Solid Tumor, AdultPhase 1/2NCT06622486
First-in-human Trial of EGL-001 in Patients with Selected Advanced And/or Metastatic Solid Tumors
A Phase 1/2 study testing EGL-001 in people with Solid Tumor, Adult, run by Egle Therapeutics at 8 sites in 2 countries.
Trial summary
This multicenter, open-label, first-in-human, Phase 1/2 study consists of a Part 1 (Phase 1) open-label dose escalation of EGL-001 administered as a single agent and in combination with an anti-PD(L)-1 treatment, followed by a Part 2 (Phase 2) open-label dose expansion of EGL-001 administered at the RP2D in patients… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor, Adult
- What is being tested?
- EGL-001
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 8 sitesin 2 countries
- Study dates
- 27 Sep 2024to 23 Jan 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
- Signed written informed consent
- Female or male patients, aged at least 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Life expectancy of at least 3 months as assessed by the investigator
- Patients with confirmed locally advanced, unresectable, or metastatic solid tumors who have been previously treated with SoC and are no longer eligible for other therapies
- Patients who have been treated with an ICI treatment as monotherapy or in combination as SoC
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- Have recovered from previous treatment
- At least 1 measurable lesion according to RECIST Version 1.1
- Adequate hematological, hepatic, and renal functions
- Negative blood pregnancy test at screening for women of childbearing potential
- Highly effective contraception during the study period and for 6 months after the last study treatment administration for WOCBP, and for male patients who are sexually active with WOCBP. Highly effective contraception methods are defined as:
- Hormonal methods of contraception including combined oral contraceptive pills, vaginal ring, injectable, implants, intrauterine devices such as Mirena and nonhormonal intrauterine devices such as ParaGard for WOCBP patients or male patients' WOCBP partners
- Tubal ligation
- Vasectomy
- In addition to highly effective contraception, participating male patients:
- Must use a condom during the study period and for 3 months after the last study treatment administration when engaging in any activity that allows for exposure to ejaculate
- Must refrain from donating sperm
- Must agree to abstain from donating blood while taking study drug and for 3 months following discontinuation of study treatment
- Able to understand the character and individual consequences of clinical trial
Who cannot join
- Patients with central nervous system metastases and/or leptomeningeal carcinomatosis with some exceptions
- Patients with active or a documented history of autoimmune disease, immune deficiency or syndrome that required systemic corticoids (except the allowed dose) or immunosuppressive medications
- Patients who received a previous ICI like anti-PD(L)-1 or an agent directed to another stimulatory or co-inhibitory T-cell receptor and was discontinued from that treatment due to toxicity
- Patients under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with exceptions. Steroids with no or minimal systemic effect (topical, inhalation) are allowed
- Patients with history of or current interstitial lung disease or fibrosis, and patients with pneumonitis
- Other active malignancy requiring active intervention
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- Patients with previous malignancies other than the target malignancy to be investigated in this trial, unless a complete remission was achieved and no additional therapy is required during the study period
- Patient with any organ transplantation, including allogeneic stem cell transplantation
- Known severe hypersensitivity reactions to monoclonal antibodies, any history of anaphylaxis, or uncontrolled asthma
- Any known allergy or severe reaction to any component of anti-CTLA-4 or anti-PD(L)-1 drug product
- Significant chronic or acute infections requiring systemic therapy including SARS-CoV-2 (COVID-19) PCR positive testing
- Clinically significant active cardiovascular disease
- Any other medical conditions or psychological disorders that would increase the safety risk to the patient or interfere with participation of the patient or the evaluation of the clinical study in the opinion of the investigator
- Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial
Trial locations and contacts
8 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
8 sites in 2 countries
France4 sites, 4 recruiting
- Not yet recruiting
Centr Georges Francois Leclerc
Dijon
Alice HERVIEU, MD, +33380737506, ahervieu@cgfl.fr
- Recruiting
Institut Regional Du Cancer De Montpellier
Montpellier
Diego TOSI, MD, +33467612304, diego.tosi@icm.unicancer.fr
- Recruiting
Institut Curie
Paris
Christophe LE TOURNEAU, MD, +33144324086, christophe.letourneau@curie.fr
- Not yet recruiting
Institut Gustave Roussy
Paris
Aurélien MARABELLE, MD, +33142115592, aurelien.marabelle@gustaveroussy.fr
Spain4 sites, 4 recruiting
- Not yet recruiting
Hospital Universitari Vall D Hebron
Barcelona
Elena GARRALDA CABANAS, MD, +34932746085, egarralda@vhio.net
- Not yet recruiting
Hospital Universitario Fundacion Jimenez Diaz
Madrid
Victor MORENO GARCIA, MD, +34915504800, victor.moreno@startmadrid.com
- Not yet recruiting
Clinica Universidad De Navarra
Pamplona
Ana LANDA MAGDALENA, MD, +34948255400, alandam@unav.es
- Recruiting
Hospital Clinico Universitario De Valencia
Valencia
Valentina GAMBARDELLA, MD, +34691135106, Valen.gambardella@gmail.com
About this study
Official title: First-in-human Phase 1/2 Trial of EGL-001 in Adult Patients with Selected Advanced And/or Metastatic Solid Tumors
This multicenter, open-label, first-in-human, Phase 1/2 study consists of a Part 1 (Phase 1) open-label dose escalation of EGL-001 administered as a single agent and in combination with an anti-PD(L)-1 treatment, followed by a Part 2 (Phase 2) open-label dose expansion of EGL-001 administered at the RP2D in patients with recurrent and/or metastatic solid tumors as monotherapy and/or combination therapy with anti-PD(L)-1.
Read the detailed description
In approximately 4 centers in France and 4 centers in Spain, 30 to 50 patients will be included in the dose escalation Part 1 of the trial. Number of participating countries and sites as well as patients will be defined based on Part 1 for Part 2 dose expansion phase.
- Conditions
- Solid Tumor, Adult
- Being tested
- EGL-001
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EGL-001Drug
IV administration
| Study group | Role | What they receive |
|---|---|---|
| Monotherapy EGL-001 Dose Level 1 | Experimental | EGL-001 Dose Level 1 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 2 | Experimental | EGL-001 Dose Level 2 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 3 | Experimental | EGL-001 Dose Level 3 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 4 | Experimental | EGL-001 Dose Level 4 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 5 | Experimental | EGL-001 Dose Level 5 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 6 | Experimental | EGL-001 Dose Level 6 Receives: Drug: EGL-001 |
| Monotherapy EGL-001 Dose Level 7 | Experimental | EGL-001 Dose Level 7 Receives: Drug: EGL-001 |
| Combination therapy with EGL-001 dose Level x | Experimental | EGL-001 Dose Level x in combination with anti-PDL1 Receives: Drug: EGL-001 |
| Combination therapy with EGL-001 dose Level y | Experimental | EGL-001 Dose Level y in combination with anti-PDL1 Receives: Drug: EGL-001 |
| Combination therapy with EGL-001 dose Level z | Experimental | EGL-001 Dose Level z in combination with anti-PDL1 Receives: Drug: EGL-001 |
What is being measured
The primary outcome is the main question the study is designed to answer.
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
DLTs occurrence per dose level of EGL-001 during the DLT period (number)
Measured: Day 1 up to 90 days after last dose
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Proportion of patients with adverse events (AEs) (%)
Measured: Day 1 up to 90 days after last dose
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Proportion of patients with treatment-emergent AEs (TEAEs) (%)
Measured: Day 1 up to 90 days after last dose
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Proportion of patients with serious AEs (SAEs) (%)
Measured: Day 1 up to 90 days after last dose
Secondary outcomes (5)
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
ORR: the proportion of patients with complete response (CR) or partial response PR), based on local evaluations using RECIST Version 1.1. (%)
Measured: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Disease control rate (DCR): the proportion of patients with CR, PR, or stable disease (SD), and assessment of DCR at 6 months (%)
Measured: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Duration of overall response (DoR): applies only to patients with CR or PR. The start date is the date of first documented response (CR or PR), and the end date is the date of first documented disease progression or the date of death due to underlying cancer (months)
Measured: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
PFS: time from the date of first study treatment administration to the date of first documented tumor progression or death due to any cause, whichever occurs first (months)
Measured: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
OS: time from the date of first study treatment administration to the date of death due to any cause. If a patient is not known to have died at the cut-off date for analysis, survival will be censored at the date of last contact (months)
Measured: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2024
- Study start27 Sep 2024
- Primary completion23 Jan 2027 (estimated)
- Study completion23 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid Tumor, AdultStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- Dose escalation followed by combination therapy
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Egle Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pejvack Motlagh, MD, Study director, Egle Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06622486
- Sponsor's protocol ID
- EGL-121
- Other IDs
- 2024-512921-10-00
- Status last verified
- Nov 2024
- First submitted
- 26 Sep 2024
- Last updated
- 7 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Consequences (RA approval, data protection, operations for datamanagement, impact on IP, on budget…) for sharing IPD are not understood by Egle-Tx. This will be done at a later stage if necessary.
Study at a glance
From the registry record, last updated by the sponsor on 7 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- First-in-human Phase 1/2 Trial of EGL-001 in Adult Patients with Selected Advanced And/or Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT06622486
- Acronym / sponsor ID
- EGL-121
- Conditions
- Solid Tumor, Adult
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Egle TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 27 Sep 2024 (actual)
- Primary completion
- 23 Jan 2027 (estimated)
- Study completion
- 23 Jan 2027 (estimated)
- First posted
- 2 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multicenter, open-label, first-in-human, Phase 1/2 study consists of a Part 1 (Phase 1) open-label dose escalation of EGL-001 administered as a single agent and in combination with an anti-PD(L)-1 treatment, followed by a Part 2 (Phase 2) open-label dose expansion of EGL-001 administered at the RP2D in patients with recurrent and/or metastatic solid tumors as monotherapy and/or combination therapy with anti-PD(L)-1.
Detailed description
In approximately 4 centers in France and 4 centers in Spain, 30 to 50 patients will be included in the dose escalation Part 1 of the trial. Number of participating countries and sites as well as patients will be defined based on Part 1 for Part 2 dose expansion phase.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 10
- Model description
- Dose escalation followed by combination therapy
| Arm | Type | Receives |
|---|---|---|
| Monotherapy EGL-001 Dose Level 1 | Experimental | Drug: EGL-001EGL-001 Dose Level 1 |
| Monotherapy EGL-001 Dose Level 2 | Experimental | Drug: EGL-001EGL-001 Dose Level 2 |
| Monotherapy EGL-001 Dose Level 3 | Experimental | Drug: EGL-001EGL-001 Dose Level 3 |
| Monotherapy EGL-001 Dose Level 4 | Experimental | Drug: EGL-001EGL-001 Dose Level 4 |
| Monotherapy EGL-001 Dose Level 5 | Experimental | Drug: EGL-001EGL-001 Dose Level 5 |
| Monotherapy EGL-001 Dose Level 6 | Experimental | Drug: EGL-001EGL-001 Dose Level 6 |
| Monotherapy EGL-001 Dose Level 7 | Experimental | Drug: EGL-001EGL-001 Dose Level 7 |
| Combination therapy with EGL-001 dose Level x | Experimental | Drug: EGL-001EGL-001 Dose Level x in combination with anti-PDL1 |
| Combination therapy with EGL-001 dose Level y | Experimental | Drug: EGL-001EGL-001 Dose Level y in combination with anti-PDL1 |
| Combination therapy with EGL-001 dose Level z | Experimental | Drug: EGL-001EGL-001 Dose Level z in combination with anti-PDL1 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Signed written informed consent
- Female or male patients, aged at least 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Life expectancy of at least 3 months as assessed by the investigator
- Patients with confirmed locally advanced, unresectable, or metastatic solid tumors who have been previously treated with SoC and are no longer eligible for other therapies
Key exclusion criteria (14 listed)
- Patients with central nervous system metastases and/or leptomeningeal carcinomatosis with some exceptions
- Patients with active or a documented history of autoimmune disease, immune deficiency or syndrome that required systemic corticoids (except the allowed dose) or immunosuppressive medications
- Patients who received a previous ICI like anti-PD(L)-1 or an agent directed to another stimulatory or co-inhibitory T-cell receptor and was discontinued from that treatment due to toxicity
- Patients under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with exceptions. Steroids with no or minimal systemic effect (topical, inhalation) are allowed
- Patients with history of or current interstitial lung disease or fibrosis, and patients with pneumonitis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EGL-001IV administration | Drug | Combination therapy with EGL-001 dose Level x, Combination therapy with EGL-001 dose Level y, Combination therapy with EGL-001 dose Level z, Monotherapy EGL-001 Dose Level 1, Monotherapy EGL-001 Dose Level 2, Monotherapy EGL-001 Dose Level 3, Monotherapy EGL-001 Dose Level 4, Monotherapy EGL-001 Dose Level 5, Monotherapy EGL-001 Dose Level 6, Monotherapy EGL-001 Dose Level 7 |
Primary outcome
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Time frame: Day 1 up to 90 days after last dose
DLTs occurrence per dose level of EGL-001 during the DLT period (number)
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Time frame: Day 1 up to 90 days after last dose
Proportion of patients with adverse events (AEs) (%)
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Time frame: Day 1 up to 90 days after last dose
Proportion of patients with treatment-emergent AEs (TEAEs) (%)
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds)
Time frame: Day 1 up to 90 days after last dose
Proportion of patients with serious AEs (SAEs) (%)
5 secondary outcomes
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Time frame: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Time frame: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Time frame: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Time frame: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
To evaluate the preliminary antitumor efficacy (according to RECIST v1.1)
Time frame: From Dose 1 to to the date of first documented tumor progression or death due to any cause, whichever occurs first.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Nov 2024.
- Individual participant dataSharing planned: No. Consequences (RA approval, data protection, operations for datamanagement, impact on IP, on budget…) for sharing IPD are not understood by Egle-Tx. This will be done at a later stage if necessary.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Pejvack Motlagh, MD study director
Egle Therapeutics
8 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing EGL-001 in people with Solid Tumor, Adult, run by Egle Therapeutics at 8 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 19 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 7 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 8 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 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 Pejvack Motlagh, MD (33660462343, contact@egle-tx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To evaluate the safety, tolerability, dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD) leading to the recommended Phase 2 doses (RP2Ds) (time frame: Day 1 up to 90 days after last dose). The study lists 4 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 7 Nov 2024.