Clinical trial • Phase I/II • Oncology

EGL-001 for Advanced solid tumors | Metastatic solid tumors

Phase I/II trial of EGL-001 for Advanced solid tumors | Metastatic solid tumors.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced solid tumors | Metastatic solid tumors
Trial Stage
Phase I/II
Drug Modality
Peptide/protein/enzyme | Monoclonal antibody

Key dates

Initial CTIS Submission Date
30-05-2024
First CTIS Authorization Date
03-09-2024

Trial design

open-label, egl-001 monotherapy; egl-001 in combination with an anti-pd(l)-1 treatment (example used in dossier: pembrolizumab / keytruda). specific egl-001 dose levels not stated in the ctis metadata; keytruda product information present (keytruda 25 mg/ml concentrate for solution for infusion, marketing authorisation eu/1/15/1024/002; product metadata lists maxdailydoseamount 200 mg).-controlled, adaptive Phase I/II trial in France, Spain.

Open Label
Yes
Comparator
EGL-001 monotherapy; EGL-001 in combination with an anti-PD(L)-1 treatment (example used in dossier: pembrolizumab / KEYTRUDA). Specific EGL-001 dose levels not stated in the CTIS metadata; KEYTRUDA product information present (KEYTRUDA 25 mg/mL concentrate for solution for infusion, marketing authorisation EU/1/15/1024/002; product metadata lists maxDailyDoseAmount 200 mg).
Adaptive
True, dose-escalation uses a BOIN design with accelerated titration (adaptive dose-escalation rules described in study design).
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
62

Eligibility

Recruits 62 Vulnerable population selected (isVulnerablePopulationSelected = true). Participation requires signed written informed consent ("1. Signed written informed consent.") and ability to understand the nature and individual consequences of the trial ("13. Able to understand the character and individual consequences of clinical trial."). All participants must be at least 18 years old..

Pregnancy Exclusion
14. Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial.
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Participation requires signed written informed consent ("1. Signed written informed consent.") and ability to understand the nature and individual consequences of the trial ("13. Able to understand the character and individual consequences of clinical trial."). All participants must be at least 18 years old.

Inclusion criteria

  • {"criterion_text":"- 1. Signed written informed consent.\n- 2. Female or male patients, aged at least 18 years.\n- 3. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.\n- 4. Life expectancy of at least 3 months as assessed by the investigator.\n- 5. Patients with confirmed locally advanced, unresectable, or metastatic solid tumors who have been previously treated with SoC and are no longer eligible for other therapies.\n- 6. Patients who have been treated with an ICI treatment as monotherapy or in combination as SoC.\n- 7. Have recovered from previous treatment.\n- 8. At least 1 measurable lesion according to RECIST Version 1.1.\n- 9. Adequate hematological, hepatic, and renal functions.\n- 10. Negative blood pregnancy test at screening for women of childbearing potential.\n- 11. Highly effective contraception during the study period and for 6 months after the last study treatment administration for WOCBP, and for male patients who are sexually active with WOCBP. Highly effective contraception methods are defined as: • Hormonal methods of contraception including combined oral contraceptive pills, vaginal ring, injectable, implants, intrauterine devices such as Mirena and nonhormonal intrauterine devices such as ParaGard for WOCBP patients or male patients’ WOCBP partners • Tubal ligation • Vasectomy; In addition to highly effective contraception, participating male patients: • Must use a condom during the study period and for 3 months after the last study treatment administration when engaging in any activity that allows for exposure to ejaculate • Must refrain from donating sperm.\n- 12. Must agree to abstain from donating blood while taking study drug and for 3 months following discontinuation of study treatment.\n- 13. Able to understand the character and individual consequences of clinical trial."}

Exclusion criteria

  • {"criterion_text":"- 1. Patients with central nervous system metastases and/or leptomeningeal carcinomatosis with some exceptions.\n- 2. Patients with active or documented history of autoimmune disease, immune deficiency or syndrome that required systemic corticoids (except the allowed dose) or immunosuppressive medications.\n- 3. Patients who received a previous ICI (like anti-PD(L)-1 or an agent directed to another stimulatory or co-inhibitory T-cell receptor) and were discontinued from that treatment due to toxicity.\n- 4. Patients under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with exceptions. Steroids with no or minimal systemic effect (topical, inhalation) are allowed.\n- 5. Patients with history of or current interstitial lung disease or fibrosis, and patients with pneumonitis.\n- 6. Other active malignancy requiring active intervention.\n- 7. Patients with previous malignancies other than the target malignancy to be investigated in this trial, unless a complete remission was achieved and no additional therapy is required during the study period.\n- 8. Patient with any organ transplantation, including allogeneic stem cell transplantation.\n- 9. Known severe hypersensitivity reactions to monoclonal antibodies, any history of anaphylaxis, or uncontrolled asthma.\n- 10. Any known allergy or severe reaction to any component of anti-CTLA-4 or anti-PD(L)-1 drug product.\n- 11. Significant chronic or acute infections requiring systemic therapy including SARS-CoV-2 (COVID-19) PCR positive testing.\n- 12. Clinically significant active cardiovascular disease.\n- 13. Any other medical conditions or psychological disorders that would increase the safety risk to the patient or interfere with participation of the patient or the evaluation of the clinical study in the opinion of the investigator.\n- 14. Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Dose-limiting toxicities (DLTs) when patients are receiving weekly administration of EGL-001 and proportion of patients with adverse events (AEs), treatment-emergent AEs (TEAEs), and serious AEs (SAEs) between the first dose of study drug and up to 90 days after the last dose of study drug.","definition_or_measurement_approach":"DLTs assessed during weekly administration of EGL-001; AEs/TEAEs/SAEs counted as proportion of patients between first dose and up to 90 days after last dose of study drug (safety reporting window specified)."}
  • {"endpoint_text":"- Proportion of patients with complete response (CR) or partial response (PR).","definition_or_measurement_approach":"Tumor response assessed as CR or PR. Measurable disease per inclusion (RECIST Version 1.1) is required, implying response assessment by RECIST v1.1."}

Secondary endpoints

  • {"endpoint_text":"- Efficacy assessment based on Overall response rate (ORR), Disease control rate (DCR), Duration of overall response (DoR), Progression-free survival (PFS), Overall survival (OS).","definition_or_measurement_approach":"Efficacy measures (ORR, DCR, DoR, PFS, OS) as standard oncology endpoints; tumor response likely assessed per RECIST v1.1 given inclusion criterion requiring measurable lesion by RECIST 1.1."}
  • {"endpoint_text":"- The proportion of patients with adverse events (AEs), treatment-emergent adverse events (TEAEs), and Serious adverse Events (SAEs) between the first dose of study drug and up to 90 days after the last dose of study drug.","definition_or_measurement_approach":"Proportion of patients experiencing AEs/TEAEs/SAEs during the safety window defined as from first dose until up to 90 days after last dose."}

Recruitment

Planned Sample Size
62
Recruitment Window Months
27
Consent Approach
Signed written informed consent is required from each participant ("1. Signed written informed consent."). Participants must be able to understand the trial ("13. Able to understand the character and individual consequences of clinical trial."). All participants are adults (aged at least 18). Subject information and ICF documents are available in multiple language versions (English, Spanish, French) as indicated by the published ICF/SIS document entries.

Geography

Total Number Of Sites
8
Total Number Of Participants
62

France

Earliest CTIS Part Ii Submission Date
12-08-2024
Latest Decision Or Authorization Date
08-12-2025
Processing Time Days
483
Number Of Sites
4
Number Of Participants
31

Sites

Site Name
Institut Gustave Roussy
Department Name
DITEP
Principal Investigator Name
Aurelien MARABELLE
Principal Investigator Email
aurelien.marabelle@gustaveroussy.fr
Contact Person Name
Aurelien MARABELLE
Site Name
Centr Georges Francois Leclerc
Department Name
Departement de Medecine Oncologique
Principal Investigator Name
Alice HERVIEU
Principal Investigator Email
ahervieu@cgfl.fr
Contact Person Name
Alice HERVIEU
Contact Person Email
ahervieu@cgfl.fr
Site Name
Institut Curie
Department Name
Unite d’Investigation Clinique
Principal Investigator Name
Edith BORCOMAN
Principal Investigator Email
edith.borcoman@curie.fr
Contact Person Name
Edith BORCOMAN
Contact Person Email
edith.borcoman@curie.fr
Site Name
Institut Regional Du Cancer De Montpellier
Department Name
UEPP
Principal Investigator Name
Diego TOSI
Principal Investigator Email
diego.tosi@icm.unicancer.fr
Contact Person Name
Diego TOSI
Contact Person Email
diego.tosi@icm.unicancer.fr

Spain

Earliest CTIS Part Ii Submission Date
19-07-2024
Latest Decision Or Authorization Date
19-12-2025
Processing Time Days
518
Number Of Sites
4
Number Of Participants
31

Sites

Site Name
Clinica Universidad De Navarra
Department Name
Medical Oncology
Principal Investigator Name
ANA LANDA MAGDALENA
Principal Investigator Email
alandam@unav.es
Contact Person Name
ANA LANDA MAGDALENA
Contact Person Email
alandam@unav.es
Site Name
Hospital Universitari Vall D Hebron
Department Name
Medical Oncology
Principal Investigator Name
ELENA GARRALDA CABANAS
Principal Investigator Email
egarralda@vhio.net
Contact Person Name
ELENA GARRALDA CABANAS
Contact Person Email
egarralda@vhio.net
Site Name
Hospital Clinico Universitario De Valencia
Department Name
Medical Oncology
Principal Investigator Name
VALENTINA GAMBARDELLA
Principal Investigator Email
Valen.gambardella@gmail.com
Contact Person Name
VALENTINA GAMBARDELLA
Contact Person Email
Valen.gambardella@gmail.com
Site Name
Hospital Universitario Fundacion Jimenez Diaz
Department Name
Oncology
Principal Investigator Name
VICTOR MORENO GARCIA
Principal Investigator Email
victor.moreno@startmadrid.com
Contact Person Name
VICTOR MORENO GARCIA
Contact Person Email
victor.moreno@startmadrid.com

Sponsor

Primary sponsor

Full Name
Egle Therapeutics
Organisation Type
Pharmaceutical company
Country Of Registered Address
France

Contract research organisations

Name
Syneos Health Inc.
Responsibilities
Codes: 1,10,11,12,13,2,5,6,7,8 (roles per sponsorDuties listing)
Name
QPS Netherlands B.V.
Responsibilities
Role code: 4 (listed as third party with duty code 4)
Name
Precision For Medicine (UK) Limited
Responsibilities
biomarkers/translational research (test laboratories)
Name
Genewiz Germany GmbH
Responsibilities
biomarkers/translational research (test laboratories)

Third parties

  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"sponsorDuties codes: 1,10,11,12,13,2,5,6,7,8","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"ImmunXperts","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Genewiz Germany GmbH","duties_or_roles":"biomarkers/translational research (test laboratories)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Precision For Medicine (UK) Limited","duties_or_roles":"biomarkers/translational research (test laboratories)","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Median Technologies","duties_or_roles":"Collection of CT-scans/images","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"QPS Netherlands B.V.","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
EGL-001
Active Substance
EGL-001
Modality
Peptide/protein/enzyme
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
No marketing authorisation (investigational product)
First In Human
Yes
Frequency
Weekly (Q1W) administration in dose-escalation; also evaluated in a 3-weekly (Q3W) schedule (per protocol main objective).
Investigational Product Name
KEYTRUDA 25 mg/mL concentrate for solution for infusion
Active Substance
PEMBROLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation EU/1/15/1024/002)
Maximum Dose
200 mg (maxDailyDoseAmount listed in product metadata)
Combination Treatment
Yes

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