A Study to Evaluate Immunotherapy Combinations in Participants With Gastrointestinal Malignancies

• Status: Completed
• Trial end date: 2021-06-25
• Target enrollment: 0
• Participant gender: All

Summary

This is a Phase 1/1b, open-label, dose-escalation, and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and clinical activity of etrumadenant (AB928) in combination with mFOLFOX in participants with advanced metastatic gastroesophageal Cancer (GEC) or colorectal cancer (CRC).

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Arcus Biosciences, Inc.

Criteria

Inclusion Criteria:

1. Male or female participants ≥ 18 years

2. Histologically confirmed gastroesophageal cancer or colorectal cancer that is metastatic, advanced or recurrent with progression

3. Participants for whom mFOLFOX is considered appropriate therapy

4. Must have at least 1 measurable lesion per RECIST v1.1.

5. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.

6. Must have received standard of care, including potentially curative available therapies or interventions.

7. Confirm that an archival tissue sample is available and ≤ 24 months old; if not, a new biopsy of a tumor lesion must be obtained.

8. Adequate organ and marrow function

Exclusion Criteria:

1. Use of any live vaccines against infectious diseases (eg, influenza, varicella) within 4 weeks (28 days) of initiation of investigational product.

2. Underlying medical conditions that, in the Investigator's or Sponsor's opinion, will make the administration of investigational product hazardous (eg interstitial lung disease, active infections requiring antibiotics, recent hospitalization with unresolved symptoms) or obscure the interpretation of toxicity determination or AEs, or concurrent medical condition requiring the use of immunosuppressive medications or immunosuppressive doses of systemic or absorbable topical corticosteroids.

3. Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.

4. Untreated or symptomatic CNS disease

5. Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study, starting with screening visit through 30 days after the last dose of etrumadenant in combination with mFOLFOX.

6. Any active autoimmune disease or a documented history of autoimmune disease or syndrome that required systemic treatment in past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs), except for vitiligo or resolved childhood asthma/atopy.

1. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment.

2. Participants with asthma who require intermittent use of bronchodilators, inhaled corticosteroids, or local corticosteroid injections will not be excluded from this study. Participants on chronic systemic corticosteroids will be excluded from the study.

7. Prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix, breast, or prostate.

8. Oxaliplatin-based therapy as the most recent regimen prior to enrolling in the study, except if prior oxaliplatin-based therapy was received as the most recent regimen in the adjuvant setting and completed ≥ 6 months prior to study enrollment.

9. Prior chemotherapy, targeted small-molecule therapy, or radiation therapy within 4 weeks prior to Day 1 or has not recovered (ie, ≥ Grade 1 or baseline) from AEs due to a previously administered agent, except ≤ Grade 2 alopecia or ≤ Grade 2 neuropathy and other AEs considered not clinically significant by the Medical Monitor and Investigator.

10. Use of other investigational drugs (drugs not marketed for any indication) within 28 days of investigational product administration.