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Solid TumorPhase 1NCT04553692

Phase 1a/1b Study of Aplitabart (IGM-8444) Alone or in Combination in Participants with Relapsed, Refractory, or Newly Diagnosed Cancers

A Phase 1 study testing Aplitabart (IGM-8444), FOLFIRI and Bevacizumab (and approved biosimilars) in people with Solid Tumor and Colorectal Cancer, run by IGM Biosciences, Inc. at 58 sites in 5 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 first-in-human, Phase 1a/1b, multicenter, open-label study to determine the safety, tolerability, and pharmacokinetics of aplitabart as a single agent and in combination in participants with relapsed and/or refractory solid or hematologic cancers, as well as newly diagnosed cancers, and an open-label… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Aplitabart (IGM-8444), FOLFIRI and Bevacizumab (and approved biosimilars)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
272 participants
Where
58 sitesin 5 countries
Study dates
23 Sep 2020to 20 Jan 2025
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

  • Age ≥ 18 years at time of signing ICF
  • ECOG Performance Status of 0 or 1
  • Histologic documentation of incurable, locally advanced or metastatic tumor of the type being evaluated in individual cohorts.
  • Adequate hepatic and renal function and adequate bone marrow reserve function.
  • For combination cohorts, participants must be eligible to receive the chemotherapy or targeted agent.
  • Ph1a only: No more than three prior therapeutic regimens.
  • Ph1b only: Must be FOLFIRI naïve participants and must have received only 1 prior therapeutic regimen administered for the treatment of cancer in the advanced/metastatic setting - OR - FOLFIRI naïve participants that only received adjuvant therapy who progressed within six months after completing adjuvant therapy, and are confirmed to have locally advanced/metastatic disease

Who cannot join

  • Inability to comply with study and follow-up procedures.
  • Prior DR5 agonist therapy.
  • Concomitant use of agents well-known to cause liver toxicity.
  • Concomitant use of anti-cancer agents
  • Palliative radiation to bone metastases within 2 weeks prior to Day 1.
  • Major surgical procedure within 4 weeks prior to Day 1.
Show all 10Show fewer
  • Untreated or active central nervous system (CNS) metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control). Participants with a history of treated CNS metastases are eligible.
  • Prior use of any chemotherapeutic agent or small molecule inhibitors (SMI) within 2 weeks or 5 half-lives, prior to the first dose of study treatment
  • Treatment with a monoclonal antibody, or any other anticancer agent (including biologic, experimental, or hormonal therapy) investigational or otherwise, that is not chemotherapy or a SMI, within 4 weeks or five half-lives prior to first dose of study treatment.
  • Ph1b: Participants who have previously received FOLFIRI treatment in the adjuvant, advanced, or metastatic disease setting

Trial locations and contacts

58 sites in 5 countries.

58 sites in 5 countries

United States37 sites
  • Texas Oncology - Austin

    Austin, Texas, 78705

  • Gabrail Cancer Research

    Canton, Ohio, 44718

  • Maryland Oncology Hematology, PA - Columbia

    Columbia, Maryland, 21044

  • Mary Crowley Cancer Research

    Dallas, Texas, 75230

  • US Oncology - Dallas

    Dallas, Texas, 75246

  • Rocky Mountain Cancer Centers

    Denver, Colorado, 80218

  • SCRI at Healthone

    Denver, Colorado, 80218

  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010

  • Inova Schar Cancer Institute

    Fairfax, Virginia, 22031

  • Virginia Cancer Specialists

    Fairfax, Virginia, 22031

  • Fort Wayne Medical Oncology and Hematology

    Fort Wayne, Indiana, 46804

  • US Oncology- Texas Oncology - Fort Worth

    Fort Worth, Texas, 76104

  • START Midwest

    Grand Rapids, Michigan, 49546

  • The University of Texas, MD Anderson

    Houston, Texas, 77030

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Ochsner Cancer

    Jefferson, Louisiana, 70121

  • FL Cancer Specialists - Lake Mary

    Lake Mary, Florida, 32746

  • Cancer and Blood Specialty Clinic (CBSC)

    Los Alamitos, California, 90720

  • USC Norris

    Los Angeles, California, 90033

  • UCLA

    Los Angeles, California, 90404

  • Norton Cancer Institute

    Louisville, Kentucky, 40241

  • Minnesota Oncology - Minneapolis Clinic

    Minneapolis, Minnesota, 55404

  • Mayo Clinic

    Minneapolis, Minnesota, 55905

  • SCRI - Tennessee

    Nashville, Tennessee, 37203

  • Yale Cancer Center

    New Haven, Connecticut, 06510

  • US Oncology- Virginia Oncology - Norfolk

    Norfolk, Virginia, 23502

  • Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73104

  • UC Irvine Manchester Pavilion

    Orange, California, 92868

  • Memorial Cancer Institute

    Pembroke Pines, Florida, 33028

  • Mayo Clinic

    Phoenix, Arizona, 85054

  • Providence Portland Medical Center

    Portland, Oregon, 97213

  • Texas Oncology - San Antonio Northeast

    San Antonio, Texas, 78217

  • UCSF

    San Francisco, California, 94143

  • Florida Cancer Specialists

    Sarasota, Florida, 34232

  • Seattle Cancer Alliance - Fred Hutch

    Seattle, Washington, 98109

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Texas Oncology - Tyler

    Tyler, Texas, 75702

Other trials in United States

Australia6 sites
  • Napean Cancer Care

    Kingswood, 2747

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria, 3052

  • Tasman Health

    Southport, QLD 4215

  • Westmead

    Westmead, New South Wales, 2145

  • Southern Medical Day Care Centre

    Wollongong, New South Wales, 2500

  • Queen Elizabeth Hospital

    Woodville South, 5011

Other trials in Australia

South Korea6 sites
  • Gachon University Gil Hospital

    Gyeonggi-do, Seongnam-si, 13620

  • Seoul National University Bundang Hospital

    Gyeonggi-do, Seongnam-si, 13620

  • Samsung Medical Center

    Seoul, Gangnam-gu, 06351

  • Asan Medical Center

    Seoul, 03080

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital - Yonsei Cancer Center

    Soeul

Other trials in South Korea

France5 sites
  • Institut Bergonié

    Bordeaux, 33076

  • Centre Georges Francois Leclerc

    Dijon, 21000

  • Saint Louis Hospital

    Paris, 75010

  • Institut de Cancérologie de l'Ouest

    Saint-Herblain, 44800

  • Gustave Roussy

    Villejuif, 94805

Other trials in France

Spain4 sites
  • Vall d'Hebron Institut d'Oncologia

    Barcelona, 08035

  • Clinica Universidad de Navarra

    Madrid, 28027

  • Madrid FJD

    Madrid, 28040

  • Madrid CIOCC - HM Universitario Sanchinnarro

    Madrid, 28050

Other trials in Spain

About this study

Official title: An Open-label, Multicenter, Phase 1a/1b Study of Aplitibart (IGM-8444) As a Single Agent and in Combination in Participants with Relapsed, Refractory, or Newly Diagnosed Cancers

This study is a first-in-human, Phase 1a/1b, multicenter, open-label study to determine the safety, tolerability, and pharmacokinetics of aplitabart as a single agent and in combination in participants with relapsed and/or refractory solid or hematologic cancers, as well as newly diagnosed cancers, and an open-label, randomized study of aplitabart+FOLFIRI+bevacizumab.

Read the detailed description

Participants will be enrolled in Phase 1a, which consists of two stages: a dose-escalation stage and an expansion stage. Aplitabart will be used as a single agent and in combination with numerous other agents where standard therapeutic regimens do not exist, have proven to be ineffective or intolerable, or are considered inappropriate.

Colorectal participants may be enrolled in Phase 1b, an open-label, randomized study of aplitabart+FOLFIRI+ bevacizumab.

Aplitabart will be investigated in numerous tumor types including all-comers solid tumors, colorectal carcinoma (CRC), sarcoma, non-Hodgkin's lymphoma (NHL), acute myeloid leukemia (AML), and chronic lymphocytic leukemia (CLL).

Aplitabart will be administered intravenously (IV).

An alternative dosing schedule may be evaluated.

Being tested
Aplitabart (IGM-8444), FOLFIRI, Bevacizumab (and approved biosimilars), Birinapant, Venetoclax
Keywords
Relapsed and/or Refractory, Metastatic Cancer, Advanced Tumors, Hematological cancer, Newly diagnosed
Medical subject headings
Colorectal Neoplasms, Lymphoma, Non-Hodgkin, Sarcoma, Chondrosarcoma, Leukemia, Lymphocytic, Chronic, B-Cell, Leukemia, Myeloid, Acute, Neoplasm Metastasis

What participants receive

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

  • Aplitabart (IGM-8444)Drug

    DR5 Agonist Investigational Drug

  • FOLFIRIDrug

    Also called Fluorouracil or 5-FU, Leucovorin, Irinotecan

    Chemotherapy Regimen

  • Bevacizumab (and approved biosimilars)Drug

    Also called Avastin

    Targeted Therapy

  • BirinapantDrug

    SMAC-mimetic Investigational Drug

  • VenetoclaxDrug

    Also called Venclexta

    Targeted Therapy

  • GemcitabineDrug

    Also called Gemzar

    Chemotherapy

  • DocetaxelDrug

    Also called Taxotere, Docefrez

    Chemotherapy

  • AzacitidineDrug

    Also called VIDAZA

    Chemotherapy

Study groups in NCT04553692
Study groupRoleWhat they receive
Ph1a: Aplitabart Single Agent Alternate Dosing EscalationExperimentalAplitabart will be administered intravenously as a single agent on an alternate dosing schedule.
Receives: Drug: Aplitabart (IGM-8444)
Ph1a: Aplitabart + FOLFIRI ± bevacizumab Escalation and ExpansionExperimentalAplitabart will be administered intravenously in combination with FOLFIRI± bevacizumab.
Receives: Drug: Aplitabart (IGM-8444); Drug: FOLFIRI; Drug: Bevacizumab (and approved biosimilars)
Ph1a: Aplitabart + Birinapant Escalation and ExpansionExperimentalAplitabart will be administered intravenously in combination with Birinapant which will also be administered intravenously.
Receives: Drug: Aplitabart (IGM-8444); Drug: Birinapant
Ph1a: Aplitabart + Venetoclax Escalation and ExpansionExperimentalAplitabart will be administered intravenously in combination with Venetoclax.
Receives: Drug: Aplitabart (IGM-8444); Drug: Venetoclax
Ph1a: Aplitabart + Docetaxel + Gemcitabine Escalation and ExpansionExperimentalAplitabart will be administered intravenously in combination with Docetaxel and Gemcitabine.
Receives: Drug: Aplitabart (IGM-8444); Drug: Gemcitabine; Drug: Docetaxel
Ph1a: Aplitabart + Venetoclax + Azacitidine Escalation and ExpansionExperimentalAplitabart will be administered intravenously in combination with Venetoclax and Azacitidine.
Receives: Drug: Aplitabart (IGM-8444); Drug: Venetoclax; Drug: Azacitidine
Ph1b: Aplitabart + FOLFIRI + BevacizumabExperimentalAplitabart will be administered intravenously in combination with FOLFIRI + bevacizumab
Receives: Drug: Aplitabart (IGM-8444); Drug: FOLFIRI; Drug: Bevacizumab (and approved biosimilars)
Ph1b: FOLFIRI + BevacizumabExperimentalStandard of Care FOLFIRI + bevacizumab will be administered intravenously
Receives: Drug: FOLFIRI; Drug: Bevacizumab (and approved biosimilars)

What is being measured

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

  1. Ph1a: Adverse Events of aplitabart as single agent and with FOLFIRI ± bevacizumab, aplitibart with birinapant, aplitibart with venetoclax, aplitibart with venetoclax and azacitadine, and aplitibart with gemcitabine and docetaxel

    Incidence of treatment-related AEs graded according to the NCI Common Technology Criteria for Adverse Events (CTCAE) v5.0

    Measured: From Cycle 1 Day 1 through 28 days after the final dose of study drug

  2. Ph1a: To identify the recommended expansion dose for aplitabart as single agent, with FOLFIRI ± bevacizumab, aplitibart with birinapant, aplitibart with venetoclax, aplitibart with venetoclax and azacitadine, and aplitibart with gemcitabine and docetaxel

    Relationship between aplitabart dose and safety, PK, activity, and endpoints.

    Measured: 4 weeks

  3. Ph1b: Progression-Free Survival (PFS)

    PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 by investigator or death, whichever occurs first.

    Measured: Study duration of approximately 36 months

Secondary outcomes (10)
  1. Ph1a and Ph1b: Area Under the Curve (AUC) of aplitabart

    Area Under the Curve (AUC) of aplitabart as a single agent and in combination with the anticancer agents listed above.

    Measured: At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months

  2. Ph1a and Ph1b: Clearance (CL) of aplitabart

    Clearance (CL) of aplitabart as a single agent and in combination with the anticancer agents listed above.

    Measured: At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months

  3. Ph1a and Ph1b: Volume of distribution (V) of aplitabart

    Volume of distribution (V) of aplitabart as a single agent and in combination with the anticancer agents listed above.

    Measured: At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months

  4. Ph1a and Ph1b: Maximum Concentration (c-max) of aplitabart

    Maximum Concentration of aplitabart as a single agent and in combination with the anticancer agents listed above.

    Measured: At pre-defined intervals from Cycle 1 Day 1 through end of treatment at approximately 6 months

  5. Ph1a and Ph1b: Immunogenicity

    Immunogenicity as assessed by detection of anti-drug antibodies (ADAs) to aplitabart

    Measured: through end of treatment at approximately 6 months

  6. Ph1a and Ph1b: Objective Response Rate (ORR)

    Preliminary efficacy of objective response rate (ORR)

    Measured: Study duration of approximately 36 months

  7. Ph1a and Ph1b: Duration of Response (DoR)

    Preliminary efficacy of duration of response (DoR)

    Measured: Study duration of approximately 36 months

  8. Ph1a: Progression-Free Survival (PFS)

    PFS is defined as the time from first dose (Ph1a) to the first documented disease progression per RECIST 1.1 by investigator or death, whichever occurs first.

    Measured: Study duration of approximately 36 months

  9. Ph1a and Ph1b: Overall Survival (OS)

    OS is defined as the time from first dose (Ph1a) or randomization (Ph1b) to death due to any cause

    Measured: Study duration of approximately 36 months

  10. Ph1b: Adverse events of aplitabart + FOLFIRI + bevacizumab

    Incidence of treatment-related AEs graded according to the NCI Common Technology Criteria for Adverse Events (CTCAE) v5.0

    Measured: From Cycle 1 Day 1 through 28 days after the final dose of study drug

Timeline

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

  1. First posted17 Sep 2020
  2. Study start23 Sep 2020
  3. Primary completion20 Jan 2025
  4. Study completion20 Jan 2025

Why it stopped: Study terminated due strategic corporate pivot to focus on auto-immune indications

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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
272 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04553692
Sponsor's protocol ID
IGM-8444-001
Status last verified
Mar 2025
First submitted
4 Sep 2020
Last updated
28 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Aplitabart (IGM-8444), FOLFIRI and Bevacizumab (and approved biosimilars) in people with Solid Tumor and Colorectal Cancer, run by IGM Biosciences, Inc. at 58 sites in 5 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 7 inclusion and 10 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 28 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, Australia, South Korea, France, Spain. 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 was stopped early (reason given: Study terminated due strategic corporate pivot to focus on auto-immune indications). Results are not available in the source record.

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?

Ph1a: Adverse Events of aplitabart as single agent and with FOLFIRI ± bevacizumab, aplitibart with birinapant, aplitibart with venetoclax, aplitibart with venetoclax and azacitadine, and aplitibart with gemcitabine and docetaxel (time frame: From Cycle 1 Day 1 through 28 days after the final dose of study drug). 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?
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 28 Mar 2025.

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