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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05263180
Registration number
NCT05263180
Ethics application status
Date submitted
22/02/2022
Date registered
2/03/2022
Titles & IDs
Public title
A Study of EMB-09 in Participants With Advanced or Metastatic Solid Tumors.
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Scientific title
A First-in-human, Phase I Trial of EMB-09, a Bispecific Antibody Targeting PD-L1 and OX-40 in Patients With Advanced or Metastatic Solid Tumors
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Secondary ID [1]
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EMB09X101
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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 Solid Tumor
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - EMB-09
Experimental: Experimental: EMB-09 - Participants enrolled at different time will receive EMB-09 once a week (IV) at different ascending dose levels.
Treatment: Other: EMB-09
EMB-09 is a FIT-Ig® bispecific antibody against PD-L1 and OX40.
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Intervention code [1]
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Treatment: Other
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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 severity of adverse events as assessed by CTCAE V5.0
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Assessment method [1]
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Incidence and severity of AE.
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Timepoint [1]
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Screening up to 30 days after the last dose.
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Primary outcome [2]
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Incidence of serious adverse events. (SAE)
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Assessment method [2]
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Incidence of SAE.
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Timepoint [2]
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Screening up to 30 days after the last dose, or beyond 30 days if SAE is confirmed to be treatment related.
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Primary outcome [3]
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Incidence of dose interruptions.
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Assessment method [3]
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Incidence of dose interruptions of EMB-09 during treatment as a measure of tolerability.
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Timepoint [3]
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Screening up to 30 days after the las dose.
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Primary outcome [4]
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Dose intensity.
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Assessment method [4]
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Actual amount of drug taken by patients divided by the planned amount.
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Timepoint [4]
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Screening up to 30 days after the last dose.
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Primary outcome [5]
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The incidence of DLTs during the first cycle of treatment.
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Assessment method [5]
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The dose limiting toxicities are based on drug related adverse events and are specifically defined in study protocol.
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Timepoint [5]
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First infusion to the end of cycle 1. (each cycle is 28 days)
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Secondary outcome [1]
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Overall response rate
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Assessment method [1]
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Measured by RECIST 1.1.
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Timepoint [1]
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From the date of dosing until the date of first documented progression or date of death from any cause, whichever case first, expected average 6 months.
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Secondary outcome [2]
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Area under the serum concentration-time curve (AUC) of EMB-09
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Assessment method [2]
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Blood samples for serum PK analysis will be obtained (AUC).
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Timepoint [2]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [3]
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Maximum serum concentration (Cmax) of EMB-09
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Assessment method [3]
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Blood samples for serum PK analysis will be obtained (Cmax)
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Timepoint [3]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [4]
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Trough concentration (Ctrough) of EMB-09
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Assessment method [4]
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Blood samples for serum PK analysis will be obtained (Ctrough)
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Timepoint [4]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [5]
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Average concentration over a dosing interval (Css, avg)of EMB-09.
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Assessment method [5]
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Blood samples for serum PK analysis will be obtained (Css, avg).
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Timepoint [5]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [6]
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Terminal half-life (T1/2) of EMB-09
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Assessment method [6]
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Blood samples for serum PK analysis will be obtained (T1/2)
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Timepoint [6]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [7]
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Systemic clearance (CL) of EMB-09
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Assessment method [7]
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Blood samples for serum PK analysis will be obtained (CL).
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Timepoint [7]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [8]
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Steady state volume of distribution (Vss) of EMB-09
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Assessment method [8]
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Blood samples for serum PK analysis will be obtained (Vss).
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Timepoint [8]
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Through treatment until EOT visit, expected average 6 months
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Secondary outcome [9]
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Progression free survival (PFS) of EMB-09 as assessed by RECIST 1
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Assessment method [9]
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Preliminary anti-tumor activity of EMB-09 will be obtained. (DOR)
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Timepoint [9]
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From the date of dosing until the date of first documented progression or date of death from any cause, whichever came first, expected average 6 months
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Secondary outcome [10]
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Incidence and titer of anti-drug antibodies stimulated by EMB-09
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Assessment method [10]
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Antibodies to EMB-09 will be assessed to evaluate potential immunogenicity.
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Timepoint [10]
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Up to End of Treatment Follow Up Period (30 days after the last dose
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Eligibility
Key inclusion criteria
* Willing and able to provide signed and dated informed consent prior to any study-related procedures and willing and able to comply with all study procedures.
* Phase I subjects:
1. Patients with histologically or cytologically confirmed locally advanced/metastatic solid tumors including but not limited to melanoma, non-small cell lung cancer (NSCLC), triple negative breast cancer (TNBC), head and neck squamous cell carcinoma (HNSCC), nasopharyngeal cancer (NPC), hepatocellular carcinoma (HCC), gastric cancer (GC), endometrium cancer (EC), ovarian cancer (OC), renal cell carcinoma (RCC) and small cell lung cancer (SCLC), colorectal cancer (CRC).
2. Patients who have failed (progressed on, or are intolerant of) standard therapies or no available standard treatment
3. Measurable or evaluable disease per RECIST v1.1.
* Patients must provide archival tumor, or a fresh tumor biopsy will be required if archival tumor sample is not available. Archival tumor sample must be taken <2 years prior to screening, otherwise a fresh tumor biopsy at screening is required.
* ECOG performance status 0 or 1; life expectancy > 3 months.
* Adequate organ function to participate in the trial.
* Recovery from adverse events (AEs) related to prior anticancer therapy.
* Highly effective contraception
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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
* Patients who have active autoimmune disease or history of autoimmune disease
* History of severe irAE.
* History of severe allergic reactions
* Use of systemic corticosteroids.
* Symptomatic central nervous system metastases.
* Patients with cardiac dysfunction
* Uncontrolled diabetes mellitus with hemoglobin A1c > 8% (via medical history)
* Prior treatment with TNFRSF agonists including OX40, CD27, CD137 (4-1BB), CD357 (GITR), CD40.
* Anticancer therapy or radiation < 5 half-lives or 4 weeks (whichever is shorter) prior to study treatment;
* Current or history of idiopathic pulmonary fibrosis, interstitial lung disease, or organizing pneumonia.
* Concurrent malignancy < 5 years prior to entry.
* Patients with active infections.
* Major surgery < 4 weeks or minor surgery < 2 weeks prior to study treatment.
* Live virus vaccines < 30 days prior to screening
* Pregnant or breast-feeding females
* Any investigational agents or study drugs from a previous clinical study within 30 days of the first dose of study treatment.
* Any other serious underlying medical conditions
* Abuse of alcohol, cannabis-derived products, or other drugs.
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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
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
25/07/2022
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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
31/12/2024
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Actual
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Sample size
Target
30
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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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Peninsula and South Eastern Haematology & Oncology Group - Frankston
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Recruitment hospital [2]
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GenesisCareNorthShore - Leonards Hill
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Recruitment hospital [3]
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Blacktown Hospital - Sydney
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Recruitment postcode(s) [1]
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- Frankston
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Recruitment postcode(s) [2]
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- Leonards Hill
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Recruitment postcode(s) [3]
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- Sydney
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Shanghai
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Shanghai EpimAb Biotherapeutics Co., 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
This study is to evaluate the safety and tolerability of EMB-09 and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D). Pharmacokinetics (PK), immunogenicity, and the anti-multiple myeloma activity of EMB-09 will also be assessed.
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Trial website
https://clinicaltrials.gov/study/NCT05263180
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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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Shuqi Zeng, MD.
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Address
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Country
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Phone
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+86-21-61043299
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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/NCT05263180