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PROCLAIM-CX-072: A Trial to Find Safe and Active Doses of an Investigational Drug CX-072 for Patients With Solid Tumors or Lymphomas

An Open-Label, Dose-Finding and Proof of Concept Study of the PD-L1 Probody® Therapeutic , CX-072, as Monotherapy and in Combination With Yervoy (Ipilimumab) or With Zelboraf (Vemurafenib) in Subjects With Advanced or Recurrent Solid Tumors or Lymphomas

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03013491
Enrollment
196
Registered
2017-01-06
Start date
2017-01-19
Completion date
2020-10-27
Last updated
2025-06-17

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

Conditions

Lymphoma, Solid Tumor

Keywords

cancer, checkpoint inhibitor, monotherapy, combination, PD-L1, CTLA-4, solid tumor, lymphoma, BRAF, PROCLAIM, CX-072, PROCLAIM-CX-072

Brief summary

The purpose of this first-in-human study of CX-072 is to characterize the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and antitumor activity of CX-072 administered intravenously (IV) as a single agent or in combination with ipilimumab or vemurafenib in adult subjects with advanced or recurrent solid tumors or lymphomas. PROCLAIM-CX-072: PRObody CLinical Assessment In Man CX-072 clinical trial CX-072 is a Probody® therapeutic directed against PD-L1 (programmed cell death ligand 1). Probody therapeutics are proteolytically-activatable antibodies (Abs) designed to widen the therapeutic index by minimizing drug interaction with normal tissue while retaining anti-tumor activity. Probody therapeutics are masked to attenuate binding to target in healthy tissue but can become unmasked in the tumor microenvironment by tumor-specific protease activity. PROBODY is a U.S. registered trademark of CytomX Therapeutics, Inc.

Interventions

DRUGCX-072

Solution for infusion

DRUGipilimumab

Solution for infusion

DRUGvemurafenib

Tablet

Sponsors

CytomX Therapeutics
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

1. Histologically confirmed diagnosis of metastatic or advanced unresectable tumors that progressed on standard therapy 2. Agreement to provide mandatory archival tissue or fresh biopsy. 3. At least 18 years of age.

Exclusion criteria

1. Prior therapy with a chimeric antigen receptor (CAR) T-cell containing regimen. 2. History of severe allergic or anaphylactic reactions to human monoclonal antibody therapy or known hypersensitivity to any Probody therapeutic. 3. Active or history of uveal, mucosal, or ocular melanoma. Human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS)-related illness, chronic hepatitis B or C. 4. History of or current active autoimmune diseases, including but not limited to inflammatory bowel diseases, rheumatoid arthritis, autoimmune thyroiditis, autoimmune hepatitis, systemic sclerosis, systemic lupus erythematosus, autoimmune vasculitis, autoimmune neuropathies, or type 1 insulin dependent diabetes mellitus. 5. History of syndrome or medical condition(s) that requires systemic steroids (\> 10 mg daily prednisone equivalents) or immunosuppressive medications. 6. History of allogeneic tissue/solid organ transplant, prior stem cell or bone marrow transplant. 7. Chemotherapy, biochemotherapy, radiation or immunotherapy or any investigational treatment within 30 days prior to receiving any study drug. 8. Major surgery (requiring general anesthesia) within 3 months or minor surgery (excluding biopsies conducted with local/topical anesthesia) or gamma knife treatment within 14 days (with adequate healing) of administration of any study drug.

Design outcomes

Primary

MeasureTime frameDescription
The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib28 days (dose limiting toxicity period)Adverse events (AEs) that were considered DLTs: * Grade 5 AEs * Grade 4 AEs judged by the Investigator to be treatment-related or judged by the Sponsor as a DLT, regardless of Investigator-attribution (with some exceptions) • Any Grade 4 endocrinopathy. * Grade 3 AEs judged by the Investigator to be treatment-related or by the Sponsor, regardless of Investigator-attribution (with some exceptions) • Any Grade 3 central nervous system event, regardless of duration or reversibility. * Grade 2 pneumonitis necessitating CX-072 discontinuation * Grade 2 ocular toxicity necessitating CX-072 discontinuation

Secondary

MeasureTime frameDescription
The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy2 yearsThe primary efficacy endpoint, ORR, was defined as the proportion of subjects with complete response (CR) or partial response (PR) on two consecutive tumor assessments according to RECIST v1.1.

Countries

Netherlands, Poland, Spain, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

A total of 278 patients were screened for the study, and 196 patients received study treatment.

Participants by arm

ArmCount
CX-072 0.03 mg/kg (Part A and Part A2)
Monotherapy CX-072 0.03 mg/kg (Part A and Part A2) CX-072: Solution for infusion
2
CX-072 0.1 mg/kg (Part A and Part A2)
Monotherapy CX-072 0.1 mg/kg (Part A and Part A2) CX-072: Solution for infusion
2
CX-072 0.3 mg/kg (Part A and Part A2)
Monotherapy CX-072 0.3 mg/kg (Part A and Part A2) CX-072: Solution for infusion
8
CX-072 1 mg/kg (Part A and Part A2)
Monotherapy CX-072 1 mg/kg (Part A and Part A2) CX-072: Solution for infusion
9
CX-072 3 mg/kg (Part A and Part A2)
Monotherapy CX-072 3 mg/kg (Part A and Part A2) CX-072: Solution for infusion
13
CX-072 10 mg/kg (Part A and Part A2)
Monotherapy CX-072 10 mg/kg (Part A and Part A2) CX-072: Solution for infusion
16
CX-072 30 mg/kg (Part A and Part A2)
Monotherapy CX-072 30 mg/kg (Part A and Part A2) CX-072: Solution for infusion
3
CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg (Part B1)
Combination CX-072 0.3 mg/kg + ipilimumab 3 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
6
CX-072 1 mg/kg + Ipilimumab 3 mg/kg (Part B1)
Combination CX-072 1 mg/kg + ipilimumab 3 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
3
CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B1)
Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
3
CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B1)
Combination CX-072 10 mg/kg + ipilimumab 3 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
8
CX-072 10 mg/kg + Ipilimumab 6 mg/kg (Part B1)
Combination CX-072 10 mg/kg + ipilimumab 6 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
6
CX-072 10 mg/kg + Ipilimumab 10 mg/kg (Part B1)
Combination CX-072 10 mg/kg + ipilimumab 10 mg/kg (Part B1) CX-072: Solution for infusion Ipilimumab: Solution for infusion
1
CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B2)
Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg (Part B2) CX-072: Solution for infusion Ipilimumab: Solution for infusion
6
CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B2)
Combination CX-072 3 mg/kg + ipilimumab 3 mg/kg (Part B2) CX-072: Solution for infusion Ipilimumab: Solution for infusion
1
CX-072 1 mg/kg + Vemurafenib 960 mg (Part C)
Combination CX-072 1 mg/kg + Vemurafenib 960 mg (Part C) CX-072: Solution for infusion Vemurafenib: Tablet
3
CX-072 3 mg/kg + Vemurafenib 960 mg (Part C)
Combination CX-072 3 mg/kg + Vemurafenib 960 mg (Part C) CX-072: Solution for infusion Vemurafenib: Tablet
6
CX-072 10 mg/kg + Vemurafenib 960 mg (Part C)
Combination CX-072 10 mg/kg + Vemurafenib 960 mg (Part C) CX-072: Solution for infusion Vemurafenib: Tablet
2
CX-072 10 mg/kg (Part D)
Monotherapy CX-072 10 mg/kg expansion (Part D)
98
Total196

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017FG018
Long-term ExtensionAdverse Event0000000000000000001
Long-term ExtensionDeath0000000000000000001
Long-term ExtensionDisease progression0001000000000000001
Long-term ExtensionWithdrawal by Subject0000000100000000000
Main StudyDeath225391235124114035147
Main StudyDisease progression0001000010100000004
Main StudyLost to Follow-up0010100000000000003
Main StudyPartial withdrawal with survival follow-up only0000000000010000000
Main StudyProtocol version 8.0 approval0000000000100000000
Main StudyStart of new anticancer therapy0000000000000000002
Main StudySymptomatic deterioration0000010000000000000
Main StudyTermination of the study by Sponsor00201200111200000113
Main StudyWithdrawal by Subject00042100001202000018

Baseline characteristics

CharacteristicCX-072 0.03 mg/kg (Part A and Part A2)CX-072 0.1 mg/kg (Part A and Part A2)CX-072 0.3 mg/kg (Part A and Part A2)CX-072 1 mg/kg (Part A and Part A2)CX-072 3 mg/kg (Part A and Part A2)CX-072 10 mg/kg (Part A and Part A2)CX-072 30 mg/kg (Part A and Part A2)CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg (Part B1)CX-072 1 mg/kg + Ipilimumab 3 mg/kg (Part B1)CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B1)CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B1)CX-072 10 mg/kg + Ipilimumab 6 mg/kg (Part B1)CX-072 10 mg/kg + Ipilimumab 10 mg/kg (Part B1)CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B2)CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B2)CX-072 1 mg/kg + Vemurafenib 960 mg (Part C)CX-072 3 mg/kg + Vemurafenib 960 mg (Part C)CX-072 10 mg/kg + Vemurafenib 960 mg (Part C)CX-072 10 mg/kg (Part D)Total
Age, Continuous69.5 Years
STANDARD_DEVIATION 2.12
72.0 Years
STANDARD_DEVIATION 2.83
60.8 Years
STANDARD_DEVIATION 9.88
59.2 Years
STANDARD_DEVIATION 9.43
63.3 Years
STANDARD_DEVIATION 15.12
55.3 Years
STANDARD_DEVIATION 13.11
58.0 Years
STANDARD_DEVIATION 10.44
56.5 Years
STANDARD_DEVIATION 16.94
38.0 Years
STANDARD_DEVIATION 1.73
53.0 Years
STANDARD_DEVIATION 8.72
53.9 Years
STANDARD_DEVIATION 9.14
51.8 Years
STANDARD_DEVIATION 10.19
67.0 Years56.7 Years
STANDARD_DEVIATION 8.38
40 Years47.3 Years
STANDARD_DEVIATION 17.24
46.3 Years
STANDARD_DEVIATION 20.88
53.5 Years
STANDARD_DEVIATION 9.19
59.9 Years
STANDARD_DEVIATION 12.28
58.1 Years
STANDARD_DEVIATION 12.87
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants2 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants7 Participants15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants2 Participants6 Participants7 Participants10 Participants14 Participants2 Participants6 Participants2 Participants3 Participants6 Participants4 Participants1 Participants6 Participants1 Participants3 Participants6 Participants2 Participants70 Participants153 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants2 Participants1 Participants1 Participants0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants21 Participants28 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants5 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants8 Participants11 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 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 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants2 Participants1 Participants2 Participants1 Participants1 Participants0 Participants0 Participants1 Participants3 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants20 Participants31 Participants
Race (NIH/OMB)
White
2 Participants2 Participants6 Participants7 Participants10 Participants15 Participants2 Participants6 Participants2 Participants2 Participants5 Participants5 Participants1 Participants5 Participants1 Participants3 Participants6 Participants1 Participants67 Participants148 Participants
Sex: Female, Male
Female
1 Participants2 Participants4 Participants3 Participants8 Participants9 Participants1 Participants2 Participants1 Participants3 Participants6 Participants3 Participants1 Participants4 Participants1 Participants2 Participants4 Participants1 Participants60 Participants116 Participants
Sex: Female, Male
Male
1 Participants0 Participants4 Participants6 Participants5 Participants7 Participants2 Participants4 Participants2 Participants0 Participants2 Participants3 Participants0 Participants2 Participants0 Participants1 Participants2 Participants1 Participants38 Participants80 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
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
EG018
affected / at risk
deaths
Total, all-cause mortality
2 / 22 / 25 / 84 / 99 / 1313 / 163 / 35 / 62 / 32 / 34 / 81 / 61 / 14 / 60 / 13 / 35 / 61 / 250 / 98
other
Total, other adverse events
2 / 22 / 28 / 89 / 913 / 1316 / 163 / 36 / 63 / 33 / 37 / 86 / 61 / 16 / 61 / 13 / 36 / 62 / 294 / 98
serious
Total, serious adverse events
0 / 20 / 23 / 83 / 97 / 138 / 160 / 33 / 63 / 30 / 34 / 83 / 60 / 13 / 60 / 12 / 35 / 61 / 233 / 98

Outcome results

Primary

The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib

Adverse events (AEs) that were considered DLTs: * Grade 5 AEs * Grade 4 AEs judged by the Investigator to be treatment-related or judged by the Sponsor as a DLT, regardless of Investigator-attribution (with some exceptions) • Any Grade 4 endocrinopathy. * Grade 3 AEs judged by the Investigator to be treatment-related or by the Sponsor, regardless of Investigator-attribution (with some exceptions) • Any Grade 3 central nervous system event, regardless of duration or reversibility. * Grade 2 pneumonitis necessitating CX-072 discontinuation * Grade 2 ocular toxicity necessitating CX-072 discontinuation

Time frame: 28 days (dose limiting toxicity period)

Population: The safety analysis population includes all enrolled subjects who receive at least one dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CX-072 0.03 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 0.1 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 0.3 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 1 mg/kg (Part A and A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib1 Participants
CX-072 3 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib1 Participants
CX-072 10 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 30 mg/kg (Part A and Part A2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 0.3 mg/kg + Ipilimumab 3 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib1 Participants
CX-072 1 mg/kg + Ipilimumab 3 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 10 mg/kg + Ipilimumab 6 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib2 Participants
CX-072 10 mg/kg + Ipilimumab 10 mg/kg (Part B1)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 3 mg/kg + Ipilimumab 3 mg/kg (Part B2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 10 mg/kg + Ipilimumab 3 mg/kg (Part B2)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 1 mg/kg + Vemurafenib 960 mg (Part C)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 3 mg/kg + Vemurafenib 960 mg (Part C)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
CX-072 10 mg/kg + Vemurafenib 960 mg (Part C)The Number of Subjects Experiencing a Dose Limiting Toxicity (DLT) at Various Dose Levels When Given Multiple Doses of CX-072 as a Monotherapy or in Combination With Ipilimumab or Vemurafenib0 Participants
Secondary

The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy

The primary efficacy endpoint, ORR, was defined as the proportion of subjects with complete response (CR) or partial response (PR) on two consecutive tumor assessments according to RECIST v1.1.

Time frame: 2 years

Population: Per CX-072-001 Statistical Analysis Plan, efficacy analyses will be limited to subjects who received 10 mg/kg CX-072 as monotherapy during the study. This efficacy subset includes subjects from Parts A, A2 and D. Efficacy summaries will have parts A and A2 combined

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
CX-072 0.03 mg/kg (Part A and Part A2)The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy1 Participants
CX-072 0.1 mg/kg (Part A and Part A2)The Percentage of Subjects Experiencing Anti-cancer Activity (ORR) When Given 10 mg/kg CX-072 as Monotherapy13 Participants

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026