A Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ATG 037 Monotherapy and Combination Therapy With Pembrolizumab in Patients With Advanced Solid Tumors
Locally Advanced or Metastatic Solid Tumors
De qué trata este estudio
El registro indica que este estudio recluta participantes. La disponibilidad puede variar por centro.
- Tipo de estudio
- De intervención
- Fase
- Fase 1
- Rango de edad
- 18 años - No especificado
- Sexo admitido
- Todos los sexos
- Voluntarios sanos
- No aceptados
- Participantes
- 98 Estimado
Estos son puntos de partida, no una decisión de elegibilidad. El equipo debe revisar todos los requisitos.
Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.
Acerca de la investigación
This is a study of ATG-037 Monotherapy and Combination Therapy with Pembrolizumab in Patients with Locally Advanced or Metastatic Solid Tumors
Leer la descripción completa
This is a Phase I, Multi-center, Open-label, and Dose-finding Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ATG-037 Monotherapy and Combination Therapy with Pembrolizumab in Patients with Locally Advanced or Metastatic Solid Tumors.
Number of subjects :
1. 39-51 subjects for Dose escalation phase part 1
2. Maximum of 18 subjects or Dose escalation phase part 2
3. 24-34 subjects per Dose expansion cohort
¿Quién podría participar?
La lista siguiente contiene el texto del patrocinador. Puede incluir condiciones, tratamientos previos, resultados de pruebas y otros requisitos. Aparecer en tu búsqueda no significa que califiques.
Inclusion Criteria:
1. Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling, and analyses.
2. Aged at least 18 years as of the date of consent.
3. Unresectable Stage III or Stage IV melanoma patients, who have had disease progression on or after at least one prior ICI containing treatment. Patients with mucosal and uveal melanoma types are to be excluded.
4. There is at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
5. Estimated life expectancy of a minimum of 12 weeks.
6. Subjects with acquired immune checkpoint inhibitors resistance (objective response or SD\>6 months).
7. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 at ICF signature.
8. Females should be using adequate contraceptive measures until 180 days after the end of treatment, should not be breastfeeding.
9. Male subjects should be willing to use barrier contraception, ie condoms, for the duration of the study and 180 days after the final dose of study treatment.
10. Subjects should have adequate organ function.
Exclusion Criteria:
1. Primary central nervous system disease, central nervous system metastatic disease, leptomeningeal disease, metastatic cord compression or carcinomatous meningitis.
2. Prior exposure to a CD73 inhibitor/antibody or adenosine receptor inhibitor.
3. Patients considered to have rapidly progressive disease (from the starting of prior line therapy to disease progression lasting no more than 90 days).
4. Prior therapy with any chemotherapy, immunotherapy, anticancer agents or investigational products from a previous clinical study within 28 days of the first dose of study treatment or within a period during which the investigational product or systemic anticancer treatment has not been cleared from the body.
5. Radiotherapy with a wide field of radiation within 28 days, or radiotherapy with a limited field of radiation for palliation within 14 days of the first dose of study treatment. Subject must have recovered from all radiation related toxicity, not requiring corticosteroids.
6. Prior major surgery (excluding placement of vascular access) within 28 days of the first dose of study treatment or minor surgical procedures ≤7 days.
7. Except for alopecia, platinum-induced peripheral neurotoxicity (≤Grade 2). Any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE 5.0) Grade 1 at the time of ICF signature.
8. Received any prior immunotherapy and was discontinued from that treatment due to a Grade 3 or higher irAE (except endocrine disorders that can be treated with replacement therapy) or was discontinued from that treatment due to Grade 2 myocarditis or recurrent Grade 2 pneumonitis.
9. Subjects receiving unstable or increasing doses of corticosteroids.
10. As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension defined as a blood pressure (BP) ≥160/100 mmHg despite medical therapy, unstable or uncompensated respiratory and renal disease, active bleeding diseases, allogeneic stem cell transplantation, or any solid organ transplant, etc.
Tratamiento, grupos y participación
El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.
- Asignación
- No aplica
- Enmascaramiento
- Sin enmascaramiento
ATG-037+Keytruda(Pembrolizumab, MK-3475)
Part I: Dose Escalation Phase of ATG-037 Monotherapy PartII: Dose Escalation Phase and Dose Expansion Phase of ATG-037 in Upfront Combination with Keytruda(Pembrolizumab, MK-3475)
Drug: ATG-037 · Drug: KEYTRUDA ®( Pembrolizumab)
ATG-037 DRUG
Part I : ATG-037 will be administered orally once a day (QD) on D-2, then multiple doses of ATG-037 will be administered orally BID for every day from C1D1. A treatment cycle will be defined as 21 days.
Part II: ATG-037 will be administered orally BID for every day from C1D1.
KEYTRUDA ®( Pembrolizumab) DRUG
Part I: After 2 cycles of ATG-037 monotherapy, eligible participants will receive ATG-037 combination therapy with Keytruda ®(Pembrolizumab) 200mg/Q3W fixed dose for up to 35 administrations (approximately 2 years).
Part II: Keytruda ®(Pembrolizumab) will be administered from C1.
Qué evalúan los investigadores
Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.
Medidas principales
Incidence of adverse events and server adverse events
Plazo: One year after last patient first dose
Will be graded according to the NCI-CTCAE Grading Scale version 5.0.
DLT
Plazo: Up to 21 Days
Number of Participants with Dose Limiting Toxicity
MTD
Plazo: Up to 21 Days
Maximum tolerated dose of ATG-037
RP2D
Plazo: Up to 21 Days
Recommended phase 2 dose of ATG-037
Medidas secundarias
Plasma concentration of ATG-037 and derived PK parameters
Plazo: One year after last patient first dose
To characterize the PK/PDx of ATG-037
Inhibition of CD73 enzymatic activity in plasma
Plazo: One year after last patient first dose
To evaluate the preliminary antitumor activity of ATG-037 monotherapy and combination therapy with pembrolizumab
ORR as per RECIST v1.1 and DOR, DCR, PFS, OS evaluated by the investigators
Plazo: One year after last patient first dose
To evaluate the preliminary antitumor activity of ATG-037 monotherapy and combination therapy with pembrolizumab
Otras medidas
Expression of related biomarkers in archived tumor tissue by IHC
Plazo: One year after last patient first dose
To explore potential PDx markers and characterize changes of the immune microenvironment following treatment with ATG-037
Changes in soluble CD73 concentration in serum
Plazo: One year after last patient first dose
To explore potential PDx markers and characterize changes of the immune microenvironment following treatment with ATG-037
The number and activation status of immune cells in peripheral blood
Plazo: One year after last patient first dose
To explore potential PDx markers and characterize changes of the immune
Revisa las tablas completas y sus limitaciones en el registro oficial.
Abrir resultados oficiales ↗Centros de investigación (8)
El estado general puede diferir del estado de un centro. Confirma la disponibilidad antes de trasladarte.
8 centros
Calvary Mater NewcastleSydney, New South Wales, AustraliaReclutando
Pindara Private HospitalBenowa, Queensland, AustraliaReclutando
Southern Oncology Clinical Research UnitBedford Park, South Australia, AustraliaTerminado antes de tiempo
Peninsula & South Eastern Haematology and Oncology GroupFrankston, Victoria, AustraliaReclutando
One Clinical Research Pty LtdMount Pleasant, Western Australia, AustraliaReclutando
Chongqing Cancer HospitalChongqing, Chongqing Municipality, ChinaTerminado antes de tiempo
Guangdong Provincial People's HospitalGuangzhou, Guangdong, ChinaTerminado antes de tiempo
Beijing GoBroad HospitalBeijing, ChinaReclutando
Equipo y fechas
- Patrocinador principal
- Antengene Therapeutics Limited
- Inicio del estudio
- 7 jun 2022 Real
- Finalización primaria
- 30 ago 2027 Estimado
- Finalización del estudio
- 28 feb 2028 Estimado
- Primera publicación
- 24 ene 2022 Real
- Última actualización
- 10 nov 2026 Real
Contactos oficiales del estudio
Título oficial del estudio
A Phase I/Ib, Multi-center, Open-label, and Dose-finding Study to Assess the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of ATG-037 Monotherapy and Combination Therapy With Pembrolizumab in Patients With Locally Advanced or Metastatic Solid Tumors
Consulta a Wellness Clinical Research
Tu mensaje va a WCR, incluso si otra organización realiza este estudio. WCR puede orientarte, pero podría no realizar este estudio, tener acceso a su equipo ni poder inscribirte.
Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.
Consultado: 11 nov 2026 · Última actualización del registro: 10 nov 2026
