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Phase 1 Completed N=45 Treatment

GSK3174998 Alone and With Pembrolizumab in Participants With Advanced Solid Tumors (ENGAGE-1)

Neoplasms
Source: ClinicalTrials.gov NCT02528357 ↗
Enrolled (actual)
45
Serious AEs
31.9%
Results posted
May 2021
Primary outcomePrimary: Part 1: Number of Participants With Any Serious Adverse Event (SAE) and Non-serious Adverse Event (Non-SAE) — 1; 0; 3; 7 Participants

Summary

This is a first time in human (FTIH), open-label, non-randomized, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary clinical activity of GSK3174998 administered intravenously to participants with selected advanced or recurrent solid tumors. This dose-escalation study will assess the safety, activity of GSK3174998 as monotherapy (Part 1), in combination with pembrolizumab (Part 2), and potentially in combination with additional therapies. The study will be conducted in 2 parts, each part consisting of starting with a dose-escalation phase followed by a cohort expansion phase. GSK3174998 will first be evaluated as monotherapy in escalating doses. Once a dose of GSK3174998 has been identified that is both tolerable and demonstrates pharmacodynamic activity, enrollment of Part 2 may begin. In Part 2, escalating doses of GSK3174998 will be evaluated with fixed doses of pembrolizumab. The maximum duration of treatment with GSK3174998 and pembrolizumab will be approximately 2 years or 35 cycles, whichever comes first. The follow-up period for safety assessments will be a minimum of 3 months from the date of the last dose. The post-treatment follow-up period will include disease assessments every 12 weeks until documented progressive disease (PD). Approximately 141 participants with selected advanced or recurrent solid tumors will be enrolled.

Outcome Measures

OutcomeResultp-value
PRIMARY
Part 1: Number of Participants With Any Serious Adverse Event (SAE) and Non-serious Adverse Event (Non-SAE)
1; 0; 3; 7; 2; 1
PRIMARY
Part 2A: Number of Participants With Any SAE and Non-SAE
1; 1; 6; 4; 4; 4
PRIMARY
Part 2B: Number of Participants With Any SAE and Non-SAE
1; 2; 1; 9; 8; 4
PRIMARY
Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
0; 0; 0; 0; 0; 0
PRIMARY
Part 2A: Number of Participants With DLTs
0; 0; 1; 0; 0; 0
PRIMARY
Part 2B: Number of Participants With DLTs
0; 0; 0
PRIMARY
Part 1: Number of Participants With Any Adverse Event Leading to Withdrawal (AELD) From the Study
0; 0; 0; 0; 0; 0
PRIMARY
Part 2A: Number of Participants With Any Adverse Event Leading to Withdrawal From the Study
0; 0; 0; 0; 1; 0
PRIMARY
Part 2B: Number of Participants With Any Adverse Event Leading to Withdrawal From the Study
0; 0; 0
PRIMARY
Part 1: Number of Participants With Dose Reductions or Delay
0; 0; 0; 0; 0; 0
PRIMARY
Part 2A: Number of Participants With Dose Reductions or Delay
0; 0; 0; 0; 0; 0
PRIMARY
Part 2B: Number of Participants With Dose Reductions or Delay
0; 0; 0; 0; 0; 0
PRIMARY
Part 1: Number of Participants With Any Grade Change From Baseline in Hematology Parameters
1; 0; 7; 6; 5; 3
PRIMARY
Part 2A: Number of Participants With Any Grade Change From Baseline in Hematology Parameters
2; 2; 2; 5; 4; 3
PRIMARY
Part 2B: Number of Participants With Any Grade Change From Baseline in Hematology Parameters
2; 2; 1; 0; 0; 0
PRIMARY
Part 1: Number of Participants With Any Grade Change From Baseline in Liver Function Laboratory Parameters
0; 0; 1; 2; 0; 2
PRIMARY
Part 2A: Number of Participants With Any Grade Change From Baseline in Liver Function Laboratory Parameters
0; 1; 1; 3; 4; 2
PRIMARY
Part 2B: Number of Participants With Any Grade Change From Baseline in Liver Function Laboratory Parameters
2; 0; 0; 3; 4; 0
PRIMARY
Part 1: Number of Participants With Any Grade Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
0; 1; 6; 3; 5; 2
PRIMARY
Part 2A: Number of Participants With Any Grade Change From Baseline in SBP and DBP
2; 4; 8; 6; 6; 7
PRIMARY
Part 2B: Number of Participants With Any Grade Change From Baseline in SBP and DBP
7; 4; 4; 5; 5; 3
PRIMARY
Part 1: Number of Participants With Worst Case Change From Baseline in Heart Rate (HR)
0; 0; 1; 2; 0; 1
PRIMARY
Part 2A: Number of Participants With Worst Case Change From Baseline in HR
0; 0; 1; 3; 4; 1
PRIMARY
Part 2B: Number of Participants With Worst Case Change From Baseline in HR
2; 1; 0; 4; 3; 5
PRIMARY
Part 1: Number of Participants With Worst Case Change From Baseline in Body Temperature
0; 0; 0; 0; 0; 0
PRIMARY
Part 2A: Number of Participants With Worst Case Change From Baseline in Body Temperature
0; 0; 0; 0; 0; 0
PRIMARY
Part 2B: Number of Participants With Worst Case Change From Baseline in Body Temperature
0; 0; 0; 9; 8; 5
PRIMARY
Part 1: Number of Participants With Worst Case Post-Baseline Abnormal Clinically Significant Electrocardiogram (ECG) Findings
0; 0; 0; 0; 0; 0
PRIMARY
Part 2A: Number of Participants With Worst Case Post-Baseline Abnormal Clinically Significant ECG Findings
0; 0; 0; 0; 0; 0
PRIMARY
Part 2B: Number of Participants With Worst Case Post-Baseline Abnormal Clinically Significant ECG Findings
0; 0; 0
SECONDARY
Part 1: Objective Response Rate (ORR)
0; 0; 0; 0; 0; 0
SECONDARY
Part 2A: Objective Response Rate (ORR)
0; 17; 0; 25; 8; 8
SECONDARY
Part 2B: Objective Response Rate (ORR)
0; 0; 0
SECONDARY
Part 1: Disease Control Rate (DCR)
0; 0; 0; 10; 20; 0
SECONDARY
Part 2A: Disease Control Rate (DCR)
0; 33; 0; 50; 23; 50
SECONDARY
Part 2B: Disease Control Rate (DCR)
11; 0; 60
SECONDARY
Part 1: Plasma Concentrations of GSK3174998 at Indicated Time Points
0.000; 0.000; 0.000; 0.001; 0.000; 0.000
SECONDARY
Part 2A: Plasma Concentrations of GSK3174998 at Indicated Time Points
0.000; 0.000; 0.000; 0.000; 0.000; 0.928
SECONDARY
Part 2B: Plasma Concentrations of GSK3174998 at Indicated Time Points
0.000; 0.000; 0.000; 6.132; 5.668; 7.618
SECONDARY
Part 1: Area Under the Concentration-time Curve Over the Dosing Interval (AUC[0-tau]) of GSK3174998
2.9362; 11.272; 39.374; 175.09; 630.94; 2129.9
SECONDARY
Part 2A: AUC(0-tau) of GSK3174998
4.2333; 11.592; 40.936; 175.17; 605.22; 1465.8
SECONDARY
Part 2B: AUC(0-tau) of GSK3174998
38.781; 38.171; 46.544; 39.504; 41.838; 33.502
SECONDARY
Part 1: Maximum Observed Concentration (Cmax) and Minimum Observed Concentration (Cmin) of GSK3174998
0.04440; 0.1814; 0.8408; 2.808; 6.002; 22.70
SECONDARY
Part 2A: Cmax and Cmin of GSK3174998
0.05321; 0.2505; 0.6748; 2.446; 6.345; 23.84
SECONDARY
Part 2B: Cmax and Cmin of GSK3174998
6.921; 5.717; 7.596; 6.114; 6.139; 7.398
SECONDARY
Part 2A: Plasma Concentrations of Pembrolizumab at Indicated Time Points
0.000; 0.000; 4.414; 0.000; 0.404; 0.000
SECONDARY
Part 2B: Plasma Concentrations of Pembrolizumab at Indicated Time Points
3.341; 0.000; 11.940; 58.650; 66.600; 68.633
SECONDARY
Part 2A: AUC(0-tau) of Pembrolizumab
402.11; 561.35; 616.43; 581.61; 528.06; 639.86
SECONDARY
Part 2B: AUC(0-tau) of Pembrolizumab
470.80; 546.97; 487.40
SECONDARY
Part 2A: Cmax of Pembrolizumab
51.83; 41.00; 79.00; 57.00; 60.20; 72.73
SECONDARY
Part 2B: Cmax of Pembrolizumab
56.03; 65.32; 64.60
SECONDARY
Part 2A: Cmin of Pembrolizumab
11.85; 12.27; 15.52; 16.70; 15.81; 16.86
SECONDARY
Part 2B: Cmin of Pembrolizumab
12.30; 13.88; 18.22; 22.78; 42.86; 22.28
SECONDARY
Part 1: Number of Participants With Positive Antidrug Antibodies (ADAs) Against GSK3174998
0; 0; 6; 7; 4; 2
SECONDARY
Part 2A: Number of Participants With Positive ADAs Against GSK3174998
2; 2; 6; 8; 5; 4
SECONDARY
Part 2B: Number of Participants With Positive ADAs Against GSK3174998
4; 1; 1
SECONDARY
Part 2A: Number of Participants With Positive ADAs Against Pembrolizumab
1; 0; 0; 0; 0; 0
SECONDARY
Part 2B: Number of Participants With Positive ADAs Against Pembrolizumab

Eligibility Criteria

Inclusion Criteria

  • Provide signed, written informed consent.
  • Male and female participants, age >=18 years (at the time consent is obtained).
  • Histological documentation of locally advanced, recurrent or metastatic solid malignancy that has progressed after standard therapy appropriate for the specific tumor type, or for which standard therapy has proven to be ineffective, intolerable, or is considered inappropriate. Participants should not have received more than 5 prior lines of therapy for advanced disease including both standards of care and investigational therapies. Participants whose cancers harbor molecular alterations for which targeted therapy is standard of care should have received health authority approved appropriate targeted therapy for their tumor types before enrollment.
  • Participants with the following solid tumors are eligible for screening: Non-small cell lung cancer (NSCLC), Squamous cell carcinoma of the head and neck (SCCHN), Renal cell carcinoma (RCC), melanoma, bladder, Soft Tissue Sarcoma (STS), Triple-negative breast cancer (TNBC), and Colorectal carcinoma displaying high microsatellite instability (MSI CRC). In Part 2B (Cohort Expansion), specific subgroups of the above solid tumors will be studied. These subgroups may be defined by specific lines of treatment, types of prior treatment, histological subtypes, and may be enriched for selected biomarkers or participant characteristics. Populations to be studied in Amendment 3 include but are not limited to the following. Enrolment of additional populations will be communicated in writing: Participants with dedifferentiated liposarcoma who have not received prior treatment with a Programmed death ligand 1 (PD-L1) inhibitor; Participants with melanoma who have received a prior PD-L1 inhibitor, had a CR, PR or SD and subsequently progressed while on PD-L1 therapy. Participants who have received prior treatment with a PD-L1 inhibitor must have documented disease progression as defined by meeting all of the following criteria: Has received at least 2 doses of an approved PD-L1 inhibitor; has demonstrated disease progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The initial evidence of disease progression is to be confirmed by a second assessment no less than four weeks from the date of the first documented PD , in the absence of rapid clinical progression; Progressive disease has been documented within 18 weeks from the last dose of the PD-L1 inhibitor.
  • In Parts 1A and 2A, a biopsy of the tumor tissue obtained at anytime from the initial diagnosis to study entry. Although a fresh biopsy obtained during screening is preferred, archival tumor specimen is acceptable if it is not feasible to obtain a fresh biopsy.

Participants enrolled in Part 1A or Part 2A Pharmacodynamic Cohorts or in Part 2B of the study must provide a fresh biopsy of a tumor lesion not previously irradiated during the screening period and must agree to provide at least one additional on-treatment biopsy. In addition, an archived tumor tissue should be submitted for Participants in Part 2B, if available. The criterion for collection of fresh biopsies may be waived once GlaxoSmithKline (GSK)has determined an appropriate number of viable tissue samples have been analyzed For Part 1B and Part 2B, any archival tumor specimen must have been obtained within 3 months of starting study drug.

  • Measurable disease as per RECIST v1.1
  • Palpable lesions that are not measurable by radiologic or photographic evaluations may not be utilized as the only measurable lesion.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
  • Life expectancy of at least 12 weeks.
  • Adequate organ function as defined by System Laboratory Values; Hematologic (Absolute neutrophil count [ANC] >=1.5x10^9/ liter [L], Lymphocyte count >=800/cubic millimeter [mm^3], Hemoglobin >=9 grams/deciliter [g/dL], Platelets >=100x10^9/L), Hepatic (Total bilirubin 50 m
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02528357). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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