A Study of Etigilimab and Nivolumab in Participants With Locally Advanced or Metastatic Tumors
A Phase 1b/2 Open-Label Study of the Efficacy and Safety of Etigilimab (MPH313) Administered in Combination With Nivolumab to Subjects With Locally Advanced or Metastatic Solid Tumors (ACTIVATE)
2 other identifiers
interventional
76
2 countries
16
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Mar 2021
Typical duration for phase_1
16 active sites
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
CompletedFirst Posted
Study publicly available on registry
February 18, 2021
CompletedStudy Start
First participant enrolled
March 23, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
October 30, 2023
CompletedResults Posted
Study results publicly available
March 17, 2025
CompletedMarch 17, 2025
March 1, 2025
2.6 years
February 12, 2021
January 31, 2025
March 7, 2025
Conditions
Keywords
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
EXPERIMENTALParticipants 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.
Cohort B: Head and Neck Squamous Cell Carcinoma
EXPERIMENTALParticipants 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.
Cohort C: Cervical Carcinoma
EXPERIMENTALParticipants with cervical carcinoma will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.
Cohort D (Recurrent Advanced and/or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma)
EXPERIMENTALParticipants 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.
Cohort E: TMB-H + MSS Solid Tumors
EXPERIMENTALParticipants 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.
Cohort F: Rare Tumors (Sarcoma, Uveal Melanoma, Germ Cell)
EXPERIMENTALParticipants 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.
Cohort G: Endometrial Cancer Post- CPI (PD-1/PD-L1 Treated)
EXPERIMENTALParticipants 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.
Cohort H: Ovarian Cancer
EXPERIMENTALParticipants with ovarian cancer will receive etigilimab in combination with nivolumab every 2 weeks and will continue treatment until protocol-defined discontinuation criteria are met.
Interventions
IV infusion of IV etigilimab every 2 weeks
IV infusion of nivolumab every 2 weeks
Eligibility Criteria
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
- Mereo BioPharmalead
- ICON Clinical Researchcollaborator
Study Sites (16)
Mereo Investigator Site
Phoenix, Arizona, 85054, United States
Mereo Investigator Site
Greenbrae, California, 94904, United States
Mereo Investigator Site
Los Angeles, California, 90025, United States
Mereo Investigator Site
Jacksonville, Florida, 32224, United States
Mereo Investigator Site
Boston, Massachusetts, 02215, United States
Mereo Investigator Site
Ann Arbor, Michigan, 48109, United States
Mereo Investigator Site
Rochester, Minnesota, 55905, United States
Mereo Investigator Site
New York, New York, 10065, United States
Mereo Investigator Site
Durham, North Carolina, 27710, United States
Mereo Investigator Site
Oklahoma City, Oklahoma, 73104, United States
Mereo Investigator Site
Nashville, Tennessee, 37203, United States
Mereo Investigator Site
Houston, Texas, 77030, United States
Mereo Investigator Site
West Valley City, Utah, 84119, United States
Mereo Investigator Site
Fairfax, Virginia, 22031, United States
Royal Marsden
London, United Kingdom
Sarah Cannon UK
London, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- 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