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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04186637
Registration number
NCT04186637
Ethics application status
Date submitted
27/11/2019
Date registered
5/12/2019
Date last updated
5/06/2023
Titles & IDs
Public title
An Open-label Study of ALPN-202 in Subjects With Advanced Malignancies
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Scientific title
An Open-label Study of ALPN-202 in Subjects With Advanced Malignancies (NEON-1)
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Secondary ID [1]
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AIS-B01
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Universal Trial Number (UTN)
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Trial acronym
NEON-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Solid Tumor
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Lymphoma
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ALPN-202
Experimental: Dose escalation and expansion - ALPN-202
Treatment: Drugs: ALPN-202
Multiple dose levels and dose regimens of ALPN-202 will be administered
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Adverse Events
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Assessment method [1]
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Type, incidence, and severity of adverse events as assessed by CTCAE
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Timepoint [1]
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Up to 30 days after last dose of study drug
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Secondary outcome [1]
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Objective response
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Assessment method [1]
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Best observed objective responses as assessed by RECIST for solid tumors, or Lugano for lymphoma
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Timepoint [1]
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Up to 30 days after last dose of study drug
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Eligibility
Key inclusion criteria
Key
1. Adult 18 to 75 years old at screening
2. Pathologically-confirmed, locally advanced or metastatic unresectable solid tumor of an acceptable histology
Part A (Dose Escalation)
1. that is refractory or resistant to standard therapy, including checkpoint inhibitor(s) if approved
2. or for which standard or curative therapy is not available
Part B (Dose Expansion)
1. metastatic cutaneous melanoma
2. PD-L1-positive cancers (other than cutaneous melanoma or renal cell carcinoma)
3. metastatic renal cell carcinoma
3. Protocol-defined measurable disease
4. Available tumor biopsy representative of current disease
5. ECOG performance status grade 0-2
6. Life expectancy of = 3 months
7. Recovery to = Grade 1 for any non-laboratory toxicity resulting from previous anticancer therapy prior to first dose of ALPN-202 (except alopecia, hearing loss, = Grade 2 neuropathy or endocrinopathy managed with replacement therapy)
8. Adequate baseline hematologic, renal, and hepatic function
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. History of = Grade 3 immune-related adverse event leading to treatment discontinuation
2. Active or prior pneumonitis or interstitial lung disease
3. Presence of any active central nervous system metastases
4. Prior organ allograft or allogeneic hematopoietic stem cell transplantation
5. Any serious or uncontrolled health condition, which, in the opinion of the Investigator, would place the subject at undue risk from the study, impair the ability of the subject to receive protocol specified therapy, or interfere with the interpretation of study results.
6. Receipt of any protocol-restricted therapy within the timeframes indicated:
1. PD-L1 inhibitors: 5 half-lives (e.g., atezolizumab, 135 days; avelumab, 31 days; durvalumab, 85 days)
2. Chemotherapy, small molecule anticancer agents (e.g., kinase inhibitors), or radiation: 2 weeks
3. Other monoclonal antibodies, antibody-drug conjugates, bispecific antibodies, antibody like drugs, cytokines, cell therapies, or radioimmunoconjugates: 4 weeks
7. Any active, known, or suspected autoimmune disease
8. Systemic treatment with corticosteroids (> 10 mg/day prednisone) or other immunosuppressive medication
9. Any second malignancy active within the previous 3 years
10. Active infection requiring therapy at the time of the first dose of ALPN-202.
11. Known seropositivity for or active infection by human immunodeficiency virus, hepatitis B or C.
12. Known allergies, hypersensitivity, or intolerance to ALPN-202 or excipients in the drug product formulation.
13. History of Grade 4 infusion-related, anaphylactic or allergic reaction to any previous Fc-based protein therapy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
2/06/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
28/02/2023
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Sample size
Target
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Accrual to date
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Final
62
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Recruitment in Australia
Recruitment state(s)
NedlandsVIC
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Recruitment hospital [1]
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Investigational Site (102) - Perth
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Recruitment hospital [2]
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Investigational Site (101) - Melbourne
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Recruitment hospital [3]
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Investigational Site (103) - Melbourne
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Recruitment postcode(s) [1]
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6009 - Perth
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Recruitment postcode(s) [2]
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3004 - Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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Country [2]
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United States of America
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State/province [2]
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Connecticut
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Country [3]
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United States of America
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State/province [3]
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Indiana
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Country [4]
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United States of America
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State/province [4]
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Kentucky
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Country [5]
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United States of America
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State/province [5]
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Michigan
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Country [6]
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United States of America
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State/province [6]
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Oregon
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Country [7]
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United States of America
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State/province [7]
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Pennsylvania
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Alpine Immune Sciences, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a cohort-based, open-label dose escalation and expansion study in adults with advanced solid tumors or lymphoma, refractory or resistant to standard therapy, or without available standard or curative therapy.
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Trial website
https://clinicaltrials.gov/study/NCT04186637
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Allison Naumovski, Ph.D.
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Address
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Alpine Immune Sciences, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04186637
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