NCT04354246

Brief Summary

Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary antitumor activity of COM902 as monotherapy and in combination with COM701 in subjects with advanced malignancies.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
110

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Mar 2020

Longer than P75 for phase_1

Geographic Reach
1 country

9 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 31, 2020

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

April 15, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 21, 2020

Completed
5.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

May 22, 2025

Status Verified

May 1, 2025

Enrollment Period

5.8 years

First QC Date

April 15, 2020

Last Update Submit

May 18, 2025

Conditions

Keywords

TIGIT antibodyPVRIG antibodyCOM701Low Fc-effector functionPembrolizumab

Outcome Measures

Primary Outcomes (6)

  • The safety and tolerability of COM902 monotherapy and in combination with COM701.

    Incidence of subjects with Adverse Events (AEs) as per CTCAE v5.0 and Dose-Limiting Toxicities (DLTs).

    DLT evaluation window in the 1st cycle (21 Days).

  • To identify the maximum tolerated dose (MTD) and/or recommended dose for expansion of COM902 monotherapy and in combination with COM701.

    Evaluation of a dose of COM902 monotherapy and in combination with COM701 that is well tolerated by subjects.

    18 months.

  • To characterize the pharmacokinetic (PK) profile of COM902 as monotherapy and in combination with COM701.

    Evaluation of parameters of COM902 monotherapy or in combination with COM701 exposure such as Maximum Plasma Concentration \[Cmax\]).

    18 months.

  • Evaluation of safety and tolerability of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Incidence of subjects on the Triplet combination (COM902 + COM701 + Pembrolizumab) with Adverse Events (AEs) per CTCAE v5.0.

    18 months.

  • Evaluation of the PK profile of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Evaluation of PK parameters e.g., Cmax.

    18 months.

  • Evaluation of the PK profile of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    Evaluation of PK parameters e.g., AUC.

    18 months.

Secondary Outcomes (2)

  • To characterize immunogenicity of COM902 monotherapy and in combination with COM701.

    18 months.

  • To characterize the immunogenicity of the Triplet combination (COM902 + COM701 + Pembrolizumab).

    18 months.

Other Outcomes (2)

  • Evaluation of the preliminary antitumor activity of COM902 as monotherapy and in combination with COM701.

    24 months.

  • Preliminary antitumor activity of the triplet combination (COM902 + COM701 + Pembrolizumab).

    24 months

Study Arms (6)

COM902 monotherapy dose escalation.

EXPERIMENTAL

Monotherapy dose escalation. COM902 monotherapy administered IV every 3 weeks in sequential dose escalation. Up to 7 dose escalation cohorts may be evaluated until a maximum tolerated dose or recommended dose for expansion (RDFE) is identified.

Drug: Dose escalation: COM902 monotherapy.

Dual combination (COM902 + COM701) for evaluation of safety/tolerability (both at RDFE).

EXPERIMENTAL

COM902 will be combined with COM701 for evaluation of safety and tolerability. All study drugs will be administered IV every 3 weeks.

Combination Product: Evaluation of safety/tolerability: COM902 in combination with COM701 (both at the RDFE)

COM902 monotherapy cohort expansion at RDFE.

EXPERIMENTAL

COM902 monotherapy at the RDFE - in subjects with multiple myeloma. COM902 will be administered IV every 3 weeks.

Drug: Cohort expansion: COM902 (RDFE) monotherapy.

COM902 + COM701 combination cohort expansion both at RDFE.

EXPERIMENTAL

COM902 + COM701 (both at the RDFE) evaluated in subjects with select tumor types who have exhausted standard of care treatment: HNSCC, CRC (MSS), NSCLC. All study drugs will be administered IV every 3 weeks.

Drug: Cohort expansion: COM902 in combination with COM701 (both at the RDFE).

MSS-CRC Triplet combination (COM902 + COM701 + Pembrolizumab).

EXPERIMENTAL

Triplet combination of COM902 + COM701 + Pembrolizumab evaluated in subjects with MSS-CRC. All study drugs will be administered IV every 3 weeks.

Combination Product: Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.

Platinum resistant ovarian cancer Triplet combination (COM902 + COM701 + Pembrolizumab).

EXPERIMENTAL

Triplet combination of COM902 + COM701 + Pembrolizumab evaluated in subjects with PROC. All study drugs will be administered IV every 3 weeks.

Combination Product: Cohort expansion: Triplet combination of COM902 + COM701 + Pembrolizumab.

Interventions

COM902 monotherapy administered IV every 3 weeks in sequential dose escalation doses in cohorts of subjects.

COM902 monotherapy dose escalation.

Both study drugs will be evaluated at the RDFE for assessment of safety and tolerability. All study drugs will be administered IV every 3 weeks.

Dual combination (COM902 + COM701) for evaluation of safety/tolerability (both at RDFE).

COM902 monotherapy (RDFE) in subjects with multiple myeloma. COM902 will be administered IV every 3 weeks.

COM902 monotherapy cohort expansion at RDFE.

COM902 in combination with COM701 (both at RDFE) in subjects with select tumor types who have exhausted standard treatment - HNSCC, CRC (MSS), NSCLC. All study drugs will be administered IV every 3 weeks.

COM902 + COM701 combination cohort expansion both at RDFE.

Triplet combination of COM902 + COM701 + Pembrolizumab administered IV every 3 weeks.

MSS-CRC Triplet combination (COM902 + COM701 + Pembrolizumab).Platinum resistant ovarian cancer Triplet combination (COM902 + COM701 + Pembrolizumab).

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects with histologically/cytologically confirmed advanced malignancy (solid tumor) who must have exhausted all available standard therapy, or not a candidate for standard therapy.
  • Subject is able to provide written, informed consent before initiation of any study related procedures, and is able, in the opinion of the investigator, to comply with all the requirements of the study.
  • Subject has Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • For Triplet combination MSS-CRC:
  • Histologically confirmed adenocarcinoma of the colon/rectum
  • Stage IV disease
  • MSS-CRC status by an FDA approved test
  • Disease progression with no more than 3 prior lines of treatment including fluroropyrimidines, irinotecan, and oxaliplatin
  • For Triplet combination ovarian cancer:
  • Advanced epithelial ovarian, fallopian tube, or primary peritoneal carcinoma
  • Platinum resistant ovarian cancer (PROC) defined as disease recurrence \< 6 months after completion of a platinum-containing regimen: Patients with primary platinum refractory disease are ineligible. Primary platinum refractory disease is defined as progression of disease prior to completion of 1st line platinum therapy or immediately following (≤ 3 months following last date of chemotherapy)
  • Received ≤3 prior lines for PROC; maintenance bevacizumab or PARP are not included as a line of therapy
  • Subjects who have received PARP inhibitor therapy are eligible

You may not qualify if:

  • Prior treatment with a TIGIT inhibitor.
  • Prior treatment with an inhibitor of PVRIG
  • Symptomatic interstitial lung disease or inflammatory pneumonitis.
  • History of immune-related events that required immunotherapy treatment discontinuation
  • For Triplet combination expansion cohorts (MSS-CRC and PROC): Prior treatment with an anti-PD-1/PD-L1/2, anti-CD96 antibody, anti-OX-40 antibody, anti-CD137 antibody, anti-LAG3, anti-TIM3, anti-CTLA4 antibody.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Florida Cancer Specialists

Sarasota, Florida, 34230, United States

Location

Massachusetts General Hospital.

Boston, Massachusetts, 02114, United States

Location

START Midwest.

Grand Rapids, Michigan, 49503, United States

Location

The Ohio State University Comprehensive Cancer Center.

Columbus, Ohio, 43210, United States

Location

The University of Tennessee WEST Cancer Center.

Memphis, Tennessee, 38138, United States

Location

Mary Crowley Cancer Research

Dallas, Texas, 75230, United States

Location

MD Anderson Cancer Center.

Houston, Texas, 77030, United States

Location

The START Center for Cancer Care.

San Antonio, Texas, 78229, United States

Location

Froedtert & Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Ovarian NeoplasmsLung NeoplasmsColonic NeoplasmsNeoplasms, Plasma CellMultiple MyelomaSquamous Cell Carcinoma of Head and Neck

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesNeoplasms by Histologic TypeHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialHead and Neck Neoplasms

Study Officials

  • COM902 Study Director COM902 Study Director

    Compugen Ltd

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 15, 2020

First Posted

April 21, 2020

Study Start

March 31, 2020

Primary Completion

December 30, 2025

Study Completion

December 30, 2025

Last Updated

May 22, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations