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A Study of MGD020 Alone or Combined With MGD014 in Persons With HIV-1 on Antiretroviral Therapy

A Phase 1 Study of MGD020 as a Single Agent or in Combination With MGD014 in Persons With HIV-1 on Antiretroviral Therapy

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05261191
Enrollment
17
Registered
2022-03-02
Start date
2022-09-26
Completion date
2024-05-29
Last updated
2025-03-28

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

Conditions

Human Immunodeficiency Virus I Infection, Human Immunodeficiency Virus Type 1, Immunodeficiency Virus Type 1, Human

Brief summary

Study CP-MGD020-01 is a phase 1, open-label, dose-escalation, and multi-dose expansion study of MGD020 as a single agent or in combination with MGD014 in persons with HIV-1 (PWH) on antiretroviral therapy (ART). The study is designed to evaluate the safety, tolerability, pharmacokinetics (PK), immunogenicity, and pharmacodynamics (PD) of the study drugs. The study consists of 3 parts (Part 1A, Part 1B, and Part 2). The participant's standard of care ART regimen is continued throughout the study period. MGD020 is a bispecific DART® molecule that binds CD3 and gp41 subunit of HIV-1 envelope. MGD014 is a bispecific DART® molecule that binds CD3 and gp120 subunit of HIV-1 envelope. These DART molecules redirect CD3+ T lymphocytes to kill HIV-1-infected CD4+ T cells. Part 1A evaluates groups of participants given a single dose of MGD020. A 2-week safety period is observed prior to escalation to the next dose level. Dose escalation continues until either the maximum tolerated dose (MTD) or maximum administered dose (MAD) is determined. Part 1B begins after the end of Part 1A. Part 1B evaluates groups of participants given a single dose of the MGD020 MTD or MAD from Part 1A and a fixed dose of of MGD014. The first group will be treated with a single dose of MGD020, at a dose determined to be one dose lower than the single-agent MTD/MAD from Part 1A, and a single 300 mcg/kg dose of MGD014. Dose escalation proceeds until either the MTD or MAD is determined. Part 2 begins after the end of Part 1B. Part 2 is a multi-dose expansion group. Each participant will receive the MTD or MAD of MGD020 from Part 1B and a fixed dose of MGD014 from Part 1B, administered every 2 weeks (Q2W) for 3 combination doses over 4 weeks. Up to 6 participants may be enrolled in Part 2.

Interventions

BIOLOGICALMGD020

MGD020 is a bispecific DART molecule that binds CD3 and gp41 subunit of HIV-1 envelope.

BIOLOGICALMGD014

MGD014 is a bispecific DART molecule that binds CD3 and gp120 subunit of HIV-1 envelope.

Sponsors

National Institute of Allergy and Infectious Diseases (NIAID)
CollaboratorNIH
National Institutes of Health (NIH)
CollaboratorNIH
Department of Health and Human Services
CollaboratorFED
MacroGenics
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Aged ≥ 18 years and ≤ 70 years of age and able to provide informed consent * HIV-1 infection documented by rapid HIV test or HIV enzyme or chemiluminescence immunoassay and confirmed by a different second test. * Plasma HIV-1 RNA viral load * \< 50 copies/mL at 2 time points within 24 months prior to screening (1 time point within 12 months prior to screening), and * \< 50 copies/mL at screening, and * Not ≥ 50 copies/mL on 2 consecutive time points within 24 months nor \> 1000 copies/mL at any time within 6 months prior to screening * On continuous antiretroviral therapy (ART) for at least 24 months prior to screening and must continue ART throughout the study. * CD4 cell count \> 350 cells/mm3 at screening * Acceptable laboratory values related to bone marrow, kidney and liver function. * Individuals of childbearing potential must agree to use highly effective forms of contraception throughout the study through 6 months after the last dose of MGD014.

Exclusion criteria

* History of any HIV-1 vaccine or HIV-1 immunotherapy, except MGD014 or MGD020, within 6 months prior to screening. * History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient's participation for the full duration of the trial, or is not in the best interest of the patient. * Active viral, bacterial, or systemic fungal infection requiring intravenous antibiotic, antiviral, or antifungal treatment within 7 days prior to the initiation of study drug. * Active coronavirus disease 19 (COVID-19)/severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. * Participation in another investigational clinical research study within 60 days prior to screening. * History of virologic failure on an ART regimen containing FDA-approved HIV-1 entry inhibitors (maraviroc, enfuvirtide, and/or ibalizumab). Virologic failure is defined as a confirmed plasma HIV-1 RNA ≥ 150 copies/mL following assessment of drug adherence, repeat HIV-1 RNA testing with continued treatment, and/or resistance testing

Design outcomes

Primary

MeasureTime frameDescription
Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AThroughout the study, up to 43 daysObservation of side effects determines the highest safe dose for further study
Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Throughout the study, up to 43 daysObservation of side effects determines the highest safe dose for further study
Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Throughout the study, up to 81 days.Observation of side effects determines the highest safe dose for further study

Secondary

MeasureTime frameDescription
Mean Time to Maximal Concentration of MGD014Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2The amount of time required to get maximum concentration of MGD014
Mean Area Under the Concentration-time Curve (AUC) of MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2Total body exposure to MGD020
Mean AUC of MGD014Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2Total body exposure to MGD014
Mean Half-life of MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2The amount of time needed for the body to clear half of the dose of MGD020
Mean Half-life of MGD014Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2The amount of time needed for the body to clear half of the dose of MGD014
Mean Volume of Distribution at Steady State (Vss) of MGD020Throughout the study, up to 78 days for Part 2This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.
Mean Maximum Concentration of MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2The highest concentration of MGD020 at the end of the infusion
Mean Clearance of MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2Total body clearance of the drug from plasma of MGD020
Mean Clearance of MGD014Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2Total body clearance of the drug from plasma of MGD014
Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αThroughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2.
Anti-drug Antibody Formation to MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2Number of patients who develop antibodies against MDG020
Anti-drug Antibody Formation to MGD014Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2Number of patients who develop antibodies against MDG014
Mean Volume of Distribution at Steady State of MGD014Throughout the study, up to 78 days for Part 2This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.
Mean Maximum Concentration of MGD014Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2The highest concentration of MGD014 at the end of the infusion (Cmax).
Mean Time to Maximal Concentration of MGD020Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2The amount of time required to get maximum concentration of MGD020

Countries

United States

Participant flow

Pre-assignment details

Participants who completed treatment in Part 1A or Part 1B may be considered for treatment in a subsequent cohort in Part B2 or Part 2. Participants must continue to meet all eligibility criteria, not have experienced severe adverse events in Part 1, and do not have detectable antidrug antibodies against prior study treatment. Subsequent treatments assignments are not defined in advance when entering the study.

Participants by arm

ArmCount
Part 1A: Cohort 1
Single dose: 1 mcg/kg MGD020 administered IV
1
Part 1A: Cohort 2
Single dose: 3 mcg/kg MGD020 administered IV
1
Part 1A: Cohort 3
Single dose: 10 mcg/kg MGD020 administered IV
1
Part 1A: Cohort 4
Single dose: 30 mcg/kg MGD020 administered IV
3
Part 1A: Cohort 5
Single dose: 100 mcg/kg MGD020 administered IV
3
Part 1A: Cohort 6
Single dose: 300 mcg/kg MGD020 administered IV
6
Part 1B: Cohort 1
Single dose: 100 mcg/kg MGD020 + 300 mcg/kg MGD014 administered IV.
3
Part 1B: Cohort 2
Single dose: 300 mcg/kg MGD020 + 300 mcg/kg MGD014 administered IV.
3
Part 2
Three doses: 300 mcg/kg MGD020 + 300 mcg/kg MGD014 administered IV once every 2 weeks for 4 weeks.
3
Total24

Baseline characteristics

CharacteristicPart 1A: Cohort 1Part 1A: Cohort 2Part 1A: Cohort 3Part 1A: Cohort 4Part 1A: Cohort 5Part 1A: Cohort 6TotalPart 1B: Cohort 1Part 1B: Cohort 2Part 2
Age, Continuous
Part 1A
64.0 years57.0 years50.0 years58.0 years
STANDARD_DEVIATION 3.46
52.0 years
STANDARD_DEVIATION 14.73
53.2 years
STANDARD_DEVIATION 10.89
54.7 years
STANDARD_DEVIATION 9.39
Age, Continuous
Part 1B
55.8 years
STANDARD_DEVIATION 9.81
59.3 years
STANDARD_DEVIATION 5.13
52.3 years
STANDARD_DEVIATION 13.32
Age, Continuous
Part 2
57.0 years
STANDARD_DEVIATION 3.46
57.0 years
STANDARD_DEVIATION 3.46
Race/Ethnicity, Customized
Part 1A: American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 1A : Asian
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Part 1A Black or African American
1 Participants0 Participants1 Participants2 Participants2 Participants2 Participants8 Participants
Race/Ethnicity, Customized
Part 1A: Hispanic
0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Part 1A: Not Hispanic
1 Participants1 Participants1 Participants2 Participants3 Participants4 Participants12 Participants
Race/Ethnicity, Customized
Part 1A: Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 1A: Other
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 1A: White
0 Participants1 Participants0 Participants1 Participants1 Participants3 Participants6 Participants
Race/Ethnicity, Customized
Part 1B: American Indian or Alaska Native
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Part 1B: Asian
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 1B Black or African American
2 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Part 1B: Hispanic
3 Participants1 Participants2 Participants
Race/Ethnicity, Customized
Part 1B: Not Hispanic
3 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Part 1B: Not Reported
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Part 1B: Other
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 1B: White
2 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Part 2: American Indian or Alaska Native
0 Participants0 Participants
Race/Ethnicity, Customized
Part 2: Asian
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Part 2: Black or African American
2 Participants2 Participants
Race/Ethnicity, Customized
Part 2: Hispanic
2 Participants2 Participants
Race/Ethnicity, Customized
Part 2: Not Hispanic
1 Participants1 Participants
Race/Ethnicity, Customized
Part 2: Not Reported
0 Participants0 Participants
Race/Ethnicity, Customized
Part 2: Other
1 Participants1 Participants
Race/Ethnicity, Customized
Part 2: White
0 Participants0 Participants
Region of Enrollment
United States
1 participants1 participants1 participants3 participants3 participants6 participants3 participants3 participants3 participants3 participants
Sex: Female, Male
Part 1A
Female
1 Participants0 Participants1 Participants2 Participants1 Participants0 Participants5 Participants
Sex: Female, Male
Part 1A
Male
0 Participants1 Participants0 Participants1 Participants2 Participants6 Participants10 Participants
Sex: Female, Male
Part 1B
Female
1 Participants0 Participants1 Participants
Sex: Female, Male
Part 1B
Male
5 Participants3 Participants2 Participants
Sex: Female, Male
Part 2
Female
1 Participants1 Participants
Sex: Female, Male
Part 2
Male
2 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
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 10 / 10 / 10 / 30 / 30 / 60 / 30 / 30 / 3
other
Total, other adverse events
1 / 11 / 11 / 13 / 31 / 35 / 62 / 31 / 32 / 3
serious
Total, serious adverse events
0 / 10 / 10 / 10 / 30 / 30 / 60 / 30 / 30 / 3

Outcome results

Primary

Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1A

Observation of side effects determines the highest safe dose for further study

Time frame: Throughout the study, up to 43 days

ArmMeasureGroupValue (NUMBER)
Part 1A: Cohort 1Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 1Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event0 participants with adverse events by type
Part 1A: Cohort 1Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event1 participants with adverse events by type
Part 1A: Cohort 1Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 1Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Part 1A: Cohort 2Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event1 participants with adverse events by type
Part 1A: Cohort 2Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 2Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event1 participants with adverse events by type
Part 1A: Cohort 2Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 2Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Part 1A: Cohort 3Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event1 participants with adverse events by type
Part 1A: Cohort 3Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 3Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 3Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Part 1A: Cohort 3Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event1 participants with adverse events by type
Part 1A: Cohort 4Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Part 1A: Cohort 4Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event3 participants with adverse events by type
Part 1A: Cohort 4Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event1 participants with adverse events by type
Part 1A: Cohort 4Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 4Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 5Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 5Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event1 participants with adverse events by type
Part 1A: Cohort 5Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 5Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event0 participants with adverse events by type
Part 1A: Cohort 5Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Part 1A: Cohort 6Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AAny Adverse Event5 participants with adverse events by type
Part 1A: Cohort 6Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related severe adverse event0 participants with adverse events by type
Part 1A: Cohort 6Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ATreatment-related Adverse Event2 participants with adverse events by type
Part 1A: Cohort 6Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1AEvent leading to MGD020 withdrawal0 participants with adverse events by type
Part 1A: Cohort 6Number and Types of Adverse Events (AEs), Including Serious Adverse Events (SAEs), and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 Alone in Part 1ASevere adverse event0 participants with adverse events by type
Primary

Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.

Observation of side effects determines the highest safe dose for further study

Time frame: Throughout the study, up to 43 days

ArmMeasureGroupValue (NUMBER)
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Any AE2 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Treatment-related AE2 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Severe AE1 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Severe treatment-related AE0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Event leading to MGD020 withdrawal0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Event leading to MGD014 withdrawal0 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Event leading to MGD020 withdrawal0 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Any AE1 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Severe treatment-related AE0 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Treatment-related AE0 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Event leading to MGD014 withdrawal0 participants with AE by type
Part 1A: Cohort 2Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 1B.Severe AE0 participants with AE by type
Primary

Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.

Observation of side effects determines the highest safe dose for further study

Time frame: Throughout the study, up to 81 days.

ArmMeasureGroupValue (NUMBER)
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Any AE2 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Treatment-related AE0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Severe AE0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Severe treatment-related AE0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Event leading to MGD020 withdrawal0 participants with AE by type
Part 1A: Cohort 1Number and Types of AEs, Including SAEs, and AEs Leading to Treatment Discontinuation in Participants Receiving MGD020 and MGD014 in Part 2.Event leading to MGD014 withdrawal0 participants with AE by type
Secondary

Anti-drug Antibody Formation to MGD014

Number of patients who develop antibodies against MDG014

Time frame: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

Population: All participants who received at least 1 dose of MGD014. Participants in Part 1A did not receive MGD014.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Part 1A: Cohort 1Anti-drug Antibody Formation to MGD014Negative before treatment, and negative after treatment3 Participants
Part 1A: Cohort 1Anti-drug Antibody Formation to MGD014Negative before treatment, and positive at least once after treatment0 Participants
Part 1A: Cohort 2Anti-drug Antibody Formation to MGD014Negative before treatment, and negative after treatment3 Participants
Part 1A: Cohort 2Anti-drug Antibody Formation to MGD014Negative before treatment, and positive at least once after treatment0 Participants
Part 1A: Cohort 3Anti-drug Antibody Formation to MGD014Negative before treatment, and positive at least once after treatment0 Participants
Part 1A: Cohort 3Anti-drug Antibody Formation to MGD014Negative before treatment, and negative after treatment3 Participants
Secondary

Anti-drug Antibody Formation to MGD020

Number of patients who develop antibodies against MDG020

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received at least one dose of assigned study treatment.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Part 1A: Cohort 1Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment1 Participants
Part 1A: Cohort 1Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1A: Cohort 1Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 1A: Cohort 2Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment0 Participants
Part 1A: Cohort 2Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment1 Participants
Part 1A: Cohort 2Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1A: Cohort 3Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1A: Cohort 3Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 1A: Cohort 3Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment1 Participants
Part 1A: Cohort 4Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1A: Cohort 4Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 1A: Cohort 4Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment3 Participants
Part 1A: Cohort 5Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 1A: Cohort 5Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment3 Participants
Part 1A: Cohort 5Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1A: Cohort 6Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment1 Participants
Part 1A: Cohort 6Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment4 Participants
Part 1A: Cohort 6Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment1 Participants
Part 1B: Cohort 1Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment3 Participants
Part 1B: Cohort 1Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1B: Cohort 1Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 1B: Cohort 2Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment3 Participants
Part 1B: Cohort 2Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 1B: Cohort 2Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 2Anti-drug Antibody Formation to MGD020Positive before treatment and positive after treatment0 Participants
Part 2Anti-drug Antibody Formation to MGD020Negative before treatment and positive at least once after treatment0 Participants
Part 2Anti-drug Antibody Formation to MGD020Negative before treatment and negative after treatment3 Participants
Secondary

Mean Area Under the Concentration-time Curve (AUC) of MGD020

Total body exposure to MGD020

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD020, and had at least 1 measurable concentration above the LLOQ. One participant in Part A, cohort 4 was excluded from the analysis due to no measurable concentration above the LLOQ. Mean AUC for Part 2 is after the first infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Area Under the Concentration-time Curve (AUC) of MGD0205570 mcg*hour/liter
Part 1A: Cohort 2Mean Area Under the Concentration-time Curve (AUC) of MGD0209280 mcg*hour/liter
Part 1A: Cohort 3Mean Area Under the Concentration-time Curve (AUC) of MGD02029400 mcg*hour/liter
Part 1A: Cohort 4Mean Area Under the Concentration-time Curve (AUC) of MGD02088900 mcg*hour/liter
Part 1A: Cohort 5Mean Area Under the Concentration-time Curve (AUC) of MGD020283667 mcg*hour/liter
Part 1A: Cohort 6Mean Area Under the Concentration-time Curve (AUC) of MGD020957833 mcg*hour/liter
Part 1B: Cohort 1Mean Area Under the Concentration-time Curve (AUC) of MGD020365667 mcg*hour/liter
Part 1B: Cohort 2Mean Area Under the Concentration-time Curve (AUC) of MGD0201088333 mcg*hour/liter
Part 2Mean Area Under the Concentration-time Curve (AUC) of MGD020854333 mcg*hour/liter
Secondary

Mean AUC of MGD014

Total body exposure to MGD014

Time frame: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD014, and had at least 1 measurable concentration above the LLOQ. Mean AUC for Part 2 is after the first infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean AUC of MGD014572333 mcg*hour/liter
Part 1A: Cohort 2Mean AUC of MGD014631000 mcg*hour/liter
Part 1A: Cohort 3Mean AUC of MGD014581333 mcg*hour/liter
Secondary

Mean Clearance of MGD014

Total body clearance of the drug from plasma of MGD014

Time frame: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

Population: All participants who received at least one dose of MGD014. Clearance for Part 2 is reported after the third dose of MGD014.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Clearance of MGD0140.02 liters
Part 1A: Cohort 2Mean Clearance of MGD0140.04 liters
Part 1A: Cohort 3Mean Clearance of MGD0140.02 liters
Secondary

Mean Clearance of MGD020

Total body clearance of the drug from plasma of MGD020

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD020, and had at least 1 measurable concentration above the LLOQ. One participant in Part A, cohort 4 was excluded from analysis due to no measurable concentration above the LLOQ.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Clearance of MGD0200.02 liters
Part 1A: Cohort 2Mean Clearance of MGD0200.03 liters
Part 1A: Cohort 3Mean Clearance of MGD0200.04 liters
Part 1A: Cohort 4Mean Clearance of MGD0200.03 liters
Part 1A: Cohort 5Mean Clearance of MGD0200.034 liters
Part 1A: Cohort 6Mean Clearance of MGD0200.03 liters
Part 1B: Cohort 1Mean Clearance of MGD0200.03 liters
Part 1B: Cohort 2Mean Clearance of MGD0200.02 liters
Part 2Mean Clearance of MGD0200.012 liters
Secondary

Mean Half-life of MGD014

The amount of time needed for the body to clear half of the dose of MGD014

Time frame: Throughout the study, up to 43 days for Parts 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD014, and had at least 1 measurable concentration above the LLOQ. Mean AUC for Part 2 is after the third infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Half-life of MGD014273 hours
Part 1A: Cohort 2Mean Half-life of MGD014296 hours
Part 1A: Cohort 3Mean Half-life of MGD014339 hours
Secondary

Mean Half-life of MGD020

The amount of time needed for the body to clear half of the dose of MGD020

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD020, and had at least 1 measurable concentration above the LLOQ. One participant in Part A, cohort 4 was excluded from the analysis due to no measurable concentration above the LLOQ.. Mean half-life for Part 2 is after the third infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Half-life of MGD020202 hours
Part 1A: Cohort 2Mean Half-life of MGD020462 hours
Part 1A: Cohort 3Mean Half-life of MGD020209 hours
Part 1A: Cohort 4Mean Half-life of MGD020309 hours
Part 1A: Cohort 5Mean Half-life of MGD020323 hours
Part 1A: Cohort 6Mean Half-life of MGD020221 hours
Part 1B: Cohort 1Mean Half-life of MGD020353 hours
Part 1B: Cohort 2Mean Half-life of MGD020361 hours
Part 2Mean Half-life of MGD020452 hours
Secondary

Mean Maximum Concentration of MGD014

The highest concentration of MGD014 at the end of the infusion (Cmax).

Time frame: Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD014, and had at least 1 measurable concentration above the LLOQ. Mean Cmax for Part 2 is after the third infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Maximum Concentration of MGD0146070 mcg/liter
Part 1A: Cohort 2Mean Maximum Concentration of MGD0146297 mcg/liter
Part 1A: Cohort 3Mean Maximum Concentration of MGD0147043 mcg/liter
Secondary

Mean Maximum Concentration of MGD020

The highest concentration of MGD020 at the end of the infusion

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received ay least a single-dose of MGD020, and had at least 1 measurable concentration above the lower limit of quantification (LLOQ). One participant in Part A, cohort 4 was excluded from the analysis due to no measurable concentration above the LLOQ. Mean Cmax for Part 2 is after the third infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Maximum Concentration of MGD02054.2 mcg/liter
Part 1A: Cohort 2Mean Maximum Concentration of MGD02045.8 mcg/liter
Part 1A: Cohort 3Mean Maximum Concentration of MGD020185.0 mcg/liter
Part 1A: Cohort 4Mean Maximum Concentration of MGD020540.5 mcg/liter
Part 1A: Cohort 5Mean Maximum Concentration of MGD0202000 mcg/liter
Part 1A: Cohort 6Mean Maximum Concentration of MGD0206415 mcg/liter
Part 1B: Cohort 1Mean Maximum Concentration of MGD0203410 mcg/liter
Part 1B: Cohort 2Mean Maximum Concentration of MGD0206947 mcg/liter
Part 2Mean Maximum Concentration of MGD0208593 mcg/liter
Secondary

Mean Time to Maximal Concentration of MGD014

The amount of time required to get maximum concentration of MGD014

Time frame: Throughout the study, up to 43 days for Part 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD014, and had at least 1 measurable concentration above the LLOQ. Mean Tmax for Part 2 is after the first infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Time to Maximal Concentration of MGD0142.7 hours
Part 1A: Cohort 2Mean Time to Maximal Concentration of MGD0141.7 hours
Part 1A: Cohort 3Mean Time to Maximal Concentration of MGD0141.3 hours
Secondary

Mean Time to Maximal Concentration of MGD020

The amount of time required to get maximum concentration of MGD020

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2

Population: All participants who received at least a single-dose of MGD020, and had at least 1 measurable concentration above the LLOQ. One participant in Part A, cohort 4 was excluded from the analysis due to no measurable concentration above the LLOQ.. Mean Tmax for Part 2 is after the first infusion.

ArmMeasureValue (MEAN)
Part 1A: Cohort 1Mean Time to Maximal Concentration of MGD0201.4 hours
Part 1A: Cohort 2Mean Time to Maximal Concentration of MGD0202.1 hours
Part 1A: Cohort 3Mean Time to Maximal Concentration of MGD0202.1 hours
Part 1A: Cohort 4Mean Time to Maximal Concentration of MGD0201.6 hours
Part 1A: Cohort 5Mean Time to Maximal Concentration of MGD0201.4 hours
Part 1A: Cohort 6Mean Time to Maximal Concentration of MGD0202.1 hours
Part 1B: Cohort 1Mean Time to Maximal Concentration of MGD0203.8 hours
Part 1B: Cohort 2Mean Time to Maximal Concentration of MGD0201.2 hours
Part 2Mean Time to Maximal Concentration of MGD0201.0 hours
Secondary

Mean Volume of Distribution at Steady State of MGD014

This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.

Time frame: Throughout the study, up to 78 days for Part 2

Population: Only participants who received at least 3 doses of MGD014 can be evaluated for Vss. All other cohorts receive only 1 dose, so Vss cannot be calculated in Parts 1A and 1B. Vss is reported only in Part 2 after the third dose of MGD014.

ArmMeasureValue (MEAN)
Part 2Mean Volume of Distribution at Steady State of MGD0143.5 liters
Secondary

Mean Volume of Distribution at Steady State (Vss) of MGD020

This parameter measures how much of the drug remains in the bloodstream or is distributed to body tissues.

Time frame: Throughout the study, up to 78 days for Part 2

Population: Only participants who received at least 3 doses of MGD020 can be evaluated for Vss. All other cohorts receive only 1 dose, so Vss cannot be calculated in Parts 1A and 1B. Vss is reported only for Part 2 after the third dose of MGD020.

ArmMeasureValue (MEAN)
Part 2Mean Volume of Distribution at Steady State (Vss) of MGD0204.0 liters
Secondary

Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-α

Time frame: Throughout the study, up to 43 days for Parts 1A and 1B, and up to 78 days for Part 2.

Population: All participants who received at least one dose of assigned study treatment.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Part 1A: Cohort 1Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels1 Participants
Part 1A: Cohort 1Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.0 Participants
Part 1A: Cohort 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels1 Participants
Part 1A: Cohort 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.0 Participants
Part 1A: Cohort 3Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels1 Participants
Part 1A: Cohort 3Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.0 Participants
Part 1A: Cohort 4Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels3 Participants
Part 1A: Cohort 4Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.0 Participants
Part 1A: Cohort 5Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels3 Participants
Part 1A: Cohort 5Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.0 Participants
Part 1A: Cohort 6Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.3 Participants
Part 1A: Cohort 6Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels3 Participants
Part 1B: Cohort 1Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.2 Participants
Part 1B: Cohort 1Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels1 Participants
Part 1B: Cohort 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels1 Participants
Part 1B: Cohort 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.2 Participants
Part 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αNo elevation of serum cytokine levels0 Participants
Part 2Number of Participants With Elevations in Serum Cytokine Levels of IFN-γ, IL-2, IL-5, IL-6, IL-10, or TNF-αElevation of at least 1 serum cytokine level.3 Participants

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