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Completed

NCT Number: NCT05508100

Dose Confirmation and Dose Expansion Phase 1 Study of IO-108 and IO-108 + Anti-PD-1 in Solid Tumors

This is a Phase 1 study to evaluate the safety, tolerability, PK, and preliminary efficacy of IO-108 monotherapy and in combination with anti-PD-1 monoclonal antibody pembrolizumab or tislelizumab in adult patients with advanced solid tumors. The study will be conducted in 3 parts, including Part A IO-108 monotherapy dose confirmation; Part B IO-108 + anti-PD-1 dose confirmation, and Part C dose expansion.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

The First Affiliated Hospital of Fujian Medical University, Fujian, Fuzhou, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥18, and < 75.
  • Part A and Part B Cohort 1: Patients must have histologically or cytologically confirmed advanced or metastatic solid tumor and have failed, or have been intolerant for standard systemic therapy, or for whom no treatment known to confer clinical benefit exists.

Part B Cohort 2 and Part C: Patient with advanced or metastatic solid tumor who meet the specific criteria.

  • Patients have at least 1 measurable disease per RECIST v1.1 as assessed by local clinical site.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
  • Patients must have adequate hematologic function, hepatic function and renal function.

Exclusion criteria

  • Patients who previously received a monoclonal antibody therapy targeting LILRB2/ILT4 (including IO-108).
  • Patients who received chemotherapy, radiotherapy, biologic therapy, targeted therapy, immunotherapy, or other investigational anti-cancer therapy < 4 weeks prior to their first day of study drug administration.
  • Requires systemic corticosteroids at a dose of >10 mg daily of prednisone or the dose equivalent to other systemic corticosteroid, or other immunosuppressive agents ≤ 14 days prior to the first dose.
  • History of radiation pneumonitis, non-infectious pneumonitis or interstitial lung disease expect for radioactive pulmonary fibrosis not requiring corticosteroid treatment.
  • Symptomatic central nervous system (CNS) metastases. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

IO-108

Biological

IO-108, intravenously, on Day 1 of each 21-day cycle.

IO-108 + pembrolizumab

Biological

IO-108, intravenously, on Day 1 of each 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of each 21-day cycle.

Other names: IO-108 + Keytruda®

IO-108 + tislelizumab

Biological

IO-108, intravenously, on Day 1 of each 21-day cycle. Tislelizumab will be administered intravenously on Day 1 of each 21-day cycle.

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) in patients treated with IO-108

    Time frame: through study completion, an average of 2 years

    AE severity graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0

  2. Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) in patients treated with IO-108 in combination with pembrolizumab or tislelizumab

    Time frame: through study completion, an average of 2 years

    AE severity graded by NCI CTCAE, Version 5.0

  3. Preliminary anti-tumor activity of IO-108 in combination with pembrolizumab or tislelizumab

    Time frame: through study completion, an average of 2 years

    ORR is defined as the percentage of patients who have a complete response (CR) or a partial response (PR) per RECIST v1.1

Secondary outcomes

  1. Maximum plasma concentration (Cmax) of IO-108

    Time frame: through study completion, an average of 2 years

    Characterize the Cmax of IO-108 by successive sampling of blood at pre-specified time points

  2. Steady state concentration of IO-108

    Time frame: through study completion, an average of 2 years

    Characterize steady state concentration of IO-108 by successive sampling of blood at pre-specified time points

  3. Anti-drug antibodies (ADA) of IO-108

    Time frame: through study completion, an average of 2 years

    Determine the incidence and titer of ADAs against IO-108

  4. Preliminary anti-tumor activity

    Time frame: through study completion, an average of 2 years

    Disease Control Rate, defined as the percentage of patients with CR, PR, or stable disease.

  5. Preliminary anti-tumor activity

    Time frame: through study completion, an average of 2 years

    Progression-free Survival, defined as the time interval from the first dose date to the occurrence of disease progression or death of any cause

Sponsors and collaborators

Lead sponsor

Immune-Onc Therapeutics

Industry

Registry information

Official study title

A Phase 1, Open-Label, Multicenter Study Investigating Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of IO-108 as Monotherapy and in Combination With Anti-PD-1 Monoclonal Antibody in Adult Patients With Advanced or Metastatic Solid Tumors

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Aug 19, 2022
Registry last updated
May 24, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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