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Phase 1 N=11 Treatment

Study of AMG 994 Monotherapy and AMG 994 and AMG 404 Combination Therapy in Participants With Advanced Solid Tumors

Advanced Solid Tumors

Enrolled (actual)
11
Serious AEs
81.8%
Results posted
Jan 2025
Primary outcome: Primary: Number of Participants Who Experienced Dose Limiting Toxicities (DLTs) — 0; 3 Number of participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
AMG 994 (Drug); AMG 404 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Amgen
Primary completion
Jun 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Experienced Dose Limiting Toxicities (DLTs)
0; 3
PRIMARY
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)
3; 8; 3; 6; 3; 6
SECONDARY
Objective Response (OR) Per Modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
0; 0; 0; 2
SECONDARY
Duration of Response (DoR) Per Modified RECIST 1.1
11.09
SECONDARY
Overall Survival (OS) Per Modified RECIST 1.1
5.99; 12.50
SECONDARY
Progression-free Survival Per Modified RECIST 1.1
2.63; 1.61
SECONDARY
Time to Progression (TTP) Per Modified RECIST 1.1
2.63; 1.74
SECONDARY
Time to Subsequent Therapy
NA; NA
SECONDARY
Maximum Serum Concentration (Cmax) of AMG 994
667; 2450; 4450; 2550; 2340; 2830
SECONDARY
Time to Maximum Serum Concentration (Tmax) of AMG 994
8.4; 1.4; 3.7; 1.5; 3.0; 2.7
SECONDARY
Minimum Observed Serum Concentration (Cmin) of AMG 994
0.00; 0.00; 0.00; 0.00; 0.00; 0.00
SECONDARY
Area Under the Serum Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast) of AMG 994
12100; 15000; 18900; 21900; 6460; 22900
SECONDARY
Area Under the Serum Concentration-time Curve During a Dosing Interval (AUCtau) of AMG 994
20300; 20400; 24500; 45400; 8260; 29500
SECONDARY
Terminal Half-life (t1/2) of AMG 994
4.97; 5.24; 4.76
SECONDARY
Cmax of AMG 404
158; 145
SECONDARY
Tmax of AMG 404
0.080; 0.11
SECONDARY
Cmin of AMG 404
20.8; 22.8
SECONDARY
AUClast of AMG 404
1280; 1160
SECONDARY
AUCtau of AMG 404
1280; 1290
SECONDARY
T1/2 of AMG 404
13.0; 9.55

Summary

The primary objective of this study is to evaluate the safety, tolerability, and maximum tolerated dose (MTD)/maximum tolerated combination dose (MTCD) or recommended phase 2 dose (RP2D) of AMG 994 as monotherapy and AMG 994 in combination with AMG 404 in participants with advanced solid tumors.

Eligibility Criteria

Inclusion Criteria

  • Participant has provided informed consent/assent prior to initiation of any study specific activities/procedures.
  • Age ≥ 18 years at the time of signing informed consent.
  • Life expectancy of > 3 months, in the opinion of the investigator.
  • Participant must have histologically or cytologically proven metastatic or locally advanced solid tumors of known MSLN expression who have relapsed after and/or are refractory to established and available therapies with known clinical benefit, for which:
  • No standard systemic therapy exists; or
  • Standard systemic therapy has failed or is not available.
  • Dose Expansion (Part 2): Participant must have one of the following malignancies: mesothelioma, pancreatic adenocarcinoma, MSLN positive NSCLC squamous cell carcinoma or adenocarcinoma, high grade serous ovarian carcinoma.
  • At least 1 measurable or evaluable lesion as defined by modified RECIST 1.1 guidelines.
  • Participants must be willing to undergo a biopsy prior to enrollment and during treatment with AMG 994.
  • Participants with treated brain metastases are eligible provided they meet the following criteria:
  • Definitive therapy was completed at least 2 weeks prior to enrollment.
  • No evidence of radiographic central nervous system (CNS) progression or CNS disease following definitive therapy and by the time of study screening. Patients manifesting progression in lesions previously treated with stereotactic radiosurgery may still be eligible if pseudoprogression can be demonstrated by appropriate means and after discussion with the medical monitor.
  • Any CNS disease is asymptomatic, any neurologic symptoms due to CNS disease have returned to baseline, or non-serious CNS diseases that are asymptomatic and deemed irreversible (eg, peripheral neuropathy), the patient is off steroids for at least 7 days (physiologic doses of steroids are permitted), and the patient is off or on stable doses of anti-epileptic drugs for malignant CNS disease and has not had a seizure within 1 month prior to the screening visit.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2.
  • Hematologic function, as follows (transfusions or growth factor support must not be administered within 7 days prior to obtaining screening labs):
  • Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
  • Platelet count ≥ 75 x 109/L
  • Hemoglobin ≥ 9 g/dL
  • Adequate renal laboratory assessments, as follows:
  • Estimated glomerular filtration rate based on Modification of Diet in Renal Disease (MDRD) calculation ≥ 45 mL/min/1.73 m2
  • Hepatic function, as follows:
  • Total bilirubin (TBL) ≤ 1.5 x upper limit of normal (ULN) or ≤ 3 x ULN for participants with liver metastasis
  • Aspartate transaminase (AST) ≤ 3 x ULN or ≤ 5 x ULN for participants with liver metastasis
  • Alanine aminotransferase (ALT) ≤ 3 x ULN or ≤ 5 x ULN for participants with liver metastasis
  • Alkaline phosphatase ≤ 2.5 x ULN or ≤ 5 x ULN for participants with liver metastasis

Exclusion Criteria

Disease Related

  • Primary brain tumor, untreated or symptomatic brain metastases and leptomeningeal disease.

Other Medical Conditions

  • History of other malignancy within the past 2 years, with the following exception[s]:
  • Malignancy treated with curative intent and with no known active disease present for ≥ 3 years before enrollment and felt to be at low risk for recurrence by the treating physician.
  • Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease.
  • Adequately treated cervical carcinoma in situ without evidence of disease.
  • Adequately treated breast ductal carcinoma in situ without evidence of disease.
  • Prostatic intraepithelial neoplasia without evidence of prostate cancer.
  • Adequately treated urothelial papillary noninvasive carcinoma or carcinoma in situ.
  • Participants with NSCLC squamous cell carcinoma (Part 1), MSLN negative NSCLC squamous cell carcinoma (Part 2), or MSLN negative NSCLC adenocarcinoma (Part 2) once the pa
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04727554). 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.

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