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
- Contact Person Email
- aurelien.marabelle@gustaveroussy.fr
- 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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