Phase 1
Completed N=264
Dose Escalation and Expansion Study of GSK3359609 in Participants With Selected Advanced Solid Tumors (INDUCE-1)
Neoplasms
Source: ClinicalTrials.gov NCT02723955 ↗
Enrolled (actual)
264
Serious AEs
38.8%
Results posted
Dec 2024
Primary outcomePrimary: Part 1A: Number of Participants With Any Adverse Event(s) (AEs) and Serious Adverse Event(s) (SAEs) — 1; 1; 2; 7 Participants
Summary
GSK3359609 is an anti-Inducible T cell Co-Stimulator (ICOS) receptor agonist antibody intended for the treatment of cancers of different histology. This is a first-time-in-human (FTIH), open-label, multicenter study designed to investigate the safety, pharmacology, and preliminary antitumor activity in participants with selected, advanced or recurrent solid tumors with the aim to establish recommended dose(s) of GSK3359609 for further exploration as monotherapy and in combination with pembrolizumab or chemotherapy regimens. The study is comprised of two primary parts, each composed of two phases: Part 1: GSK3359609 monotherapy with Part 1A as dose escalation phase and Part 1B as cohort expansion phase; Part 2: GSK3359609 combination therapy with Part 2A pembrolizumab or GSK3174998 or chemotherapy or pembrolizumab plus chemotherapy or dostarlimab plus cobolimab or Bintrafusp alfa combination dose escalation phase and Part 2B expansion phase with pembrolizumab. The primary objective of the study is to determine the safety, tolerability, maximum tolerated dose or the maximum administered dose of GSK3359609 alone or in combination.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part 1A: Number of Participants With Any Adverse Event(s) (AEs) and Serious Adverse Event(s) (SAEs) |
1; 1; 2; 7; 22; 24 | — |
| PRIMARY Part 1A: Number of Participants With Dose Limiting Toxicity (DLT) |
0; 0; 0; 0; 0; 1 | — |
| PRIMARY Part 1A: Number of Participants With Worst-case Grade Change From Baseline in Clinical Chemistry Parameters |
0; 0; 0; 0; 1; 4 | — |
| PRIMARY Part 1A: Number of Participants With Worst Case Chemistry Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 1; 0; 0; 0 | — |
| PRIMARY Part 1A: Number of Participants With Worst-case Grade Change From Baseline in Hematology Parameters |
1; 0; 0; 3; 8; 1 | — |
| PRIMARY Part 1A: Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part 1A: Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline |
1; 1; 2; 7; 23; 22 | — |
| PRIMARY Part 1A: Number of Participants With Dose Modifications of Feladilimab |
0; 0; 0; 1; 2; 1 | — |
| PRIMARY Part 2A: Number of Participants With Any Adverse Event(s) (AEs) and Serious Adverse Event(s) (SAEs) |
5; 5; 5; 5; 8; 10 | — |
| PRIMARY Part 2A: Number of Participants With Dose Limiting Toxicity (DLT) |
0; 0; 0; 0; 0; 1 | — |
| PRIMARY Part 2A: Number of Participants With Worst-case Grade Change From Baseline in Clinical Chemistry Parameters |
1; 0; 0; 0; 1; 1 | — |
| PRIMARY Part 2A: Number of Participants With Worst Case Chemistry Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part 2A: Number of Participants With Worst-case Grade Change From Baseline in Hematology Parameters |
0; 1; 0; 2; 4; 2 | — |
| PRIMARY Part 2A: Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 0; 1; 0; 0 | — |
| PRIMARY Part 2A: Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline |
5; 4; 4; 8; 10; 10 | — |
| PRIMARY Part 2A: Number of Participants With Dose Modifications of Feladilimab |
1; 0; 1; 0; 2; 1 | — |
| SECONDARY Part 1B: Number of Participants With Any Adverse Event(s) (AEs) and Serious Adverse Event(s) (SAEs) |
34; 111; 55; 9; 44; 19 | — |
| SECONDARY Part 1B: Number of Participants With Worst-case Grade Change From Baseline in Clinical Chemistry Parameters |
4; 7; 6; 0; 2; 1 | — |
| SECONDARY Part 1B: Number of Participants With Worst Case Chemistry Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 1; 3; 0; 1 | — |
| SECONDARY Part 1B: Number of Participants With Worst-case Grade Change From Baseline in Hematology Parameters |
4; 22; 7; 2; 7; 5 | — |
| SECONDARY Part 1B: Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline |
1; 3; 1; 35; 101; 55 | — |
| SECONDARY Part 1B: Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline |
36; 104; 56; 2; 9; 2 | — |
| SECONDARY Part 1B: Number of Participants With Dose Modifications of Feladilimab |
4; 17; 5; 4; 3; 0 | — |
| SECONDARY Part 2B: Number of Participants With Any Adverse Event(s) (AEs) and Serious Adverse Event(s) (SAEs) |
13; 250; 43; 23; 4; 5 | — |
| SECONDARY Part 2B: Number of Participants With Worst-case Grade Change From Baseline in Clinical Chemistry Parameters |
0; 18; 5; 1; 0; 0 | — |
| SECONDARY Part 2B: Number of Participants With Worst Case Chemistry Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 0; 1; 0; 1; 0 | — |
| SECONDARY Part 2B: Number of Participants With Worst-case Grade Change From Baseline in Hematology Parameters |
4; 71; 13; 5; 1; 2 | — |
| SECONDARY Part 2B: Number of Participants With Worst Case Hematology Results Relative to Normal Range Post-Baseline Relative to Baseline |
0; 7; 0; 0; 0; 0 | — |
| SECONDARY Part 2B: Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline |
14; 228; 42; 21; 4; 5 | — |
| SECONDARY Part 2B: Number of Participants With Dose Modifications of Feladilimab |
2; 31; 5; 1; 0; 1 | — |
| SECONDARY Part 1A: Overall Response Rate (ORR) |
0; 0; 0; 0; 8; 0 | — |
| SECONDARY Part 1A: Disease Control Rate (DCR) |
0; 0; 0; 43; 29; 28 | — |
| SECONDARY Part 1A: Overall Survival (OS) |
4.3; 12.6; 14.0; 4.9; 6.7; 9.1 | — |
| SECONDARY Part 1A: Progression-free Survival (PFS) |
1.2; 1.9; 2.1; 2.1; 2.0; 1.9 | — |
| SECONDARY Part 1A: Time to Overall Response (TTR) |
2.3 | — |
| SECONDARY Part 1A: Duration of Response (DOR) |
10.3 | — |
| SECONDARY Part 2A: Overall Response Rate (ORR) |
20; 0; 20; 25; 27; 18 | — |
| SECONDARY Part 2A: Disease Control Rate (DCR) |
20; 40; 40; 38; 27; 55 | — |
| SECONDARY Part 2A: Overall Survival (OS) |
NA; 5.3; 9.3; 18.4; 12.7; 14.6 | — |
| SECONDARY Part 2A: Progression-free Survival (PFS) |
2.0; 1.9; 1.9; 2.1; 2.1; 2.0 | — |
| SECONDARY Part 2A: Time to Overall Response (TTR) |
2.1; 2.0; 2.8; 3.0; 11.0; 2.1 | — |
| SECONDARY Part 2A: Duration of Response (DOR) |
NA; 4.1; 14.3; NA; 13.8; NA | — |
| SECONDARY Part 1B: Overall Response Rate (ORR) |
5; 4; 8 | — |
| SECONDARY Part 1B: Disease Control Rate (DCR) |
38; 39; 39; 23; 23; 19 | — |
| SECONDARY Part 1B: Overall Survival (OS) |
10.5; 9.4; 7.8 | — |
| SECONDARY Part 1B: Progression-free Survival (PFS) |
2.1; 2.1; 2.1 | — |
| SECONDARY Part 1B: Time to Overall Response (TTR) |
3.0; 3.0; 3.8 | — |
| SECONDARY Part 1B: Duration of Response (DOR) |
7.3; 11.8; 7.2 | — |
| SECONDARY Part 2B: Overall Response Rate (ORR) |
7; 20; 18; 30; 0; 17 | — |
| SECONDARY Part 2B: Disease Control Rate (DCR) |
29; 58; 43; 57; 50; 33 | — |
| SECONDARY Part 2B: Overall Survival (OS) |
8.9; 12.5; 12.1; 10.8; NA; NA | — |
| SECONDARY Part 2B: Progression-free Survival (PFS) |
2.6; 3.9; 2.3; 4.4; 2.1; 3.1 | — |
| SECONDARY Part 2B: Time to Overall Response (TTR) |
2.1; 2.1; 2.0; 2.1; 2.2 | — |
| SECONDARY Part 2B: Duration of Response (DOR) |
6.1; 13.8; 18.7; 24.6; 11.5 | — |
| SECONDARY Part 1A: Maximum Observed Plasma Concentration (Cmax) and Minimum Observed Plasma Concentration (Ctau) of Feladilimab |
0.0887; NA; 0.2038; 1.7433; 2.3041; 6.4643 | — |
| SECONDARY Part 1A: Area Under the Concentration-time Curve From Time 0 to 504 Hours After Dosing [AUC (0-504h)] of Feladilimab |
134.6206; 373.6877; 1156.5768; 4839.0026; 11368.0960 | — |
| SECONDARY Part 2A: Ctau of Pembrolizumab |
10.8032; 19.2951; 16.7039; 13.9035; 12.9277; 15.1724 | — |
| SECONDARY Part 2A: AUC (0-504h) of Pembrolizumab |
11363.9193; 11556.7001; 19158.7768; 17928.7606 | — |
| SECONDARY Part 2A: Cmax and Ctau of GSK3174998 |
5.1078; 6.6367; 5.5967; 22.7767; 0.6700; 0.6484 | — |
| SECONDARY Part 2A: AUC (0-504 h) of GSK3174998 |
1038.4544; 953.0313; 703.8874; 4606.4365 | — |
| SECONDARY Part 1B: Cmax and Ctau of Feladilimab |
6.9732; 1.1411; 2.0597; 3.2855; 25.8491; 0.5029 | — |
| SECONDARY Part 1B: AUC (0-504 h) of Feladilimab |
1076.8681; 632.0762; 5026.8004; 5222.1970; 1237.7314; 4525.7373 | — |
| SECONDARY Part 2B: Cmax and Ctau of Feladilimab |
7.0435; 1.1346; 2.5980; 7.8457; 31.0460; 1.1026 | — |
| SECONDARY Part 2B: AUC (0-504 h) of Feladilimab |
1205.2673; 1254.7759; 294.2888; 1500.4305; 4225.4602; 13829.6005 | — |
| SECONDARY Part 2B: AUC (0-1008 h) of Feladilimab |
3829.5867; 22182.5834 | — |
| SECONDARY Part 2B: Cmax and Ctau of Pembrolizumab |
— | — |
| SECONDARY Part 2B: AUC (0-504h) of Pembrolizumab |
— | — |
| SECONDARY Part 1A: Number of Participants With Positive Results in Anti-drug Antibody (ADA) Test by Feladilimab Dose Level |
0; 0; 0; 0; 0; 3 | — |
| SECONDARY Part 2A: Number of Participants With Positive Results in ADA Test by Feladilimab in Combination With GSK3174998 Dose Level |
0; 0; 1; 0; 0 | — |
| SECONDARY Part 2A: Number of Participants With Positive Results in ADA Test by Feladilimab Dose Level in Combination With Pembrolizumab |
1; 0; 0; 0; 0; 0 | — |
| SECONDARY Part 2A: Number of Participants With Positive Results in ADA in Pembrolizumab |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Part 2A: Number of Participants With Positive Results in ADA in GSK3174998 |
0; 0; 1; 0; 0 | — |
| SECONDARY Part 2A: Number of Participants With Positive Results in ADA Test by Feladilimab Combination With Chemotherapies Dose Level |
0; 0; 0; 0 | — |
| SECONDARY Part 1B: Number of Participants With Positive Results in ADA Test by Feladilimab Dose Level |
0; 0; 1 | — |
| SECONDARY Part 2B: Number of Participants With Positive Results in ADA Test by Feladilimab Dose Level |
0; 5; 0; 0; 0; 0 | — |
| SECONDARY Part 2B: Number of Participants With Positive Results in ADA in Pembrolizumab |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Part 1A: Receptor Occupancy of Feladilimab |
74.643; 25.406; 90.229; 96.559; 94.007; 99.553 | — |
| SECONDARY Part 2A: Receptor Occupancy of Feladilimab |
87.351; 97.962; 98.244; 99.364; 99.704; 93.157 | — |
| SECONDARY Part 1B: Receptor Occupancy of Feladilimab |
96.520; 99.179; 98.128; 90.111; 96.160; 81.219 | — |
| SECONDARY Part 2B: Receptor Occupancy of Feladilimab |
95.795; 95.750; 99.004; 99.988; 87.194; 101.663 | — |
Eligibility Criteria
Inclusion Criteria
- Capable of giving signed, written informed consent.
- Male or female, age 18 to 93 years (at the time consent is obtained).
- Histological or cytological documentation of an invasive malignancy that was diagnosed as locally advanced/metastatic or relapsed/refractory and is of one of the following tumor types: bladder/urothelial cancer of the upper and lower urinary tract; cervical; colorectal (includes appendix); esophagus, squamous cell; head and neck carcinoma; melanoma; malignant pleural mesothelioma (MPM); non-small-cell lung cancer (NSCLC), prostate; Microsatellite Instability-High/deficient mismatch repair (MSI-H/dMMR) tumor (Part 1B and Part 2B) and Human Papilloma Virus (HPV)-positive or Epstein-Barr (EBV)-positive tumor (Part 1B and Part 2B).
- Disease that has progressed after standard therapy for the specific tumor type, or for which standard therapy has proven to be ineffective, intolerable, or is considered inappropriate, or if no further standard therapy exists; exceptions are in these tumor types in which pembrolizumab single agent may be a standard: NSCLC, head and neck squamous cell cancer (HNSCC), bladder/urothelial cancer, MSI-H/dMMR cancers and melanoma and cervical cancer. In Part 2B pembrolizumab combination expansion cohorts, prior treatment with anti-Programmed cell death protein 1(PD-1)/ Ligand-1 (L1) may not be required. 1) Participants must not have received more than 5 prior lines of therapy for advanced disease including both standards of care and investigational therapies. 2) Participants who received prior PD-1/L1 therapy must fulfill the following requirements (Part 1B [except PK/PD cohort]/ Part 2B):a) Have achieved a CR, PR or SD and subsequently had disease progression while still on PD-1/L1 therapy; b) Have received at least 2 doses of an approved PD-1/L1 inhibitor (by any regulatory authority), c) Have demonstrated disease progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 within 18 weeks from the last dose of the PD-1/L1 inhibitor. 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 Progressive Disease (PD) (the confirmatory scan could be the Baseline eligibility scan for this study). 3) In Part 2A 5-fluorouracil (FU)/platinum combination with GSK3359609 and pembrolizumab cohort, participants must not have received prior systemic therapy administered in the recurrent or metastatic setting (with the exception of systemic therapy given as part of multimodal treatment for locally advanced disease).
- Archival tumor tissue obtained at any time from the initial diagnosis to study entry; a fresh tumor biopsy using a procedure that is safe for the participant on a lesion not previously irradiated unless lesion progressed will be required if archival tissue is unavailable.
- Agree to undergo a pre-treatment and on treatment biopsy and have disease amenable to biopsy required in pharmacokinetic (PK) / pharmacodynamics (PD), dose randomized HNSCC, Melanoma dose expansion and Biomarker cohorts..
- Measurable disease per RECIST version 1.1. Palpable lesions that are not measurable by radiographic or photographic evaluations may not be utilized as the only measurable lesion. Any measurable lesion biopsied at Screening cannot be followed as a target/index lesion unless agreed upon by GlaxoSmithKline (GSK).
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
- Life expectancy of at least 12 weeks.
- Adequate organ function.
- QT interval corrected for heart rate according to Fridericia's formula (QTcF) <450 milliseconds (msec) or QTcF <480 msec for participants with bundle branch block.
- A female participant is eligible to participate if she is not pregnant (as confirmed by a negative serum beta-human chorionic gonadotrophin [beta-hCG] test in females of reproductive potential), and not lactating or reproductive potential agre
Data sourced from ClinicalTrials.gov (NCT02723955). 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.