Title
Study of the CD40 Agonistic Monoclonal Antibody APX005M
Phase 1 Study to Evaluate the Safety and Tolerability of the CD40 Agonistic Monoclonal Antibody APX005M in Subjects With Solid Tumors
Phase
Phase 1Lead Sponsor
Apexigen, Inc.Study Type
InterventionalStatus
Completed No Results PostedIndication/Condition
MSI-H Cancer NSCLC Melanoma Urothelial Carcinoma Head and Neck CancerIntervention/Treatment
apx005m ...Study Participants
43This study is a phase 1 open-label dose escalation study of the immuno-activating monoclonal antibody APX005M in adults with solid tumors. Study is intended to establish the maximum tolerated dose and the overall safety and tolerability of APX005M in 3 different administration schedules.
APX005M-001 is an open-label study and comprises a dose-escalation portion of approximately 8 dose level cohorts, plus an expansion cohort.
Eligible subjects with solid tumors will receive intravenous APX005M every 3 week, every 2 week or every 1 week until disease progression, unacceptable toxicity or death, whichever occurs first.
Study objectives include:
Evaluate safety of APX005M
Determine the maximum tolerated dose of APX005M
Determine the pharmacokinetic parameters of APX005M: the maximal drug concentration (Cmax), area under the curve of serum concentration over time (Area Under the Curve/ AUC), and half-life (t½).
Preliminary assessment of clinical response
APX005M is a CD40 agonistic monoclonal antibody
Subjects receive APX005M intravenously every 3 week until disease progression, unacceptable toxicity or death.
Subjects receive APX005M intravenously every 2 week until disease progression, unacceptable toxicity or death.
Subjects receive APX005M intravenously every 1 week until disease progression, unacceptable toxicity or death.
Key Inclusion Criteria: Histologically documented diagnosis of solid tumor For subjects in the every 2 week and every 1 week dosing cohorts histologically or cytologically documented diagnosis of urothelial carcinoma, melanoma, squamous cell carcinoma of the head and neck, non-small cell lung cancer, or any solid tumor with high microsatellite instability status (MSI-high) No known effective therapy options are available Measurable disease by RECIST 1.1 ECOG performance status of 0 or 1 Adequate bone marrow, liver and kidney function No toxicities related to prior treatment related toxicities with the exception of alopecia and neuropathy Negative pregnancy test for women of child bearing potential Key Exclusion Criteria: Any history of or current hematologic malignancy Major surgery or treatment with any other investigational agent within 4 weeks Uncontrolled diabetes or hypertension History of arterial thromboembolic event History of congestive heart failure, symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction Active known clinically serious infections