A Phase 1 Study of IM-1340 in Participants With Advanced Malignancies
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Study Summary
This is a Phase 1 open-label, multicenter, dose escalation and expansion study designed to determine the safety, tolerability, PK, and preliminary antitumor activity of IM-1340 administered to participants with advanced solid tumors. The study consists of 2 parts:
Part A: A dose-escalation phase to evaluate the safety and tolerability of IM-1340 to determine the recommended dose for expansion (RDE) and evaluate maximum tolerated dose (MTD) and/or maximum achievable dose.
Part B: An expansion phase to further evaluate the safety and preliminary antitumor activity of IM-1340 monotherapy.
- Inclusion Criteria:
- * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, 2
- * Histological diagnosis including but not limited to one of the following advanced solid tumors:
- * Part A
- * Extended stage small cell lung cancer (ES-SCLC)
- * High-grade neuroendocrine neoplasms (NENs)
- * G3 neuroendocrine tumor (NET) and neuroendocrine carcinoma (NEC, pulmonary and extrapulmonary)
- * Non-squamous non-small cell lung cancer (NSCLC)
- * Colorectal cancer
- * Part B
- * Cohort B1: ES-SCLC
- * Cohort B2: Non-squamous NSCLC
- * Other Part B cohorts: Cohort-specific disease indication may include those listed under Part A above
- * Participants must have disease that is considered to be incurable and meet the appropriate criteria below:
- * Part A:
- * ES-SCLC: Participants must have received, or be ineligible to receive, prior platinum-based chemotherapy and a programmed cell death-1/programmed death-ligand 1 (PD-\[L\]1) monoclonal antibody.
- * Other tumor types, with Medical Monitor approval: Participants must have received, or be ineligible to receive, available SOC treatments, or have no satisfactory SOC treatment options available.
- * Part B:
- * Cohort B1 (ES-SCLC):
- * Participants must have received, or be ineligible to receive, prior platinum-based chemotherapy and a PD-\[L\]1 monoclonal antibody.
- * Cohort B2 (non-sq NSCLC):
- * Participants must have previously received, or be ineligible to receive, platinum-based chemotherapy and a PD-\[L\]1 monoclonal antibody. Participants with a known actionable biomarker(s) must have been treated with at least one prior appropriate available targeted therapy.
- * Other Part B cohorts: Criteria will be specified based on the disease indications selected.
- * Participants must have measurable disease as per RECIST v1.1
- * Participants must have adequate organ function.
- Exclusion Criteria:
- * Previously treated with an ADC with a DNA topoisomerase inhibitor (TOP1) payload
- * Note: Participants with non-squamous NSCLC who have received up to one prior ADC with a TOP1 inhibitor payload are eligible. Participants with other tumor types previously treated with an ADC with a TOP1 inhibitor payload may be eligible if approved by the Medical Monitor.
- * History of an anaphylactic reaction to TOP1 inhibitors or TOP1-inhibiting ADCs.
- * Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
- * Known history of another primary malignancy, unless the participant has undergone potentially curative therapy with no evidence of recurrence and/or negligible risk of metastatic disease and death and consulted with the Medical Monitor.
Clinical Study Information for Healthcare Providers
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