BI-1808 As a Single Agent and with Pembrolizumab (KEYTRUDA® ) in Treatment of Advanced Malignancies(Keynote-D20)

Last updated: February 3, 2025
Sponsor: BioInvent International AB
Overall Status: Active - Recruiting

Phase

1/2

Condition

Ovarian Cancer

Non-hodgkin's Lymphoma

Pelvic Cancer

Treatment

Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection

BI-1808

Pembrolizumab 25 Mg/mL Solution for Injection

Clinical Study ID

NCT04752826
19-BI-1808-01
Keynote-D20
MK3475-D20
2020-002090-10
  • Ages > 18
  • All Genders

Study Summary

The goal of this first in human clinical trial is to test BI-1808 administered as single agent and in combination with pembrolizumab in subjects with advanced malignancies whose disease has progressed after standard therapy.

The main questions it aims to answer are:

  • how safe and tolerable is BI-1808

  • what is maximum tolerated or administrated dose

  • to determine recommended dose for further clinical trials. Participants will receive infusions of BI-1808 alone or combination with pembrolizumab every 3 weeks.

For the purpose of this study, subjects with advanced malignancies includes subjects with advanced solid tumors and subjects with T-cell lymphoma (TCL),

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Is willing and able to provide written informed consent for the trial.

  2. Is ≥18 years of age on the day of signing informed consent.

  3. Has a histologically confirmed advanced malignancy. Subjects with CTCL [MF or SS]who satisfy the Phase 2a, Cohort 3-specific eligibility criteria may be enrolledinto the Phase 1 part of the study.

  4. Is intolerant of, refuses, or is not eligible for standard antineoplastic therapy.

  5. Has at least 1 measurable disease lesion as defined by RECIST.

  6. Is able to safely undergo a baseline tumor tissue biopsy prior to first dose ofBI-1808 (on non previously irradiated lesions only). The biopsy must be performed atleast 4 weeks following the last dose of tumor directed therapy.

  7. Has a life expectancy of ≥12 weeks.

  8. Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

  9. Has adequate organ function as confirmed by laboratory values.

Phase 2a Expansion Cohort-Specific Inclusion Criteria:

Ovarian Cancer:

Histologically confirmed and documented recurrent ovarian, fallopian tube, and peritoneal cancer.

TCL:

  1. histologically confirmed diagnosis

  2. Stable doses of systemic steroids (≤20 mg prednisone equivalent) and oflow-to-medium potency topical steroids permitted (no change in preceding 4 weeks).

  3. Stage IB-IV with failure of at least 1 systemic therapy.

  4. No current large cell transformation for subjects with CTCL.

  5. Prior therapy - No prior allo hematopoietic stem cell transplantation (HSCT); >90days since auto HSCT; >4 weeks since systemic therapy and >2 weeks sinceskin-directed therapy.

  6. Stable doses of systemic steroids (≤20 mg prednisone equivalent) and oflow-to-medium potency topical steroids permitted (no change in preceding 4 weeks).

  7. Previous systemic therapies include brentuximab vedotin, bexarotene, extracorporealphotopheresis (ECP), methotrexate, mogamulizumab, romidepsin, vorinostat, orsystemic therapy with localized radiation treatment or skin-directed therapy.

Melanoma:

  1. Histologically confirmed diagnosis of unresectable or metastatic melanoma. Subjects in Part A:

  2. Required prior therapies will include anti-programmed death-ligand 1 (PD-1) therapyeither as monotherapy or as part of a combination regimen.

  3. For subjects with a known BRAF V600-activating mutation combination targeted therapywill be required in addition to anti-PD-1/programmed death-ligand 1 (PD-L1) therapy. Subjects in part B:

  4. Subjects with prior lines of treatment are not eligible.

All Tumor Types:

Locally advanced unresectable, recurrent or metastatic immune checkpoint inhibitor-naïve solid tumors, likely to benefit from immune checkpoint inhibitor treatment, based on Investigator opinion.

b. Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the Investigator, would be unlikely to tolerate or derive clinical benefit from appropriate standard of care therapy.

c. Subjects with known activation mutations must have prior target therapy.

Exclusion

Exclusion Criteria:

  1. Needs doses of prednisolone >10 mg daily (or equipotent doses of othercorticosteroids) while on the trial other than as premedication.

  2. Has known active central nervous system (CNS) metastases and/or carcinomatousmeningitis.

  3. Has known or suspected hypersensitivity to BI-1808 or pembrolizumab

  4. Has cardiac or renal amyloid light-chain amyloidosis.

  5. Has received the following:

  6. Chemotherapy or small molecule products within 4 weeks of first dose ofBI-1808.

  7. Radiotherapy within 2 weeks of first dose of BI-1808. A 1-week washout ispermitted for palliative radiation (≤2 weeks of radiotherapy) for non-CNSdisease. Subjects who have previously had radiation pneumonitis are notallowed.

  8. Immunotherapy within 4 weeks prior to the first dose of BI-1808.

  9. Has not recovered from AEs to at least Grade 1 by NCI CTCAE

  10. Has had Grade ≥3 autoimmune manifestations of previous immune checkpoint inhibitortreatments (eg, anti-PD-1, anti-PD-L1, or anti-CTLA-4).

  11. Has a history of (noninfectious) pneumonitis that required steroids or has currentpneumonitis.

  12. Has an active, known, or suspected autoimmune disease.

  13. Is a female subject and has the ability to become pregnant (or already pregnant orlactating/breastfeeding). However, those female subjects who have a negative serumor urine pregnancy test before enrollment and agree to use a highly effective methodof birth control for 4 weeks before entering the trial, during the trial, and for 12months after last dose of BI-1808, are considered eligible.

  14. Is a male subject with partner(s) of childbearing potential (unless he agrees totake measures not to father children by using 1 form of highly effectivecontraception [condom plus spermicide gel] during the trial and for 12 months aftercompleting treatment).

  15. Has had major surgery from which the subject has not yet recovered.

  16. Is at high medical risk because of nonmalignant systemic disease including severeactive infections on treatment with antibiotics, antifungals, or antivirals.

  17. Has presence of chronic graft versus host disease.

  18. Has had an allogenic tissue/solid organ transplant.

  19. Has known human immunodeficiency (HIV) and/or history of hepatitis B or Cinfections, or has a positive test for HIV antibody, hepatitis B antigen/hepatitis Bvirus DNA or hepatitis C antibody or RNA.

  20. Has a history of active tuberculosis (Bacillus tuberculosis).

  21. Has received a live vaccine within 30 days before the first dose of study treatment.

  22. Has uncontrolled or significant cardiovascular disease.

  23. Has a known psychiatric or substance abuse disorder that would interfere with thesubject's ability to cooperate with the requirements of the trial.

  24. Has a history or current evidence of any condition, therapy, or laboratoryabnormality that might confound the results of the trial, interfere with thesubject's participation for the full duration of the trial, or is not in the bestinterest of the subject to participate, in the opinion of the treating Investigator.

  25. Is participating or planning to participate in another interventional clinicaltrial, or has participated in a trial of an investigational agent or has used aninvestigational device within 4 weeks prior to first dose of study drug.

  26. Has a known additional malignancy of another type, with the exception of adequatelytreated cone biopsied carcinoma in situ (eg, breast carcinoma, cervical cancer insitu) and basal or squamous cell carcinoma of the skin. Male subjects withasymptomatic prostate cancer without known metastatic disease and with norequirement for therapy or requiring only hormonal therapy and with normalprostate-specific antigen for >1 year prior to start of trial therapy are eligible.

  27. Has a diagnosis of primary or acquired immunodeficiency disorder or taking any otherform of immunosuppressive therapy within 7 days prior the first dose of study drug.

  28. Has symptomatic ascites or pleural effusion, requires surgical intervention ofadditional medication

Study Design

Total Participants: 176
Treatment Group(s): 3
Primary Treatment: Pembrolizumab (KEYTRUDA® ) 25 Mg/mL Solution for Injection
Phase: 1/2
Study Start date:
January 25, 2021
Estimated Completion Date:
January 15, 2028

Study Description

This is a Phase 1/2a, dose-escalation, multicenter, first-in-human, consecutive-cohort, open-label study of BI-1808, as a single agent and in combination with pembrolizumab in subjects with advanced malignancies, whose disease has progressed after standard therapy.

The study will consist of 2 phases: a Phase 1 with Parts A and B, and a Phase 2a with Parts A and B.

Phase 1 Part A consists of a dose escalation of BI-1808 as a single agent to evaluate safety and tolerability and to determine the RP2D as a single agent (sRP2D) in subjects with advanced malignancies whose disease has progressed after standard therapy.

Phase 1 Part B consists of a dose escalation of BI-1808 in combination with pembrolizumab to evaluate the safety and tolerability of the combination treatment and to allow selection of the RP2D for BI-1808 in combination with pembrolizumab (cRP2D) in subjects with advanced malignancies whose disease has progressed after standard therapy.

Phase 2a will assess BI-1808 administered as a single agent (Part A) and in combination with pembrolizumab (Part B) at the respective hypothesized RP2D(s) determined in Phase 1. Phase 2a expansion will be conducted in indication specific cohorts of subjects. The aim of the Phase 2a is to further assess the safety and tolerability of BI-1808 as a single agent (Part A) and in combination with pembrolizumab (Part B), characterize its PK and pharmacodynamics, and assess preliminary antitumor activity by ORR, DoR, and progression-free survival (PFS), as measured by RECIST v1.1 and iRECIST.

Connect with a study center

  • Rigshospitalet

    Copenhagen,
    Denmark

    Active - Recruiting

  • Herlev Hospital

    Herlev, 2730
    Denmark

    Active - Recruiting

  • Magyar Honvédség-Egészségügyi Központ

    Budapest, 1134
    Hungary

    Active - Recruiting

  • PRA Health Sciences - Hungary

    Budapest, 1077
    Hungary

    Site Not Available

  • Debreceni Egyetem Klinikai Központ

    Debrecen, 4032
    Hungary

    Active - Recruiting

  • Byudzhetnoye Uchrezhdeniye Zdravookhraneniya Omskoy Oblasti - Klinicheskiy Onkologicheskiy Dispanser

    Omsk, 644013
    Russian Federation

    Terminated

  • National Medical Research Center VA Almazov

    Saint Petersburg, 197022
    Russian Federation

    Site Not Available

  • N.N. Petrov National Medical Research Center of Oncology

    St Petersburg, 197758
    Russian Federation

    Site Not Available

  • Sahlgrenska University Hospital

    Gothenburg, 41345
    Sweden

    Active - Recruiting

  • Skanes University Hospital

    Lund, 223 70
    Sweden

    Active - Recruiting

  • Karolinska University Hospital, Solna

    Stockholm, 17176
    Sweden

    Active - Recruiting

  • University Hospitals of Leicester NHS Trust

    Leicester, LE1 5WW
    United Kingdom

    Active - Recruiting

  • Guy's and Saint Thomas' NHS Foundation Trust

    London, SE1 9RT
    United Kingdom

    Active - Recruiting

  • Sarah Cannon Research Institute UK

    London, W1G 6AD
    United Kingdom

    Active - Recruiting

  • The Royal Marsden Hospital NHS Foundation Trust

    London,
    United Kingdom

    Active - Recruiting

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX
    United Kingdom

    Active - Recruiting

  • Southampton General Hospital

    Southampton, SO16 6YD
    United Kingdom

    Active - Recruiting

  • City of Hope National Medical Center

    Duarte, California 91010
    United States

    Active - Recruiting

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

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