AzTrials
AzTrials

Locally Advanced or Metastatic Solid TumorsPhase 1NCT04564417

First-In-Human (FIH) Study of W0180 as Single Agent and in Combination With Pembrolizumab in Adults With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing W0180 and Pembrolizumab in people with Locally Advanced or Metastatic Solid Tumors, run by Pierre Fabre Medicament at 5 sites in 2 countries.

Terminated

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

Official record
Search all trials

Trial summary

The purpose of this study will be to determine the Maximum Tolerated Dose (MTD) and describe dose-limiting toxicities (DLTs) of W0180 given as monotherapy and in combination with pembrolizumab (anti-PD-1). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
W0180 and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
5 sitesin 2 countries
Study dates
8 Sep 2020to 19 Dec 2023
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

  • Histologically or cytologically confirmed diagnosis of locally advanced or metastatic solid tumors, whose disease has progressed or for whom no further standard therapy is available or appropriate
  • Evidence of measurable disease as determined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (or modified RECIST 1.1 for mesothelioma)
  • Adequate blood counts at baseline
  • Adequate liver function at screening and baseline
  • Sexually active participants must use medically acceptable methods of contraception during the course of this study

Who cannot join

  • Participants previously treated with an anti-V-domain Ig suppressor of T cell activation (VISTA) (small molecule or antibody) agent
  • Participants with known central nervous system (CNS) metastases and/or carcinomatous meningitis
  • History of severe hypersensitivity reactions to other monoclonal antibodies
  • Positive for hepatitis B virus(HBV), hepatitis C virus (HCV) or HIV infection
  • History of anti-cancer therapies within the last 4 weeks (or <=5 half-lives for targeted agents) prior to initiating study treatment.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

France3 sites
  • Centre Leon Berard, department Medical Oncology

    Lyon, Cedex, 69373

  • IUCT, Toulouse

    Toulouse, 31059

  • IGR, Villejuif

    Villejuif, 94805

Other trials in France

Spain2 sites
  • CUN, Madrid

    Madrid, 28027

  • CUN, Pamplona

    Pamplona, 31008

Other trials in Spain

About this study

Official title: Phase I Dose Escalation and Dose Expansion, International, Multicenter Study of W0180 as Single Agent and in Combination With Pembrolizumab (Anti-PD-1) in Adult Participants With Locally Advanced or Metastatic Solid Tumors

The purpose of this study will be to determine the Maximum Tolerated Dose (MTD) and describe dose-limiting toxicities (DLTs) of W0180 given as monotherapy and in combination with pembrolizumab (anti-PD-1).

Being tested
W0180, Pembrolizumab
Keywords
advanced cancer, W0180

What participants receive

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

  • W0180Biological

    Participants will receive W0180 in a 21-day cycle.

  • PembrolizumabDrug

    Participants will receive Pembrolizumab 200 mg flat dose as IV infusion every three weeks (Q3W) in a 21-day cycle.

Study groups in NCT04564417
Study groupRoleWhat they receive
Monotherapy dose escalation: W0180ExperimentalParticipants will receive W0180 in a 21-day cycle until the maximum tolerated dose (MTD)/ recommended dose for expansion (RDE) for the single-agent identified.
Receives: Biological: W0180
Combination dose escalation: W0180+PembrolizumabExperimentalParticipants will receive Pembrolizumab 200 mg flat dose as IV infusion every three weeks (Q3W) followed by W0180 in a 21-day Cycle until the MTD in combination is identified or an RDE in combination is established.
Receives: Biological: W0180; Drug: Pembrolizumab
Dose expansionExperimentalParticipants will receive Pembrolizumab 200 mg flat dose as IV infusion Q3W followed by an RDE dose of W0180 in a 21-day cycle.
Receives: Biological: W0180; Drug: Pembrolizumab

What is being measured

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

  1. Number of Participants With Dose-limiting Toxicities (DLTs) During the DLT Period

    The DLTs will be classified according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.

    Measured: From Cycle 1-Day 1 up to Cycle 2-Day 1 (each cycle of 21 days)

Secondary outcomes (23)
  1. Escalation Part: Recommended Dose for Expansion After Administration of W0180 in Monotherapy and in Combination With Pembrolizumab

    The RDE will be the dose of W0180 chosen for the dose-expansion part.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in Combination dose escalation cohort (30 days after last study infusion administration) (approximately 22 months)

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    Treatment-Emergent Adverse Events (TEAEs)/Treatment-Emergent Serious Adverse Events (TESAEs) are any new event that starts after the first administration of study treatment and less than or equal to (<=) 30 days after treatment discontinuation or that worsened during that study period.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  3. Number of Participants With Treatment-Emergent Adverse Events by Severity

    The severity of the AEs are categorized into Grades 1 to 5: Grade 1: Mild- asymptomatic or mild symptoms, Grade 2: Moderate- minimal; local or noninvasive intervention indicated, Grade 3: Severe or medically significant but not immediately life-threatening, Grade 4: Life-threatening consequences, and Grade 5: Death related to AE. An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAE is any new event that starts after the first administration of study treatment and <=30 days after treatment discontinuation or that worsened during that study period.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  4. Number of Participants With Clinically Significant Laboratory Abnormalities Reported as Treatment-Emergent Adverse Events (TEAE)

    Number of participants with clinically significant abnormalities in laboratory parameters (hematology, blood chemistry, coagulation parameters, thyroid function, urinalysis, cytokines and tryptase) will be assessed after administration of W0180 in monotherapy and in combination with pembrolizumab for both escalation and expansion part of study.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  5. Number of Participants With Dose Interruptions, Dose Reductions, or Discontinuation After Administration of W0180 in Monotherapy and in Combination With Pembrolizumab

    The number of participants reporting dose interruptions, dose reductions, and temporary or definitive discontinuation after administration of W0180 in monotherapy and in combination with pembrolizumab for both escalation and expansion part of study will be assessed.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  6. Duration of Study Drug Exposure in Participants

    The duration of study treatment exposure will be summarized after the administration of W0180 in monotherapy and in combination with pembrolizumab for both escalation and expansion part of the study.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  7. Actual and Relative Dose Intensity in Participants

    Participants with actual and relative dose intensity will be summarized and assessed after administration of W0180 in monotherapy and in combination with pembrolizumab.

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  8. Escalation Part: Objective Response Rate (ORR/iORR)

    The ORR/iORR will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 22 months)

  9. Escalation Part: Disease Control Rate (DCR) Assessed by RECIST

    The DCR will be assessed per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 22 months)

  10. Escalation Part: Immune Disease Control Rate (iDCR) Assessed by iRECIST

    The iDCR will be assessed and reported per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 22 months)

  11. Observed Maximum Plasma Concentration (Cmax)

    Cmax will be assessed after administration of W0180 in monotherapy and in combination with pembrolizumab.

    Measured: From Cycle 1 Day 1 Predose to Cycle 8 Day 1: Predose (each cycle of 21 days)

  12. Experimental Half-life (T1/2)

    T1/2 will be assessed after administration of W0180 in monotherapy and in combination with pembrolizumab.

    Measured: From Cycle 1 Day 1 Predose to Cycle 8 Day 1: Predose (each cycle of 21 days)

  13. Area Under the Plasma Concentration-time Curve From Zero to the Last Quantifiable Point (AUC0-t)

    AUC0-t will be assessed after administration of W0180 in monotherapy and in combination with pembrolizumab.

    Measured: From Cycle 1 Day 1 Predose to Cycle 8 Day 1: Predose (each cycle of 21 days)

  14. Total Clearance

    Total Clearance will be Calculated as the Ratio of the Dose and the total area under the plasma concentration-time curve (AUCinf). CLtot will be assessed after administration of W0180 in monotherapy and in combination with pembrolizumab.

    Measured: From Cycle 1 Day 1 Predose to Cycle 8 Day 1: Predose (each cycle of 21 days)

  15. Number of Participants With Anti-W0180 Antibodies Post Administration of W0180 as Monotherapy and in Combination With Pembrolizumab

    Measured: From the first study treatment infusion in Cycle 1 (each cycle of 21 days) until the safety follow-up in expansion part (approximately 44 months)

  16. Expansion Part: Objective Response Rate (ORR/iORR): Confirmed and Unconfirmed

    ORR/iORR will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  17. Expansion Part: Duration of response (DOR/iDOR)

    The DOR/iDOR will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  18. Expansion Part: Time to treatment response (TTR)

    The TTR will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 and per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  19. Expansion Part: Progression Free Survival (PFS) Assessed per RECIST v1.1

    The progression free survival will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  20. Expansion Part: Progression-Free Survival (iPFS) Assessed per iRECIST

    The iPFS will be assessed and reported per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  21. Expansion Part: Disease Control Rate (DCR) Assessed per RECIST v1.1

    The DCR will be assessed and reported per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  22. Expansion Part: Disease Control Rate (iDCR) Assessed per iRECIST

    The iDCR will be assessed and reported per immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

  23. Expansion Part: Overall survival (OS)

    OS is defined as time duration which was measured from the date of first dose to the date of death due to any cause.

    Measured: Every 6 weeks for 12 months then every 8 weeks, until disease progression (Approximately 44 months)

Timeline

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

  1. First posted25 Sep 2020
  2. Study start8 Sep 2020
  3. Primary completion19 Dec 2023
  4. Study completion19 Dec 2023

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
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04564417
Sponsor's protocol ID
W00180IV101
Other IDs
2019-002299-15, 2019
Status last verified
Jul 2023
First submitted
31 Aug 2020
Last updated
31 Jan 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gomez-Roca C, Champiat S, Danlos FX, Castanon Alvarez E, Cassier PA, Dupuy E, Jegou D, Primard M, Petain A, Saccareau M, Gueguen-Dorbes G, Fabre C, Marabelle A, Melero I. First-in-human phase 1 dose-escalation study of W0180, an anti-VISTA monoclonal antibody, with and without pembrolizumab in patients with locally advanced or metastatic solid tumours. BMJ Oncol. 2026 Feb 17;5(1):e000854. doi: 10.1136/bmjonc-2025-000854. eCollection 2026.

    PubMed 41737913

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing W0180 and Pembrolizumab in people with Locally Advanced or Metastatic Solid Tumors, run by Pierre Fabre Medicament at 5 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 5 inclusion and 5 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 31 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in 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. 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?

Number of Participants With Dose-limiting Toxicities (DLTs) During the DLT Period (time frame: From Cycle 1-Day 1 up to Cycle 2-Day 1 (each cycle of 21 days)). 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 NCT04564417, 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 31 Jan 2024; AzTrials last refreshed its copy on 26 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in