First in Human Study of IMGN151 in Recurrent Gynaecological Cancers

NCT ID: NCT05527184

Last Updated: 2025-12-15

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

423 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-11

Study Completion Date

2027-02-28

Brief Summary

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IIMGN151-1001 is a Phase 1, first in human, open-label dose-escalation, optimization, and expansion study designed to characterize the safety, tolerability, pharmacokinetics (PK), immunogenicity, and preliminary antitumor activity of IMGN151 in adult participants with recurrent endometrial cancer; recurrent, high-grade serous epithelial ovarian, fallopian tube, and primary peritoneal cancers; or recurrent cervical cancers. All participants will be, in the opinion of the investigator, appropriate for nonplatinum single-agent therapy for their next line of therapy.

Detailed Description

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Participants may continue on study drug based on clinical benefit until disease progression, adverse event (AE) requiring discontinuation, withdrawal of consent, physician decision, or other discontinuation criteria are met.

Conditions

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Endometrial Cancer High Grade Serous Adenocarcinoma of Ovary Primary Peritoneal Carcinoma Fallopian Tube Cancer Cervical Cancer

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IMGN151

IMGN151 is administered via intravenous (IV) infusion on Day 1 of Cycle 1 every 3-week cycle (Q3W).

Group Type EXPERIMENTAL

IMGN151

Intervention Type DRUG

IMGN151 is an antibody-drug conjugate (ADC).

Interventions

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IMGN151

IMGN151 is an antibody-drug conjugate (ADC).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
2. Dose-Escalation Phase: Recurrent endometrial cancer or high-grade serous epithelial ovarian, fallopian tube, and primary peritoneal cancer (EOC) and who have exhausted appropriate standard-of-care therapy.
3. Dose Optimization: Platinum-resistant, high-grade serous EOC (PROC) with no previous folate receptor alpha (FRα)-directed therapy. Participants with PROC will have had no more than 5 prior lines of therapy, with no more than 2 prior therapies since development of platinum resistance.
4. Expansion Phase:

1. For Cohort A, recurrent endometrial cancer (high-grade endometrioid or serous histology only) with 1-3 prior lines of therapy.
2. For Cohort B, PROC with no previous FRα-directed therapy and no more than 5 prior lines of therapy, with no more than 2 prior therapies since development of platinum resistance.
3. For Cohort C, PROC with previous FRα-directed therapy with at least one intervening anticancer therapy between prior FRα-directed therapy and IMGN151.
4. For Cohort D, EOC of one of the following histologies: carcinosarcoma, endometrioid, and low-grade serous carcinoma and have exhausted appropriate standard-of-care therapy.
5. For Cohort E, cervical cancer including the following histologies: squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma with 1-4 prior lines of therapy.
6. For participants with cervical cancer with Combined Positive Score (CPS) \> 1 or with endometrial cancer, prior checkpoint inhibitor therapy, alone or in combination, is required if available locally and medically appropriate.
5. Evaluable lesions

1. Dose-Escalation Phase: Participants may have radiologically evaluable or nonevaluable disease.
2. Dose Optimization and Expansion Phase: Participants must have at least 1 lesion that meets the definition of measurable disease by RECIST v1.1 (radiologically measured by the investigator).
6. Willing to provide an archival tumor tissue block or slides or to undergo a procedure to obtain a new biopsy using a low-risk, medically routine procedure.
7. Participants must have stabilized or recovered (Grade 1 or baseline) from all prior therapy-related toxicities (except alopecia or hemoglobin within 10 days before Cycle 1 Day 1).
8. Participants must have completed any major surgery at least 4 weeks prior to first dose of IMGN151 and have recovered or stabilized from the side effects of prior surgery prior to first dose of IMGN151.
9. Participants must have adequate organ and bone marrow function.

Exclusion Criteria

1. Participants with ovarian cancer with histologies including clear cell, mucinous, or borderline ovarian tumor.

1. With the exception of participants enrolled in Cohort D, participants with ovarian cancer with histologies including endometrioid, sarcomatous histology, mixed tumors containing any of the above histologies, as well as low-grade serous carcinoma.
2. For Cohort A, participants with endometrial cancer with histologies other than high-grade serous or high-grade endometrioid.
3. For Cohort E, participants with cervical cancer with histologies other than adenocarcinoma, squamous cell carcinoma, and adenosquamous carcinoma.
2. For Cohort B and Dose Optimization: participants with primary platinum refractory ovarian cancer, defined as disease progression on or within 3 months completion of first platinum-based treatment.
3. Radiation therapy of \> 20% of the potential bone marrow
4. Participants with \> Grade 1 peripheral neuropathy per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
5. Participants with the following ocular history and/or concurrent disorders:

1. Active or chronic corneal epithelial disorders other than non-confluent superficial keratopathy/keratitis, including confluent superficial punctate keratopathy/keratitis (SPK) not expected to resolve to non-confluence or better within the screening window with standard-of-care intervention
2. History of corneal transplantation
3. Undergoing active postoperative management for refractive surgery, cataract surgery, corneal cross-linking, or corneal complications of surgery
4. Active or chronic clinically significant (≥ Grade 3) corneal disorders (for example, Fuch's dystrophy or neurotrophic keratitis)
5. Active ocular conditions requiring ongoing treatment/monitoring, such as glaucoma, which is not adequately controlled with medication or surgery, wet age-related macular degeneration requiring intravitreal injections, active diabetic retinopathy with macular edema, presence of papilledema, an ocular condition with high risk of retinal detachment
6. Monocular vision with visual acuity in the worse-seeing eye (worse than 20/200 or visual fields less than 20 degrees)
6. Serious concurrent illness or clinically relevant active infection.
7. A history of multiple sclerosis or other demyelinating disease and/or Lambert-Eaton syndrome (paraneoplastic syndrome)
8. Participants with clinically significant cardiac disease.
9. A history of hemorrhagic or ischemic stroke within 6 months before enrollment
10. A history of cirrhotic liver disease (Child-Pugh Class B or C)
11. Participants with evidence of pneumonitis on baseline imaging or Participants with a previous clinical diagnosis of noninfectious interstitial lung disease (ILD), including noninfectious pneumonitis
12. Participants with prior hypersensitivity to monoclonal antibodies (mAb)
13. Females who are pregnant or breastfeeding
14. For Dose Optimization and Expansion Phase: Participants who received a prior FRα-targeting agent, with the exception of participants enrolled in the prior FRα-targeting agent, ovarian cancer cohort (Cohort C).
15. Untreated or symptomatic central nervous system metastases
16. A history of other malignancy within 3 years before enrollment
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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University of Alabama at Birmingham /ID# 269045

Birmingham, Alabama, United States

Site Status RECRUITING

City of Hope National Medical Center /ID# 269036

Duarte, California, United States

Site Status RECRUITING

Moores Cancer Center /ID# 269040

La Jolla, California, United States

Site Status RECRUITING

University of California Los Angeles Medical Center /ID# 269037

Los Angeles, California, United States

Site Status RECRUITING

Hoag Memorial Hospital Presbyterian /ID# 269047

Newport Beach, California, United States

Site Status RECRUITING

UCHSC Anschultz Cancer Pavilion /ID# 269056

Aurora, Colorado, United States

Site Status RECRUITING

AdventHealth Celebration /ID# 269030

Kissimmee, Florida, United States

Site Status RECRUITING

Mount Sinai Medical Center /ID# 269050

Miami, Florida, United States

Site Status RECRUITING

Miami Cancer Institute at Baptist Health /ID# 269041

Miami, Florida, United States

Site Status RECRUITING

Florida Cancer Specialists- Sarasota Cattlemen /ID# 269055

Sarasota, Florida, United States

Site Status RECRUITING

University of Chicago Medical Center /ID# 269028

Chicago, Illinois, United States

Site Status RECRUITING

Massachusetts General Hospital /ID# 278119

Boston, Massachusetts, United States

Site Status RECRUITING

Dana-Farber Cancer Institute /ID# 269039

Boston, Massachusetts, United States

Site Status RECRUITING

Karmanos Cancer Institute - Detroit /ID# 269052

Detroit, Michigan, United States

Site Status RECRUITING

University of Mississippi Medical Cancer Center /ID# 269046

Jackson, Mississippi, United States

Site Status RECRUITING

Washington University School of Medicine - St. Louis /ID# 269048

St Louis, Missouri, United States

Site Status RECRUITING

Holy Name Medical Center /ID# 269051

Teaneck, New Jersey, United States

Site Status RECRUITING

Roswell Park Cancer Institute /ID# 269043

Buffalo, New York, United States

Site Status RECRUITING

Long Island Jewish Medical Center /ID# 269035

New Hyde Park, New York, United States

Site Status RECRUITING

Columbia University Irving Medical Center /ID# 269033

New York, New York, United States

Site Status RECRUITING

University of Rochester Medical Center /ID# 269044

Rochester, New York, United States

Site Status RECRUITING

University of North Carolina Medical Center /ID# 269027

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Atrium Health Levine Cancer Institute /ID# 269049

Charlotte, North Carolina, United States

Site Status RECRUITING

The Ohio State University Comprehensive Cancer Center /ID# 269026

Columbus, Ohio, United States

Site Status RECRUITING

OU Health - Stephenson Cancer Center /ID# 269025

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

University of Pennsylvania /ID# 269042

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

West Penn Hospital /ID# 269054

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Women & Infants Hospital /ID# 269032

Providence, Rhode Island, United States

Site Status RECRUITING

Sanford Cancer Center /ID# 269038

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Tennessee Oncology Nashville /ID# 269029

Nashville, Tennessee, United States

Site Status RECRUITING

MD Anderson Houston /ID# 269057

Houston, Texas, United States

Site Status RECRUITING

University of Virginia /ID# 269053

Charlottesville, Virginia, United States

Site Status RECRUITING

Monash Health - Monash Medical Centre /ID# 268971

Perth, Western Australia, Australia

Site Status RECRUITING

Hôpital Vivalia De Libramont /ID# 268979

Libramont-Chevigny, Luxembourg, Belgium

Site Status RECRUITING

Universitair Ziekenhuis Leuven /ID# 268977

Leuven, Vlaams-Brabant, Belgium

Site Status RECRUITING

Cross Cancer Institute /ID# 268984

Edmonton, Alberta, Canada

Site Status RECRUITING

BC Cancer - Kelowna /ID# 268983

Kelowna, British Columbia, Canada

Site Status RECRUITING

Centre Hospitalier De L'Universite De Montreal - Hopital Saint-Luc /ID# 268982

Montreal, Quebec, Canada

Site Status RECRUITING

Centre Hospitalier Universite De Sherbrooke - Hôtel-Dieu Hospital /ID# 268981

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Institut de Cancerologie de Ouest /ID# 268997

Saint-Herblain, Pays de la Loire Region, France

Site Status RECRUITING

Centre Antoine-Lacassagne /ID# 269000

Nice, Provence-Alpes-Côte d'Azur Region, France

Site Status RECRUITING

Centre Leon Berard /ID# 268993

Lyon, Rhone, France

Site Status RECRUITING

Hospices Civils de Lyon - Centre Hospitalier Lyon-Sud /ID# 268996

Pierre-Bénite, Rhone, France

Site Status RECRUITING

Institut Gustave Roussy /ID# 268994

Villejuif, Île-de-France Region, France

Site Status RECRUITING

DKD Helios Klinik Wiesbaden /ID# 269011

Wiesbaden, , Germany

Site Status RECRUITING

Mater Misericordiae University Hospital /ID# 269013

Dublin, , Ireland

Site Status RECRUITING

Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Università Cattolica /ID# 269020

Rome, Roma, Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria delle Marche /ID# 269018

Ancona, , Italy

Site Status RECRUITING

Erasmus Medisch Centrum /ID# 269022

Rotterdam, South Holland, Netherlands

Site Status RECRUITING

Universitair Medisch Centrum Groningen /ID# 269023

Groningen, , Netherlands

Site Status RECRUITING

Universitair Medisch Centrum Utrecht /ID# 269024

Utrecht, , Netherlands

Site Status RECRUITING

Institut Català d'Oncologia (ICO) - Badalona /ID# 268990

Badalona, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario Reina Sofia /ID# 269656

Córdoba, Cordoba, Spain

Site Status RECRUITING

Hospital Universitario Vall de Hebron /ID# 268986

Barcelona, , Spain

Site Status RECRUITING

Hospital MD Anderson Cancer Center Madrid /ID# 268991

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramón y Cajal /ID# 268992

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz /ID# 268987

Madrid, , Spain

Site Status RECRUITING

Hospital Clínico Universitario de Valencia /ID# 268988

Valencia, , Spain

Site Status RECRUITING

Countries

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United States Australia Belgium Canada France Germany Ireland Italy Netherlands Spain

Central Contacts

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ABBVIE CALL CENTER

Role: CONTACT

844-663-3742

Related Links

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Other Identifiers

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2023-506842-22

Identifier Type: OTHER

Identifier Source: secondary_id

IMGN151-1001

Identifier Type: -

Identifier Source: org_study_id

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