ALPN-202 With PD-1 Inhibition in Advanced Malignancies

Overview

About this study

The purpose of this study is to evaluate ALPN-202 with PD-1 inhibition to treat adults with advanced solid tumors or lymphoma.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Adult 18 to 80 years old at screening.
  • Pathologically confirmed, locally advanced or metastatic unresectable solid tumor, or Hodgkin or Non-Hodgkin lymphoma (including transformed lymphoma) of an acceptable histology:
    • that is eligible for treatment with a PD-1 or PD-L1 inhibitor; or
    • that is refractory or resistant to standard therapy; or
    • for which standard or curative therapy is not available.
  • Have received ≥ 2 prior systemic anti-cancer therapies (lymphoma subjects only).
  • Protocol-defined measurable disease.
  • Available tumor biopsy representative of current disease.
  • ECOG performance status grade 0-1.
  • Life expectancy of ≥ 3 months.
  • Recovery to Grade ≤ 1 for any non-laboratory toxicity resulting from previous anticancer therapy prior to first dose of ALPN-202 (except alopecia, hearing loss, Grade ≤ 2 neuropathy, or endocrinopathy managed with replacement therapy).
  • Adequate baseline hematologic, renal, and hepatic function.

Exclusion Criteria:

  • Any history of ≥ Grade 3 immune-related adverse event (irAE).
  • Active or prior pneumonitis or interstitial lung disease.
  • Presence of any active central nervous system metastases.
  • Prior organ allograft or allogeneic hematopoietic stem cell transplantation.
  • Any serious or uncontrolled health condition, which, in the opinion of the Investigator, would place the subject at undue risk from the study, impair the ability of the subject to receive protocol specified therapy, or interfere with the interpretation of study results.
  • Receipt of any protocol-restricted therapy within the timeframes indicated:
    • PD-L1 inhibitors: 5 half-lives (e.g., atezolizumab, 135 days; avelumab, 31 days; durvalumab, 85 days);
    • PD-1 inhibitors: one scheduled standard dosing interval;
    • Other checkpoint inhibitors, including CTLA-4 inhibitors (e.g., ipilimumab, tremelimumab): 4 weeks;
    • Chemotherapy, small molecule anticancer agents (e.g., kinase inhibitors), or radiation: 2 weeks;
    • Other monoclonal antibodies, antibody-drug conjugates, bispecific antibodies, antibody-like drugs, cytokines, cell therapies, or radioimmunoconjugates: 4 weeks.
  • Any active, known, or suspected autoimmune disease.
  • Systemic treatment with corticosteroids (> 10 mg/day prednisone) or other immunosuppressive medication.
  • Any second malignancy active within the previous 3 years.
  • Active infection requiring therapy at the time of the first dose of ALPN-202.
  • Known seropositivity for or active infection by human immunodeficiency virus, hepatitis B or C, or or Severe Acute Respiratory Syndrome Coronavirus 2.
  • Known allergies, hypersensitivity, or intolerance to ALPN-202 or excipients in the drug product formulation.
  • History of Grade 4 infusion-related, anaphylactic or allergic reaction to any previous Fc-based protein therapy.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Zhaohui Jin, M.D.

Contact us for the latest status

Contact information:

Cancer Center Clinical Trials Referral Office

855-776-0015

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Mahesh Seetharam, M.D.

Contact us for the latest status

Contact information:

Cancer Center Clinical Trials Referral Office

855-776-0015

Jacksonville, Fla.

Mayo Clinic principal investigator

Yujie Zhao, M.D., Ph.D.

Contact us for the latest status

Contact information:

Cancer Center Clinical Trials Referral Office

855-776-0015

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions