ADG126, ADG126 in Combination With Anti PD1 Antibody, and ADG126 in Combination With ADG106 in Advanced/Metastatic Solid Tumors

NCT ID: NCT04645069

Last Updated: 2024-08-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-15

Study Completion Date

2024-05-17

Brief Summary

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ADG126, ADG126 in Combination with anti-PD1 antibody, and ADG126 in Combination with ADG106 in Patients with Advanced/Metastatic Solid Tumors .

Detailed Description

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ADG126 is a novel anti-CTLA-4 fully human IgG1 antibody prodrug that is modified with Adagene Safebody technology to control the activation of anti-CTLA4 activity.ADG106 is a fully human ligand-blocking, agonistic anti-CD137 IgG4 mAb which is expected to enhance the activity of activated T cells. The enhanced antitumor efficacy results observed from the preclinical studies of ADG126 in combination with ADG106 or anti-PD-1 provided further support to explore such combinations in clinical settings for better patient responses.

Conditions

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Advanced/Metastatic Solid Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ADG126 mono dose escalation

ADG126 monotherapy dose escalation will be traditional 3+3 cohort design.

Group Type EXPERIMENTAL

ADG126 Mono

Intervention Type BIOLOGICAL

ADG126 will be administered as an IV infusion over 30-60 minutes ± 15 minutes.

ADG126 mono dose expansion

Monotherapy dose expansion is designed to evaluate the preliminary antitumor activity of ADG126 at RP2D or the doses approved by the SRC.

Group Type EXPERIMENTAL

ADG126 Mono

Intervention Type BIOLOGICAL

ADG126 will be administered as an IV infusion over 30-60 minutes ± 15 minutes.

ADG126-anti PD1 drug dose escalation

Combination therapy will commence at a dose level lower than the cleared dose from the monotherapy dose escalation arms and approved by the SRC.

Group Type EXPERIMENTAL

ADG126-anti PD1

Intervention Type BIOLOGICAL

ADG126-toripalimab combination regimen will receive of toripalimab 15 to 30 minutes after the end of the ADG126 infusion

ADG126-anti PD1 drug dose expansion

Combination therapy expansion will commence at RP2D or the dose approved by the SRC.

Group Type EXPERIMENTAL

ADG126-anti PD1

Intervention Type BIOLOGICAL

ADG126-toripalimab combination regimen will receive of toripalimab 15 to 30 minutes after the end of the ADG126 infusion

ADG126-ADG106 dose escalation

Combination therapy will commence at a dose level lower than the cleared dose from the monotherapy dose escalation arms and approved by the SRC.

Group Type EXPERIMENTAL

ADG126-ADG106

Intervention Type BIOLOGICAL

ADG126-ADG106 combination regimen will be receive of ADG106 15 to 30 minutes after the end of the ADG126 infusion

ADG126-ADG106 dose expansion

Combination therapy expansion will commence at RP2D or the dose approved by the SRC.

Group Type EXPERIMENTAL

ADG126-ADG106

Intervention Type BIOLOGICAL

ADG126-ADG106 combination regimen will be receive of ADG106 15 to 30 minutes after the end of the ADG126 infusion

Interventions

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ADG126 Mono

ADG126 will be administered as an IV infusion over 30-60 minutes ± 15 minutes.

Intervention Type BIOLOGICAL

ADG126-anti PD1

ADG126-toripalimab combination regimen will receive of toripalimab 15 to 30 minutes after the end of the ADG126 infusion

Intervention Type BIOLOGICAL

ADG126-ADG106

ADG126-ADG106 combination regimen will be receive of ADG106 15 to 30 minutes after the end of the ADG126 infusion

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Adults ≥18 years of age.
2. ECOG performance status 0 or 1.
3. Estimated life expectancy of more than 12 weeks .
4. Patients with advanced or metastatic solid tumors, confirmed by histologically or pathologically documented, who have progressed after all standard therapies, or for whom no further standard therapy exists.
5. At least 1 measurable lesion at baseline according to the definition of RECIST v1.1.
6. Adequate organ function.
7. Meets the additional tumor type requirements as specified in Protocol.

Exclusion Criteria

1. Treatment with any investigational drug within washout period.
2. Major trauma or major surgery within 4 weeks prior to first dose of study drug(s)
3. History of significant immune-mediated AE.
4. Central nervous system (CNS) disease involvement.
5. Prior organ allograft transplantations or allogeneic peripheral blood stem cell (PBSC)/bone marrow (BM) transplantation
6. Clinically significant cardiac disease.
7. Evidence of active uncontrolled viral, bacterial, or systemic fungal infection.
8. Patients who received:

1. A COVID-19 vaccine within 7 days of Cycle 1 Day 1.
2. Live vaccines or live-attenuated vaccines within 28 days prior to Cycle 1 Day 1.
9. Known active infection of HBV/BCV/HIV.
10. Patients requiring systemic treatment with corticosteroids or other immunosuppressive medications (\>10 mg/day prednisone or equivalent).
11. Second primary malignancy not in remission for greater than 3 years.
12. History(within the last 5 years) or risk of autoimmune disease.
13. Pregnant or breastfeeding females.
14. Childbearing potential who does not agree to the use of contraception during the treatment period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Adagene Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California Los Angeles

Los Angeles, California, United States

Site Status

Next oncology

San Antonio, Texas, United States

Site Status

Southside Cancer Care Centre

Miranda, New South Wales, Australia

Site Status

Macquarie University Hospital

Sydney, New South Wales, Australia

Site Status

Sunshine Coast University Private Hospital

Birtinya, Queensland, Australia

Site Status

Cabrini Health Limited

Malvern, Victoria, Australia

Site Status

One Clinical Research Pty Ltd

Nedlands, Western Australia, Australia

Site Status

National University Hospital

Singapore, , Singapore

Site Status

National Cancer Centre Singapore

Singapore, , Singapore

Site Status

Countries

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United States Australia Singapore

Other Identifiers

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ADG126-1001

Identifier Type: -

Identifier Source: org_study_id

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