A First-in-human Study to Learn How Safe the Study Drug BAY2965501 is, Find the Best Dose (Single Drug & Combination), How it Affects the Body, What Maximum Amount Can be Given, How it Moves Into, Through and Out of the Body, How it Acts on Different Tumors in Participants With Advanced Solid Tumors

Last updated: March 18, 2025
Sponsor: Bayer
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasms

Treatment

BAY2965501

Platinum-based Chemotherapy

Pembrolizumab

Clinical Study ID

NCT05614102
21948
2022-002016-23
2023-507905-33-00
  • Ages > 18
  • All Genders

Study Summary

Researchers are looking for a better way to treat people who have advanced solid tumors. Advanced solid tumors are types of cancer that may have spread to nearby tissue, lymph nodes, and/or to distant parts of the body and that are unlikely to be cured or controlled with currently available treatments. This study focuses on certain types of skin cancer, kidney cancer, stomach cancer, and lung cancer. The study treatment BAY2965501 is currently under development as monotherapy or in combination for the treatment of people with advanced solid tumors. BAY2965501 blocks an enzyme in T-cells to activate them. T-cells are a type of immune cell that are known to have an anti-cancer effect and BAY2965501 is a potential new immunotherapy. The main purpose of this first-in-human study is to learn: • how safe different doses of BAY2965501 are when given as a single drug or in combination, • the degree to which medical problems caused by BAY2965501 when given as a single drug or in combination, can be tolerated (also called tolerability), • what maximum amount can be given as a single drug or in combination, and • how it moves into, through and out of the body as a single drug or in combination. To answer this, researchers will look at: • the number and severity of medical problems participants have after taking BAY2965501 as a single drug or in combination for each dose level. These medical problems are also referred to as adverse events. • the (average) total level of BAY2965501 in the blood (also called AUC) after intake of single and multiple doses • the (average) highest level of BAY2965501 in the blood (also called Cmax) after intake of single and multiple doses Doctors keep track of all medical problems that participants have during the study, even if they do not think the medical problem might be related to the study treatment. In addition, the researchers want to know if and how the participants' tumors change after taking BAY2965501. The study will have two parts. The first part, called dose escalation, is done to find the most appropriate dose that can be given in the second part. For this, participants will be assigned to receive one of the planned doses and schedules of BAY2965501 as single drug or participants will be assigned to one of the increasing doses of BAY2965501 in combination with 200mg pembrolizumab. Additionally, platinum based chemotherapy as decided by the treating investigator will be given within the first months (at minimum 2 cycles and up to 6 cycles maximum). Here participants will receive BAY 2965501 in combination with pembrolizumab and platinum based chemotherapy.

All participants will take BAY2965501 by mouth. Additionally, in combination group 1, pembrozilumab will be given as infusion using a small tube that goes into your vein. In combination group 2, pembrolizumab and platinum based chemotherapy will be given as infusion using a small tube that goes into your vein.

In the second part, called dose expansion, all participants in the single drug group will receive up to 2 of the most appropriate doses of BAY2965501 from the 1st part as tablet by mouth. The participants in the combination groups (group 1: + pembrozilumab; group 2:

  • pembrolizumab and platinum based chemotherapy) will receive the most appropriate dose of BAY2965501 from the first part. Participants in both parts of the study, will take the study treatment until the tumor gets worse (also known as 'disease progression'), or until the participants have medical problems. In general, the study treatment is planned for a maximum of 35 cycles. Each participant will be in the study for several months, including a screening phase of up to 28 days, few months of treatment depending on the participant's benefit, and a follow up phase after the end of treatment. Participants in part two will be assigned to one of 3 groups depending on cancer characteristics.During the study, the study team will: • take blood and urine samples • do physical examinations • check vital signs such as blood pressure, heart rate, body temperature • examine heart health using ECG (electrocardiogram) • check if the participants' cancer has grown and/or spread using CT (computed tomography) or MRI (magnetic resonance imaging) and, if needed, bone scan • take tumor samples (if required) The treatment period ends with a visit no later than 7 days after the last BAY2965501 dose in the single drug and combination group. About 30 and 90 days after the last dose and every 12 weeks thereafter, the study team will check the participants' health and any changes in cancer. This follow-up period ends with worsening of the cancer, start of new anti-cancer therapy, or until the participant leaves the study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Have measurable disease per Response evaluation criteria in solid tumors version 1.1 (RECIST 1.1) as assessed by the local site investigator.

  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.

  • Participants with histologically confirmed diagnosis of a solid tumor (specifications for the different parts of the study below) will be enrolled ontothis study:

•Dose escalation (for monotherapy or BAY 2965501 and pembrolizumab combinationcohorts): All solid cancers, except primary central nervous system cancers •Doseescalation (for BAY 2965501 with pembrolizumab and platinum-based regimencombination cohorts): All solid cancers, except primary central nervous systemcancers, (including Non-small cell lung cancer (NSCLC), head and neck squamous cellcancer (HNSCC), cervical, endometrial, triple negative breast cancer) that areeligible for standard of care platinum-based regimen and for whom this trial is areasonable option for them.

  • The following tumor types may be recruited to the monotherapy expansion cohorts: o Non-small cell lung cancer (NSCLC)

  • The following tumor types may be recruited to the BAY 2965501 and pembrolizumabcombination expansion cohorts:

  • NSCLC: participants who are treatment-naïve in the incurable disease setting.

  • NSCLC: Participants with metastatic NSCLC (confirmed histologically orcytologically)

  • Gastric/GEJ adenocarcinoma

  • other tumor types may be explored based on emerging data

  • The following tumor types will be recruited to the BAY 2965501 and pembrolizumabwith platinum-based regimen combination expansion cohorts:

  • All solid cancers, except primary central nervous system cancers (includingNSCLC, HNSCC, cervical, endometrial, triple negative breast cancer), that areeligible for standard of care platinum-based regimen

Exclusion

Exclusion Criteria:

  • Previous therapy with a DGK inhibitor other than BAY 2965501 or BAY 2862789 isprohibited. Participants previously treated with BAY 2965501 or BAY 2862789 musthave progressed on that DGK inhibitor (given as monotherapy and not havediscontinued for toxicity) to be eligible for the combination of BAY 2965501 andpembrolizumab cohorts only.

  • Has received a prior therapeutic regimen containing an anti-PD-1, anti-PD-L1, oranti PD-L2 agent or an agent directed to another co-stimulatory or co-inhibitoryT-cell receptor (e.g., CTLA-4, OX 40, CD137) and was discontinued from thattreatment due to a Grade 3 or higher infusion-related adverse event (irAE).

  • Participants with new brain metastases on screening brain MRI/CT. Previously treatedbrain metastases that are progressive at screening compared to a brain MRI/CT atleast 4 weeks earlier are also excluded. Participants with known previously treatedbrain metastases, which are radiologically stable compared to a CT/MRI scan at least 4 weeks earlier, clinically stable and without the requirement of steroid treatmentfor at least 14 days prior to the first dose of study treatment

  • Primary central nervous system malignancy or presence of leptomeningeal disease (i.e., positive cerebrospinal fluid cytology or unequivocal radiological or clinicalevidence of leptomeningeal involvement).

  • Participants with gastrointestinal conditions that may compromise oral absorptionsuch as short bowel syndrome or active tumor-related bowel obstruction with ongoingsymptoms compromising absorption over last 6 months.

Study Design

Total Participants: 284
Treatment Group(s): 3
Primary Treatment: BAY2965501
Phase: 1
Study Start date:
November 04, 2022
Estimated Completion Date:
June 07, 2027

Connect with a study center

  • Antwerp University Hospital | Oncology Department

    Antwerpen, 2650
    Belgium

    Active - Recruiting

  • Institut Jules Bordet - Clinique D'Oncology

    Bruxelles, 1070
    Belgium

    Site Not Available

  • Institut Jules Bordet/Jules Bordet Instituut

    Bruxelles, 1070
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Antwerpen (UZA) - Multidisciplinair Oncologisch Centrum Antwerpen (MOCA)

    Edegem, 2650
    Belgium

    Site Not Available

  • Ghent University Hospital | Drug Research Unit Department

    Gent, 9000
    Belgium

    Active - Recruiting

  • UZ Gent

    Gent, 9000
    Belgium

    Site Not Available

  • Centre Hospitalier Universitaire (CHU) de Liege - Domaine Universitaire du Sart Tilman

    Liege, 4000
    Belgium

    Site Not Available

  • Sir Run Run Shaw Hospital, Zhejiang Univ. School of Medicine

    Hangzhou, Zhejiang 310016
    China

    Active - Recruiting

  • Cancer Hospital, Chinese Academy of Medical Sciences

    Beijing, 100000
    China

    Active - Recruiting

  • Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center

    Shenzhen, 518172
    China

    Active - Recruiting

  • National Cancer Center Hospital East

    Kashiwa, Chiba 277-8577
    Japan

    Completed

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggido 13620
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital

    Seoul, Seoul Teugbyeolsi 3080
    Korea, Republic of

    Site Not Available

  • Severance Hospital, Yonsei University Health System

    Seoul, Seoul Teugbyeolsi 03722
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul, 135-710
    Korea, Republic of

    Active - Recruiting

  • Institut Català d'Oncologia Hospitalet

    Hospitalet de Llobregat, Barcelona 08907
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron - Institut d'Oncologia - Grupo de Tumores Toracicos y Cancer de Cabeza y Cuello

    Barcelona, 08035
    Spain

    Active - Recruiting

  • START Barcelona-Hospital HM Nou Delfos

    Barcelona, 08023
    Spain

    Site Not Available

  • START | Barcelona

    Barcelona, 08023
    Spain

    Active - Recruiting

  • The START Center for Cancer Care - Madrid - CIOCC - Hospital Universitario Madrid Sanchinarro Location

    Madrid, 28050
    Spain

    Active - Recruiting

  • The START Center for Cancer Care - Mardrid-Fundacion Jimenez Diaz (START Madrid-FJD)

    Madrid, 28040
    Spain

    Site Not Available

  • Universidad de Navarra - Clinica Universidad de Navarra (CUN) - Madrid

    Madrid, 28027
    Spain

    Active - Recruiting

  • Universidad de Navarra - Centro de Investigacion Medica Aplicada (CIMA)

    Pamplona, 31008
    Spain

    Active - Recruiting

  • Churchill Hospital

    Oxford, Oxfordshire OX3 7LJ
    United Kingdom

    Active - Recruiting

  • Royal Marsden NHS Trust (Surrey)

    Sutton, Surrey SM2 5PT
    United Kingdom

    Active - Recruiting

  • Freeman Hospital

    Newcastle, Tyne And Wear NE7 7DN
    United Kingdom

    Active - Recruiting

  • Freeman Hospital

    Newcastle Upon Tyne, Tyne And Wear NE7 7DN
    United Kingdom

    Site Not Available

  • Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital

    London, SE1 9RT
    United Kingdom

    Site Not Available

  • University College London Hospitals NHS Foundation Trust

    London, NW1 2BU
    United Kingdom

    Site Not Available

  • Sarah Cannon Research Institute at HealthONE

    Denver, Colorado 80218
    United States

    Active - Recruiting

  • MedStar Georgetown University Hospital

    Washington, District of Columbia 20007-2113
    United States

    Site Not Available

  • UF Health Cancer Center

    Gainesville, Florida 32610-3633
    United States

    Site Not Available

  • Piedmont Oncology Institute

    Atlanta, Georgia 30318
    United States

    Site Not Available

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Active - Recruiting

  • START | San Antonio

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • South Texas Accelerated Research Therapeutics | START San Antonio

    San Antonio, Texas 78229-3307
    United States

    Site Not Available

  • South Texas Accelerated Research Therapeutics, LLC

    San Antonio, Texas 78229-3307
    United States

    Active - Recruiting

  • Tranquil Clinical Research

    Webster, Texas 77598
    United States

    Site Not Available

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