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An Open-Label, Dose-Escalation Study of IMC-20D7S In Participants With Malignant Melanoma

An Open-Label, Dose-Escalation Phase 1/1b Study of the Anti-gp75 Monoclonal Antibody IMC-20D7S In Patients With Malignant Melanoma Who Have Progressed After or During at Least One Treatment With Standard Cytotoxic Treatment or/and Immunotherapy Therapy or For Whom Standard Therapy is Not Indicated

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01137006
Enrollment
27
Registered
2010-06-04
Start date
2010-06-30
Completion date
2012-08-31
Last updated
2019-06-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malignant Melanoma

Keywords

Melanoma, Phase I, antibody, melanin, tyrosinase related protein 1, glycoprotein, 20D7S

Brief summary

A dose-escalation study designed to determine the safety, maximum tolerated dose (MTD), anti-melanoma activity, antibody blood levels and progression-free survival (PFS) in participants with malignant melanoma receiving IMC-20D7S either every 2 weeks or every 3 weeks.

Interventions

BIOLOGICALIMC-20D7S (Cohort 1A)

5 mg/kg i.v. every 2 weeks. Administered every other week on Days 1 and 15 of each treatment cycle. If no dose-limiting toxicity (DLT) in first 3 participants or 1 DLT in 6 participants, then enrollment into Cohort 2A.

BIOLOGICALIMC-20D7S (Cohort 2A)

10 mg/kg i.v. every 2 weeks. Administered every other week on Days 1 and 15 of each treatment cycle. If no DLT in first 3 participants or 1 DLT in 6 participants in Cohort 2A, then enrollment into Cohort 3A.

BIOLOGICALIMC-20D7S (Cohort 3A)

20 mg/kg i.v. every 2 weeks. Administered every other week on Days 1 and 15 of each treatment cycle. If no DLT in first 3 participants or 1 DLT in 6 participants in Cohort 3A, then enrollment into Cohort 4A.

BIOLOGICALIMC-20D7S (Cohort 4A)

30 mg/kg i.v. every 2 weeks. Administered every other week on Days 1 and 15 of each treatment cycle.

BIOLOGICALIMC-20D7S (Cohort 1B)

10 mg/kg i.v. every 3 weeks. Administered every 3 weeks on Days 1 and 22 of each treatment cycle. If no dose-limiting toxicity (DLT) in first 3 participants or 1 DLT in 6 participants in Cohort 1B, then enrollment into Cohort 2B.

BIOLOGICALIMC-20D7S (Cohort 2B)

20 mg/kg i.v. every 3 weeks. Administered every 3 weeks on Days 1 and 22 of each treatment cycle. If no DLT in first 3 participants or 1 DLT in 6 participants in Cohort 2B, then enrollment into Cohort 3B.

BIOLOGICALIMC-20D7S (Cohort 3B)

30 mg/kg i.v. every 3 weeks. Administered every 3 weeks on Days 1 and 22 of each treatment cycle.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participant has histologically or cytologically confirmed cutaneous, mucosal, or uveal malignant melanoma which has progressed after or during at least 1 treatment with standard cytotoxic treatment or/and immunotherapy \[for example (e.g.), treatment with cytokines, monoclonal antibodies, and vaccines\] and is not regarded to be a candidate for a potentially curative, higher priority treatment for melanoma * Participant is ≥18 years of age * Participant has either measurable disease as defined by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) or evaluable disease * At least 21 days must have elapsed from major surgery, prior chemotherapy, prior treatment with an investigational agent or device, or prior radiation therapy. Relative to participant's treatment with non-approved biological products (eg, monoclonal antibodies), a minimum of 2 half-lives must have passed for eligibility to be considered * Participant has resolution of all clinically significant toxic effects of prior cancer therapy to Grade ≤1 according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.02 (NCI-CTCAE v4.02) * Participant has adequate hematological function, hepatic function, and renal function

Exclusion criteria

* Participant has undergone major surgery \[e.g., laparotomy, thoracotomy, removal of organ(s)\] within 21 days prior to study entry * Participant has elective or planned surgery to be conducted during the trial * Participant has documented and/or symptomatic brain or leptomeningeal metastases * Participant is receiving systemic steroids or other immunosuppressive medications. (Intermittent use of steroid-containing medications e.g., for asthma exacerbation or for skin lesions is permitted) * Participant has an uncontrolled undercurrent illness * Participant has a concurrent active malignancy other than adequately treated nonmelanomatous skin cancer or other noninvasive carcinoma or in situ neoplasm * Participant has a known allergy to any of the treatment components (monoclonal antibodies or other therapeutic proteins such as fresh frozen plasma, human serum albumin, cytokines, or interleukins). In the event that there is suspicion the participant may have allergies, the participant should be excluded * Participant is pregnant or lactating * Participant has known human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS) infection

Design outcomes

Primary

MeasureTime frameDescription
Maximum Tolerated Dose (MTD) of IMC-20D7SBaseline to toxicity [up to end of Cycle 1 (4 or 6-week cycles)]The MTD was defined as the dose preceding the dose level at which 2 participants experienced a dose-limiting toxicity (DLT) during treatment Cycle 1. A DLT was defined as any Grade 3 or above toxicity that emerged during study treatment and was clearly not attributable to malignant melanoma or co-medication and was possibly, probably, or definitely related to IMC-20D7S in the judgment of the investigator. No DLT was observed in the study; a provisional MTD was established.
Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathBaseline through 30 days post last dose (up to 31 weeks)A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Event module.

Secondary

MeasureTime frameDescription
IMC-20D7S PK: Half-life (t½)Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.
IMC-20D7S PK: Clearance (Cl)Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.
IMC-20D7S PK: Area Under the Concentration Versus Time Curve (AUC)Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.
IMC-20D7S Pharmacokinetics (PK): Maximum Concentration (Cmax)Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 hours (h) post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.
Number of Participants Who Develop Antibodies Against IMC-20D7S (Immunogenicity)Prior to the first and second infusion in each cycle up to Cycle 7 (4- and 6-week cycles)Planned analyses for immunogenicity were not completed. A decision was made not to develop a validated immunogenicity assay because of the exploratory nature of the study and the analyses.
Progression-Free Survival (PFS)First dose to disease progression or death (up to 27 weeks)PFS was determined for participants who went beyond their first disease assessment and completed at least 1 treatment beyond Week 1 of treatment Cycle 3.
Recommend Doses for Phase 2/3 Studies Based on MTDBaseline to toxicity [up to end of Cycle 1 (4-or 6-week cycles)]It was decided for administrative reasons to discontinue dosing at the provisional MTD rather than progress to Phase 1b.
IMC-20D7S PK: Volume of Distribution (Vd) at Steady StateCycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.
IMC-20D7S PK: Minimal Concentration (Cmin)Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Countries

United States

Participant flow

Pre-assignment details

A completed participant (pt) finished the first 4 or 6 weeks of therapy or discontinued due to toxicity. Cohort (C)1A pts were treated sequentially. The next cohort started when all pts finished Cycle 1 of current cohort. Cohorts 1B-3B started if supported by C1A and C2A pharmacokinetic (PK) data and if maximum tolerated dose (MTD) not established.

Participants by arm

ArmCount
Cohort 1A (5 mg/kg, q2w)
IMC-20D7S: 5 mg/kg IMC-20D7S administered i.v. as an infusion q2w on Days 1 and 15 of each 4-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met. There were ≥7 days between the start of treatment for each participant in this cohort.
3
Cohort 2A (10 mg/kg, q2w)
IMC-20D7S: 10 mg/kg IMC-20D7S administered i.v. as an infusion q2w on Days 1 and 15 of each 4-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
3
Cohort 3A (20 mg/kg, q2w)
IMC-20D7S: 20 mg/kg IMC-20D7S administered i.v. as an infusion q2w on Days 1 and 15 of each 4-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
8
Cohort 4A (30 mg/kg, q2w)
IMC-20D7S: 30 mg/kg IMC-20D7S administered i.v. as an infusion q2w on Days 1 and 15 of each 4-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
3
Cohort 1B (10 mg/kg, q3w)
IMC-20D7S: 10 mg/kg IMC-20D7S administered i.v. as an infusion q3w on Days 1 and 22 of each 6-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
3
Cohort 2B (20 mg/kg, q3w)
IMC-20D7S: 20 mg/kg IMC-20D7S administered i.v. as an infusion q3w on Days 1 and 22 of each 6-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
4
Cohort 3B (30 mg/kg, q3w)
IMC-20D7S: 30 mg/kg IMC-20D7S administered i.v. as an infusion q3w on Days 1 and 22 of each 6-week treatment cycle until disease progression, unacceptable toxicity, or other withdrawal criteria were met.
3
Total27

Baseline characteristics

CharacteristicCohort 1A (5 mg/kg, q2w)TotalCohort 3B (30 mg/kg, q3w)Cohort 2B (20 mg/kg, q3w)Cohort 1B (10 mg/kg, q3w)Cohort 4A (30 mg/kg, q2w)Cohort 3A (20 mg/kg, q2w)Cohort 2A (10 mg/kg, q2w)
Age, Continuous77.7 years
STANDARD_DEVIATION 5.5
68.2 years
STANDARD_DEVIATION 9.26
65.4 years
STANDARD_DEVIATION 18.9
69.1 years
STANDARD_DEVIATION 5.53
66.6 years
STANDARD_DEVIATION 4.41
61.1 years
STANDARD_DEVIATION 11.7
69.8 years
STANDARD_DEVIATION 8.37
64.9 years
STANDARD_DEVIATION 4.92
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants26 Participants3 Participants4 Participants3 Participants3 Participants7 Participants3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
2 Participants25 Participants3 Participants4 Participants3 Participants3 Participants8 Participants2 Participants
Region of Enrollment
United States
3 participants27 participants3 participants4 participants3 participants3 participants8 participants3 participants
Sex: Female, Male
Female
2 Participants11 Participants2 Participants1 Participants1 Participants1 Participants3 Participants1 Participants
Sex: Female, Male
Male
1 Participants16 Participants1 Participants3 Participants2 Participants2 Participants5 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 33 / 38 / 83 / 32 / 34 / 43 / 3
serious
Total, serious adverse events
1 / 31 / 35 / 82 / 30 / 34 / 40 / 3

Outcome results

Primary

Maximum Tolerated Dose (MTD) of IMC-20D7S

The MTD was defined as the dose preceding the dose level at which 2 participants experienced a dose-limiting toxicity (DLT) during treatment Cycle 1. A DLT was defined as any Grade 3 or above toxicity that emerged during study treatment and was clearly not attributable to malignant melanoma or co-medication and was possibly, probably, or definitely related to IMC-20D7S in the judgment of the investigator. No DLT was observed in the study; a provisional MTD was established.

Time frame: Baseline to toxicity [up to end of Cycle 1 (4 or 6-week cycles)]

Population: Participants who completed Cycle 1 of treatment.

ArmMeasureValue (NUMBER)
IMC-20D7SMaximum Tolerated Dose (MTD) of IMC-20D7S20 mg/kg q2w
Primary

Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or Death

A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Event module.

Time frame: Baseline through 30 days post last dose (up to 31 weeks)

Population: Participants who received any amount of IMC-20D7S .

ArmMeasureGroupValue (NUMBER)
IMC-20D7SNumber of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
IMC-20D7SNumber of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs3 participants
IMC-20D7SNumber of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs1 participants
Cohort 2A (10 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Cohort 2A (10 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs1 participants
Cohort 2A (10 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs3 participants
Cohort 3A (20 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs8 participants
Cohort 3A (20 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs5 participants
Cohort 3A (20 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Cohort 4A (30 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs3 participants
Cohort 4A (30 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs2 participants
Cohort 4A (30 mg/kg, q2w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Cohort 1B (10 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs0 participants
Cohort 1B (10 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs2 participants
Cohort 1B (10 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Cohort 2B (20 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs4 participants
Cohort 2B (20 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs4 participants
Cohort 2B (20 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Cohort 3B (30 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathOther Non-Serious AEs3 participants
Cohort 3B (30 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathSAEs0 participants
Cohort 3B (30 mg/kg, q3w)Number of Participants With Serious Adverse Events (SAEs), Other Non-Serious Adverse Events (AEs), or DeathDeaths0 participants
Secondary

IMC-20D7S Pharmacokinetics (PK): Maximum Concentration (Cmax)

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 hours (h) post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

IMC-20D7S PK: Area Under the Concentration Versus Time Curve (AUC)

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

IMC-20D7S PK: Clearance (Cl)

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

IMC-20D7S PK: Half-life (t½)

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

IMC-20D7S PK: Minimal Concentration (Cmin)

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

IMC-20D7S PK: Volume of Distribution (Vd) at Steady State

A non-validated assay was used to determine individual serum concentrations of IMC-20D7S. Thus, analyses of PK data were not conducted.

Time frame: Cycles 1 and 3: Prior to, immediately after, and 0.5, 1, 2, 4, 8, 24, 48 (Cycle 3 only), 96, 168, 240, and 336 h post first infusion. Cycles 2 and 4: Prior to and 1 h post first infusion.

Population: No participant was analyzed.

Secondary

Number of Participants Who Develop Antibodies Against IMC-20D7S (Immunogenicity)

Planned analyses for immunogenicity were not completed. A decision was made not to develop a validated immunogenicity assay because of the exploratory nature of the study and the analyses.

Time frame: Prior to the first and second infusion in each cycle up to Cycle 7 (4- and 6-week cycles)

Population: No participant was analyzed.

Secondary

Progression-Free Survival (PFS)

PFS was determined for participants who went beyond their first disease assessment and completed at least 1 treatment beyond Week 1 of treatment Cycle 3.

Time frame: First dose to disease progression or death (up to 27 weeks)

Population: Participants who went beyond their first disease assessment and completed at least one treatment beyond Week 1 of treatment Cycle 3.

ArmMeasureValue (NUMBER)
IMC-20D7SProgression-Free Survival (PFS)0 participants
Cohort 2A (10 mg/kg, q2w)Progression-Free Survival (PFS)3 participants
Cohort 3A (20 mg/kg, q2w)Progression-Free Survival (PFS)2 participants
Cohort 4A (30 mg/kg, q2w)Progression-Free Survival (PFS)1 participants
Cohort 1B (10 mg/kg, q3w)Progression-Free Survival (PFS)1 participants
Cohort 2B (20 mg/kg, q3w)Progression-Free Survival (PFS)1 participants
Cohort 3B (30 mg/kg, q3w)Progression-Free Survival (PFS)2 participants
Secondary

Recommend Doses for Phase 2/3 Studies Based on MTD

It was decided for administrative reasons to discontinue dosing at the provisional MTD rather than progress to Phase 1b.

Time frame: Baseline to toxicity [up to end of Cycle 1 (4-or 6-week cycles)]

Population: No participant was analyzed.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026