AO-176 in Multiple Solid Tumor Malignancies
This is a first-in-human, Phase 1/2 multi-center, open-label, dose escalation and expansion study of AO-176 which will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and clinical effects of AO-176 in patients with advanced solid tumors.
Inclusion Criteria
- Select advanced solid tumor for which standard therapy proven to provide clinical benefit does not exist, or is no longer effective Part A:
- Epithelial ovarian carcinoma (EOC)
- Endometrial carcinoma
- Castration resistant prostate cancer
- Non-small cell lung adenocarcinoma
- Papillary thyroid carcinoma
- Malignant mesothelioma (pleural or peritoneal)
- Gastroesophageal adenocarcinoma
- Squamous cell carcinoma of the head and neck Part B and Part C:
- Platinum-resistant EOC (including fallopian tube or primary peritoneal cancer)
- Endometrial carcinoma
- Gastric adenocarcinoma/gastroesophageal adenocarcinoma
- Measurable disease
- ECOG status 0-1
- Resolution of prior-therapy-related adverse effects
- Minimum of 4 weeks or 5 half-lives since last dose of cancer therapy Key
Exclusion Criteria
- Previous hypersensitivity reaction to treatment with another monoclonal antibody
- Unresolved hypersensitivity to paclitaxel or any of its excipients (Part B only). Patients who have been desensitized may participate.
- Part C Only
- History of interstitial lung disease or a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis.
- History of immune mediated colitis, hepatitis, endocrinopathies, nephritis or significant immune mediated skin reactions such as toxic epidermal necrolitis or Stevens -Johnson Syndrome
- History of any autoimmune disease which required systemic therapy* in the past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs) including but not limited to: i. Inflammatory bowel disease (including ulcerative colitis and Crohn's Disease) ii. Rheumatoid arthritis iii. Systemic progressive sclerosis (scleroderma) iv. Systemic lupus erythematosus v. Autoimmune vasculitis (e.g. Wegener's granulomatosis) *Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed)
- Prior treatment with a checkpoint inhibitor (anti-PD-1, PD-L1, CTLA-4 etc.) within 4 weeks prior to the start of study drug
- Prior treatment with a CD47-targeted therapy
- Prior organ or stem cell transplant
Additional locations may be listed on ClinicalTrials.gov for NCT03834948.
See trial information on ClinicalTrials.gov for a list of participating sites.
This is a first-in-human, Phase 1/2 multicenter, open-label, dose escalation and
expansion study of AO-176 in patients with solid tumors. Part A of this study will
examine escalating repeat doses of AO-176 monotherapy in patients with select advanced
solid tumors, including epithelial ovarian carcinoma (EOC), which will include primary
peritoneal and fallopian tube carcinoma; squamous cell carcinoma of the head and neck;
endometrial carcinoma; castration resistant prostate cancer; non-small cell lung
adenocarcinoma; papillary thyroid carcinoma; pleural or peritoneal malignant
mesothelioma; and gastroesophageal adenocarcinoma, for which standard therapy proven to
provide clinical benefit does not exist or is no longer effective.
Part B and Part C of this study will examine escalating repeat doses of AO-176 in
combination with paclitaxel (Part B) or pembrolizumab (Part C) in platinum-resistant EOC,
including primary peritoneal and fallopian tube carcinoma; endometrial carcinoma; and
gastric adenocarcinoma/gastroesophageal adenocarcinoma.
The monotherapy and combination dose escalation portions of the study utilize a classic
3+3 design, with enrollment of 3 patients per cohort and expansion of the cohort in the
event of a dose-limiting toxicity (DLT).
Once the maximum-tolerated dose (MTD)/recommended phase 2 dose (RP2D) has been
established in dose escalation, tumor-specific dose expansion cohorts will be recruited
to further assess safety and evaluate preliminary efficacy of AO-176 as monotherapy, in
combination with paclitaxel, and in combination with pembrolizumab.
Trial PhasePhase I/II
Trial Typetreatment
Lead OrganizationArch Oncology
- Primary IDAO-176-101
- Secondary IDsNCI-2019-02526, 139454, KEYNOTE-C49
- ClinicalTrials.gov IDNCT03834948