AMG 436 as Monotherapy and Combination Therapy in Participants With MSI-H/dMMR Solid Tumors
Purpose
The primary objectives of this trial are to evaluate the safety profile of AMG 436 and to determine the maximum tolerated dose (MTD) and/or the recommended dose for AMG 436 as monotherapy and in combination with other anti-cancer therapies in participants with MSI-H/dMMR solid tumors.
Condition
- Metastatic or Locally Advanced Solid Tumors With Microsatellite Instability-high (MSI-H) or Mismatched Repair Deficiency (dMMR)
Eligibility
- Eligible Ages
- Between 18 Years and 99 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years). - Histologically confirmed MSI-H or dMMR metastatic or locally advanced solid tumor by local testing or central testing. - Tumor tissue (formalin-fixed, paraffin-embedded sample) archival block must be available. Participants without archived tumor tissue may enroll by undergoing tumor biopsy before dosing. - Disease measurable as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1). - Eastern Cooperative Oncology Group performance (ECOG) 0-1. - Adequate organ function as defined in the protocol.
Exclusion Criteria
- Participants with primary central nervous system (CNS) tumors. - Impaired cardiac function or clinically significant cardiac disease. - Major surgery within 28 days of trial day 1. - Antitumor therapy (chemotherapy, antibody therapy, molecular targeted therapy, hormonal therapy, or investigational agent) within 21 days of first dose of trial treatment, unless anti-tumor therapy is a therapy with 5 times the half-life being shorter than 21 days (in this case, enrollment may be allowed with washout from prior therapy of < 21 days. - Radiation therapy within 28 days of the first dose of trial treatment (or local or focal radiotherapy with palliative intent within 14 days of the first dose). - Gastrointestinal tract disease causing the inability to take per os (PO) medication, malabsorption syndrome, requirement for intravenous (IV) alimentation, uncontrolled inflammatory gastrointestinal disease (eg, Crohn's disease, ulcerative colitis).
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Part 1A |
AMG 436 monotherapy dose escalation. |
|
|
Experimental Part 1B: Food Effect Substudy |
Participants will receive AMG 436 under fasted and fed conditions (United States only). |
|
|
Experimental Part 2 |
AMG 436 + combination dose escalation. |
|
|
Experimental Part 3 |
AMG 436 monotherapy Dose expansion and optimization. |
|
|
Experimental Part 4 |
AMG 436 + chemotherapy combination dose expansions. |
|
Recruiting Locations
Next Oncology - Dallas
Irving, Texas 75039
Irving, Texas 75039
More Details
- Status
- Recruiting
- Sponsor
- Amgen