Purpose

The goal of this clinical study is to learn more about the study drug, Denikitug (DEN, GS-1811), to evaluate the efficacy and safety of Denikitug Monotherapy and Denikitug-based Combinations in participants with advanced microsatellite stable (MSS) colorectal cancer (CRC). The primary objective of this study is to assess the effect of DEN as monotherapy and in combination with nivolumab (NIVO) or trifluridine-tipiracil (FTD-TPI) and bevacizumab (BVZ) on objective response rate (ORR) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1).

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Medical History/Physical Characteristics - Histologically or cytologically confirmed unresectable, recurrent, or locally advanced or metastatic microsatellite stable colorectal cancer (MSS CRC) (adenocarcinoma, excluding appendix cancer). - Documented MSS or proficient mismatch repair (pMMR) disease by local assessment using a validated polymerase chain reaction (PCR) (microsatellite status) and/or immunohistochemistry (IHC) mismatch repair (MMR) assay is required. - Has received up to 2 prior lines of systemic therapy for advanced or metastatic CRC, which must have included at least fluoropyrimidine-, oxaliplatin-, irinotecan-based chemotherapies if indicated; and if applicable: anti-vascular endothelial growth factor (VEGF) therapy, anti epidermal growth factor receptor (EGFR) therapy, encorafenib or adagrasib/sotorasib. - Documented progressive disease (PD) by computed tomography (CT) or magnetic resonance imaging (MRI) during or after the most recent therapy per RECIST Version 1.1 criteria by investigator assessment. - Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1. Laboratory Assessments - Have adequate organ function.

Exclusion Criteria

with: Medical Conditions/History: - Significant cardiovascular disease. - History of autoimmune disease or active autoimmune disease that has required systemic treatment within 2 years. - History of (noninfectious) pneumonitis/interstitial lung disease or current pneumonitis/ interstitial lung disease. - History of gastrointestinal (GI) perforation, permanent ileostomy, abdominal abscess or fistula within 6 months, active or uncontrolled GI bleeding within 4 weeks, or any condition associated with significant risk of bleeding or perforation (eg, untreated varices, tumor erosion, recent GI surgery). Prior/Concurrent Therapy or Clinical Study Experience Prior treatment with: - Trifluridine-tipiracil, regorafenib, or fruquitinib. - Any immuno-oncology therapy. - Anticancer biologic agent within 4 weeks prior to randomization or have had prior chemotherapy, targeted small molecule therapy, or radiation therapy within 2 weeks prior to randomization and have not recovered (ie, Grade 2 or less) from AEs from prior anticancer therapy at the time of randomization. Individuals in observational studies are eligible. - Allogeneic tissue/solid organ transplantation, including allogeneic stem cell transplantation. Exception: prior corneal transplant without requirement for systemic immunosuppressive agents is allowed. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
DEN monotherapy (Arm A)
Participants will receive DEN via intravenous (IV) infusion.
  • Drug: Denikitug
    Administered Intravenously
    Other names:
    • GS-1811
    • DEN
Experimental
DEN in combination with NIVO (Arm B)
Participants will receive DEN as an IV infusion in combination with NIVO as an IV infusion.
  • Drug: Denikitug
    Administered Intravenously
    Other names:
    • GS-1811
    • DEN
  • Drug: Nivolumab
    Administered Intravenously
    Other names:
    • NIVO
Experimental
DEN in combination with Trifluridine-Tipiracil (FTD-TPI) and BVZ (Arm C)
Participants will receive DEN as an IV infusion in combination with BVZ as an IV infusion and FTD-TPI administered orally. Includes a Safety Run-in cohort (non-randomized cohort) prior to randomization.
  • Drug: Denikitug
    Administered Intravenously
    Other names:
    • GS-1811
    • DEN
  • Drug: Bevacizumab
    Administered Intravenously
    Other names:
    • BVZ
  • Drug: Trifluridine-Tipiracil
    Administered orally
    Other names:
    • FTD-TPI
Active Comparator
Standard of care (SOC) alone: BVZ and FTD-TPI (Arm D)
Participants will receive BVZ as an IV infusion and FTD-TPI administered orally as SOC.

Recruiting Locations

Yale-New Haven Hospital - Yale Cancer Center
North Haven, Connecticut 06473 2195

Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215

Avera Cancer Institute
Sioux Falls, South Dakota 57105

University of Virginia,
Charlottesville, Virginia 22908

More Details

Status
Recruiting
Sponsor
Gilead Sciences

Study Contact

Gilead Clinical Study Information Center
1-833-445-3230 (GILEAD-0)
GileadClinicalTrials@gilead.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.