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Advanced Solid TumorPhase 1/2NCT05824975

A Study to Evaluate the Safety and Therapeutic Activity of GI-102 As a Single Agent and in Combination with Conventional Anti-cancer Drugs, Pembrolizumab or Trastuzumab Deruxtecan(T-DXd) in Patients with Advanced Solid Tumors (KEYNOTE-G08)

A Phase 1/2 study testing GI-102 subcutaneous (SC), GI-102 and doxorubicin in people with Advanced Solid Tumor and Metastatic Solid Tumor, run by GI Innovation, Inc. at 11 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-102 as a single agent and in combination with conventional anti-cancer drugs, pembrolizumab or trastuzumab deruxtecan(T-DXd) over a range of advanced and/or metastatic solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
GI-102 subcutaneous (SC), GI-102 and doxorubicin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
358 participants
Where
11 sitesin 2 countries
Study dates
30 May 2023to 24 Apr 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Males and females aged ≥ 18 years (or ≥ 19 years according to local regulatory guidelines) at the time of screening.
  • Has adequate organ and marrow function as defined in protocol.
  • Measurable disease as per RECIST v1.1.
  • ECOG performance status 0-1.
  • Adverse events related to any prior chemotherapy, radiotherapy, immunotherapy, other prior systemic anti-cancer therapy, or surgery must have resolved to Grade ≤1, except alopecia and Grade 2 peripheral neuropathy.
  • HIV infected patients must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease as defined in protocol.

Who cannot join

  • Has known active CNS metastases and/or carcinomatous meningitis.
  • An active second malignancy.
  • Has active or a known history of Hepatitis B or known active Hepatitis C virus infection.
  • Has active tuberculosis or has a known history of active tuberculosis.
  • Active or uncontrolled infections, or severe infection within 4 weeks before study treatment administration.
  • History of chronic liver disease or evidence of hepatic cirrhosis, except patients with liver metastasis.
Show all 14Show fewer
  • Has an active autoimmune disease that has required systemic treatment in past 2 years.
  • Previous immunotherapies related to mode of action of GI-102.
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive medications within 2 weeks prior to Cycle 1 Day 1.
  • Administration of prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to treatment.
  • Radiotherapy within the last 2 weeks before start of study treatment administration, with exception of limited field palliative radiotherapy.
  • Administration of a live, attenuated vaccine within 4 weeks before Cycle 1 Day 1.
  • Known hypersensitivity to any of the components of the drug products and/or excipients of GI-102.
  • Other protocol defined inclusion exclusion criteria may apply

Trial locations and contacts

11 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

11 sites in 2 countries

South Korea6 sites, 6 recruiting
  • Seoul National University Hospital

    Seoul, Seoul, 03080

    Seock-Ah Im, MD, PhD

    Recruiting
  • Yonsei University Health System, Severance Hospital

    Seoul, 03722

    Byoung Chul Cho, MD, PhD

    Recruiting
  • Yonsei University Health System, Severance Hospital

    Seoul, 03722

    Jung-Yun Lee, MD, PhD

    Recruiting
  • Asan Medical Center

    Seoul, 05505

    Jae-Lyun Lee, MD, PhD

    Recruiting
  • Samsung Medical Center

    Seoul, 06351

    Seung Tae Kim, MD, PhD

    Recruiting
  • St. Vincent's Hospital

    Suwon, suwon, 12647

    Byoung Yong Shim, MD, PhD

    Recruiting

Other trials in South Korea

United States5 sites, 5 recruiting
  • Cleveland Clinic

    Cleveland, Ohio, 44195

    Wen Wee Ma, MBBS

    Recruiting
  • Mayo Clinic in Florida

    Jacksonville, Florida, 32224

    Yujie Zhao, MD, PhD

    Recruiting
  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10065

    Viswatej Avutu, MD

    Recruiting
  • Mayo Clinic in Minnesota

    Rochester, Minnesota, 55905

    Jian Li Campian, MD, PhD

    Recruiting
  • Mayo Clinic in Arizona

    Scottsdale, Arizona, 85259

    Mahesh Seetharam, MD

    Recruiting

Other trials in United States

About this study

Official title: An Open-label, Multicenter, Dose Escalation and Expansion Phase 1/2 Study to Evaluate the Safety, Tolerability and Pharmacokinetics, and Anti-tumor Activity of GI-102, a CD80-IgG4 Fc-IL-2v Bispecific Fusion Protein, As a Single Agent and in Combination with Conventional Anti-cancer Drugs, Pembrolizumab or Trastuzumab Deruxtecan(T-DXd) in Patients with Advanced or Metastatic Solid Tumors (KEYNOTE-G08)

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and therapeutic activity of GI-102 as a single agent and in combination with conventional anti-cancer drugs, pembrolizumab or trastuzumab deruxtecan(T-DXd) over a range of advanced and/or metastatic solid tumors.

Read the detailed description

This is a phase 1/2, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, and anti-tumor effect of GI-102 as a single agent and in combination with conventional anti-cancer drugs, pembrolizumab or trastuzumab deruxtecan(T-DXd) over a range of advanced and/or metastatic solid tumors. This study is adaptive in nature.

The study is composed of four parts:

  • Part A: Dose escalation and optimization phase of GI-102 intravenous (IV) monotherapy
  • Part A dose escalation phase
  • Part A dose optimization phase: Dose optimization cohorts in patients with 2L+, CPI-refractory metastatic melanoma
  • Part B: Dose escalation and expansion phase of GI-102 subcutaneous (SC) monotherapy
  • Part C: Indication specific cohorts of GI-102 IV in combination with conventional anti-cancer drugs or trastuzumab deruxtecan (T-DXd)
  • Part D: Indication specific cohorts of GI-102 IV in combination with pembrolizumab

GI-102 is a novel bi-specific Fc fusion protein containing the CD80 ectodomain as an N-terminal moiety and an interleukin (IL)-2 variant as a C-terminal moiety configurated via a human immunoglobulin G4 (IgG4) Fc. GI-102 has unique characteristics by having bispecificity to CD80 and IL2Rβγ. The CD80 portion is responsible for targeting tumor/immune cells while blocking CTLA-4 expressed on the Treg cells. The IL-2v of GI-102 is designed to abolish IL-2Rα affinity and therefore minimize the effect on Treg while it has very outstanding effect on NK and CD8 T cell proliferation and activity through IL-2Rbr affinity.

Being tested
GI-102 subcutaneous (SC), GI-102, doxorubicin, paclitaxel, bevacizumab
Keywords
GI-102, CD80-IgG4 Fc-IL2 variant, Immunotherapy, IL-2, Interleukin-2, bispecific protein, immunocytokine, CD80, CTLA-4, Pembrolizumab, T-DXd, Trastuzumab deruxtecan, Doxorubicin, Paclitaxel, Bevacizumab, Eribulin
Medical subject headings
Neoplasm Metastasis, Sarcoma, Carcinoma, Hepatocellular, Colorectal Neoplasms, Melanoma, Carcinoma, Renal Cell, Diabetes Mellitus, Insulin-Dependent, 12

What participants receive

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

  • GI-102 subcutaneous (SC)Drug

    0.12 mg/kg, 0.24 mg/kg or Recommended phase 2 dose of GI-102 will be administered via SC injection Q3W up to 2 years (approximately 35 years).

  • GI-102Drug

    Dose level will be escalated from 0.06 mg/kg to 0.45 mg/kg and Recommended phase 2 dose (or RP2D-1, RP2D+1) of GI-102 will be administered via IV infusion Q3W up to 2 years (approximately 35 years).

  • doxorubicinDrug

    Doxorubicin will be administered intravenously at a dose of 75 mg/m2 on Day 3 every 3-week (21-day) cycle for up to 6 cycles.

  • paclitaxelDrug

    Paclitaxel will be administered intravenously over 1 hour at a dose of 80 mg/m2 each time weekly as a diluted solution according to the prescribing information.

  • bevacizumabDrug

    Bevacizumab will be administered intravenously at a dose of 10 mg/kg every 2 weeks.

  • eribulinDrug

    Eribulin will be administered intravenously at a dose of over 1.4 mg/m2 over 2 to 5 minutes on Days 3 and 10 every 3-week (21-day) cycle.

  • trastuzumab deruxtecan (T-DXd)Drug

    Also called ENHERTU®

    T-DXd will be administered initially as a 5.4 mg/kg (or 6.4 mg/kg only for gastric cancer) IV over 30 - 90 minutes every 3 weeks.

  • pembrolizumabDrug

    Also called KEYTRUDA®

    pembrolizumab will be administered at a dose of 200 mg as IV infusion Q3W.

  • GI-102Drug

    Recommended phase 2 dose (or RP2D-1, RP2D-2) of GI-102 will be administered via IV infusion Q3W up to 2 years (approximately 35 years).

Study groups in NCT05824975
Study groupRoleWhat they receive
GI-102ExperimentalDose escalation: GI-102 intravenous (IV), multiple ascending doses Dose optimization: GI-102 intravenous (IV), sRP2D Dose optimization: GI-102 intravenous (IV), sRP2D-1 (or sRP2D+1)
Receives: Drug: GI-102
GI-102 subcutaneous (SC)ExperimentalDose escalation: GI-102 subcutaneous (SC), multiple ascending doses Dose expansion: GI-102 subcutaneous (SC), sRP2D
Receives: Drug: GI-102 subcutaneous (SC)
GI-102 + doxorubicinExperimentalNot described
Receives: Drug: doxorubicin; Drug: GI-102
GI-102 + paclitaxel + bevacizumabExperimentalNot described
Receives: Drug: paclitaxel; Drug: bevacizumab; Drug: GI-102
GI-102 + eribulinExperimentalNot described
Receives: Drug: eribulin; Drug: GI-102
GI-102 + trastuzumab deruxtecan (T-DXd)ExperimentalNot described
Receives: Drug: trastuzumab deruxtecan (T-DXd); Drug: GI-102
GI-102 + pembrolizumabExperimentalNot described
Receives: Drug: pembrolizumab; Drug: GI-102

What is being measured

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

  1. Incidence and nature of Dose-Limiting Toxicity (DLTs) (dose escalation phase of Part A and B)

    A DLT is defined as a clinically significant AE (classified according to the NCI CTCAE version 5) or significant laboratory abnormality that occur during the DLT assessment periods, during dose escalation and dose expansion, and is considered by the Investigator to be related to GI-102.

    Measured: Study Day 1, assessed up to DLT period (3 weeks after treatment)

  2. Incidence, nature, and severity of adverse events (AEs) and immune-related AEs (irAEs) (dose escalation phase of Part A and B)

    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 AE 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. Preexisting conditions which worsen during a study are also considered as AEs. All AE events will be graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Measured: Study Day 1, assessed up to approximately 24 months

  3. Objective Response Rate (ORR) (dose optimization phase of Part A, dose expansion phase of Part B, Part C and D)

    ORR is defined as the percentage of participants with investigator-assessed objective response of complete response (CR) or partial response (PR). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels (as applicable to non-target lesions).

    Measured: Study Day 1, assessed up to approximately 24 months

Secondary outcomes (12)
  1. Objective Response Rate (ORR) (dose escalation phase of Part A and B)

    ORR is defined as the percentage of participants with investigator-assessed objective response of complete response (CR) or partial response (PR). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker levels (as applicable to non-target lesions).

    Measured: Study Day 1, assessed up to approximately 24 months

  2. Incidence and nature of Dose-Limiting Toxicity (DLTs) (dose optimization phase of Part A, dose expansion phase of Part B, Part C and D)

    A DLT is defined as a clinically significant AE (classified according to the NCI CTCAE version 5) or significant laboratory abnormality that occur during the DLT assessment periods, during dose escalation and dose expansion, and is considered by the Investigator to be related to GI-102.

    Measured: Study Day 1, assessed up to DLT period (3 weeks after treatment)

  3. Incidence, nature, and severity of adverse events (AEs) and immune-related AEs (irAEs) (dose optimization phase of Part A, dose expansion phase of Part B, Part C and D)

    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 AE 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. Preexisting conditions which worsen during a study are also considered as AEs. All AE events will be graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Measured: Study Day 1, assessed up to approximately 24 months

  4. Disease Control Rate (DCR)

    DCR is defined as the percentage of patients who have achieved CR, PR and stable disease (SD), per RECIST v1.1 guideline as determined by the investigators.

    Measured: Study Day 1, assessed up to approximately 24 months

  5. Duration of objective response (DoR)

    DCR is defined as the time from the first occurrence of a documented objective response to the time of the first document disease progression or death from any cause, whichever occurs first, per RECIST v1.1 as determined by the investigator.

    Measured: Study Day 1, assessed up to approximately 24 months

  6. Progression-free survival (PFS)

    PFS is defined as the time from the first study treatment (Day 1) to the first occurrence of progression or death from any cause, whichever occurs first, per RECIST v1.1 guideline as determined by the investigator

    Measured: 6-month, 12-month, and 18-month

  7. Overall survival (OS)

    OS is defined as the time from the first study treatment to death from any cause

    Measured: 12-month and 18-month

  8. Peak plasma concentration (Cmax) of GI-102

    Based on the concentration vs time profile by dose level

    Measured: Study Day 1, assessed up to approximately 24 months

  9. Half-life of GI-102 (T1/2)

    Based on the concentration vs time profile by dose level

    Measured: Study Day 1, assessed up to approximately 24 months

  10. Area under the plasma concentration versus time curve (AUC) of GI-102

    Based on the concentration vs time profile by dose level

    Measured: Study Day 1, assessed up to approximately 24 months

  11. Clearance of GI-102

    Based on the concentration vs time profile by dose level

    Measured: Study Day 1, assessed up to approximately 24 months

  12. Volume of distribution (Vd) of GI-102 after administration

    Based on the concentration vs time profile by dose level

    Measured: Study Day 1, assessed up to approximately 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 posted24 Apr 2023
  2. Study start30 May 2023
  3. Primary completion12 Nov 2025 (estimated)
  4. Study completion24 Apr 2027 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
358 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05824975
Sponsor's protocol ID
GII-102-P101
Other IDs
KEYNOTE-G08, MK3475-G08
Status last verified
Nov 2024
First submitted
28 Mar 2023
Last updated
25 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing GI-102 subcutaneous (SC), GI-102 and doxorubicin in people with Advanced Solid Tumor and Metastatic Solid Tumor, run by GI Innovation, Inc. at 11 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 6 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 25 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in South Korea, United States. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jay Kim (+82-2-404-2003, Clinical-102@gi-innovation.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and nature of Dose-Limiting Toxicity (DLTs) (dose escalation phase of Part A and B) (time frame: Study Day 1, assessed up to DLT period (3 weeks after treatment)). 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 25 Nov 2024.

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