospital

Korea, Republic of, Daejeon


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