Phase 1 Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas
An Open-Label, Multicenter, First-in-Human, Phase 1 Dose-Escalation and Multicohort Expansion Study of INBRX-109 in Subjects With Locally Advanced or Metastatic Solid Tumors Including Sarcomas
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 12 Years to 85 Years
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This early study tests INBRX-109, an antibody that targets a protein called DR5. It is the first study of this drug in people with solid tumors, including sarcomas, that have grown nearby or spread to other parts of the body. Part 3 tests the drug with other cancer treatments.
This is a first-in-human, open-label, non-randomized, three-part phase 1 trial of INBRX-109, which is a recombinant humanized tetravalent antibody targeting the human death receptor 5 (DR5).
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Be age 12–84 for Ewing sarcoma, or 18–84 for other tumors.
- For the Part 3 Ewing sarcoma group: have a tumor confirmed by tissue testing with a specific gene change. The cancer must be advanced, spread, unable to be removed by surgery, returned, or not responding to treatment. You must have had 1–2 prior courses of whole-body cancer treatment that meet study rules.
- For the Part 3 colorectal cancer groups: have cancer of the colon or rectum that did not respond to 1 prior course of whole-body treatment without irinotecan, or 2–3 prior courses and no past FTD/TPI treatment.
- Have cancer that can be measured using the study's rules.
- Have blood counts, blood clotting, liver function, and kidney function that meet study rules.
- Meet the study's activity-score rules: ECOG 0–1, Karnofsky at least 60, or Lansky at least 60 for children under 16.
- Be expected to live at least 12 weeks.
- Have a stored cancer tissue sample or provide a new sample through a biopsy.
Who can't join
- Past use of a drug that activates DR5; allergy to INBRX-109 or antibodies made using CHO cells; or an allergy or other reason you cannot take the combination drugs for your cancer group.
- Cancer treatment within 4 weeks, or within the time it takes most of the drug to leave your body, before study treatment; radiation within 4 weeks; or radiation aimed at the liver within 12 months. Some cancer-treatment exceptions apply.
- A stem cell or bone marrow transplant from a donor within 5 years; another past or current cancer; or a blood cancer. Some transplant and other-cancer exceptions apply.
- Active brain or spinal cord tumors causing symptoms, cancer in their lining, or cancer that has spread there. Some exceptions apply. Any history or signs of multiple sclerosis or other diseases that damage nerve coverings also exclude you.
- Long-term liver disease, including fatty liver; sudden liver disease from a virus or toxin within 12 months; or current or past hepatitis B, hepatitis C, or HIV. People under 45 with fatty liver may qualify if their liver works well enough.
- A serious heart condition or recent stroke that meets the study's exclusion rules; or a serious clot in a deep vein or lung that has not cleared or stayed stable for at least 3 months.
- Major surgery within 4 weeks before joining, or an infection affecting the body that needed antibiotics within 2 weeks before study treatment.
- Other study exclusion rules may apply.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: 1. Males or females aged ≥12 to less than 85 years for Ewing sarcoma and 18 to less than 85 years of age for other tumors. 2. Part 3 combination therapy expansion tumor types: * Histologically confirmed Ewing sarcoma with a classical fusion: Patients with locally advanced or metastatic, unresectable, relapsed, or refractory disease who have received at least 1 but no more than 2 prior lines of systemic treatment with a preferred first line chemotherapy regimens. * Colorectal adenocarcinoma: Patients who have failed 1 (one) prior line of systemic therapy that did not include irinotecan. * Colorectal adenocarcinoma: Patients who have failed 2 but no more than 3 prior lines of systemic therapy and are FTD/TPI-naïve. 3. Measurable disease as defined by RECISTv1.1 (or modified RECIST for mesothelioma) criteria. 4. Adequate hematologic, coagulation, hepatic and renal function as defined per protocol. 5. Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1, or Karnofsky Performance Status score of ≥60, or Lansky Play-Performance Scale for Children score ≥60 (for patients less than 16 years). 6. Estimated life expectancy of at least 12 weeks. 7. Availability of archival tissue or fresh cancer biopsy are mandatory. Exclusion Criteria: 1. Prior treatment with or exposure to DR5 agonists. 2. Receipt of any anticancer therapy (including investigational agents) within 4 weeks or within 5 half-lives prior to the first dose of study treatment. Exceptions per protocol. 3. Allergy or sensitivity to INBRX-109 or known allergies to CHO-produced antibodies. 4. Receipt of radiotherapy within 4 weeks prior to the first dose of study treatment, and liver-directed within 12 months prior to the first dose of study drug. 5. Subject has undergone allogeneic hematopoietic stem cell or bone marrow transplantation within the last 5 years. Exceptions per protocol. 6. Prior or concurrent malignancies. Exceptions per protocol. 7. Hematologic malignancies. 8. Symptomatic active primary CNS tumors, leptomeningeal disease, and CNS metastases. Exceptions per protocol. Patients with any evidence or history of multiple sclerosis (MS) or other demyelinating disorders are excluded. 9. Chronic liver diseases including fatty liver. Exception: Patients \< 45 years old with fatty liver disease may be accepted as long as adequate hepatic function as defined in the inclusion/exclusion criteria is confirmed. 10. Acute viral or toxic liver disease within 12 months prior to the first dose of study drug. 11. Evidence or history of hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) infection. 12. Known sensitivity or contraindications to the following drugs: * Ewing sarcoma: irinotecan or TMZ * colorectal adenocarcinoma: FU, leucovorin, irinotecan, bevacizumab or FTP/TPI 13. Clinically significant cardiac condition, including myocardial infarction, uncontrolled angina, cerebrovascular accident, or other acute uncontrolled heart disease less than 3 months prior to enrollment. 14. Acute, hemodynamically significant deep vein thrombosis or clinically significant pulmonary embolism not resolved or stable for at least 3 months prior to the start of study treatment. 15. Major surgery within 4 weeks prior to enrollment on this trial. 16. Systemic infection requiring antibiotics within 2 weeks prior to the first dose of study drug. 17. Other exclusion criteria per protocol.
Study sites (24)
AZ
- HonorHealth Research Institute · Scottsdale, AZ 85258More trials in Scottsdale
CA
- Precision NextGen Oncology and Research · Beverly Hills, CA 90212Rebecca Godin, MSN, FNP · Study contact · 424-777-0708 · rebeccag@nextgenonc.comRavleen Kaur, BS · Study contact · (424) 777-0708 · RavKaur@nextgenonc.comKamalesh Sankhala, MD · Principal investigatorMore trials in Beverly Hills
- City of Hope · Duarte, CA 91010Heather Lewis · Study contact · 626-256-4673 · healewis@coh.orgNew Patient Services Coordinator · Study contact · 1-800-826-4673 · newpatientref@coh.orgMarwan Fakih, MD · Principal investigatorMore trials in Duarte
- Valkyrie Clinical Trials · Los Angeles, CA 90067Carla Collier · Study contact · carla.collier@valkyrieclinicaltrials.comDavid Berz, MD · Principal investigatorMore trials in Los Angeles
- Children's Hospital of Orange County-Rady Children's Health · Orange, CA 92868Dorian Chan Clinical Research Nurse Coordinator, RN, BSN · Study contact · 714-509-7868 · dchan@choc.orgClaudia Mousa, RN · Study contact · 714-509-7868 · Claudia.Mousa@choc.orgDr. Elyssa Rubin, MD · Principal investigatorMore trials in Orange
- University of California, San Diego (UCSD) - Moores Cancer Center · San Diego, CA 92093More trials in San Diego
- University of California, San Francisco (UCSF) · San Francisco, CA 94110Lisa Tan · Study contact · 415-866-7866 · lisa.tan@ucsf.eduVarun Monga, MD · Principal investigatorMore trials in San Francisco
- Sarcoma Oncology Center · Santa Monica, CA 90403Victoria Chua-Alcala · Study contact · 310-552-9999 · vchua@sarcomaoncology.comSant P Chawla, MD · Principal investigatorMore trials in Santa Monica
CO
- University of Colorado Hospital · Aurora, CO 80045Michaela Riley · Study contact · michaela.riley@cuanschutz.eduChristopher Lieu, MD · Principal investigatorMore trials in Aurora
GA
- Emory University - Winship Cancer Institute · Atlanta, GA 30322Kimberly Homere · Study contact · 404-778-6583 · kimberly.homere@emory.eduOlatunji Alese, MD · Principal investigatorMore trials in Atlanta
IL
- The University of Chicago · Chicago, IL 60637More trials in Chicago
MI
- University of Michigan · Ann Arbor, MI 48109Myron Hepner · Study contact · mhepner@med.umich.eduRashmi Chugh, MD · Principal investigatorMore trials in Ann Arbor
- START Midwest Michigan, PC · Grand Rapids, MI 49546Julie Burns · Study contact · 616-954-5559 · julie.burns@startmidwest.comLeland Rouse · Study contact · leland.rouse@startmidwest.comNehal Lakhani, MD · Principal investigatorMore trials in Grand Rapids
NY
- David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center · New York, NY 10021Care Advisors · Study contact · 833-675-5437Emily Slotkin, MD · Principal investigatorMore trials in New York
OH
- Cincinnati Children's Hospital Medical Center · Cincinnati, OH 45229Michael D Deel, MD · Study contact · 513-636-3200 · michael.deel@cchmc.orgLori Backus, BA · Study contact · 513-636-2047 · Lori.backus@cchmc.orgMichael D Deel, MD · Principal investigatorMore trials in Cincinnati
- Cleveland Clinic · Cleveland, OH 44195More trials in Cleveland
OR
- Oregon Health & Science University · Portland, OR 97239Zach Nelson · Study contact · 503-494-0833 · nelsonz@ohsu.eduMichael Heinrich, MD · Principal investigatorMore trials in Portland
PA
- Children's Hospital of Philadelphia- Center for Childhood Cancer Research · Philadelphia, PA 19104Matthew Stein · Study contact · 267-425-3169 · steinm3@chop.edu · Study contact · precisionmedicinetrialscoordinators@chop.eduTheodore Laetsch, MD · Principal investigatorMore trials in Philadelphia
- University of Pennsylvania Abramson Cancer Center · Philadelphia, PA 19106Sarcoma Research · Study contact · SarcomaResearch@uphs.upenn.eduLee Hartner, MD · Principal investigatorMore trials in Philadelphia
TN
- Vanderbilt University School of Medicine · Nashville, TN 37232Samrah Ahmed · Study contact · 615.936.9598 · samrah.ahmed@vumc.orgElizabeth Davis, MD · Principal investigatorMore trials in Nashville
TX
- UT MD Anderson Cancer Center · Houston, TX 77030Emily Scott · Study contact · (713) 745-2243 · EMScott1@mdanderson.orgDavid Hong, MD · Principal investigatorMore trials in Houston
- NEXT Oncology · San Antonio, TX 78229More trials in San Antonio
VA
- University of Virginia · Charlottesville, VA 22903Sarah Sommer · Study contact · 434-924-7613 · ss2vz@uvahealth.orgLudimila Cavalcante, MD · Principal investigatorMore trials in Charlottesville
- NEXT Oncology - Virginia · Fairfax, VA 22031Anthony Young · Study contact · 703-783-4536 · ayoung@nextoncology.com · Study contact · NXTVIR_Coordinators@nextoncology.comAlexander Spira, MD · Principal investigatorMore trials in Fairfax