NCT04442126

Brief Summary

This is a first-in-human, open-label, multi-center, Phase 1/2, dose-escalation study with expansion cohorts to evaluate NM21-1480 for safety and immunogenicity, to determine the maximal tolerated dose and recommended Phase 2 dose, define the pharmacokinetics, to explore the pharmacodynamics, and to obtain preliminary evidence of the clinical activity in adult patients with selected advanced solid tumors.

Trial Health

60
Monitor

Trial Health Score

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

Enrollment
52

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Aug 2020

Typical duration for phase_1

Geographic Reach
3 countries

26 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

June 18, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 22, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

August 19, 2020

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 6, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 6, 2024

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

May 23, 2025

Completed
Last Updated

May 23, 2025

Status Verified

May 1, 2025

Enrollment Period

3.5 years

First QC Date

June 18, 2020

Results QC Date

February 5, 2025

Last Update Submit

May 7, 2025

Conditions

Keywords

CarcinomaNeoplasms

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0

    Frequency and severity of adverse events

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • Maximum Tolerated Dose (MTD) of NM21-1480

    To determine the MTD of NM21-1480 based on Part A. Note, No MTD was identified across all dose levels tested and a technical MTD was defined by the SMC as 800 mg following Part A, which was updated to 1400 mg by the SMC after completion of Part A-2.

    Cycle 1 (28 days).

  • Determination of Phase 2 Dose of NM21-1480

    To determine the recommended Phase 2 dose of NM21-1480 for Part B of the study

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • To Determine the Anti-tumor Activity (Best Overall Response) of NM21-1480 According to RECIST 1.1

    For best overall response (BOR) and objective response rate (ORR), patients in the Efficacy Analysis Set (EAS) who did not have sufficient on-study tumor assessments to characterize response were included in the denominator when calculating BOR percent and ORR and were thus treated as non-responders.

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

Secondary Outcomes (13)

  • Assessment of the Maximum Observed Serum Concentration Determined by Direct Inspection of the Concentration Versus Time Data (Cmax)

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • Assessment of the the Minimum Observed Serum Concentration Determined by Direct Inspection of the Concentration Versus Time Data (Cmin)

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • Assessment of the Time From Dosing at Which Cmax is Apparent Determined by Direct Inspection of the Concentration Versus Time Data (Tmax)

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • Assessment of the Terminal Phase (Apparent Elimination) Rate Constant (λz)

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • Assessment of the Elimination Half-life (t½)

    From baseline to up to 12 weeks post last dose, up to 48 weeks.

  • +8 more secondary outcomes

Study Arms (1)

NM21-1480 Treatment arm

EXPERIMENTAL
Biological: NM21-1480

Interventions

NM21-1480BIOLOGICAL

Trispecific anti-PD-L1/anti-4-1BB/anti-Human Serum Albumin (HSA) single-chain Fv fusion protein

NM21-1480 Treatment arm

Eligibility Criteria

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

You may qualify if:

  • Part A
  • Patients with any previously treated solid tumor-type other than hepatocellular carcinoma or intrahepatic cholangiocarcinoma that is advanced, or recurrent and progressing since last anti-tumor therapy, and for which no alternative, standard therapy exists.
  • Prior chemotherapy, radiation therapy or immunotherapy must have been completed at least 4 weeks prior to the administration of the first dose of study drug, and patient has recovered
  • Part B:
  • Patients with Non-small Cell Lung Cancer (NSCLC) or other protocol specified solid tumors with locally advanced or metastatic, non-resectable disease, which has progressed despite treatment with first-line standard of-care treatment, or first- and second-line treatment, dependent on expansion cohort.
  • Prior therapy must have been completed 2-4 weeks prior to the administration of the first dose of study drug as specified per protocol according to type of prior therapy

You may not qualify if:

  • Patient previously had known immediate or delayed hypersensitivity reaction or idiosyncrasy to the excipients
  • Part A: Treatment with any PD-1, or Cytotoxic T-Lymphocyte Associated Protein (CTLA)-4 directed antibody, or with any other immunotherapy within 4 weeks prior to initiation of the study drug.
  • Part A: Use of other biological investigational drugs (drugs not marketed for any indication), including use of investigational drugs targeting CD137/4-1BB within at least 5 half-lives (or within 8 weeks, whatever is longer) prior to the administration of the first dose of study drug.
  • Part B: As defined per protocol for each expansion cohort, has not been treated with specified first/second-line standard-of-care therapies biological drugs (marketed or investigational) for treatment of the current cancer, or has not adequately recovered from AEs that occurred with prior therapy.
  • Patient has an active autoimmune disease or a documented history of autoimmune disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

UCHealth Poudre Valley Hospital

Fort Collins, Colorado, 80524, United States

Location

Augusta University Medical Center

Augusta, Georgia, 30912, United States

Location

Tulane University Medical Center

New Orleans, Louisiana, 70112, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

St. Joseph Mercy Hospital

Ypsilanti, Michigan, 48197, United States

Location

Dartmouth Cancer Center

Lebanon, New Hampshire, 03766, United States

Location

NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute)

New York, New York, 10016, United States

Location

Montefiore Medical Center

The Bronx, New York, 10461-2374, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Medical University of South Carolina (MUSC)

Charleston, South Carolina, 29425, United States

Location

Sarah Cannon Cancer Center

Nashville, Tennessee, 37203, United States

Location

The University Of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

Location

Hospital Universitario de A Coruna

A Coruña, Spain

Location

Hospital Universitario Vall dHebron

Barcelona, Spain

Location

Hospital General Universitario de Elche

Elche, Spain

Location

Complejo Hospitalario de Jaen

Jaén, Spain

Location

Centro Integral Oncologico Clara Campal

Madrid, Spain

Location

Clinica Universidad de Navarra - Madrid

Madrid, Spain

Location

Hospital Universitario Virgen de la Victoria

Málaga, Spain

Location

Hospital Universitario Son Llatzer

Palma de Mallorca, Spain

Location

Clinica Universidad de Navarra - Pamplona

Pamplona, Spain

Location

Hospital Universitario Virgen Macarena

Seville, Spain

Location

Hospital Universitari i Politecnic La Fe

Valencia, Spain

Location

National Taiwan University Hospital

Taipei, Taiwan

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungColorectal NeoplasmsCarcinoma, Squamous CellOvarian NeoplasmsFallopian Tube NeoplasmsSquamous Cell Carcinoma of Head and NeckTriple Negative Breast NeoplasmsCarcinomaNeoplasms

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteLung DiseasesRespiratory Tract DiseasesIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasms, Squamous CellEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersFallopian Tube DiseasesHead and Neck NeoplasmsBreast NeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Results Point of Contact

Title
Josephine Adams
Organization
Numab Therapeutics AG

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

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

Study Record Dates

First Submitted

June 18, 2020

First Posted

June 22, 2020

Study Start

August 19, 2020

Primary Completion

February 6, 2024

Study Completion

February 6, 2024

Last Updated

May 23, 2025

Results First Posted

May 23, 2025

Record last verified: 2025-05

Locations