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Completed

NCT Number: NCT04144842

Phase 1 Study in Patients With Advanced Solid Malignancies to Evaluate the Safety of ATOR-1017

The aim of the study is to assess the safety and tolerability of increasing doses of ATOR-1017 when administered as repeated intravenous infusions to patients with advanced and/or refractory solid malignancies.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Department of Oncology, Skåne University Hospital, Lund, Sweden

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Who can participate

Healthy volunteers accepted: No

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

Major Inclusion Criteria:

A patient is eligible to be included in the study if all the following criteria apply:

  • Has a diagnosis of advanced and/or refractory solid malignancy (histologically or cytologically documented)
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Has a minimum of one measurable tumor lesion
  • Has acceptable hematologic and clinical chemistry laboratory values

Major Exclusion Criteria:

A patient is excluded if any of the following criteria apply:

  • Has not recovered from AEs to at least grade 1 by CTCAE version 5.0 due to prior anti-cancer medications
  • Has symptomatic, steroid-dependent or progressive brain metastasis/metastases
  • Has a history of another primary malignancy, except for: a) Malignancy treated with curative intent and with no known active disease within 2 years prior to first dose of ATOR-1017, b) Adequately treated non-invasive basal skin cancer or squamous cell skin carcinoma, c) Adequately treated uterine cervical cancer stage 1B or less
  • Has an autoimmune disorder requiring immune modulating treatment during the last 2 years
  • Receives treatment with systemic immunosuppressant medication (except for inhaled and low dose systemic corticosteroids, i.e. ≤10 mg prednisolone or equivalent per day)
  • Is a female patient who is pregnant or nursing

Treatment and study plan

ATOR-1017

Biological

ATOR-1017 is a human monoclonal antibody targeting 4-1BB (CD137)

Primary outcomes

  1. Safety and tolerability: Adverse events (AEs) assessed by Common Terminology Criteria for Adverse Events (CTCAE) v 5.0

    Time frame: From start of study until 28 days after last dose

    Number of participants with treatment-related AEs assessed by CTCAE v 5.0

  2. Safety and tolerability: Dose-limiting toxicities (DLTs)

    Time frame: From first dose of ATOR-1017 (Day 1) until Day 21

    Number of participants with DLTs

Secondary outcomes

  1. Pharmacokinetics: Maximum observed serum concentration of ATOR-1017 (Cmax)

    Time frame: From start of study until end of study (28-56 days after last dose)

  2. Pharmacokinetics: Time to Cmax

    Time frame: From start of study until end of study (28-56 days after last dose)

  3. Pharmacokinetics: Area under the ATOR-1017 serum concentration-time curve (AUC)

    Time frame: From start of study until end of study (28-56 days after last dose)

  4. Immunogenicity: Anti-drug antibody (ADA) titer in serum

    Time frame: From start of study until end of study (28-56 days after last dose)

    Levels of antibodies to ATOR-1017 will be evaluated

  5. Clinical efficacy: Anti-tumor activity assessed by response evaluation criteria in solid tumors for immune-based therapeutics (iRECIST)

    Time frame: From start of study until end of study (28-56 days after last dose)

    Computed tomography (CT) scans of tumors will be evaluated according to iRECIST

Sponsors and collaborators

Lead sponsor

Alligator Bioscience AB

Industry

Registry information

Official study title

A First-in-human, Multicenter, Open-label, Phase 1 Study in Patients With Advanced Solid Malignancies to Evaluate the Safety of Intravenously Administered ATOR-1017

Important dates

Study start
2019
Primary completion
2023
Study completion
2023
First posted
Oct 30, 2019
Registry last updated
Apr 24, 2023

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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