A Study of Lorigerlimab in Participants With Advanced Solid Tumors

NCT ID: NCT06730347

Last Updated: 2025-11-12

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-01

Study Completion Date

2027-08-31

Brief Summary

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Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 60 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC.

Participants will receive lorigerlimab by intravenous (IV) infusion on Day 1 of every 21-day treatment cycle. Treatment cycles will continue until progression of cancer, unacceptable side effects, withdrawal of consent by the participant, or the study ends.

Participants will be monitored closely for side effects by physical exam and routine laboratory tests every cycle. Tumor status will be checked approximately every 9 weeks for the first year, then every 12 weeks for the duration of treatment. Participants will have a safety followup performed within 30 days after treatment discontinuation. Participants who discontinue study treatment for reasons other than progression of cancer, will continue CA-125 and tumor assessments every 12 weeks. Participants who discontinue study treatment for progression of cancer will enter the 6-month survival follow up portion of the study.

Detailed Description

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Conditions

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Platinum-resistant Ovarian Cancer Platinum-Resistant Fallopian Tube Carcinoma Platinum-Resistant Primary Peritoneal Carcinoma Clear Cell Adenocarcinoma of Ovary Clear Cell Adenocarcinoma of Vulva Clear Cell Adenocarcinoma of Vagina Clear Cell Adenocarcinoma of Cervix Clear Cell Adenocarcinoma of Uterus Clear Cell Adenocarcinoma of Fallopian Tube Clear Cell Adenocarcinoma of Peritoneum Endometrial Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PROC Cohort

Lorigerlimab IV every 21 days

Group Type EXPERIMENTAL

Lorigerlimab

Intervention Type BIOLOGICAL

Bispecific DART protein binding PD-1 and CTLA-4

CCGC Cohort

Lorigerlimab IV every 21 days

Group Type EXPERIMENTAL

Lorigerlimab

Intervention Type BIOLOGICAL

Bispecific DART protein binding PD-1 and CTLA-4

Interventions

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Lorigerlimab

Bispecific DART protein binding PD-1 and CTLA-4

Intervention Type BIOLOGICAL

Other Intervention Names

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MGD019

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed high-grade serous epithelial ovarian cancer, including primary peritoneal, or fallopian tube cancer, resistant to platinum based chemotherapy. OR
* Histologically confirmed clear cell carcinoma of the ovary (including primary peritoneal and fallopian tube), endometrium, vagina, vulva, or cervix.
* Persistent or recurrent disease with documented disease progression.
* Participants with PROC must have received at least 1 but not more than 3 prior lines of therapy for PROC.
* Participants with CCGC must have received at least 1 prior line of therapy for CCGC.
* Participants with a known breast cancer (BRCA) mutation (germline or somatic) must have received a a Poly ADP-ribose polymerase (PARP) inhibitor, if locally approved and available, and experienced disease progression or intolerance on the PARP inhibitor.
* Participants must have at least one lesion that meets the definition of measurable disease by RECIST v1.1.
* Participants must have an available archival or formalin-fixed paraffin-embedded tumor tissue, or be willing to undergo a biopsy procedure to obtain a fresh tumor sample.
* Participants have acceptable physical condition and laboratory values.
* Participants of childbearing potential must agree to use highly effective methods of birth control.
* Participants must not be pregnant, planning to be pregnant, or breastfeeding.

Exclusion Criteria

* Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
* Primary platinum-refractory disease, defined as disease that did not respond to (CR or PR) or has progressed within 3 months of the last dose of first-line platinum- containing chemotherapy.
* Prior treatment with a checkpoint inhibitor (e.g., anti-PD-1/PD-L1, anti-PD-L2, anti-CTLA-4). Prior use of immune checkpoint inhibitors (e.g., anti-PD-1, anti-PD-L1, anti-CTLA-4) is allowed for clear cell endometrial and clear cell cervical cancer.
* Active brain metastases or leptomeningeal metastases.
* Prior stem cell, tissue, or solid organ transplant.
* Another hematologic or solid tumor ≥ stage 1 malignancy that completed surgery, last dose of radiotherapy, or last dose of systemic anti-cancer therapy ≤ 3 years from first dose of study treatment. Participants with another tumor that has a negligible risk for metastasis or death such as, adequately controlled basal-cell carcinoma or squamous-cell carcinoma of the skin, or carcinoma in situ of the cervix or breast are eligible.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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MacroGenics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pepi Pencheva

Role: STUDY_DIRECTOR

MacroGenics

Locations

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UCLA

Los Angeles, California, United States

Site Status RECRUITING

Ochsner MD Anderson Cancer Center

New Orleans, Louisiana, United States

Site Status RECRUITING

START Midwest

Grand Rapids, Michigan, United States

Site Status RECRUITING

West Penn Allegheny Health

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Mays Clinic

Houston, Texas, United States

Site Status RECRUITING

START San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

Wisconsin Institute Medical Research- UW Cancer Connect

Madison, Wisconsin, United States

Site Status RECRUITING

Princess Margaret Cancer Center

Toronto, Ontario, Canada

Site Status RECRUITING

McGill University

Montreal, Quebec, Canada

Site Status RECRUITING

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Seoul National University Hospital Bundang Hospital

Seongnam-si, Gyeonnggi-Do, South Korea

Site Status RECRUITING

Yonsei University Health System Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Gangnam Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Korea University Guro Hospital

Seoul, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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United States Canada South Korea

Central Contacts

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Global Trial Manager

Role: CONTACT

Phone: 301-251-5172

Email: [email protected]

Facility Contacts

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Surya Nagesh

Role: primary

Chad Hamilton

Role: primary

Judy Phan

Role: primary

Sarah Crafton

Role: primary

Mariana Gallardo

Role: primary

Alison Procter

Role: primary

Claire Kostechka

Role: primary

Stephanie Lheureux

Role: primary

Phuong Nam Natalie Nguyen

Role: primary

Myong Cheol Lim

Role: primary

Yong Beom Kim

Role: primary

Yujeong Huh

Role: primary

Mina Jang

Role: primary

Jin Hwa Hong

Role: primary

Jae-Weon Kim

Role: primary

Jeong-Won Lee

Role: primary

Other Identifiers

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CP-MGD019-03

Identifier Type: -

Identifier Source: org_study_id