Skip to content

CD40 Agonistic Antibody APX005M (Sotigalimab) in Combination With Nivolumab

A Study to Evaluate the Safety and Efficacy of the CD40 Agonistic Antibody APX005M Administered in Combination With Nivolumab in Subjects With Non-small Cell Lung Cancer and Subjects With Metastatic Melanoma

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03123783
Enrollment
140
Registered
2017-04-21
Start date
2017-07-10
Completion date
2020-11-16
Last updated
2023-12-26

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

Conditions

Cancer, Non Small Cell Lung Cancer Metastatic, Metastatic Melanoma, Neoplasm of Lung, Melanoma

Keywords

CD40, Immunotherapy, Nivolumab, APX005M, PD-1

Brief summary

This study is a Phase 1-2 open-label dose escalation study of the immuno-activating monoclonal antibody APX005M administered in combination with nivolumab to adult subjects with non-small cell lung cancer or metastatic melanoma. The Phase 1 portion is intended to establish the maximum tolerated dose and the recommended phase 2 dose of APX005M when administered in combination with nivolumab. The Phase 2 portion of the study will evaluate safety and efficacy of the combination.

Detailed description

APX005M-002 is an open-label Phase 1-2 study and comprises a dose-escalation portion (Phase 1) followed by a Phase 2 tumor specific portion. Eligible subjects with non-small cell lung cancer or metastatic melanoma will receive intravenous APX005M in combination with nivolumab until disease progression, unacceptable toxicity or death, whichever occurs first. Study objectives include: * Determine the maximum tolerated dose and the recommended phase 2 dose of APX005M when given in combination with nivolumab * Evaluate safety of the APX005M and nivolumab combination * Evaluate the objective response rate, duration of response and median PFS by RECIST 1.1 in subjects with non-small cell lung cancer or metastatic melanoma receiving APX005M in combination with nivolumab * Determine the PK of APX005M

Interventions

APX005M is a CD40 agonistic monoclonal antibody

DRUGNivolumab

Nivolumab is an immune checkpoint (PD-1) blocking antibody

Sponsors

Bristol-Myers Squibb
CollaboratorINDUSTRY
Apexigen America, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Phase 1b dose escalation with up to 4 sequential dose levels. Followed by Phase 2 dose expansion at Recommended Phase 2 Dose in 3 parallel disease cohorts.

Eligibility

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

Inclusion criteria

* Histologically or cytologically confirmed, immunotherapy naïve or PD-1/PD-L1 pre-treated, metastatic or locally advanced non-small cell lung cancer not amenable to curative treatment. Subjects may be treatment naive or could have received one prior platinum based chemotherapy for non-small cell lung cancer and subjects with a documented activating mutation (e.g., EGFR, ALK, ROS) must also have received the appropriate therapy and progressed * Histologically or cytologically confirmed unresectable or metastatic melanoma that progressed during treatment with an anti-PD-1/PD-L1 therapy and had confirmation of PD\>=4 weeks later. Subjects with BRAF activating mutation could have also received a BRAF inhibitor and/or MEK inhibitor regimen prior to anti-PD-1/PD-L1 therapy. * Measurable disease by RECIST 1.1 * ECOG performance status of 0 or 1 * Adequate bone marrow, liver and kidney function * Negative pregnancy test for women of child bearing potential * Agreement to use effective methods of contraception per the protocol requirements

Exclusion criteria

* Previous exposure to any immunomodulatory agents (e.g., anti- CD40, anti-PD-1/PD-L1, anti-CTLA-4, IDO inhibitors) except PD-1/PD-L1 targeting agents in the subsets of patients that must have previous treatment with anti-PD-1/PD-L1 therapy * Second malignancy (solid or hematologic) within the past 3 years except locally curable cancers that have been apparently cured * Active, known, clinically serious infections within the 14 days prior to first dose of investigational product * Use of systemic corticosteroids or other systemic immunosuppressive drugs * Active, known or suspected autoimmune disease * History of (non-infectious) pneumonitis that required corticosteroids or current pneumonitis * History of interstitial lung disease * History of life-threatening toxicity related to prior anti-PD-1/PD-L1 treatment for subjects with metastatic melanoma or NSCLC.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Experiencing Dose-limiting Toxicities (DLTs)Up to 21 days following first dose of APX005M and nivolumabAll toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination: * Grade 4 hematologic toxicity lasting ≥ 7 days (except asymptomatic lymphopenia) * Grade 3 or 4 neutropenia with a single temperature of \>38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour * Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion * Grade 4 non-hematologic toxicity * Grade 3 non-hematologic toxicity lasting \>3 days despite optimal supportive care * Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for \>1 week * Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product * Grade 5 toxicity.
Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)Up to 21 days following first dose of APX005M and nivolumabEstablish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which \< 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab.
Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / GroupFrom start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months)ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), \>30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR.

Secondary

MeasureTime frameDescription
Safety of the APX005M and Nivolumab Combination (Phase 2)Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months)Number of participants with TEAEs are reported.
6-month PFS Rate (Phase 2)* Outcome Measure Time Frame From start of treatment (Day 1) to 6 monthsPFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.
Duration of Response (DOR) as Per RECIST 1.1(Phase 2)Maximum up to 25 monthsDuration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Median Progression-free Survival (PFS) (Phase 2)From start of treatment (Day 1) up to 27 monthsProgression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.

Countries

Spain, United States

Participant flow

Recruitment details

In Phase 1b dose-escalation portion of the study, a total of 10 participants were enrolled at 3 dose levels. Nine participants received at least one dose of both study drugs. 0.3 mg/kg was determined as the recommended phase 2 (RP2D) dose. Note: The 3 participants treated in DL3 of Phase 1b are at the RP2D and are also included in Phase 2 results. One participant was rolled over to Cohort 1 (Phase 2) and 2 participants were rolled over into Cohort 2 (Phase 2) to continue treatment.

Pre-assignment details

For the phase 2 cohorts 1,2,3A,3B, a total of 133 participants were enrolled in 4 cohorts to receive APX005M at 0.3 mg/kg (RP2D) plus nivolumab at 360 mg IV. Three subjects who were treated at the RP2D in the Phase 1b dose-escalation portion of the study were included in Phase 2 of the relevant disease-specific cohort. The study enrollment was completed as planned and all primary and secondary outcome measures and adverse events were collected even though the study was ended by the sponsor.

Participants by arm

ArmCount
DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b)
Participants received 0.03 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
3
DL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b)
Participants received 0.1 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
4
DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
3
Cohort 1(Arm)/ inNSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
52
Cohort 2(Arm)/ PD1-MM (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
36
Cohort 3A(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
14
Cohort 3B(Arm)/ PD1-NSCLC (Phase 2)
Participants received 0.3 mg/kg of APX005M administered every 21 days in combination with nivolumab 360 mg IV
28
Total140

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Phase 1bParticipants rolled over to Phase 20030000
Phase 1bRemoved from treatment prior to APX005M administration0100000
Phase 2No post baseline tumor assesment on treatment period0005223
Phase 2Prior systemic therapy not allowed (1 patient did not complete post baseline tumor assessment)0000300

Baseline characteristics

CharacteristicDL2 - APX005M 0.1 mg/kg + Nivolumab (Phase 1b)TotalCohort 3B(Arm)/ PD1-NSCLC (Phase 2)Cohort 3A(Arm)/ PD1-NSCLC (Phase 2)Cohort 2(Arm)/ PD1-MM (Phase 2)Cohort 1(Arm)/ inNSCLC (Phase 2)DL3 - APX005M 0.3 mg/kg + Nivolumab (Phase 1b)DL1 - APX005M 0.03 mg/kg + Nivolumab (Phase 1b)
Age, Categorical
Phase 1b Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Phase 1b Age, Categorical
>=65 years
1 Participants4 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants
Age, Categorical
Phase 1b Age, Categorical
Between 18 and 65 years
3 Participants6 Participants0 Participants0 Participants0 Participants0 Participants2 Participants1 Participants
Age, Categorical
Phase 2 Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Phase 2 Age, Categorical
>=65 years
0 Participants74 Participants13 Participants9 Participants17 Participants35 Participants0 Participants0 Participants
Age, Categorical
Phase 2 Age, Categorical
Between 18 and 65 years
0 Participants56 Participants15 Participants5 Participants19 Participants17 Participants0 Participants0 Participants
ECOG Performance Status
Phase 1b
ECOG Score 0
1 Participants5 Participants3 Participants1 Participants
ECOG Performance Status
Phase 1b
ECOG Score 1
3 Participants5 Participants0 Participants2 Participants
ECOG Performance Status
Phase 2
ECOG Score 0
0 Participants56 Participants8 Participants7 Participants28 Participants13 Participants0 Participants0 Participants
ECOG Performance Status
Phase 2
ECOG Score 1
0 Participants74 Participants20 Participants7 Participants8 Participants39 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Phase 1b
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Phase 1b
Not Hispanic or Latino
4 Participants10 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants
Ethnicity (NIH/OMB)
Phase 1b
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Phase 2
Hispanic or Latino
0 Participants21 Participants4 Participants3 Participants4 Participants10 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Phase 2
Not Hispanic or Latino
0 Participants109 Participants24 Participants11 Participants32 Participants42 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Phase 2
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
Black or African American
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 1b
White
3 Participants9 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants
Race (NIH/OMB)
Phase 2
American Indian or Alaska Native
0 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
Asian
0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
Black or African American
0 Participants4 Participants1 Participants0 Participants0 Participants3 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Phase 2
White
0 Participants124 Participants27 Participants14 Participants35 Participants48 Participants0 Participants0 Participants
Region of Enrollment
Spain
0 participants64 participants22 participants8 participants16 participants18 participants0 participants0 participants
Region of Enrollment
United States
4 participants76 participants6 participants6 participants20 participants34 participants3 participants3 participants
Sex: Female, Male
Phase 1b
Female
1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Sex: Female, Male
Phase 1b
Male
3 Participants8 Participants0 Participants0 Participants0 Participants0 Participants2 Participants3 Participants
Sex: Female, Male
Phase 2
Female
0 Participants50 Participants9 Participants5 Participants15 Participants21 Participants0 Participants0 Participants
Sex: Female, Male
Phase 2
Male
0 Participants80 Participants19 Participants9 Participants21 Participants31 Participants0 Participants0 Participants
Weight
Phase 1b
84.33 kg90.63 kg104.3 kg85.3 kg
Weight
Phase 2
76.29 kg71.80 kg74.42 kg80.15 kg76.53 kg

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
1 / 31 / 30 / 318 / 534 / 384 / 149 / 28
other
Total, other adverse events
3 / 33 / 33 / 352 / 5336 / 3814 / 1428 / 28
serious
Total, serious adverse events
1 / 31 / 30 / 325 / 536 / 386 / 1413 / 28

Outcome results

Primary

Maximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)

Establish the MTD dose of APX005M combined with 360 mg of nivolumab for which for which \< 33% of DLT- evaluable participants experience a DLT. In Phase 1b, the RP2D was based on the overall safety and tolerability of the combination of APX005M and nivolumab by testing increasing doses up to 0.3 mg/kg APX005M + nivolumab.

Time frame: Up to 21 days following first dose of APX005M and nivolumab

Population: All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)

ArmMeasureValue (NUMBER)
Phase 1b EscalationMaximum Tolerated Dose (MTD) of APX005M + Nivolumab (Phase 1b)NA mg/kg
Primary

Number of Participants Experiencing Dose-limiting Toxicities (DLTs)

All toxicities were graded according to the NCI-CTCAE version 4.03. DLT was defined as any of the following events attributed to APX005M and nivolumab combination: * Grade 4 hematologic toxicity lasting ≥ 7 days (except asymptomatic lymphopenia) * Grade 3 or 4 neutropenia with a single temperature of \>38.3◦ C (101◦ F) or a sustained temperature of ≥38◦ C (100.4◦ F) for more than one hour * Grade 4 thrombocytopenia or Grade ≥3 thrombocytopenia with signs or symptoms of bleeding or requiring platelet transfusion * Grade 4 non-hematologic toxicity * Grade 3 non-hematologic toxicity lasting \>3 days despite optimal supportive care * Any Grade ≥ 3 non-hematologic laboratory value if: medical intervention is required to treat the subject, abnormality leads to hospitalization, or abnormality persists for \>1 week * Failure to recover from a treatment-related AE to baseline or ≤ Grade 1 within 12 weeks of last dose of investigational product * Grade 5 toxicity.

Time frame: Up to 21 days following first dose of APX005M and nivolumab

Population: All participants in the safety population who received at least 1 dose of study drug in the escalation cohorts (APX005M 0.03 mg/kg + nivolumab; APX005M 0.1 mg/kg + nivolumab; APX005M 0.3 mg/kg + nivolumab)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Phase 1b EscalationNumber of Participants Experiencing Dose-limiting Toxicities (DLTs)0 Participants
Primary

Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group

ORR defined as the rate of patients who show as best overall response; either a complete response (CR) or a partial response (PR). The ORR can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. using computed tomography (CT) scans/magnetic resonance imaging (MRI). Per RECIST v1.1, for target lesions and assessed by imaging: Complete Response, (CR), Disappearance of all target lesions and nontarget (NT) lesions; Partial Response (PR), \>30% decrease in the sum of the longest diameter of target lesions and no PD in NT lesions or new lesions; Objective Response Rate (ORR)=CR + PR.

Time frame: From start of the treatment (Day 1) until disease progression, withdrawal of consent, death, initiation of any anticancer therapy, lost to follow-up, or termination by the Sponsor, whichever comes first (for Phase 2: maximum up to 27 months)

Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks

ArmMeasureValue (NUMBER)
Phase 1b EscalationPhase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group16.67 Percentage of participants
Cohort 2(Arm)/PD1-MM (Phase 2)Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group15.15 Percentage of participants
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group0.00 Percentage of participants
Cohort 3B(Arm)/PD1-NSCLC (Phase 2)Phase 2 Evaluate the Objective Response Rate (ORR) by RECIST 1.1 and iRECIST in Each Cohort / Group0.00 Percentage of participants
Secondary

6-month PFS Rate (Phase 2)

PFS rate in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.

Time frame: * Outcome Measure Time Frame From start of treatment (Day 1) to 6 months

Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.

ArmMeasureValue (NUMBER)
Phase 1b Escalation6-month PFS Rate (Phase 2)33.10 Percentage of participants
Cohort 2(Arm)/PD1-MM (Phase 2)6-month PFS Rate (Phase 2)21.21 Percentage of participants
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)6-month PFS Rate (Phase 2)25.00 Percentage of participants
Cohort 3B(Arm)/PD1-NSCLC (Phase 2)6-month PFS Rate (Phase 2)12.92 Percentage of participants
Secondary

Duration of Response (DOR) as Per RECIST 1.1(Phase 2)

Duration of Response is defined as the time from the first evidence of confirmed partial response (PR) or better by Per RECIST v1.1 to disease progression or death due to any cause; in subjects alive without progressive disease (PD), DOR was censored on the date of the last tumor assessment. PD is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame: Maximum up to 25 months

Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 week. Cohort 3A/PD1-NSCLC and Cohort 3B/PD1 NSCLC had no objective response and therefore DOR could not be assessed.

ArmMeasureValue (MEDIAN)
Phase 1b EscalationDuration of Response (DOR) as Per RECIST 1.1(Phase 2)NA Months
Cohort 2(Arm)/PD1-MM (Phase 2)Duration of Response (DOR) as Per RECIST 1.1(Phase 2)NA Months
Secondary

Median Progression-free Survival (PFS) (Phase 2)

Progression-free Survival (PFS) in each cohort, measured from first dose to the earlier of PD (by RECIST 1.1) or death due to any cause, whichever occurs first.

Time frame: From start of treatment (Day 1) up to 27 months

Population: Cohort 1: immunotherapy naïve metastatic or locally advanced NSCLC, Cohort 2: unresectable or metastatic melanoma that progressed during treatment with anti-PD-1/PD-L1 therapy and had confirmation of PD ≥4 weeks, Cohort 3: PD1-NSCLC metastatic or locally advanced NSCLC not amenable to curative treatment that progressed during prior treatment with anti-PD-1/PD-L1 therapy. Cohort 3A: best response of PD or with SD \<16 weeks, Cohort 3B includes PD1-NSCLC with tumor response or with SD ≥ 16 weeks.

ArmMeasureValue (MEDIAN)
Phase 1b EscalationMedian Progression-free Survival (PFS) (Phase 2)4.11 Months
Cohort 2(Arm)/PD1-MM (Phase 2)Median Progression-free Survival (PFS) (Phase 2)1.97 Months
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)Median Progression-free Survival (PFS) (Phase 2)3.43 Months
Cohort 3B(Arm)/PD1-NSCLC (Phase 2)Median Progression-free Survival (PFS) (Phase 2)3.65 Months
Secondary

Safety of the APX005M and Nivolumab Combination (Phase 2)

Number of participants with TEAEs are reported.

Time frame: Day 1 up to 30 days (or 100 days for SAEs and AEs with potential immunologic etiology) following the after the last dose of APX005M and/or nivolumab (from start of treatment up to 27 months)

Population: Any Adverse Event a participant has with two or more events in that category is counted only once

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Phase 1b EscalationSafety of the APX005M and Nivolumab Combination (Phase 2)52 Participants
Cohort 2(Arm)/PD1-MM (Phase 2)Safety of the APX005M and Nivolumab Combination (Phase 2)36 Participants
Cohort 3A(Arm)/PD1-NSCLC (Phase 2)Safety of the APX005M and Nivolumab Combination (Phase 2)14 Participants
Cohort 3B(Arm)/PD1-NSCLC (Phase 2)Safety of the APX005M and Nivolumab Combination (Phase 2)28 Participants

Source: ClinicalTrials.gov · Data processed: Feb 22, 2026