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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05021120
Registration number
NCT05021120
Ethics application status
Date submitted
12/08/2021
Date registered
25/08/2021
Titles & IDs
Public title
A Study to Evaluate the Safety, Pharmacokinetics, and Antitumor Activity of AK127 in Combination With AK104 in Advanced and Metastatic Solid Tumours
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Scientific title
A Phase 1a/1b, Multicenter, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Pharmacokinetics, and Anti-tumour Activity of AK127 in Combination With AK104 in Subjects With Advanced or Metastatic Solid Tumours
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Secondary ID [1]
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AK127-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced or Metastatic Solid Tumours
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0
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AK127
Treatment: Drugs - AK104
Experimental: Intervention/treatment - Experimental
Treatment: Drugs: AK127
Subjects will receive AK127 by intravenous administration
Treatment: Drugs: AK104
After AK127 infusion, on the same day subjects will receive AK104 by intravenous administration
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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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Incidence and Nature of Adverse Events (AEs)
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Assessment method [1]
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An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment.
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Timepoint [1]
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From the time of informed consent signed through to 90 days after end of treatment
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Primary outcome [2]
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Number of participants with a Dose Limiting Toxicity (DLT)
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Assessment method [2]
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DLTs will be assessed during the first treatment cycle and assessed as having a suspected relationship to study drug according to pre-specific criteria in the protocol.
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Timepoint [2]
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Within the first six weeks of treatment
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Secondary outcome [1]
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Objective response rate (ORR)
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Assessment method [1]
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The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on RECIST Version 1.1.
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Timepoint [1]
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Up to 2 years
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Secondary outcome [2]
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Disease control rate (DCR)
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Assessment method [2]
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Progression-free survival is defined as the time from the start of treatment with AK127 + AK104 until the first documentation of disease progression or death due to any cause, whichever occurs first.
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Timepoint [2]
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Up to 2 years
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Secondary outcome [3]
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Progression-free survival (PFS)
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Assessment method [3]
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Progression-free survival is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first.
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Timepoint [3]
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Up to 2 years
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Secondary outcome [4]
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Overall survival (OS)
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Assessment method [4]
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Overall survival is defined as the time from the start of treatment until death due to any cause.
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Timepoint [4]
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Up to 2 years
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Secondary outcome [5]
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Area under the curve (AUC) of AK127+AK104 for assessment of pharmacokinetics
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Assessment method [5]
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The endpoints for assessment of PK including serum concentrations of AK127+AK104 at different timepoints after treatment administration.
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Timepoint [5]
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From first dose of treatment through to 90 days after end of treatment
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Secondary outcome [6]
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Maximum observed concentration (Cmax) of AK127 + AK104
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Assessment method [6]
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The endpoints for assessment of PK of AK127+AK104 include serum concentrations of AK127+AK104 at different timepoints after treatment administration.
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Timepoint [6]
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From first dose of treatment through to 90 days after end of treatment.
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Secondary outcome [7]
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Minimum observed concentration (Cmin) of AK127+AK104
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Assessment method [7]
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The endpoints for assessment of PK of AK127+AK104 include serum concentrations of AK127+AK104 at different timepoints after treatment administration.
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Timepoint [7]
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From first dose of treatment through to 90 days after end of treatment
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Secondary outcome [8]
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Number of subjects who develop detectable anti-drug antibodies (ADAs)
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Assessment method [8]
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The immunogenicity of AK127+AK104 will be assessed by summarizing the number of subjects who develop detectable anti-drug antibodies (ADAs).
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Timepoint [8]
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From first dose of treatment through to 90 days after end of treatment
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Eligibility
Key inclusion criteria
1. Written and signed informed consent
2. In Phase 1a, patients with relapsed or refractory advanced solid malignancies
3. In Phase 1b, patients must have received no more than three prior lines of systemic therapy
4. Subject must have at least one measurable lesion according to RECIST Version1.1.
5. Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1.
6. Available archived or fresh tumor tissue
7. Adequate organ function.
8. For dose-expansion cohorts (Phase 1b), subjects must be willing to provide two fresh biopsy samples (pre-treatment and on treatment), where clinically appropriate.
9. Females of childbearing potential and non-sterilized males who are sexually active must use an effective method of contraception from screening until 120 days after final dose of investigational product.
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Minimum age
18
Years
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Maximum age
No limit
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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 severe hypersensitivity reactions to other mAbs.
2. Subjects with a condition requiring systemic treatment with either corticosteroid (> 10 mg daily ) or other immunosuppressive medications within 2 weeks of study drug administration.
3. Prior use of approved or investigational anti-TIGIT, anti-PVRIG, or anti-CD96 therapy
4. Receiving any Other anticancer therapy (e.g., chemotherapy, radiotherapy, biologic or hormonal therapy for cancer treatment. etc.) within 4 weeks prior to the first dose of treatment
5. Any major surgery within 4 weeks prior to the first dose of treatment
6. Receiving agents with immunomodulatory effect within 2 weeks prior to the first dose of treatment.
7. Active or prior documented inflammatory bowel disease
8. History of organ transplant.
9. History of interstitial lung disease, noninfectious pneumonitis except for those induced by radiation therapies.
10. Known active hepatitis B or C infections or history of HIV.
11. Receipt of live attenuated vaccines within 4 weeks prior to the first dose of investigational product.
12. Patients with severe heart and lung dysfunction.
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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 0
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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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
12/10/2021
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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
7/04/2025
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Actual
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Sample size
Target
143
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Ashford Cancer Centre Research - Adelaide
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Recruitment hospital [2]
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Austin Health - Melbourne
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Recruitment hospital [3]
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Monash Health - Melbourne
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Recruitment hospital [4]
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Southside Cancer Care Centre - Sydney
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Recruitment hospital [5]
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The Kinghorn Cancer Centre, St Vincents Hospital Sydney - Sydney
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Melbourne
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Recruitment postcode(s) [3]
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- Sydney
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Akesobio Australia Pty Ltd
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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
A Phase 1 study to evaluate the safety, tolerability, PK, immunogenicity, pharmacodynamics, and preliminary antitumor activity of AK127 in combination with AK104.
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Trial website
https://clinicaltrials.gov/study/NCT05021120
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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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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 public queries
Name
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Baiyong Li
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Address
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Country
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Phone
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+86 (0760) 8987 3999
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT05021120