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Cutaneous MelanomaPhase 1NCT04551352

A Study of RO7293583 in Participants With Unresectable Metastatic Tyrosinase Related Protein 1 (TYRP1)-Positive Melanomas

A Phase 1 study testing RO7293583, Tocilizumab and Obinutuzumab in people with Cutaneous Melanoma and Uveal Melanoma, run by Hoffmann-La Roche at 14 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

This is a first-in-human, multi-center clinical study to determine the safety, Maximum Tolerated Dose (MTD) and/or Optimal Biological Dose (OBD) as well as the optimal schedule for intravenous (IV) and/or subcutaneous (SC) administrations of RO7293583 with or without obinutuzumab pretreatment, in participants with… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
RO7293583, Tocilizumab and Obinutuzumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
14 sitesin 6 countries
Study dates
28 Oct 2020to 28 Jul 2022
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Participants with unresectable stage III or stage IV cutaneous melanoma or participants with unresectable, metastatic uveal or mucosal melanoma for whom SOC is not available or who are intolerant or non-amenable to SOC.
  • Participants with cutaneous melanoma need to have known BRAF status.
  • Radiologically measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
  • Availability of a representative tumor specimen that is suitable for determination of TYRP1 status by means of central testing.
  • For participants in Part II, willingness to provide mandatory on-treatment biopsies.
  • Life expectancy (in the opinion of the Investigator) of ≥12 weeks.
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  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • Absence of rapid disease progression, threat to vital organs or non-irradiated lesions > 2 cm in diameter at critical sites.
  • All acute toxic effects of any prior radiotherapy, chemotherapy, targeted or checkpoint inhibitor therapy, or surgical procedure must have resolved to Grade ≤1 or returned to baseline, except for alopecia (any grade), for Grade 2 clinically controlled sequelae of immune-related toxicities related to checkpoint inhibitor therapy like adrenal insufficiency and hypopituitarism, and for Grade 2 peripheral neuropathy.
  • Adequate hematological, liver and renal function.

Who cannot join

  • Participants with a history or clinical evidence of central nervous system (CNS) primary tumors or metastases including leptomeningeal metastases unless they have been previously treated, are asymptomatic, and have had no requirement for steroids or enzyme-inducing anticonvulsants in the last 14 days before screening.
  • Participants with another invasive malignancy in the last 2 years.
  • Active, acute, or chronic inflammatory diseases of the skin affecting more than 5% of the body surface area. History of Stevens-Johnson syndrome, toxic epidermal necrolysis, or drug rash with eosinophilia and systemic symptoms.
  • Participants with defects in the Bruch's membrane of the eye or at risk of such defects. Participants with a history of recurrent uveitis or medical conditions that are associated with frequent uveitis.
  • History of or existing damage to inner ear.
  • Uncontrolled hypertension.
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  • Significant cardiovascular disease.
  • Known active or uncontrolled bacterial, viral, fungal, mycobacterial, parasitic or other infection, or any major episode of infection requiring treatment with IV antibiotics or hospitalization within 4 weeks prior to the start of drug administration.
  • Any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates the use of an investigational drug.
  • Major surgery or significant traumatic injury <28 days prior to the first RO7293583 administration or anticipation of the need for major surgery during study treatment.
  • Last dose of checkpoint inhibitors, targeted therapies, chemotherapy, immunostimulating or immunosuppressive therapy or other investigational drug <28 days prior to the first RO7293583 administration.
  • Prior treatment with a T-cell engaging drug
  • Specific Exclusion Criteria if Pre-treatment with Obinutuzumab is Implemented:
  • Known human immunodeficiency virus (HIV)
  • History of progressive multifocal leukoencephalopathy.
  • Active Tuberculosis (TB) requiring treatment within 3 years prior to baseline.
  • Latent TB diagnosed during Screening.
  • Positive test results for human T-lymphotropic virus 1.
  • Specific Exclusion Criteria if Pre-treatment with Adalimumab is Implemented:
  • History of untreated tuberculosis or untreated active infection with mycobacterium tuberculosis.
  • Known hypersensitivity to any of the components of adalimumab.

Trial locations and contacts

14 sites in 6 countries.

14 sites in 6 countries

United States4 sites
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10065

  • Thomas Jefferson University Hospital;Medical Oncology

    Philadelphia, Pennsylvania, 19107

Other trials in United States

Spain4 sites
  • Vall d´Hebron Institute of Oncology (VHIO), Barcelona

    Barcelona, 08035

  • Clinica Universidad de Navarra Madrid; Servicio de Oncología

    Madrid, 28027

  • Clinica Universitaria de Navarra

    Pamplona, Navarre, 31008

  • Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia

    Valencia, 46010

Other trials in Spain

Belgium2 sites
  • UZ Antwerpen

    Edegem, 2650

  • UZ Leuven Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Canada2 sites
  • The Ottawa Hospital - General Campus

    Ottawa, Ontario, K1H 8L6

  • Princess Margaret Cancer Center

    Toronto, Ontario, M5G 1Z5

Other trials in Canada

Australia1 site
  • Peter Maccallum Cancer Institute; Clinical Trial Unit

    Melbourne, Victoria, 3000

Other trials in Australia

Denmark1 site
  • Herlev Hospital; Afdeling for Kræftbehandling

    Herlev, 2730

Other trials in Denmark

About this study

Official title: An Open-Label, Multicenter, Phase 1 Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7293583, A TYRP1-Targeting CD3 T-Cell Engager, in Participants With Metastatic Melanoma

This is a first-in-human, multi-center clinical study to determine the safety, Maximum Tolerated Dose (MTD) and/or Optimal Biological Dose (OBD) as well as the optimal schedule for intravenous (IV) and/or subcutaneous (SC) administrations of RO7293583 with or without obinutuzumab pretreatment, in participants with unresectable metastatic TYRP1-positive melanomas who have progressed on standard of care (SOC) treatment, are intolerant to SOC, or are non-amenable to SOC. This study will include an initial single participant dose-escalation part one followed by a multiple participant dose-escalation part two with the possibility of expansion.

Being tested
RO7293583, Tocilizumab, Obinutuzumab, Adalimumab
Medical subject headings
Melanoma, Uveal Melanoma

What participants receive

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

  • RO7293583Drug

    RO7293583 will be administered at a dose and per schedule as specified for the respective cohort.

  • TocilizumabDrug

    Also called Actemra

    Tocilizumab will be administered as required for the management of severe cytokine release syndrome (CRS).

  • ObinutuzumabDrug

    Also called Gazyva

    If implemented, it will be given either on D-7 or D-7 and D-6.

  • AdalimumabDrug

    Also called Humira

    If implemented, it will be given as a single dose approximately 6 days prior to the first dose of RO7293583.

Study groups in NCT04551352
Study groupRoleWhat they receive
Part I: Single Participant Cohorts (IV)ExperimentalPart I is a dose escalation in single participant cohorts. RO7293583 will be administered intravenously (IV) every three weeks (Q3W). The starting dose will be 0.045mg and the maximum dose explored will be 1.5mg.
Receives: Drug: RO7293583; Drug: Tocilizumab
Part II: Multiple Participant Cohorts (IV/SC)ExperimentalMultiple ascending dose-escalation of RO7293583 in multiple participant cohorts: The starting-dose for the initiation of the IV dose-escalation will be determined by Part I and RO7293583 will be administered IV or SC every 3 weeks. Dose-escalation will be undertaken based on safety until determination of the MTD or the highest safe dose if MTD is not reached. Fractionated, step up or subcutaneous dosing may be implemented. The maximum dose explored will be 600mg IV and 160mg SC.
Receives: Drug: RO7293583; Drug: Tocilizumab; Drug: Obinutuzumab; Drug: Adalimumab

What is being measured

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

  1. Percentage of Participants With Dose-Limiting Toxicities (DLTs)

    Dose-Limiting Toxicities (DLTs) were reported according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0), except for Cytokine release syndrome (CRS), which will be graded based on the American Society for Transplantation and Cellular Therapy (ASTCT) criteria.

    Measured: From Day 1 of Cycle 1 up to Day 1 of Cycle 3 (each cycle is 21 days)

  2. Percentage of Participants with Adverse Events (AEs)

    An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product.

    Measured: Baseline up to 60 days after last RO7293583 treatment (up to 14 months)

Secondary outcomes (14)
  1. Maximum Concentration (Cmax) of RO7293583

    Measured: Up to 14 months

  2. Time of Maximum Concentration (Tmax) of RO7293583

    Measured: Up to 14 months

  3. Minimum Concentration (Cmin) of RO7293583

    Measured: Up to 14 months

  4. SC Bioavailability (F) of RO7293583

    Measured: Up to 14 months

  5. Clearance (CL) or Apparent Clearance (CL/F) of RO7293583

    Measured: Up to 14 months

  6. Volume of Distribution at Steady State (Vss) of RO7293583

    Measured: Up to 14 months

  7. Area Under the Curve (AUC) of RO7293583

    Measured: Up to 14 months

  8. Percentage of Participants with Anti-Drug Antibodies (ADAs) to RO7293583

    Measured: From baseline until 60 days after last RO7293583 dose (up to 14 months).

  9. Change from Baseline in RO7293583 ADA Titer

    Measured: From baseline until 60 days after last RO7293583 dose (up to 14 months).

  10. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with confirmed objective response (OR). Confirmed OR is defined as complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

    Measured: Baseline up to 13 months

  11. Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with CR, PR, or stable disease (SD). Per RECIST v1.1, CR is defined as disappearance of all target lesions. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression, taking as reference the smallest sum on study. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline, or the appearance of one or more new lesions.

    Measured: Baseline up to 13 months

  12. Duration of Response (DOR)

    DOR is defined as the time from the first occurrence of documented OR to disease progression, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

    Measured: Baseline up to 13 months

  13. Progression-Free Survival (PFS)

    PFS is defined as the time from Cycle 1, Day 1 to the first occurrence of disease progression, as determined by the investigator according to RECIST v1.1, or death from any cause, whichever occurs first. Disease progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions.

    Measured: Baseline up to 24 months.

  14. Overall Survival (OS)

    OS is defined as the time from Cycle 1, Day 1 to death from any cause.

    Measured: Baseline up to 24 months.

Timeline

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

  1. First posted16 Sep 2020
  2. Study start28 Oct 2020
  3. Primary completion28 Jul 2022
  4. Study completion28 Jul 2022

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
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04551352
Sponsor's protocol ID
BP42169
Other IDs
2020-000793-18
Status last verified
Sep 2022
First submitted
26 Aug 2020
Last updated
3 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Spreafico A, Couselo EM, Irmisch A, Bessa J, Au-Yeung G, Bechter O, Svane IM, Sanmamed MF, Gambardella V, McKean M, Callahan M, Dummer R, Klein C, Umana P, Justies N, Heil F, Fahrni L, Opolka-Hoffmann E, Waldhauer I, Bleul C, Staack RF, Karanikas V, Fowler S. Phase 1, first-in-human study of TYRP1-TCB (RO7293583), a novel TYRP1-targeting CD3 T-cell engager, in metastatic melanoma: active drug monitoring to assess the impact of immune response on drug exposure. Front Oncol. 2024 Mar 21;14:1346502. doi: 10.3389/fonc.2024.1346502. eCollection 2024.

    PubMed 38577337

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RO7293583, Tocilizumab and Obinutuzumab in people with Cutaneous Melanoma and Uveal Melanoma, run by Hoffmann-La Roche at 14 sites in 6 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 10 inclusion and 21 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: finished, as of the sponsor's last update on 3 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Spain, Belgium, Canada, Australia and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Percentage of Participants With Dose-Limiting Toxicities (DLTs) (time frame: From Day 1 of Cycle 1 up to Day 1 of Cycle 3 (each cycle is 21 days)). The study lists 2 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 NCT04551352, 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 3 Oct 2022.

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