Title

GEN-001 (Live Biotherapeutic Product) and Avelumab Combination Study for Patients With Solid Tumors Who Have Progressed on Anti-PD-(L)1 Therapy
A Phase I/Ib Study to Evaluate the Safety, Tolerability, Biological and Clinical Activities of GEN-001 in Combination With Avelumab in Patients With Advanced Solid Tumors Who Have Progressed During or After Treatment With Anti-PD-(L)1 Therapy
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Study Participants

    11
This is a phase I/Ib, first-in-human (FIH), open-label, dose escalation and dose expansion study to evaluate the safety and tolerability, biological and clinical activities of GEN-001 in patients with locally advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination), when administered as combined with avelumab.
Study Started
Oct 26
2020
Primary Completion
Jan 11
2023
Study Completion
Jan 11
2023
Last Update
Aug 08
2023

Drug GEN-001

The capsules taken by mouth once a daily. Each capsule will contain ≥ 1x10^11 colony-forming units (CFU)

Drug Avelumab

800 mg given by intravenous (IV) infusion once every 2 weeks

  • Other names: Bavencio

GEN-001 with avelumab Experimental

Dose Escalation Cohort includes patients with advanced or metastatic solid tumors who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination) will be enrolled. 3 or 6 patients will be enrolled per escalating or de-escalating dose levels. Dose Expansion Cohort includes patients with advanced or metastatic NSCLC, SCCHN, and UC who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination)will be enrolled.

Criteria

Inclusion Criteria:

Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Have adequate organ functions as defined in the protocol
Negative childbearing potential
Have ability to swallow and retain oral medication and no clinically significant gastrointestinal abnormalities
Patients with diseases for which no curative therapies are available, and who have progressed on at least two lines of approved therapy for their histological subtypes which includes an anti-PD-1 or anti-PD-L1 based therapy (as mono or combination)
Disease progression on anti-PD-(L)1 based therapy (as monotherapy or combination therapy) and must meet criteria for acquired resistance as defined in the protocol
Patients who have completely recovered from any clinically significant AEs that occurred during prior immunotherapy
Estimated life expectancy of at least 3 months
Objective evidence of disease progression at baseline (Dose Escalation)
Histologically or cytologically confirmed, unresectable, locally advanced, or metastatic NSCLC, SCCHN, and UC (Dose Expansion)
Measurable disease as per RECIST v1.1 defined as at least 1 lesion (Dose Expansion)

Exclusion Criteria:

Have experienced primary resistance to anti-PD-(L)1 based therapy
Has experienced a toxicity that led to permanent discontinuation of prior anti-PD-(L)1 based therapy or other immunotherapies
Has active autoimmune disease that has required systemic treatment in the past 2 years
Current use of immunosuppressive medication at time of study entry
Have an active infection requiring antibiotics, antifungal or antiviral agents or have received a course of antibiotics within the previous 4 weeks of starting study treatment
Has received a live vaccine within 4 weeks of starting of study treatment
Known history of, or any evidence of active, non-infectious pneumonitis
Prior solid organ or allogeneic stem cell transplantation
Has had any investigational or anti-tumor treatment within 4 weeks or 5 half-life periods of starting study treatment, had any major surgeries within 4 weeks of starting study treatment
Has received proton pump inhibitors (PPIs) within 2 weeks prior to dosing study treatments
Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis
Has clinically significant (i.e., active) cardiovascular disease
Has known history of uncontrolled intercurrent illness
Has any psychiatric condition that would prohibit the understanding or rendering of informed consent or that would limit compliance with study requirements.
No Results Posted