Advanced Solid Tumors CancerPhase 1NCT03821935
Study to Determine the Safety, Tolerability, Pharmacokinetics and Recommended Phase 2 Dose (RP2D) of Livmoniplimab (ABBV-151) as a Single Agent and in Combination With Budigalimab (ABBV-181) in Participants With Locally Advanced or Metastatic Solid Tumors
A Phase 1 study testing Livmoniplimab and Budigalimab in people with Advanced Solid Tumors Cancer, run by AbbVie at 64 sites in 14 countries.
Trial summary
The study will determine the recommended Phase 2 dose (RP2D) of livmoniplimab (ABBV-151) administered as monotherapy and in combination with budigalimab (ABBV-181) as well as to assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of livmoniplimab alone and in combination with budigalimab. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumors Cancer
- What is being tested?
- Livmoniplimab and Budigalimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 364 participants
- Where
- 64 sitesin 14 countries
- Study dates
- 21 Feb 2019to Jun 2027
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- For Dose Escalation only: Participants with an advanced solid tumor who are considered refractory to or intolerant of all existing therapy(ies) known to provide a clinical benefit for their condition. Additionally, participants who have been offered standard therapies and refused, or who are considered ineligible for standard therapies, may be eligible for this study on a case-by-case basis, after discussion with and agreement from the sponsor. Participants with pancreatic adenocarcinoma, urothelial cancer (UC), hepatocellular carcinoma (HCC), or head and neck squamous cell carcinoma (HNSCC) who are being considered for the dose escalation cohorts must also meet the histology specific eligibility criteria described below for dose expansion.
- For Dose Expansion only participants must meet criteria specific to the type of cancer:
- Pancreatic adenocarcinoma and have disease progression during or after 1 systemic therapy (gemcitabine monotherapy or in combination with other agents, FOLFIRINOX [or another regimen including both 5-fluorouracil and oxaliplatin], capecitabine monotherapy or in combination with other agents) administered in the adjuvant, locally advanced, or metastatic setting. If the therapy was used in an adjuvant setting, disease progression must have occurred within 6 months of completing adjuvant therapy.
- UC of the bladder and urinary tract and must have progressed following treatment with:
- Cohort 4: A platinum-based regimen (administered in any line of therapy) and a programmed death 1/programmed death ligand 1 (PD1/PDL1) antagonist administered in the recurrent or metastatic setting (progression following a PD1/PDL1 antagonist is defined as unequivocal progression on or within 3 months of the last dose of anti-PD1 or anti-PDL1 therapy).
- Cohort 11: One or more prior line of therapy in the locally advanced or metastatic setting. Participant must have experienced radiographic progression or relapse during or after a CPI (anti-PD1 or anti-PD-L1) for locally advanced or metastatic disease.
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- HCC and must have disease progression during or after 1 prior line of systemic therapy.
- HNSCC (arising from the oral cavity, oropharynx, hypopharynx, or larynx) and must have progressed following treatment with platinum-based regimen (administered in any line of therapy) and a PD1/PDL1 antagonist administered in the recurrent or metastatic setting (progression following a PD1/PDL1 antagonist is defined as unequivocal progression on or within 3 months of the last dose of anti-PD1 or anti-PDL1 therapy).
- Microsatellite stable colorectal cancer (MSS-CRC) [unselected] participants with microsatellite stable or mismatch repair proficient colorectal adenocarcinoma (as determined by polymerase chain reaction (PCR)/Next-Generation sequencing (NGS) or immunohistochemistry (IHC), respectively) who have received 1-2 prior chemotherapy regimens.
- Non-small cell lung cancer (NSCLC) relapsed/refractory (R/R): Participants with histologically or cytologically confirmed advanced or metastatic NSCLC who have received 1 prior line of chemotherapy and 1 prior anti-PD-(L)1 antibody, administered either concurrently or sequentially in the metastatic setting.
- MSS-CRC (CMS4 enriched): Participants with microsatellite stable or mismatch repair proficient colorectal adenocarcinoma who have received prior fluorouracil-based combination chemotherapy regimens including oxaliplatin and irinotecan (with or without VEGF and/or EGFR targeted agents) and with a CMS4 subtype as determined by NGS of tumor biopsies. Archival tissue must be submitted for assessment of CMS4 subtype status during prescreening. Participants must have progressed on or refused available standard of care therapies. Additionally, participant who are considered not appropriate or ineligible for available standard of care therapies per investigator assessment will be eligible for this study.
- Ovarian granulosa (OG) cell tumor: Participants with histologically confirmed advanced nonresectable or metastatic adult granulosa cell tumor of the ovary that is not amenable to curative intent surgery or radiation. Additionally, there is documentation of radiological evidence of relapse after at least 1 line of systemic chemotherapy.
- Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
- Participant has adequate bone marrow, renal, hepatic, and coagulation function.
- Must have a viral status consistent with the requirements described in the protocol specific to type of cancer and stage of study (Dose Escalation or Dose Expansion).
Who cannot join
- For Dose Expansion only:
- Participants with HCC, pancreatic adenocarcinoma, or MSS-CRC having prior exposure to a prior PD-1/PD-L1 antagonist in any line of therapy.
- Participants (except for participants with urothelial cancer or HNSCC) who have had prior exposure to immunotherapies as listed in the protocol.
- Has received anticancer therapy including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy within a period of 5 half-lives or 28 days (whichever is shorter), prior to the first dose of the study drug.
- Participant has unresolved AEs > Grade 1 from prior anticancer therapy except for alopecia.
- Has a history of primary immunodeficiency, bone marrow transplantation, solid organ transplantation, or previous clinical diagnosis of tuberculosis.
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- Has a known uncontrolled metastases to the central nervous system (with certain exceptions).
- Current or prior use of immunosuppressive medication within 14 days prior to the first dose of the study drug.
- Has clinically significant uncontrolled condition(s).
- History of inflammatory bowel disease, interstitial lung disease or pneumonitis, myocarditis, Stevens-Johnson syndrome, toxic epidermal necrolysis or drug reaction with eosinophilia and systemic symptoms (DRESS).
- Live vaccine administration <= 28 days prior to the first dose of study drug.
Trial locations and contacts
64 sites in 14 countries.
64 sites in 14 countries
United States21 sites
Univ Michigan Med Ctr /ID# 221129
Ann Arbor, Michigan, 48109
Intermountain Health West End Clinic Gynecologic Oncology /ID# 266171
Billings, Montana, 59106
AdventHealth Celebration /ID# 224860
Celebration, Florida, 34747-4970
The Ohio State University - The James /ID# 217611
Columbus, Ohio, 43210-1240
City of Hope National Medical Center /ID# 265620
Duarte, California, 91010
Renovatio clinical /ID# 265109
El Paso, Texas, 79915-1803
Carolina BioOncology Institute /ID# 208358
Huntersville, North Carolina, 28078
Indiana Univ School Medicine /ID# 208384
Indianapolis, Indiana, 46202
Community Health Network, Inc. /ID# 257032
Indianapolis, Indiana, 46250-2042
City of Hope Orange County Lennar Foundation Cancer Center /ID# 270785
Irvine, California, 92618
Sarah Cannon Research Institute (SMO/Network/Consortium) /ID# 264900
Nashville, Tennessee, 37203-5755
Yale University School of Medicine /ID# 208356
New Haven, Connecticut, 06510
NYU Langone Medical Center /ID# 209822
New York, New York, 10016-6402
Icahn School of Medicine at Mount Sinai /ID# 264653
New York, New York, 10029
Ou Health - Stephenson Cancer Center /ID# 268826
Oklahoma City, Oklahoma, 73104
Duplicate_AdventHealth Cancer Institute - Orlando /ID# 226953
Orlando, Florida, 32804
NEXT Oncology /ID# 208930
San Antonio, Texas, 78229
University of Washington Medical Center /ID# 268854
Seattle, Washington, 98195
Highlands Oncology Group, PA /ID# 218942
Springdale, Arkansas, 72762
Washington University-School of Medicine /ID# 259684
St Louis, Missouri, 63110
Renovatio Clinical /ID# 265054
The Woodlands, Texas, 77380-3181
Spain8 sites
Hospital Universitari Vall d'Hebron /ID# 265290
Barcelona, 08035
Hospital Clinic de Barcelona /ID# 221106
Barcelona, 08036
Clinica Universidad de Navarra - Madrid /ID# 265299
Madrid, 28027
Hospital Universitario Ramón y Cajal /ID# 265298
Madrid, 28034
Hospital Universitario Fundacion Jimenez Diaz /ID# 220928
Madrid, 28040
Hospital Universitario HM Sanchinarro /ID# 265294
Madrid, 28050
Clinica Universidad de Navarra - Pamplona /ID# 266632
Pamplona, Navarre, 31008
Hospital Clinico Universitario de Valencia /ID# 221107
Valencia, 46010
South Korea7 sites
Chonnam National University Hwasun Hospital /ID# 257573
Hwasun-gun, Jeonranamdo, 58128
Gachon University Gil Medical Center /ID# 257572
Incheon, Gyeonggido, 21565
Korea University Anam Hospital /ID# 257574
Seoul, Seoul Teugbyeolsi, 02841
Seoul National University Hospital /ID# 218513
Seoul, Seoul Teugbyeolsi, 03080
Asan Medical Center /ID# 266799
Seoul, Seoul Teugbyeolsi, 05505
Samsung Medical Center /ID# 265865
Seoul, Seoul Teugbyeolsi, 06351
Yonsei University Health System Severance Hospital /ID# 218512
Seoul, 03722
Taiwan6 sites
Kaohsiung Chang Gung Memorial Hospital /ID# 265560
Kaohsiung City, Kaohsiung, 833
Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 257634
Kaohsiung City, 807
China Medical University Hospital /ID# 218492
Taichung, 40447
Taipei Veterans General Hosp /ID# 257635
Taipei, 11217
National Taiwan University Hospital /ID# 218490
Taipei City, Taipei, 100
Linkou Chang Gung Memorial Hospital /ID# 265551
Taoyuan City, 333
Israel5 sites
Rambam Health Care Campus /ID# 222198
Haifa, H_efa, 3109601
Hadassah Medical Center-Hebrew University /ID# 257918
Jerusalem, 91120
Rabin Medical Center /ID# 258479
Petah Tikva, 4941492
The Chaim Sheba Medical Center /ID# 209037
Ramat Gan, Tel Aviv, 5265601
Tel Aviv Sourasky Medical Center /ID# 222199
Tel Aviv, Tel Aviv, 6423906
France4 sites
Centre Jean Perrin /ID# 218669
Clermont-Ferrand, 63011
Centre Leon Berard /ID# 218515
Lyon, Rhone, 69373
CHU Toulouse - Hopital Purpan /ID# 218667
Toulouse, Haute-Garonne, 31059
Institut Gustave Roussy /ID# 218668
Villejuif, Val-de-Marne, 94805
Japan3 sites
Hyogo Cancer Center /ID# 272553
Akashi-shi, Hyōgo, 673-8558
National Cancer Center Hospital /ID# 209421
Chuo-ku, Tokyo, 104-0045
National Cancer Center Hospital East /ID# 224808
Kashiwa-shi, Chiba, 277-8577
Poland3 sites
Jagiellonskie Centrum Innowacji Sp. z o.o. /ID# 266194
Krakow, Lesser Poland Voivodeship, 30-348
Instytut Centrum Zdrowia Matki Polki /ID# 266324
Lodz, Łódź Voivodeship, 93-338
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Bada /ID# 266147
Warsaw, Masovian Voivodeship, 02-781
Australia2 sites
Chris O'Brien Lifehouse /ID# 213236
Camperdown, New South Wales, 2050
Icon Cancer Centre /ID# 224961
South Brisbane, Queensland, 4101
Belgium1 site
Cliniques Universitaires UCL Saint-Luc /ID# 218466
Brussels, Brussels Capital, 1200
Canada1 site
University Health Network_Princess Margaret Cancer Centre /ID# 209423
Toronto, Ontario, M5G 2M9
Germany1 site
Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung /ID# 269587
Essen, North Rhine-Westphalia, 45136
Puerto Rico1 site
Pan American Center for Oncology Trials, LLC /ID# 217475
Rio Piedras, 00935
About this study
Official title: A Phase 1 First-in Human, Multi-Center, Open Label Dose-Escalation Study to Determine the Safety, Tolerability, Pharmacokinetics and RP2D of Livmoniplimab (ABBV-151) as a Single Agent and in Combination With Budigalimab (ABBV-181) in Subjects With Locally Advanced or Metastatic Solid Tumors
The study will determine the recommended Phase 2 dose (RP2D) of livmoniplimab (ABBV-151) administered as monotherapy and in combination with budigalimab (ABBV-181) as well as to assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of livmoniplimab alone and in combination with budigalimab. The study will consist of 2 parts: dose escalation and dose expansion.
- Conditions
- Advanced Solid Tumors Cancer
- Being tested
- Livmoniplimab, Budigalimab
- Keywords
- Advanced Solid Tumors Cancer, cancer, Solid Tumors, metastatic, monotherapy, combination therapy, triple negative breast cancer (TNBC), pancreatic adenocarcinoma, urothelial cancer, hepatocellular carcinoma (HCC), head and neck squamous cell carcinoma (HNSCC), Colorectal cancer, Ovarian granulosa cell tumors
- Medical subject headings
- Neoplasms, Neoplasm Metastasis, Triple Negative Breast Neoplasms, Carcinoma, Hepatocellular, Squamous Cell Carcinoma of Head and Neck, Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LivmoniplimabDrug
Also called ABBV-151
Liquid for intravenous infusion.
BudigalimabDrug
Also called ABBV-181
Lyophilized powder for solution for intravenous infusion.
| Study group | Role | What they receive |
|---|---|---|
| Dose Escalation: Cohort 1 Livmoniplimab | Experimental | Various doses of Livmoniplimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). Receives: Drug: Livmoniplimab |
| Dose Escalation: Cohort 2 Livmoniplimab + Budigalimab | Experimental | Various doses of Livmoniplimab + Budigalimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 3 Livmoniplimab + Budigalimab | Experimental | Participants with programmed cell death protein 1 (PD-1)-naïve pancreatic adenocarcinoma will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 4 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 5 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve hepatocellular carcinoma (HCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 6 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref head and neck squamous cell carcinoma (HNSCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 7 Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve microsatellite stable colorectal cancer (MSS-CRC) [unselected] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 8 Livmoniplimab + Budigalimab | Experimental | Participants with non-small cell lung cancer (NSCLC) [programmed death ligand 1 (PDL1) relapsed/refractory (R/R)] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 10A Livmoniplimab + Budigalimab | Experimental | Participants with microsatellite stable colorectal cancer (MSS-CRC) [consensus molecular subtype 4 (CMS4) enriched] will receive livmoniplimab at the dose B Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 10B Livmoniplimab + Budigalimab | Experimental | Participants with MSS-CRC (CMS4 enriched) will receive livmoniplimab at the dose C Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 11A Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 11B Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 11C Budigalimab | Experimental | Participants with PD-1-ref urothelial cancer will receive budigalimab Dose B administered Q3W. Receives: Drug: Budigalimab |
| Dose Expansion: Cohort 12A Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
| Dose Expansion: Cohort 12B Livmoniplimab + Budigalimab | Experimental | Participants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. Receives: Drug: Livmoniplimab; Drug: Budigalimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose Escalation: Recommended Phase 2 Dose (RP2D) Livmoniplimab Monotherapy
The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation portion of the study.
Measured: Up to 28 days after the first dose of Livmoniplimab monotherapy
Dose Escalation: RP2D Livmoniplimab + Budigalimab Combination Therapy
The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamic (PD) data collected during the dose escalation portion of the study.
Measured: Up to 28 days after the first dose of Livmoniplimab and Budigalimab combination therapy
Dose Expansion: Objective Response Rate (ORR)
ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Measured: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
Secondary outcomes (18)
Dose Expansion: Duration of Response (DOR)
The DOR for a responder is defined as the time from the participant's initial objective response to the first date of either disease progression or death, whichever occurs first.
Measured: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
Dose Expansion: Progression-free Survival (PFS)
Progression-free survival is defined as the time from the participant's first dose of study treatment (livmoniplimab or budigalimab) to the first date of either disease progression or death, whichever occurs first.
Measured: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
Maximum Observed Serum Concentration (Cmax) of Livmoniplimab
Maximum Serum Concentration (Cmax) of livmoniplimab.
Measured: Up to approximately 70 days after initial dose of study drug
Time to Maximum Observed Serum Concentration (Tmax) of Livmoniplimab
Time to maximum serum concentration (Tmax) of livmoniplimab.
Measured: Up to approximately 70 days after initial dose of study drug
Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Livmoniplimab
Area under the serum concentration-time curve from time 0 to the time of the last measurable concentration (AUCτ) of livmoniplimab.
Measured: Up to approximately 70 days after initial dose of study drug
Terminal-phase Elimination Rate Constant (β) of Livmoniplimab
Apparent terminal phase elimination rate constant (β or Beta) of livmoniplimab.
Measured: Up to approximately 70 days after initial dose of study drug
Terminal Phase Elimination Half-life (t1/2) of Livmoniplimab
Terminal phase elimination half-life (t1/2) of livmoniplimab.
Measured: Up to approximately 70 days after initial dose of study drug
Maximum Observed Serum Concentration (Cmax) of Budigalimab
Maximum Serum Concentration (Cmax) of budigalimab.
Measured: Up to approximately 70 days after initial dose of study drug
Time to Maximum Observed Serum Concentration (Tmax) of Budigalimab
Time to maximum serum concentration (Tmax) of budigalimab.
Measured: Up to approximately 70 days after initial dose of study drug
Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Budigalimab
Area under the serum concentration-time curve from time 0 to the time of the last measurable concentration (AUCτ) of budigalimab.
Measured: Up to approximately 70 days after initial dose of study drug
Terminal-phase Elimination Rate Constant (β) of Budigalimab
Apparent terminal phase elimination rate constant (β or Beta) of budigalimab.
Measured: Up to approximately 70 days after initial dose of study drug
Terminal Phase Elimination Half-life (t1/2) of Budigalimab
Terminal phase elimination half-life (t1/2) of budigalimab.
Measured: Up to approximately 70 days after initial dose of study drug
Number of Participants With Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.
Measured: Up to approximately 9 months after the first dose date of last participant
Change in Vital Signs
Number of participants with clinically significant change from baseline in vital signs like systolic and diastolic blood pressure will be reported.
Measured: Up to approximately 6 months after the first dose date of last participant
Change in Laboratory Parameters
Number of participants with clinically significant change from baseline in clinical laboratory test results like hematology will be reported.
Measured: Up to approximately 6 months after the first dose date of last participant
Change in Electrocardiogram (ECG)
12-lead resting ECGs will be recorded. Parameters include RR interval, PR interval, QT interval, and QRS duration.
Measured: Up to approximately 6 months after the first dose date of last participant
Incidence of Anti-drug Antibody (ADA)
The number of participants with anti-drug antibodies.
Measured: Up to approximately 6 months after the first dose date of last participant
Dose Expansion Cohorts 10 to 12: Overall Survival (OS)
OS is defined as time from first study treatment to death due to any cause.
Measured: Up to approximately 6 months after the first dose date of last participant in Cohorts 10 to 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2019
- Study start21 Feb 2019
- Primary completionJun 2027 (estimated)
- Study completionJun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Advanced Solid Tumors CancerStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 364 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03821935
- Sponsor's protocol ID
- M19-345
- Other IDs
- 2023-508281-15-00, 2023
- Status last verified
- May 2025
- First submitted
- 28 Jan 2019
- Last updated
- 25 May 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Shimizu T, Powderly J, Abdul Razak A, LoRusso P, Miller KD, Kao S, Kongpachith S, Tribouley C, Graham M, Stoll B, Patel M, Sahtout M, Blaney M, Leibman R, Golan T, Tolcher A. First-in-human phase 1 dose-escalation results with livmoniplimab, an antibody targeting the GARP:TGF-ss1 complex, as monotherapy and in combination with the anti-PD-1 antibody budigalimab in patients with advanced solid tumors. Front Oncol. 2024 Oct 29;14:1376551. doi: 10.3389/fonc.2024.1376551. eCollection 2024.
PubMed 39534099
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 First-in Human, Multi-Center, Open Label Dose-Escalation Study to Determine the Safety, Tolerability, Pharmacokinetics and RP2D of Livmoniplimab (ABBV-151) as a Single Agent and in Combination With Budigalimab (ABBV-181) in Subjects With Locally Advanced or Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT03821935
- Acronym / sponsor ID
- M19-345
- Conditions
- Advanced Solid Tumors Cancer
- Keywords
- Advanced Solid Tumors Cancer, cancer, Solid Tumors, metastatic, monotherapy, combination therapy, triple negative breast cancer (TNBC), pancreatic adenocarcinoma
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 364 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 21 Feb 2019 (actual)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Jun 2027 (estimated)
- First posted
- 30 Jan 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will determine the recommended Phase 2 dose (RP2D) of livmoniplimab (ABBV-151) administered as monotherapy and in combination with budigalimab (ABBV-181) as well as to assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of livmoniplimab alone and in combination with budigalimab. The study will consist of 2 parts: dose escalation and dose expansion.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 15
| Arm | Type | Receives |
|---|---|---|
| Dose Escalation: Cohort 1 Livmoniplimab | Experimental | Drug: LivmoniplimabVarious doses of Livmoniplimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). |
| Dose Escalation: Cohort 2 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabVarious doses of Livmoniplimab + Budigalimab administered during dose escalation to determine the Recommended Phase 2 Dose (RP2D). |
| Dose Expansion: Cohort 3 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with programmed cell death protein 1 (PD-1)-naïve pancreatic adenocarcinoma will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 4 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 5 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-naïve hepatocellular carcinoma (HCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 6 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-ref head and neck squamous cell carcinoma (HNSCC) will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 7 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-naïve microsatellite stable colorectal cancer (MSS-CRC) [unselected] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 8 Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with non-small cell lung cancer (NSCLC) [programmed death ligand 1 (PDL1) relapsed/refractory (R/R)] will receive livmoniplimab at the RP2D Q2W plus budigalimab Dose A administered Q4W. |
| Dose Expansion: Cohort 10A Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with microsatellite stable colorectal cancer (MSS-CRC) [consensus molecular subtype 4 (CMS4) enriched] will receive livmoniplimab at the dose B Q3W plus budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 10B Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with MSS-CRC (CMS4 enriched) will receive livmoniplimab at the dose C Q3W plus budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 11A Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 11B Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-ref urothelial cancer will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 11C Budigalimab | Experimental | Drug: BudigalimabParticipants with PD-1-ref urothelial cancer will receive budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 12A Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose B Q3W plus budigalimab Dose B administered Q3W. |
| Dose Expansion: Cohort 12B Livmoniplimab + Budigalimab | Experimental | Drug: Livmoniplimab, Drug: BudigalimabParticipants with PD-1-naïve ovarian granulosa (OG) cell tumors will receive livmoniplimab at the Dose C Q3W plus budigalimab Dose B administered Q3W. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- For Dose Escalation only: Participants with an advanced solid tumor who are considered refractory to or intolerant of all existing therapy(ies) known to provide a clinical benefit for their condition. Additionally, participants who have been offered standard therapies and refused, or who are considered ineligible for standard therapies, may be eligible for this study on a case-by-case basis, after discussion with and agreement from the sponsor. Participants with pancreatic adenocarcinoma, urothelial cancer (UC), hepatocellular carcinoma (HCC), or head and neck squamous cell carcinoma (HNSCC) who are being considered for the dose escalation cohorts must also meet the histology specific eligibility criteria described below for dose expansion.
- For Dose Expansion only participants must meet criteria specific to the type of cancer:
- Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
- Participant has adequate bone marrow, renal, hepatic, and coagulation function.
- Must have a viral status consistent with the requirements described in the protocol specific to type of cancer and stage of study (Dose Escalation or Dose Expansion).
Key exclusion criteria (11 listed)
- For Dose Expansion only:
- Has received anticancer therapy including chemotherapy, immunotherapy, radiation therapy, biologic, herbal therapy, or any investigational therapy within a period of 5 half-lives or 28 days (whichever is shorter), prior to the first dose of the study drug.
- Participant has unresolved AEs > Grade 1 from prior anticancer therapy except for alopecia.
- Has a history of primary immunodeficiency, bone marrow transplantation, solid organ transplantation, or previous clinical diagnosis of tuberculosis.
- Has a known uncontrolled metastases to the central nervous system (with certain exceptions).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LivmoniplimabAlso: ABBV-151Liquid for intravenous infusion. | Drug | Dose Escalation: Cohort 1 Livmoniplimab, Dose Escalation: Cohort 2 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 10A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 10B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 11A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 11B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 12A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 12B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 3 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 4 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 5 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 6 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 7 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 8 Livmoniplimab + Budigalimab |
| BudigalimabAlso: ABBV-181Lyophilized powder for solution for intravenous infusion. | Drug | Dose Escalation: Cohort 2 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 10A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 10B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 11A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 11B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 11C Budigalimab, Dose Expansion: Cohort 12A Livmoniplimab + Budigalimab, Dose Expansion: Cohort 12B Livmoniplimab + Budigalimab, Dose Expansion: Cohort 3 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 4 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 5 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 6 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 7 Livmoniplimab + Budigalimab, Dose Expansion: Cohort 8 Livmoniplimab + Budigalimab |
Primary outcome
Dose Escalation: Recommended Phase 2 Dose (RP2D) Livmoniplimab Monotherapy
Time frame: Up to 28 days after the first dose of Livmoniplimab monotherapy
The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, PK, and PD data collected during the dose escalation portion of the study.
Dose Escalation: RP2D Livmoniplimab + Budigalimab Combination Therapy
Time frame: Up to 28 days after the first dose of Livmoniplimab and Budigalimab combination therapy
The RP2D is defined as the dose level chosen by the sponsor (in consultation with the investigators) for the dose expansion arms, based on safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamic (PD) data collected during the dose escalation portion of the study.
Dose Expansion: Objective Response Rate (ORR)
Time frame: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
ORR defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
18 secondary outcomes
Dose Expansion: Duration of Response (DOR)
Time frame: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
Dose Expansion: Progression-free Survival (PFS)
Time frame: Up to approximately 6 months after the first dose date of last participant in Dose Expansion
Maximum Observed Serum Concentration (Cmax) of Livmoniplimab
Time frame: Up to approximately 70 days after initial dose of study drug
Time to Maximum Observed Serum Concentration (Tmax) of Livmoniplimab
Time frame: Up to approximately 70 days after initial dose of study drug
Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Livmoniplimab
Time frame: Up to approximately 70 days after initial dose of study drug
Terminal-phase Elimination Rate Constant (β) of Livmoniplimab
Time frame: Up to approximately 70 days after initial dose of study drug
Terminal Phase Elimination Half-life (t1/2) of Livmoniplimab
Time frame: Up to approximately 70 days after initial dose of study drug
Maximum Observed Serum Concentration (Cmax) of Budigalimab
Time frame: Up to approximately 70 days after initial dose of study drug
Time to Maximum Observed Serum Concentration (Tmax) of Budigalimab
Time frame: Up to approximately 70 days after initial dose of study drug
Area Under the Plasma Concentration-time Curve over time from 0 to last measurable concentration (AUCτ) of Budigalimab
Time frame: Up to approximately 70 days after initial dose of study drug
Terminal-phase Elimination Rate Constant (β) of Budigalimab
Time frame: Up to approximately 70 days after initial dose of study drug
Terminal Phase Elimination Half-life (t1/2) of Budigalimab
Time frame: Up to approximately 70 days after initial dose of study drug
Number of Participants With Adverse Events (AEs)
Time frame: Up to approximately 9 months after the first dose date of last participant
Change in Vital Signs
Time frame: Up to approximately 6 months after the first dose date of last participant
Change in Laboratory Parameters
Time frame: Up to approximately 6 months after the first dose date of last participant
Change in Electrocardiogram (ECG)
Time frame: Up to approximately 6 months after the first dose date of last participant
Incidence of Anti-drug Antibody (ADA)
Time frame: Up to approximately 6 months after the first dose date of last participant
Dose Expansion Cohorts 10 to 12: Overall Survival (OS)
Time frame: Up to approximately 6 months after the first dose date of last participant in Cohorts 10 to 12
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 May 2025.
- Derived from this study: PubMed 39534099Shimizu T, Powderly J, Abdul Razak A, LoRusso P, Miller KD, Kao S, Kongpachith S, Tribouley C, Graham M, Stoll B, Patel M, Sahtout M, Blaney M, Leibman R, Golan T, Tolcher A. First-in-human phase 1 dose-escalation results with livmoniplimab, an antibody targeting the GARP:TGF-ss1 complex, as monotherapy and in combination with the anti-PD-1 antibody budigalimab in patients with advanced solid tumors. Front Oncol. 2024 Oct 29;14:1376551. doi: 10.3389/fonc.2024.1376551. eCollection 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
64 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Livmoniplimab and Budigalimab in people with Advanced Solid Tumors Cancer, run by AbbVie at 64 sites in 14 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 64 sites in United States, Spain, South Korea, Taiwan, Israel and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose Escalation: Recommended Phase 2 Dose (RP2D) Livmoniplimab Monotherapy (time frame: Up to 28 days after the first dose of Livmoniplimab monotherapy). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03821935, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025.