Purpose

This is a first-in-human, Phase 1/2, multicenter, open-label study designed to evaluate the safety and tolerability of XTX101 as monotherapy and XTX101 and atezolizumab combination therapy in patients with advanced solid tumors.

Condition

Eligibility

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

Inclusion Criteria

Disease Criteria - - Part 1A and 1C: Any histologically or cytologically confirmed solid tumor malignancy that is locally advanced or metastatic and has failed standard therapy, or standard therapy is not curative or available; - Part 1B: - Any histologically or cytologically confirmed solid tumor malignancy for which anti-PD-1 or anti-PD-L1 treatment is approved and has progressed on or after prior anti-PD-1 or anti-PD-L1 therapy. - Patients with metastatic castrate-resistant prostate cancer if they have progressed on at least 2 lines of systemic therapy - Patients with extensive stage small cell lung cancer (SCLC) after at least 1 line of prior therapy - Patients with microsatellite stable colorectal cancer after at least 2 lines of prior therapy - ECOG performance status of 0 or 1 - Adequate organ function - Part 1B and Part 1C only: measurable disease per iRECIST

Exclusion Criteria

  • Received prior treatment with anti-CTLA-4 therapy - Received prior immune-checkpoint therapy and experienced Grade 3 or greater toxicity lasting greater than 6 weeks - Received prior systemic anticancer therapy within 4 weeks prior to study treatment - Received prior radiotherapy within 2 weeks prior to study treatment - Has a diagnosis of immunodeficiency - Has known malignancy (other than disease under study) that is progressing or has required active treatment within the past 3 years - Has an active autoimmune disease that has required systemic treatment in past 2 years, including the use of disease modifying agents, corticosteroids or immunosuppressive drugs - Has an active infection requiring systemic intravenous therapy within 4 weeks prior to study treatment, or oral therapy within 2 weeks prior to study treatment - Has a history of severe hypersensitivity reaction (≥ Grade 3) to any study intervention and/or any of its excipients - Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part 1A - XTX101 Monotherapy Dose Escalation
Part 1A Dose Escalation of XTX101 administered in ascending doses to patients with advanced or metastatic solid tumors to find the recommended phase 2 dose (RP2D).
  • Drug: XTX101
    XTX101 monotherapy
Experimental
Part 1B - Pharmacodynamic (PD) Dose Expansion
Part 1B XTX101 at the RP2D will be administered to further examine XTX101 as monotherapy in patients with select advanced solid tumors.
  • Drug: XTX101
    XTX101 monotherapy
Experimental
Part 1C - XTX101 Dose Escalation in Combination with Atezolizumab
Part 1C will receive a labeled dose of atezolizumab in combination with XTX101.
  • Drug: Atezolizumab
    1200 mg administered every 3 weeks in combination with XTX101
  • Drug: XTX101
    In combination with Atezolizumab

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114
Contact:
Howard Kaufman, MD
617-724-4000
hlkaufman@mgh.harvard.edu

More Details

Status
Recruiting
Sponsor
Xilio Development, Inc.

Study Contact

Teleen Norman
203-584-5310
tnorman@xiliotx.com

Detailed Description

This is a first-in-human, Phase 1/2, multicenter, open-label study designed to evaluate the safety and tolerability of XTX101, a tumor-selective anti-CTLA-4 antibody, as monotherapy and XTX101 and atezolizumab combination therapy in patients with advanced solid tumors. Part 1A will examine XTX101 monotherapy in an accelerated and standard 3+3 dose escalation design. Based on the results of Part 1A, patients with select advanced solid tumors will be enrolled in Part 1B, which will evaluate XTX101 monotherapy in relation to specific PD biomarkers. Part 1C will examine XTX101 in combination with atezolizumab in a standard 3+3 dose escalation/dose de-escalation design.

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.