NCT05311618

Brief Summary

Study of NGM438 as Monotherapy and in Combination with Pembrolizumab in Advanced or Metastatic Solid Tumors

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
71

participants targeted

Target at P75+ for phase_1 pancreatic-cancer

Timeline
Completed

Started May 2022

Geographic Reach
1 country

6 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

First Submitted

Initial submission to the registry

March 18, 2022

Completed
18 days until next milestone

First Posted

Study publicly available on registry

April 5, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

May 11, 2022

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

April 1, 2024

Status Verified

March 1, 2024

Enrollment Period

2.9 years

First QC Date

March 18, 2022

Last Update Submit

March 28, 2024

Conditions

Outcome Measures

Primary Outcomes (6)

  • Number of Patients with Dose-limiting Toxicities

    A DLT is defined as an AE that meets at least one of the criteria listed in protocol, according to National Cancer Institute (NCI) common terminology criteria for AE (CTCAE) version 5.0, and is considered by the Investigator to be clinically relevant and attributed to the study treatment during the first 21 days after the first dose of study treatment.

    Baseline up to 21 Days

  • Number of Patients with Adverse Events

    Number of patients with adverse events (AEs) according to severity, seriousness, and relationship to study drug. An AE is defined as any untoward medical occurrence in a patient, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of patients who experience at least one AE will be presented.

    Approximately 24 months

  • Number of Patients with Clinically Significant Laboratory Abnormalities

    Number of patients with clinically significant change from baseline in laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE version 5.0) and timing.

    Approximately 24 months

  • Changes in potential pharmacodynamic biomarker CD163 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in CD163

    Baseline up to 15 days

  • Changes in potential pharmacodynamic biomarker MMP9 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in MMP9

    Baseline up to 15 days

  • Changes in potential pharmacodynamic biomarker CD8 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in CD8

    Baseline up to 15 days

Secondary Outcomes (9)

  • Maximum Observed Serum Concentration (Cmax) of NGM438

    Approximately 24 months. Each Cycle is 21 days.

  • Area Under the Curve (AUC) of Serum NGM438

    Approximately 24 months. Each Cycle is 21 days.

  • Time to Maximum (Tmax) Observed Serum Concentration of NGM438

    Approximately 24 months. Each Cycle is 21 days.

  • Half-life (t1/2) of NGM438 in Serum

    Approximately 24 months. Each Cycle is 21 days.

  • Systemic Clearance (CL) of NGM438

    Approximately 24 months. Each Cycle is 21 days.

  • +4 more secondary outcomes

Study Arms (3)

NGM438 Monotherapy Dose Escalation

EXPERIMENTAL

Part 1a Single Agent Dose Escalation

Drug: NGM438

NGM438 Combination Dose Finding with pembrolizumab ( KEYTRUDA ® )

EXPERIMENTAL

Part 1b NGM438 plus pembrolizumab ( KEYTRUDA ® )

Drug: NGM438Drug: Pembrolizumab (KEYTRUDA ®)

Biopsy Cohort with NGM438 Monotherapy Followed by Combination Therapy with Pembrolizumab(KEYTRUDA ®)

EXPERIMENTAL

Part 1C NGM438 followed by NGM438 plus pembrolizumab ( KEYTRUDA ® )

Drug: NGM438Drug: Pembrolizumab (KEYTRUDA ®)

Interventions

NGM438DRUG

NGM438 is given intravenously (IV) every 3 weeks in a 21 day cycle. Multiple dose levels will be evaluated.

Biopsy Cohort with NGM438 Monotherapy Followed by Combination Therapy with Pembrolizumab(KEYTRUDA ®)NGM438 Combination Dose Finding with pembrolizumab ( KEYTRUDA ® )NGM438 Monotherapy Dose Escalation

Pembrolizumab (KEYTRUDA®) will be administered intravenously (IV) every 3 weeks in a 21 day cycle.

Biopsy Cohort with NGM438 Monotherapy Followed by Combination Therapy with Pembrolizumab(KEYTRUDA ®)NGM438 Combination Dose Finding with pembrolizumab ( KEYTRUDA ® )

Eligibility Criteria

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

You may qualify if:

  • Histologically or cytologically documented locally advanced or metastatic solid tumor malignancy.
  • Progressed or was intolerant to all available therapies known to confer clinical benefit appropriate for their tumor type for which the patient was eligible and willing to receive.
  • Adequate bone marrow, kidney and liver function
  • Performance status of 0 or 1.
  • Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade 1 except for AEs not constituting a safety risk by Investigator judgement.

You may not qualify if:

  • Prior treatment targeting LAIR1

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

SCRI Denver

Denver, Colorado, 80218, United States

Location

Yale Cancer Center

New Haven, Connecticut, 06520, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

START Midwest

Grand Rapids, Michigan, 49546, United States

Location

Mount Sinai Hospital

New York, New York, 10029, United States

Location

MD Anderson

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Pancreatic NeoplasmsBreast NeoplasmsStomach NeoplasmsCarcinoma, Non-Small-Cell LungUterine Cervical NeoplasmsSquamous Cell Carcinoma of Head and NeckColorectal NeoplasmsEsophageal NeoplasmsOvarian NeoplasmsCarcinoma, Renal CellProstatic NeoplasmsMelanomaMesotheliomaCholangiocarcinoma

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System DiseasesBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesGastrointestinal NeoplasmsGastrointestinal DiseasesStomach DiseasesCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeHead and Neck NeoplasmsIntestinal NeoplasmsColonic DiseasesIntestinal DiseasesRectal DiseasesEsophageal DiseasesOvarian DiseasesAdnexal DiseasesGonadal DisordersAdenocarcinomaKidney NeoplasmsUrologic NeoplasmsKidney DiseasesUrologic DiseasesMale Urogenital DiseasesGenital Neoplasms, MaleGenital Diseases, MaleProstatic DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsAdenomaNeoplasms, Mesothelial

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

March 18, 2022

First Posted

April 5, 2022

Study Start

May 11, 2022

Primary Completion

April 1, 2025

Study Completion

June 1, 2025

Last Updated

April 1, 2024

Record last verified: 2024-03

Locations