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Trial Title: First-in-human Trial of EGL-001 in Patients with Selected Advanced And/or Metastatic Solid Tumors

NCT ID: NCT06622486

Condition: Solid Tumor, Adult

Conditions: Official terms:
Neoplasms

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: Dose escalation followed by combination therapy

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: EGL-001
Description: IV administration
Arm group label: Combination therapy with EGL-001 dose Level x
Arm group label: Combination therapy with EGL-001 dose Level y
Arm group label: Combination therapy with EGL-001 dose Level z
Arm group label: Monotherapy EGL-001 Dose Level 1
Arm group label: Monotherapy EGL-001 Dose Level 2
Arm group label: Monotherapy EGL-001 Dose Level 3
Arm group label: Monotherapy EGL-001 Dose Level 4
Arm group label: Monotherapy EGL-001 Dose Level 5
Arm group label: Monotherapy EGL-001 Dose Level 6
Arm group label: Monotherapy EGL-001 Dose Level 7

Summary: This multicenter, open-label, first-in-human, Phase 1/2 study consists of a Part 1 (Phase 1) open-label dose escalation of EGL-001 administered as a single agent and in combination with an anti-PD(L)-1 treatment, followed by a Part 2 (Phase 2) open-label dose expansion of EGL-001 administered at the RP2D in patients with recurrent and/or metastatic solid tumors as monotherapy and/or combination therapy with anti-PD(L)-1.

Detailed description: In approximately 4 centers in France and 4 centers in Spain, 30 to 50 patients will be included in the dose escalation Part 1 of the trial. Number of participating countries and sites as well as patients will be defined based on Part 1 for Part 2 dose expansion phase.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Signed written informed consent 2. Female or male patients, aged at least 18 years 3. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 4. Life expectancy of at least 3 months as assessed by the investigator 5. Patients with confirmed locally advanced, unresectable, or metastatic solid tumors who have been previously treated with SoC and are no longer eligible for other therapies 6. Patients who have been treated with an ICI treatment as monotherapy or in combination as SoC 7. Have recovered from previous treatment 8. At least 1 measurable lesion according to RECIST Version 1.1 9. Adequate hematological, hepatic, and renal functions 10. Negative blood pregnancy test at screening for women of childbearing potential 11. Highly effective contraception during the study period and for 6 months after the last study treatment administration for WOCBP, and for male patients who are sexually active with WOCBP. Highly effective contraception methods are defined as: - Hormonal methods of contraception including combined oral contraceptive pills, vaginal ring, injectable, implants, intrauterine devices such as Mirena and nonhormonal intrauterine devices such as ParaGard for WOCBP patients or male patients' WOCBP partners - Tubal ligation - Vasectomy In addition to highly effective contraception, participating male patients: - Must use a condom during the study period and for 3 months after the last study treatment administration when engaging in any activity that allows for exposure to ejaculate - Must refrain from donating sperm 12. Must agree to abstain from donating blood while taking study drug and for 3 months following discontinuation of study treatment 13. Able to understand the character and individual consequences of clinical trial Exclusion Criteria: 1. Patients with central nervous system metastases and/or leptomeningeal carcinomatosis with some exceptions 2. Patients with active or a documented history of autoimmune disease, immune deficiency or syndrome that required systemic corticoids (except the allowed dose) or immunosuppressive medications 3. Patients who received a previous ICI like anti-PD(L)-1 or an agent directed to another stimulatory or co-inhibitory T-cell receptor and was discontinued from that treatment due to toxicity 4. Patients under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with exceptions. Steroids with no or minimal systemic effect (topical, inhalation) are allowed 5. Patients with history of or current interstitial lung disease or fibrosis, and patients with pneumonitis 6. Other active malignancy requiring active intervention 7. Patients with previous malignancies other than the target malignancy to be investigated in this trial, unless a complete remission was achieved and no additional therapy is required during the study period 8. Patient with any organ transplantation, including allogeneic stem cell transplantation 9. Known severe hypersensitivity reactions to monoclonal antibodies, any history of anaphylaxis, or uncontrolled asthma 10. Any known allergy or severe reaction to any component of anti-CTLA-4 or anti-PD(L)-1 drug product 11. Significant chronic or acute infections requiring systemic therapy including SARS-CoV-2 (COVID-19) PCR positive testing 12. Clinically significant active cardiovascular disease 13. Any other medical conditions or psychological disorders that would increase the safety risk to the patient or interfere with participation of the patient or the evaluation of the clinical study in the opinion of the investigator 14. Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Centr Georges Francois Leclerc

Address:
City: Dijon
Country: France

Status: Not yet recruiting

Contact:
Last name: Alice HERVIEU, MD

Phone: +33380737506
Email: ahervieu@cgfl.fr

Facility:
Name: Institut Regional Du Cancer De Montpellier

Address:
City: Montpellier
Country: France

Status: Recruiting

Contact:
Last name: Diego TOSI, MD

Phone: +33467612304
Email: diego.tosi@icm.unicancer.fr

Facility:
Name: Institut Curie

Address:
City: Paris
Country: France

Status: Recruiting

Contact:
Last name: Christophe LE TOURNEAU, MD

Phone: +33144324086
Email: christophe.letourneau@curie.fr

Facility:
Name: Institut Gustave Roussy

Address:
City: Paris
Country: France

Status: Not yet recruiting

Contact:
Last name: Aurélien MARABELLE, MD

Phone: +33142115592
Email: aurelien.marabelle@gustaveroussy.fr

Facility:
Name: Hospital Universitari Vall D Hebron

Address:
City: Barcelona
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Elena GARRALDA CABANAS, MD

Phone: +34932746085
Email: egarralda@vhio.net

Facility:
Name: Hospital Universitario Fundacion Jimenez Diaz

Address:
City: Madrid
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Victor MORENO GARCIA, MD

Phone: +34915504800
Email: victor.moreno@startmadrid.com

Facility:
Name: Clinica Universidad De Navarra

Address:
City: Pamplona
Country: Spain

Status: Not yet recruiting

Contact:
Last name: Ana LANDA MAGDALENA, MD

Phone: +34948255400
Email: alandam@unav.es

Facility:
Name: Hospital Clinico Universitario De Valencia

Address:
City: Valencia
Country: Spain

Status: Recruiting

Contact:
Last name: Valentina GAMBARDELLA, MD

Phone: +34691135106
Email: Valen.gambardella@gmail.com

Start date: September 27, 2024

Completion date: January 23, 2027

Lead sponsor:
Agency: Egle Therapeutics
Agency class: Industry

Source: Egle Therapeutics

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06622486

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