Lung Cancer Clinical Trial

Safety and Efficacy Study of GEN1046 as a Single Agent or in Combination With Pembrolizumab for Treatment of Recurrent (Non-small Cell) Lung Cancer

Summary

The purpose of this trial is to investigate the safety and efficacy of GEN1046 as monotherapy and in combination with pembrolizumab in patients with non-small cell lung cancer who have progressed during or after treatment of previous standard of care

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Full Description

This trial is a randomized, open-label trial evaluating the safety and efficacy of GEN1046 as monotherapy and in combination therapy with pembrolizumab. The trial consists of two parts; a safety phase and an extension phase. The extension phase will be initiated once the safety phase is completed.

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Eligibility Criteria

Key Inclusion Criteria:

Have signed an informed consent form (ICF)
Be at least 18 years of age.
Have histologically or cytologically confirmed diagnosis of stage 4 NSCLC with at least 1 prior line of systemic therapy containing an anti-PD-1/PD-L1 mAb for metastatic disease
Have a tumor PD-L1 expression result available prior to first treatment demonstrating PD-L1 expression in ≥1% of tumor cells as assessed by a central or local laboratory during screening.
Have measurable disease per RECIST v1.1.
Have Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1.
Have life expectancy of at least 3 months.
Have adequate organ and bone marrow function as defined in the protocol.

Key Exclusion Criteria:

Documentation of known EGFR, KRAS, RET, ROS1, BRAF mutations, NTRK gene infusions, RET arrangement, ALK gene rearrangements, high-level MET amplification, or METex 14 skipping. Note: Subjects harboring such mutations, gene rearrangements or amplifications may be enrolled in the trial, if subjects have received prior approved targeted therapy for such mutations, the subject may still be eligible for this trial.
Treatment with an anti-cancer agent within 28 days prior to GEN1046 administration.
Any investigational agent for the treatment of stage 4 NSCLC.
Radiotherapy within 14 days prior to first GEN1046 administration or received lung radiation therapy of >30 Gy within 6 months of the first dose of trial treatment. Subjects must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis.
Chronic systemic immunosuppressive corticosteroid doses, ie, prednisone >10 mg daily or a cumulative dose >150 mg prednisone within 14 days before the first GEN1046 administration.
Subject has severe hypersensitivity (≥Grade 3) to pembrolizumab and/or any of its excipients.
Subject has contraindications to the use of pembrolizumab per local prescribing information.
Subject has a history of (non-infectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis (interstitial lung disease).
Ongoing or active infection requiring intravenous treatment with anti-infective therapy that has been administered <2 weeks prior to first dose.
Symptomatic congestive heart failure (grade III or IV as classified by the New York Heart Association), unstable angina pectoris, or cardiac arrhythmia.
Uncontrolled hypertension defined as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg, despite optimal medical management.
Ongoing or recent (within 6 months) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for irAEs.

Subject has a known history of any of the following:

Grade 3 or higher irAEs that led to treatment discontinuation of a prior immunotherapy treatment.
Myositis, Guillain-Barré syndrome, or myasthenia gravis of any grade.
Liver disease (eg, alcoholic hepatitis or non-alcoholic steatohepatitis, drug-related or autoimmune hepatitis, or evidence of hepatic cirrhosis).
Organ allograft (except for corneal transplant) or autologous or allogeneic bone marrow transplant, or stem cell rescue within 3 months prior to the first dose of GEN1046.
Grade 3 or higher allergic reactions to monoclonal antibody therapy as well as known or suspected allergy or intolerance to any agent given in the course of this trial.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study is for people with:

Lung Cancer

Phase:

Phase 2

Estimated Enrollment:

160

Study ID:

NCT05117242

Recruitment Status:

Recruiting

Sponsor:

Genmab

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There are 6 Locations for this study

See Locations Near You

St. Joseph Heritage Healthcare
Santa Rosa California, 95403, United States
Florida Cancer Specialists - FCS South
Fort Myers Florida, 33901, United States
Florida Cancer Center
Saint Petersburg Florida, 33705, United States
Henry Ford Cancer Institute
Detroit Michigan, 48202, United States
Cancer & Hematology Centers of Western Michigan CHCWM P.C.
Grand Rapids Michigan, 49503, United States
Oncology Clinical Trials Ascension Providence Hospital
Southfield Michigan, 48075, United States
Azienda Ospedaliera Universitaria Policlinico G Rodolico San Marco
Catania , , Italy
IFO Regina Elena
Roma , , Italy
Erasmus MC
Rotterdam , , Netherlands
Med Polonia Sp. z o.o.
Poznań , , Poland
Szpital Specjalistyczny w Prabutach Sp. z o.o.
Prabuty , , Poland
Maria Sklodowska-Curie National Research Institute of Oncology
Warszawa , , Poland
Hospital Universitari Vall dHebron
Barcelona , , Spain
Clinica Universidad de Navarra CUN
Madrid , , Spain
Hospital Universitario 12 de Octubre
Madrid , , Spain
Hospital Universitario Fundacion Jimenez Diaz
Madrid , , Spain
MD Anderson Cancer Center
Madrid , , Spain
Hospital Universitario Virgen de la Victoria
Málaga , , Spain
Clinica Universidad de Navarra
Pamplona , , Spain

How clear is this clinincal trial information?

Study is for people with:

Lung Cancer

Phase:

Phase 2

Estimated Enrollment:

160

Study ID:

NCT05117242

Recruitment Status:

Recruiting

Sponsor:


Genmab

How clear is this clinincal trial information?

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