Phase 1
N=11
Study of AMG 994 Monotherapy and AMG 994 and AMG 404 Combination Therapy in Participants With Advanced Solid Tumors
Advanced Solid Tumors
Bottom Line
View on ClinicalTrials.gov: NCT04727554 ↗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
| Outcome | Result | p-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
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.