NCT04761198

Brief Summary

This is an open-label, phase 1b/2, multicenter study designed to evaluate the efficacy, safety, tolerability, pharmacokinetics (PK), and pharmacodynamics of etigilimab in combination with nivolumab in participants with locally advanced or metastatic solid tumors. Participants will be assigned to receive etigilimab (every 2 weeks) in combination with nivolumab (240 milligrams \[mg\] every 2 weeks).

Trial Health

90
On Track

Trial Health Score

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

Enrollment
76

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Mar 2021

Typical duration for phase_1

Geographic Reach
2 countries

16 active sites

Status
completed

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

February 12, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 18, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

March 23, 2021

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2023

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

March 17, 2025

Completed
Last Updated

March 17, 2025

Status Verified

March 1, 2025

Enrollment Period

2.6 years

First QC Date

February 12, 2021

Results QC Date

January 31, 2025

Last Update Submit

March 7, 2025

Conditions

Keywords

etigilimabnivolumabanti-TIGIT antibodyMPH313OpdivoACTIVATE

Outcome Measures

Primary Outcomes (1)

  • Objective Response Rate (ORR) as Assessed Based on Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST v1.1)

    The ORR was defined as the percentage of participants who achieved a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) per RECIST v1.1. CR: Disappearance of all target or non-target lesions and normalization of tumor marker level. Any pathological lymph node (whether target or non-target) must have reduction in short axis to \<10 millimeters (mm). PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    From first dose of study drug until the date of first objective response (CR or PR) (maximum exposure: 638 days)

Secondary Outcomes (6)

  • Number of Participants WithTreatment-emergent Adverse Events (TEAEs), Any Adverse Events of Special Interests (AESIs), AESI Immune Related AEs, and AESI Infusion Reactions

    From first dose of study drug until 100 days after the last dose of study drug or the initiation of any subsequent cancer treatment, whichever occurs first (maximum exposure: 638 days)

  • Disease Control Rate (DCR) as Assessed Based on RECIST v1.1

    From first dose of study drug until the date of first BOR (CR, PR, or SD) (maximum exposure: 638 days)

  • Duration of Response (DoR) as Assessed Based on RECIST v1.1

    From first dose of study drug until the date of first overall response of PD or date of death due to underlying cancer (maximum exposure: 638 days)

  • Duration of Stable Disease (DoSD) as Assessed Based on RECIST v1.1

    From first dose of study drug until the date of first overall response of PD or date of death due to underlying cancer (up to a maximum of 680 days)

  • Serum Concentrations of Etigilimab

    Pre-infusion and 15 minutes post-infusion on Cycle 1 Day 1 and Cycle 4 Day 43

  • +1 more secondary outcomes

Study Arms (8)

Cohort A: Endometrial Cancer CPI (PD-1/PD-L1) Naive

EXPERIMENTAL

Participants with endometrial cancer CPI (programmed death-1 \[PD-1\]/ programmed death ligand-1 \[PD-L1\]) naive will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort B: Head and Neck Squamous Cell Carcinoma

EXPERIMENTAL

Participants with head and neck cell carcinoma will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort C: Cervical Carcinoma

EXPERIMENTAL

Participants with cervical carcinoma will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort D (Recurrent Advanced and/or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma)

EXPERIMENTAL

Participants with recurrent advanced and/or metastatic gastric or gastroesophageal junction adenocarcinoma will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort E: TMB-H + MSS Solid Tumors

EXPERIMENTAL

Participants with tumour mutational burden-high (TMB-H) and microsatellite stable (MSS) solid tumors will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort F: Rare Tumors (Sarcoma, Uveal Melanoma, Germ Cell)

EXPERIMENTAL

Participants with rare tumors (sarcoma, uveal melanoma, and germ cell) will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort G: Endometrial Cancer Post- CPI (PD-1/PD-L1 Treated)

EXPERIMENTAL

Participants with endometrial cancer (PD-1/PD-L1 treated) will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Cohort H: Ovarian Cancer

EXPERIMENTAL

Participants with ovarian cancer will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.

Drug: EtigilimabDrug: Nivolumab

Interventions

IV infusion of IV etigilimab every 2 weeks

Also known as: MPH313
Cohort A: Endometrial Cancer CPI (PD-1/PD-L1) NaiveCohort B: Head and Neck Squamous Cell CarcinomaCohort C: Cervical CarcinomaCohort D (Recurrent Advanced and/or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma)Cohort E: TMB-H + MSS Solid TumorsCohort F: Rare Tumors (Sarcoma, Uveal Melanoma, Germ Cell)Cohort G: Endometrial Cancer Post- CPI (PD-1/PD-L1 Treated)Cohort H: Ovarian Cancer

IV infusion of nivolumab every 2 weeks

Also known as: Opdivo
Cohort A: Endometrial Cancer CPI (PD-1/PD-L1) NaiveCohort B: Head and Neck Squamous Cell CarcinomaCohort C: Cervical CarcinomaCohort D (Recurrent Advanced and/or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma)Cohort E: TMB-H + MSS Solid TumorsCohort F: Rare Tumors (Sarcoma, Uveal Melanoma, Germ Cell)Cohort G: Endometrial Cancer Post- CPI (PD-1/PD-L1 Treated)Cohort H: Ovarian Cancer

Eligibility Criteria

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

You may qualify if:

  • Histological or cytological diagnosis of a relevant tumor type as per the study protocol and not candidates for curative surgery or radiation therapy
  • Available tumor tissue (archival or newly obtained core or excisional biopsy)
  • Adequate hematologic and end organ function as measured by laboratory screening panel in the 14 days prior to treatment
  • Life expectancy greater than 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Adequate contraception for women of childbearing potential
  • Pre-specified wash-out of prior anti-PD1/PDL-1 therapy

You may not qualify if:

  • Concurrent active malignancy
  • Major surgery within 4 weeks of treatment
  • Participants with active, known or suspected autoimmune diseases
  • Prior treatment with cluster of differentiation (CD) 137 agonists, anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and anti-T-cell immunoreceptor with immunoglobulin (Ig) and immunoreceptor tyrosine-based inhibitory motif domains (TIGIT) antibodies
  • History of any Grade 3 or 4 immune-related adverse event (AE) toxicity from prior immunotherapy that resulted in treatment discontinuation
  • History of immune-related adverse events that lead to discontinuation of anti-PD-1 or PDL-1 therapy
  • Active infections of human immunodeficiency virus (HIV), hepatitis B, hepatitis C
  • Medical illness or abnormal laboratory finding that would, in the Study Investigator's judgement, increase the risk to the participant associated with participation in the study
  • Pregnancy in female participants

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

Mereo Investigator Site

Phoenix, Arizona, 85054, United States

Location

Mereo Investigator Site

Greenbrae, California, 94904, United States

Location

Mereo Investigator Site

Los Angeles, California, 90025, United States

Location

Mereo Investigator Site

Jacksonville, Florida, 32224, United States

Location

Mereo Investigator Site

Boston, Massachusetts, 02215, United States

Location

Mereo Investigator Site

Ann Arbor, Michigan, 48109, United States

Location

Mereo Investigator Site

Rochester, Minnesota, 55905, United States

Location

Mereo Investigator Site

New York, New York, 10065, United States

Location

Mereo Investigator Site

Durham, North Carolina, 27710, United States

Location

Mereo Investigator Site

Oklahoma City, Oklahoma, 73104, United States

Location

Mereo Investigator Site

Nashville, Tennessee, 37203, United States

Location

Mereo Investigator Site

Houston, Texas, 77030, United States

Location

Mereo Investigator Site

West Valley City, Utah, 84119, United States

Location

Mereo Investigator Site

Fairfax, Virginia, 22031, United States

Location

Royal Marsden

London, United Kingdom

Location

Sarah Cannon UK

London, United Kingdom

Location

MeSH Terms

Conditions

Neoplasm Metastasis

Interventions

Nivolumab

Condition Hierarchy (Ancestors)

Neoplastic ProcessesNeoplasmsPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Mereo BioPharma
Organization
Mereo BioPharma

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Basket study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 12, 2021

First Posted

February 18, 2021

Study Start

March 23, 2021

Primary Completion

October 30, 2023

Study Completion

October 30, 2023

Last Updated

March 17, 2025

Results First Posted

March 17, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations