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Advanced Solid TumorsPhase 1FPT155-001NCT04074759

FPT155 in Patients With Advanced Solid Tumors

A Phase 1 study testing FPT155 and pembrolizumab in people with Advanced Solid Tumors, run by Five Prime Therapeutics, Inc. at 12 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is a Phase 1 open-label, first-in-human, multicenter study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and activity of FPT155 as monotherapy in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors
What is being tested?
FPT155 and pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
12 sitesin 2 countries
Study dates
18 Oct 2018to 10 Aug 2021
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Histologically confirmed solid tumors (except primary central nervous system tumors). For patients enrolled for treatment with FPT155+pembrolizumab: histologically confirmed non-small cell lung cancer not eligible for curative therapy.
  • Disease that is unresectable, locally advanced, or metastatic and has progressed following all standard treatments or is not appropriate for standard treatments
  • All patients must have at least one measurable lesion at baseline according to RECIST v1.1
  • Availability of archival tumor tissue and consent to provide archival tumor for retrospective biomarker analysis, or consent to undergo a fresh tumor biopsy during screening
  • For patients participating in cohort expansions: consent to undergo a mandatory fresh tumor biopsy during screening and on treatment
  • ECOG performance status of 0 or 1
Show all 9Show fewer
  • Prior radiotherapy must be completed at least 2 weeks before first dose of study treatment administration. No radiopharmaceuticals (eg, strontium, samarium) within 8 weeks before first dose of study treatment administration.
  • Prior surgery that requires general anesthesia must be completed at least 14 days before first dose of study treatment
  • Adequate bone marrow, liver and kidney function

Who cannot join

  • Uncontrolled or significant cardiac disease
  • Any uncontrolled medical condition or psychiatric disorder including infection, autoimmune disease, bleeding disorder or symptomatic involvement of the central nervous system
  • Treatment with any anti-cancer therapy or participation in another investigational drug or biologics trial within 28 days or ≤ 5 half-lives (whichever is shorter)
  • Patients who discontinue prior immune-modulating therapies (including regimens containing an immune agonist or a PD-L1/PD-1 antagonist) due to toxicity or have received treatment within 5 half lives or 90 days
  • Pregnancy or breastfeeding
  • For patients participating in cohort expansion: Prior treatment with a CTLA-4 antagonist, including ipilimumab and tremelimumab

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

Australia7 sites
  • ICON

    Auchenflower, Queensland, 4066

  • Chris O'Brien Lifehouse

    Camperdown, New South Wales, 2050

  • St Vincent's Hospital Sydney

    Darlinghurst, New South Wales, 2010

  • Olivia Newton-John Cancer Center

    Heidelberg, Victoria, 3084

  • Cabrini Hospital

    Malvern, Victoria, 3144

  • Linear Clinical Research

    Nedlands, Western Australia, 6009

  • Scientia Clinical Research

    Randwick, New South Wales, 2031

Other trials in Australia

South Korea5 sites
  • National Cancer Center

    Goyang-si, Gyeonggi-do, 10408

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

  • Samsung Medical Center

    Seoul, 06351

  • St Vincent Hospital of the Catholic University of Korea

    Suwon, Gyeonggi-do, 16247

Other trials in South Korea

About this study

Official title: A Phase 1a/1b Study of FPT155 in Patients With Advanced Solid Tumors

This study is a Phase 1 open-label, first-in-human, multicenter study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and activity of FPT155 as monotherapy in patients with advanced solid tumors.

Read the detailed description

This Phase 1 study is comprised of dose escalation and cohort expansions for FPT155 monotherapy and for FPT155 in combination with pembrolizumab. Monotherapy dose escalation is designed with initial accelerated titration followed by a standard 3+3 dose escalation; combination dose escalation uses a standard 3+3 design. Patients will remain on study treatment until progression of disease, unacceptable toxicity, or other specified reason for discontinuation.

Being tested
FPT155, pembrolizumab

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FPT155Biological

    A soluble CD80 fusion protein

  • pembrolizumabBiological

    An anti-PD1 antibody

Study groups in NCT04074759
Study groupRoleWhat they receive
FPT155 monotherapyExperimentalThe study consists of dose escalation and cohort expansions
Receives: Biological: FPT155
FPT155 in combination with pembrolizumabExperimentalThe study consists of dose escalation and cohort expansions
Receives: Biological: FPT155; Biological: pembrolizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)

    TEAE was defined as an adverse event (AE) that was not present prior to the start date of study drug or was worsened during treatment and 100 days after last dose of treatment. An AE that was present at treatment initiation but resolved and then reappeared and the event severity increase while the participant was on treatment is also a TEAE. A severe AE (SAE) is defined as any untoward medical occurrence that at any dose: Is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, and is a congenital anomaly/birth defect. AEs were graded 1 (mild)-5 (fatal AE) according to the National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version 4.03.

    Measured: Median (min, max) duration of FPT155 exposure was 6.57 [3.0, 49.6] weeks for the Phase 1a Monotherapy part of the study, 8.29 [3.0, 27.1] weeks for the Phase 1b Monotherapy, and 14.71 [3.0, 25.1] weeks for the Phase 1a Combination

  2. Phase 1a Monotherapy: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)

    DLTs ware defined as any of the events that occurred during the first 28 days of treatment and were assessed by the Clinical Research Coordinator (CRC) as related to FPT155.

    Measured: Cycle 1 (one cycle = 21 days) Day 1 post-dose, up to approximately 21 days

  3. Phase 1b Monotherapy: Number of Participants Who Had FPT155 Treatment Discontinued Due to AEs

    Represents the number of participants who had discontinuation of FPT155 dosing due to AEs.

    Measured: Median (min, max) duration of FPT155 exposure was 8.29 [3.0, 27.1] weeks.

  4. Phase 1b Monotherapy: Number of Participants Who Had FPT155 Treatment Modified Due to AEs

    Represents the number of participants who had a modification in the dosing schedules of FPT155 due to AEs.

    Measured: Median (min, max) duration of FPT155 exposure was 8.29 [3.0, 27.1] weeks.

  5. Phase 1b Monotherapy: Number of Participants Who Had FPT155 Treatment Interrupted Due to AEs

    Represents the number of participants who had an interruption in the dosing schedules of FPT155 due to AEs.

    Measured: Median (min, max) duration of FPT155 exposure was 8.29 [3.0, 27.1] weeks.

  6. Phase 1a Combination: Number of Participants Who Experienced DLTs

    DLTs ware defined as any of the events that occur during the first 28 days of treatment and are assessed by the CRC as related to FPT155.

    Measured: Cycle 1 (one cycle = 21 days) Day 1 post-dose, up to approximately 21 days

Secondary outcomes (19)
  1. Phase 1a Monotherapy: Area Under Serum Concentration-time Profile From Time 0 to Time Tau (The Dosing Interval) (AUC0-tau) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  2. Phase 1a Monotherapy: Maximum Observed Serum Concentration (Cmax) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  3. Phase 1a Monotherapy: Trough Observed Serum Concentration at the End of Each Dose Interval (Ctrough) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  4. Phase 1a Monotherapy: Clearance (CL) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  5. Phase 1a Monotherapy: Terminal Half-life (t1/2) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  6. Phase 1a Monotherapy: Volume of Distribution at Steady State (Vss) of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  7. Phase 1a Monotherapy: Number of Participants With Treatment-emergent Anti-FPT155 Antibody Response

    Data presented below includes participants with at least 1 anti-drug antibodies-positive sample relative to baseline after initiation of the treatment.

    Measured: Cycle 1 (21-day cycles) Day 1

  8. Phase 1b Monotherapy: Objective Response Rate (ORR) Per RECIST v1.1

    ORR was defined as the total number of participants with confirmed responses of either complete response (CR) (CR: The disappearance of all target lesions, any pathological lymph nodes [whether target or non-target] must have a reduction in short axis to <10 mm) or partial response (PR) (PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters), as determined by the investigator per RECIST v1.1.

    Measured: Up to approximately 30 months

  9. Phase 1b Monotherapy: Duration of Response (DOR) Per RECIST v1.1

    DOR was defined as the time from first response (CR [The disappearance of all target lesions, any pathological lymph nodes {whether target or non-target} or PR [At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters] determined by the investigator per RECIST v1.1) that was subsequently confirmed until the onset of progressive disease (DP) (DP: At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study [this includes the baseline sum if that is the smallest on study]. In addition to the 20% relative increase, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression) or death from any cause, whichever occurred first.

    Measured: Up to approximately 30 months

  10. Phase 1b Monotherapy: Progression-free Survival (PFS) Per RECIST v1.1

    PFS was defined as time from the first dose of study treatment until the first documentation by the investigator of DP (DP: At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study [this includes the baseline sum if that is the smallest on study]. In addition to the 20% relative increase, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression) per RECIST v1.1 or death from any cause, whichever occurred first. The median was estimated by using the Kaplan-Meier method and corresponding 2-sided 90% CI using Brookmeyer and Crowley methodology.

    Measured: Up to approximately 30 months

  11. Phase 1b Monotherapy: Disease Control Rate (DCR) Per RECIST v1.1

    DCR was defined as the total number of participants with confirmed responses of either CR (CR: The disappearance of all target lesions, any pathological lymph nodes [whether target or non-target] must have a reduction in short axis to <10 mm), PR (PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters), or stable disease (SD) (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. In numerical terms, it means a reduction in tumor size that is less than 30% [which is required for PR] and an increase in size that is less than 20% [which is required for PD]) as determined by the investigator per RECIST v1.1.

    Measured: Up to approximately 30 months

  12. Phase 1b Monotherapy: AUC0-tau of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  13. Phase 1b Monotherapy: Cmax of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  14. Phase 1b Monotherapy: Ctrough of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  15. Phase 1b Monotherapy: CL of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  16. Phase 1b Monotherapy: t1/2 of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  17. Phase 1b Monotherapy: Vss of FPT155

    Measured: Cycle 1 (21-day cycles) Day 1 pre-dose, Day 1 (15min, 1h, 2h, 6h post-dose), Day 2, Day 4, Day 8, Day 15

  18. Phase 1b Monotherapy: Number of Participants With Treatment-emergent Anti-FPT155 Antibody Response

    Data presented below includes participants with at least 1 anti-drug antibodies-positive sample relative to baseline after initiation of the treatment.

    Measured: Cycle 1 (21-day cycles) Day 1

  19. Phase 1a Combination: ORR Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    ORR was defined as the total number of participants with confirmed responses of either CR (CR: The disappearance of all target lesions, any pathological lymph nodes [whether target or non-target] must have a reduction in short axis to <10 mm) or PR (PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters), as determined by the investigator per RECIST v1.1.

    Measured: Up to approximately 30 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2019
  2. Study start18 Oct 2018
  3. Primary completion10 Aug 2021
  4. Study completion10 Aug 2021

Why it stopped: Sponsor decision

Resources

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
Non-randomised
Intervention model
Single group
Model description
Two arm trial with multiple cohorts
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04074759
Sponsor's protocol ID
FPT155-001
Acronym
FPT155-001
Status last verified
Feb 2024
First submitted
13 Aug 2019
Last updated
23 Jan 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing FPT155 and pembrolizumab in people with Advanced Solid Tumors, run by Five Prime Therapeutics, Inc. at 12 sites in 2 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 9 inclusion and 6 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: stopped early, as of the sponsor's last update on 23 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Australia, South Korea. 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?

Yes. Results are posted in the registry (first posted 23 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs) (time frame: Median (min, max) duration of FPT155 exposure was 6.57 [3.0, 49.6] weeks for the Phase 1a Monotherapy part of the study, 8.29 [3.0, 27.1] weeks for the Phase 1b Monotherapy, and 14.71 [3.0, 25.1] weeks for the Phase 1a Combination). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Jan 2025.

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