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Advanced CancerPhase 1NCT04354246

COM902 (A TIGIT Inhibitor) in Subjects With Advanced Malignancies

A Phase 1 study testing Dose escalation: COM902 monotherapy., Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE) and Cohort expansion: COM902 (RDFE) monotherapy. in people with Advanced Cancer and Ovarian Cancer, run by Compugen Ltd at 9 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary antitumor activity of COM902 as monotherapy and in combination with COM701 in subjects with advanced malignancies. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Cancer, Ovarian Cancer, Lung Cancer
What is being tested?
Dose escalation: COM902 monotherapy., Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE) and Cohort expansion: COM902 (RDFE) monotherapy.
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
94 participants
Where
9 sitesUnited States
Study dates
31 Mar 2020to 1 Apr 2026
Phase
Phase 1

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

  • Subjects with histologically/cytologically confirmed advanced malignancy (solid tumor) who must have exhausted all available standard therapy, or not a candidate for standard therapy.
  • Subject is able to provide written, informed consent before initiation of any study related procedures, and is able, in the opinion of the investigator, to comply with all the requirements of the study.
  • Subject has Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • For Triplet combination MSS-CRC:
  • Histologically confirmed adenocarcinoma of the colon/rectum
  • Stage IV disease
Show all 13Show fewer
  • MSS-CRC status by an FDA approved test
  • Disease progression with no more than 3 prior lines of treatment including fluroropyrimidines, irinotecan, and oxaliplatin
  • For Triplet combination ovarian cancer:
  • Advanced epithelial ovarian, fallopian tube, or primary peritoneal carcinoma
  • Platinum resistant ovarian cancer (PROC) defined as disease recurrence < 6 months after completion of a platinum-containing regimen: Patients with primary platinum refractory disease are ineligible. Primary platinum refractory disease is defined as progression of disease prior to completion of 1st line platinum therapy or immediately following (≤ 3 months following last date of chemotherapy)
  • Received ≤3 prior lines for PROC; maintenance bevacizumab or PARP are not included as a line of therapy
  • Subjects who have received PARP inhibitor therapy are eligible

Who cannot join

  • Prior treatment with a TIGIT inhibitor.
  • Prior treatment with an inhibitor of PVRIG
  • Symptomatic interstitial lung disease or inflammatory pneumonitis.
  • History of immune-related events that required immunotherapy treatment discontinuation
  • For Triplet combination expansion cohorts (MSS-CRC and PROC): Prior treatment with an anti-PD-1/PD-L1/2, anti-CD96 antibody, anti-OX-40 antibody, anti-CD137 antibody, anti-LAG3, anti-TIM3, anti-CTLA4 antibody.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Massachusetts General Hospital.

    Boston, Massachusetts, 02114

  • The Ohio State University Comprehensive Cancer Center.

    Columbus, Ohio, 43210

  • Mary Crowley Cancer Research

    Dallas, Texas, 75230

  • START Midwest.

    Grand Rapids, Michigan, 49503

  • MD Anderson Cancer Center.

    Houston, Texas, 77030

  • The University of Tennessee WEST Cancer Center.

    Memphis, Tennessee, 38138

  • Froedtert & Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • The START Center for Cancer Care.

    San Antonio, Texas, 78229

  • Florida Cancer Specialists

    Sarasota, Florida, 34230

Other trials in United States

About this study

Official title: A Phase 1 Study of The Safety and Tolerability of COM902 in Subjects With Advanced Malignancies

Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary antitumor activity of COM902 as monotherapy and in combination with COM701 in subjects with advanced malignancies.

Being tested
Dose escalation: COM902 monotherapy., Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE), Cohort expansion: COM902 (RDFE) monotherapy., Cohort expansion: COM902 in combination with COM701 (both at the RDFE)., Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.
Keywords
TIGIT antibody, PVRIG antibody, COM701, Low Fc-effector function, Pembrolizumab
Medical subject headings
Ovarian Neoplasms, Lung Neoplasms, Colonic Neoplasms, Neoplasms, Plasma Cell, Multiple Myeloma, Squamous Cell Carcinoma of Head and Neck

What participants receive

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

  • Dose escalation: COM902 monotherapy.Drug

    COM902 monotherapy administered IV every 3 weeks in sequential dose escalation doses in cohorts of subjects.

  • Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE)Combination product

    Both study drugs will be evaluated at the RDFE for assessment of safety and tolerability. All study drugs will be administered IV every 3 weeks.

  • Cohort expansion: COM902 (RDFE) monotherapy.Drug

    COM902 monotherapy (RDFE) in subjects with multiple myeloma. COM902 will be administered IV every 3 weeks.

  • Cohort expansion: COM902 in combination with COM701 (both at the RDFE).Drug

    COM902 in combination with COM701 (both at RDFE) in subjects with select tumor types who have exhausted standard treatment - HNSCC, CRC (MSS), NSCLC. All study drugs will be administered IV every 3 weeks.

  • Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.Combination product

    Triplet combination of COM902 + COM701 + Pembrolizumab administered IV every 3 weeks.

Study groups in NCT04354246
Study groupRoleWhat they receive
COM902 monotherapy dose escalation.ExperimentalMonotherapy dose escalation. COM902 monotherapy administered IV every 3 weeks in sequential dose escalation. Up to 7 dose escalation cohorts may be evaluated until a maximum tolerated dose or recommended dose for expansion (RDFE) is identified.
Receives: Drug: Dose escalation: COM902 monotherapy.
Dual combination (COM902 + COM701) for evaluation of safety/tolerability (both at RDFE).ExperimentalCOM902 will be combined with COM701 for evaluation of safety and tolerability. All study drugs will be administered IV every 3 weeks.
Receives: Combination Product: Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE)
COM902 monotherapy cohort expansion at RDFE.ExperimentalCOM902 monotherapy at the RDFE - in subjects with multiple myeloma. COM902 will be administered IV every 3 weeks.
Receives: Drug: Cohort expansion: COM902 (RDFE) monotherapy.
COM902 + COM701 combination cohort expansion both at RDFE.ExperimentalCOM902 + COM701 (both at the RDFE) evaluated in subjects with select tumor types who have exhausted standard of care treatment: HNSCC, CRC (MSS), NSCLC. All study drugs will be administered IV every 3 weeks.
Receives: Drug: Cohort expansion: COM902 in combination with COM701 (both at the RDFE).
MSS-CRC Triplet combination (COM902 + COM701 + Pembrolizumab).ExperimentalTriplet combination of COM902 + COM701 + Pembrolizumab evaluated in subjects with MSS-CRC. All study drugs will be administered IV every 3 weeks.
Receives: Combination Product: Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.
Platinum resistant ovarian cancer Triplet combination (COM902 + COM701 + Pembrolizumab).ExperimentalTriplet combination of COM902 + COM701 + Pembrolizumab evaluated in subjects with PROC. All study drugs will be administered IV every 3 weeks.
Receives: Combination Product: Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.

What is being measured

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

  1. The safety and tolerability of COM902 monotherapy and in combination with COM701.

    Incidence of subjects with Adverse Events (AEs) as per CTCAE v5.0 and Dose-Limiting Toxicities (DLTs).

    Measured: DLT evaluation window in the 1st cycle (21 Days).

  2. To identify the maximum tolerated dose (MTD) and/or recommended dose for expansion of COM902 monotherapy and in combination with COM701.

    Evaluation of a dose of COM902 monotherapy and in combination with COM701 that is well tolerated by subjects.

    Measured: 18 months.

  3. To characterize the pharmacokinetic (PK) profile of COM902 as monotherapy and in combination with COM701.

    Evaluation of parameters of COM902 monotherapy or in combination with COM701 exposure such as Maximum Plasma Concentration [Cmax]).

    Measured: 18 months.

  4. Evaluation of safety and tolerability of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Incidence of subjects on the Triplet combination (COM902 + COM701 + Pembrolizumab) with Adverse Events (AEs) per CTCAE v5.0.

    Measured: 18 months.

  5. Evaluation of the PK profile of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Evaluation of PK parameters e.g., Cmax.

    Measured: 18 months.

  6. Evaluation of the PK profile of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Evaluation of PK parameters e.g., AUC.

    Measured: 18 months.

Secondary outcomes (2)
  1. To characterize immunogenicity of COM902 monotherapy and in combination with COM701.

    Evaluation of anti drug antibody to COM902 (monotherapy) or COM902, COM701 when administered in combination.

    Measured: 18 months.

  2. To characterize the immunogenicity of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Evaluation of antidrug antibody to COM902, COM701.

    Measured: 18 months.

Timeline

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

  1. First posted21 Apr 2020
  2. Study start31 Mar 2020
  3. Primary completion1 Apr 2026
  4. Study completion1 Apr 2026

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
Sequential
Masking
None (open label)
Enrolment
94 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04354246
Sponsor's protocol ID
CPG-02-101
Status last verified
May 2026
First submitted
15 Apr 2020
Last updated
12 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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