Assessment of Safety and Preliminary Efficacy With BAT6021 in Solid Tumor Patients

NCT ID: NCT05073484

Last Updated: 2023-10-11

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-29

Study Completion Date

2023-03-30

Brief Summary

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This first-in-human open-label, multi center, dose-escalation and expansion study is designed to evaluate the safety, tolerability, and PK of BAT6021 alone or in combination with BAT1308 (an anti-PD-1 antibody) in participants with locally advanced, recurrent, or metastatic incurable tumors for whom standard therapy does not exist, has proven to be ineffective or intolerable, or is considered inappropriate, or for whom a clinical trial of an investigational agent is a recognized standard of care.

Detailed Description

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Anti-PD-1 and anti-PD-L1 antibodies targeting the immuno-inhibitory PD-1 pathway (thus activating T cells) have achieved clinical success in many types of cancers. However, studies have shown that anti-TIGIT antibodies not only trigger T cells and Natural Killer(NK) cells, but they can also activate T cells to a greater extent than anti-PD-1 antibodies. Therefore, further clinical investigation of anti-TIGIT antibodies such as BAT6021 is warranted.

PD-1 and TIGIT are commonly co-expressed in T cells of the same tumor; thus, combining anti-TIGIT antibodies with PD-1/PD-L1 inhibitors may be a more effective cancer treatment. Indeed, anti-TIGIT antibodies have demonstrated synergy with anti-PD-1/PD-L1 antibodies in preclinical models. In addition, sponsor have shown that single administration of BAT1308 or BAT6021 could not effectively inhibit CT26 tumor growth in PD-1/TIGIT- humanized syngeneic mice; however, the combination treatment resulted in potent anti-tumor activity. Therefore, combined treatment with BAT6021 and an anti-PD-1/PD-L1 antibody like BAT1308 could improve therapeutic outcomes.

Conditions

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Advanced Solid Tumor

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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10 mg of BAT6021

BAT6021 100mg/vial,10mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

30 mg of BAT6021

BAT6021 100mg/vial,30mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

100 mg of BAT6021

BAT6021 100mg/vial,100mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

300 mg of BAT6021

BAT6021 100mg/vial,300mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

600 mg of BAT6021

BAT6021 100mg/vial,600mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

900 mg of BAT6021

BAT6021 100mg/vial,900mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

100mg BAT6021+300mg BAT1308

BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 100mg+BAT1308 300mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

BAT1308

Intervention Type DRUG

Ⅳ infusions

300mg BAT6021+300mg BAT1308

BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 300mg+BAT1308 300mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

BAT1308

Intervention Type DRUG

Ⅳ infusions

600mg BAT6021+300mg BAT1308

BAT6021 100mg/vial,BAT1308 100mg/vial ; BAT6021 600mg+BAT1308 300mg Ⅳ infusions

Group Type EXPERIMENTAL

BAT6021

Intervention Type DRUG

Ⅳ infusions

BAT1308

Intervention Type DRUG

Ⅳ infusions

Interventions

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BAT6021

Ⅳ infusions

Intervention Type DRUG

BAT1308

Ⅳ infusions

Intervention Type DRUG

Other Intervention Names

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Recombinant Humanized Anti-TIGIT Antibody Solution for Injection Recombinant Anti-PD-1 Humanized Monoclonal Antibody Injection

Eligibility Criteria

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Inclusion Criteria

1. Able to give voluntary informed consent and understand the study and are willing to follow and complete all the test procedures.
2. Aged ≥ 18 years.
3. Life expectancy ≥ 3 months.
4. ECOG performance status ≤ 1.
5. Histologically/cytologically confirmed, locally advanced unresectable or metastatic solid tumors that are refractory to standard therapy, or for whom no standard therapy exists.
6. Has measurable disease per RECIST v1.1. that was not in a prior radiation or other locally treated area, unless imaging-based progression has been clearly documented following radiation or other local therapy.

Exclusion Criteria

1. Females who are pregnant or nursing.
2. Receiving concurrent anticancer therapy or investigational therapy (including chemotherapy, radiation therapy, surgery, immunotherapy, hormonal therapy, targeted therapy, biologic therapy).
3. Has remaining AEs \> Grade 1 from prior antitumor treatment as per CTCAE v5.0, with the exception of alopecia.
4. Participants with primacy central nervous system (CNS) malignancy, symptomatic CNS metastases, meningeal metastases or leptomeningeal disease are not allowed. Note: Participants with asymptomatic CNS metastases are eligible if clinically controlled, which is defined as 1) ≥ 4 weeks of stable neurologic function following CNS-directed therapy prior to Screening, 2) no evidence of CNS disease progression as determined by radiographic imaging ≥ 4 weeks prior to Screening, 3) ≥ 2 weeks from discontinuation of anti-seizure and steroid therapies (receiving prednisone ≤ 10mg or equivalent steroid therapies is allowed) prior to Screening.
5. Had major surgery within 28-days of the Screening Visit. Note: Participants who have undergone a non-major surgical procedure ≥ 28 days prior to Screening must have recovered adequately from the toxicity and/or complications from the intervention before administration of the first dose of study drugs.
6. History of tissue or organ transplantation.
7. History of severe infection deemed clinically significant by the PI or designee within 4 weeks or signs and symptoms of any active infection within 2 weeks prior to the first dose of study drugs.
8. History of human immunodeficiency virus (HIV) infection or history of autoimmune diseases.
9. Active hepatitis B or C. Note: Hepatitis B virus (HBV) carriers without active disease (HBV DNA titer \< 1000 copies/mL or 200 IU/mL) or cured Hepatitis C (negative HCV RNA test) may be enrolled.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bio-Thera Solutions

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abhijit Pal, M.D, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Medical Oncologist at cancer Therapy, Liverpool Hospital

Locations

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Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status

Macquarie University Hospital

Sydney, New South Wales, Australia

Site Status

Cabrini Hospital Malvern

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

Other Identifiers

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BAT-6021-002-CR

Identifier Type: -

Identifier Source: org_study_id

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