ARC-20


A Phase 1, Open-label, Dose Escalation and Dose Expansion Study, to Investigate the Safety, Tolerability, and Pharmacokinetic Profile of AB521 Monotherapy and Combination Therapies in Participants With Clear Cell Renal Cell Carcinoma and Other Solid Tumors

Trial summary:

The purpose of this study is to evaluate the safety and tolerability of: a) Casdatifan when taken alone in participants with advanced solid tumor malignancies and clear cell renal cell carcinoma (ccRCC) during the dose escalation stage and; b) Casdatifan monotherapy and casdatifan in combination with cabozantinib in participants with ccRCC in the dose expansion stage

Receptor status / problem studied:

Inclusion criteria

1) Disease-specific criteria for dose escalation:

2) Participants may have any pathologically confirmed solid tumor type where no other treatment options are available.

3) Disease-specific criteria for dose-expansion:
|— a) Histologically confirmed ccRCC.
|— b) For casdatifan monotherapy cohorts: participants must have received prior treatment in the metastatic setting with an anti-PD-1/PD-L1 therapy and a vascular endothelial growth factor receptor-targeting tyrosine kinase inhibitor (VEGFR-targeting TKI), (either individually or in combination).
|— c) For casdatifan + cabozantinib combination therapy: participants must have received prior treatment for locally advanced or metastatic disease with anti-PD-1/PD-L1 therapy in an immediately preceding line of therapy.

4) Must have at least one measurable lesion per RECIST guidance.

5) Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 1.

Exclusion criteria

1) Use of any live vaccines against infectious diseases (eg, influenza, varicella) within 4 weeks (28 days) of initiation of investigational product.

2) Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with a participant’s participation in the clinical study or make the administration of investigational product hazardous.

3) History of trauma or major surgery within 28 days prior to the first dose of investigational product.

4) For all expansion cohorts: prior treatment with an hypoxia inducible factor (HIF)-2α inhibitor. For the casdatifan + cabozantinib combination cohort, any prior treatment with cabozantinib.

5) Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.

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Open for recruitment

Trial Title

ARC-20

Diagnosis

Advanced solid tumours

Type of trial

Pharmaceutical

Type of treatement

Medical Oncology

Phase

I

Investigators

Principal Investigator
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