Advanced CancerPhase 1/2TIG-006NCT05060432
Study of EOS-448 With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors
A Phase 1/2 study testing EOS-448, pembrolizumab and inupadenant in people with Advanced Cancer and Lung Cancer, run by iTeos Belgium SA at 42 sites in 6 countries.
Trial summary
This is a multicenter, open-label, phase I/II basket study, evaluating the safety, tolerability, RP2D, pharmacokinetics, pharmacodynamics and antitumor activity of EOS-448 (also known as GSK4428859A or belrestotug) combined with standard of care and/or with investigational therapies in participants with advanced solid… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Cancer, Lung Cancer, Head and Neck Cancer
- What is being tested?
- EOS-448, pembrolizumab and inupadenant
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 153 participants
- Where
- 42 sitesin 6 countries
- Study dates
- 6 Sep 2021to Jul 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Provide a signed written informed consent for the trial
- Have measurable disease, per RECIST v1.1
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of Grade 0 or 1.
- Have adequate organ functions
- Part 1A/1B/1C/1D/1E/1F: Have histologically or cytologically confirmed advanced or metastatic solid tumor for whom no standard treatment with survival benefit is available
- Part 1G (NSCLC):
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- Have a histologically confirmed or cytologically confirmed previously untreated stage IV OR stage III not amenable to curative chemoradiotherapy or surgery (AJCC 8th edition) nonsquamous NSCLC OR squamous NSCLC.
- Are eligible to receive anti-PD(L)1 therapy combined with chemotherapy in first line metastatic setting
- Part 2 (H\&N cancer)
- Have histologically or cytologically confirmed recurrent advanced or metastatic head and neck squamous cell carcinoma considered incurable by local therapies
- PD-L1 status positive
Who cannot join
- Have received any anti-cancer therapy within 4 weeks prior to the first dose
- Have received a live vaccine within 30 days prior to the first dose
- Have known primary CNS cancer.
- Have known CNS metastases unless previously treated and well controlled for at least 1 month
- Have concomitant second malignancies unless a complete remission was achieved at least 2 years before study entry
- Have a history of Grade ≥ 2 pneumonitis, active autoimmune disease, or persistent immune-mediated toxicity caused by immune checkpoint inhibitor therapy of Grade ≥ 2
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- Have toxicity (except for alopecia) related to prior anti-cancer therapy and/or surgery unless the toxicity is either resolved, returned to baseline or Grade 1, or deemed irreversible.
- Have uncontrolled or significant cardiovascular disease
- Part 1: major surgery within 3 weeks before initiating treatment
- Part 1: Have received prior radiotherapy within 2 weeks of start of study treatment
- Part 2 (H\&N cancer):
- Have received prior immunotherapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways).
- Have received prior chemotherapy administered in the recurrent advanced or metastatic setting (except for systemic therapy completed > 6 months prior to screening if given as part of multimodal treatment for locally advanced disease)
Trial locations and contacts
42 sites in 6 countries.
42 sites in 6 countries
Spain14 sites
Hospital Universitario de Badajoz
Badajoz, 06006
Vall d'Hebron
Barcelona, 08035
Hospital Universitario de Jaen
Jaén, 23007
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario Fundación Jiménez Díaz - START Madrid
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Quirón Málaga
Málaga, 29004
Hospital Althaia Xarxa Assitencial de Manresa
Manresa, Catalonia, 08243
Hospital Universitario de Navarra
Pamplona, 31008
Hospital Universitario Virgen Macarena
Seville, 41009
Fundacion Instituto Valenciano de Oncologia (IVO)
Valencia, 46009
Consorci Hospital Gral Univ Valencia
Valencia, 46014
Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)
Valencia, 46026
Hospital Universitario Miguel Servet
Zaragoza, 50009
France12 sites
Hôpital Saint André
Bordeaux, 33075
CHU Caen
Caen, 14033
Centre Georges Francois Leclerc
Dijon, 21079
Clinique Victor Hugo
Le Mans, 72000
Centre Oscar Lambret
Lille, 59000
Centre Léon Bérard
Lyon, 69373
Institut de Cancerologie Lorraine (ICL)
Nancy, 54519
Institut de Cancérologie de l'Ouest
Nantes, 44805
Centre Antoine Lacassagne
Nice, 06189
Pitié Salpêtrière
Paris, 75013
CHU de POITIERS
Poitiers, 86000
ICANS
Strasbourg, 67033
Belgium5 sites
GZA Ziekenhuizen campus Sint-Augustinus
Antwerp, Antwerp, 2610
Cliniques universitaires St Luc-UCL
Brussels, 1200
Jessa Ziekenhuis
Hasselt, 3500
UZ Leuven
Leuven, 3000
CHU Helora
Mons, 7000
United Kingdom5 sites
Addenbrooke's Hospital
Cambridge, CB2 0QQ
Royal Marsden Hospital (London location)
London, SW3 6JJ
Hammersmith Hospital
London, W12 0HS
Nottingham City Hospital
Nottingham, NG5 1PB
Royal Marsden Hospital (Sutton location)
Sutton, Surrey, SM2 5PT
Italy4 sites
FPO-IRCCS Candiolo Cancer Insitute
Candiolo, Turin, 10060
Universita degli Studi di Pavia - Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
AUSL Della Romagna - Ospedale S. Maria delle Croci
Ravenna, 48121
IDB Center-Istituto Clinico Humanitas (IRCCS)
Rozzano, Milan, 20089
United States2 sites
Hackensack University Medical Center
Bergen, New Jersey, 07601
University of California San Diego
San Diego, California, 92037
About this study
Official title: A Multicenter, Open-Label, Phase I/II Study of EOS884448 (EOS-448) in Combination With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors
This is a multicenter, open-label, phase I/II basket study, evaluating the safety, tolerability, RP2D, pharmacokinetics, pharmacodynamics and antitumor activity of EOS-448 (also known as GSK4428859A or belrestotug) combined with standard of care and/or with investigational therapies in participants with advanced solid tumors.
Read the detailed description
The combinations evaluated will be:
- EOS-448 combined with pembrolizumab, an anti-PD-1 antibody
- EOS-448 combined with inupadenant an investigational adenosine A2A receptor antagonist
- EOS-448 combined with dostarlimab an anti-PD-1 antibody
- inupadenant combined with dostarlimab
- EOS-448 combined with inupadenant and dostarlimab
- EOS-448 combined with dostarlimab and standard of care chemotherapies in participants with NSCLC
- Conditions
- Advanced Cancer, Lung Cancer, Head and Neck Cancer, Melanoma
- Being tested
- EOS-448, pembrolizumab, inupadenant, Dostarlimab, SOC chemotherapies
- Keywords
- EOS884448, GSK4428859A, TIGIT, Anti-TIGIT, EOS-448, pembrolizumab, dostarlimab, inupadenant, A2A Receptor antagonist, EOS-850, EOS100850, Anti-PD-1 monoclonal antibody, belrestotug
- Medical subject headings
- Lung Neoplasms, Head and Neck Neoplasms, Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EOS-448Drug
Also called EOS884448, GSK4428859, belrestotug
Anti-TIGIT monoclonal antibody
pembrolizumabDrug
Anti-PD-1 monoclonal antibody
inupadenantDrug
Also called EOS100850
A2A receptor antagonist
DostarlimabDrug
Anti-PD-1 monoclonal antibody
SOC chemotherapiesDrug
SOC chemotherapies in 1L mNSCLC
| Study group | Role | What they receive |
|---|---|---|
| Part 1A - EOS-448 + pembrolizumab | Experimental | Participants will receive EOS-448 and pembrolizumab at every cycle Receives: Drug: EOS-448; Drug: pembrolizumab |
| Part 1B - EOS-448 + inupadenant | Experimental | Participants will receive EOS-448 at every cycle and inupadenant on an ongoing basis Receives: Drug: EOS-448; Drug: inupadenant |
| Part 1C - EOS-448 + inupadenant | Experimental | Participants will receive EOS-448 at every cycle and inupadenant on an ongoing basis Receives: Drug: EOS-448; Drug: inupadenant |
| Part 1D - EOS-448 + dostarlimab | Experimental | Participants will receive EOS-448 and dostarlimab at every cycle Receives: Drug: EOS-448; Drug: Dostarlimab |
| Part 1E - inupadenant HCl + dostarlimab | Experimental | Participants will receive dostarlimab at every cycle and inupadenant on an ongoing basis Receives: Drug: inupadenant; Drug: Dostarlimab |
| Part 1F - EOS-448 + dostarlimab + inupadenant HC | Experimental | Participants will receive EOS-448 and dostarlimab at every cycle and inupadenant on an ongoing basis Receives: Drug: EOS-448; Drug: inupadenant; Drug: Dostarlimab |
| Part 1G - EOS-448 + dostarlimab + chemotherapies | Experimental | Participants with 1L mNSCLC will receive EOS-448 and dostarlimab and chemotherapies at every cycle Receives: Drug: EOS-448; Drug: Dostarlimab; Drug: SOC chemotherapies |
| Part 2C - EOS-448 + dostarlimab | Experimental | Participants with 1L mHNSCC CPS ≥ 20 will receive EOS-448 and dostarlimab at every cycle Receives: Drug: EOS-448; Drug: Dostarlimab |
| Part 2D - EOS-448 + dostarlimab | Experimental | Participants with 1L mHNSCC 1 < CPS < 20 will receive EOS-448 and dostarlimab at every cycle Receives: Drug: EOS-448; Drug: Dostarlimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants with DLT and Adverse Events
Measured: From first study treatment administration through Day 21-28 for DLT / Up to 120 days after the last dose
Recommended Phase 2 dose (RP2D) of EOS884448 in participants with advanced solid tumors
Measured: Up to 48 weeks
Percentage of participants with Objective Response as determined by Investigator
Measured: Until disease progression - Approximately 48 months
Secondary outcomes (5)
Duration of Response (DOR)
Measured: Until disease progression or death - Approximately 48 months
Disease Control Rate (DCR)
Measured: Until disease progression or death - Approximately 48 months
Progression-free-survival (PFS)
Measured: Until disease progression or death - Approximately 48 months
Mean and median Maximum concentration (Cmax) of EOS884448 at each dose level
Measured: Up to 48 weeks
Percentage of participants with anti-drug antibodies to EOS884448
Measured: Up to 48 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2021
- Study start6 Sep 2021
- Primary completionJul 2024 (estimated)
- Study completionJul 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 153 participants (actual)
Sponsor and investigators
- Lead sponsor
- iTeos Belgium SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline, iTeos Therapeutics
- Responsible party
- Sponsor
- Investigators
- Iteos Clinical Trials, Study director, iTeos Belgium SA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05060432
- Sponsor's protocol ID
- TIG-006
- Acronym
- TIG-006
- Status last verified
- Jun 2024
- First submitted
- 6 Sep 2021
- Last updated
- 21 Jun 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Phase I/II Study of EOS884448 (EOS-448) in Combination With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT05060432
- Acronym / sponsor ID
- TIG-006 / TIG-006
- Conditions
- Advanced Cancer, Lung Cancer, Head and Neck Cancer, Melanoma
- Keywords
- EOS884448, GSK4428859A, TIGIT, Anti-TIGIT, EOS-448, pembrolizumab, dostarlimab, inupadenant
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 153 participants (actual)
- Lead sponsor
- iTeos Belgium SAIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline, iTeos Therapeutics
- Study start
- 6 Sep 2021 (actual)
- Primary completion
- Jul 2024 (estimated)
- Study completion
- Jul 2025 (estimated)
- First posted
- 29 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, open-label, phase I/II basket study, evaluating the safety, tolerability, RP2D, pharmacokinetics, pharmacodynamics and antitumor activity of EOS-448 (also known as GSK4428859A or belrestotug) combined with standard of care and/or with investigational therapies in participants with advanced solid tumors.
Detailed description
The combinations evaluated will be:
- EOS-448 combined with pembrolizumab, an anti-PD-1 antibody
- EOS-448 combined with inupadenant an investigational adenosine A2A receptor antagonist
- EOS-448 combined with dostarlimab an anti-PD-1 antibody
- inupadenant combined with dostarlimab
- EOS-448 combined with inupadenant and dostarlimab
- EOS-448 combined with dostarlimab and standard of care chemotherapies in participants with NSCLC
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| Part 1A - EOS-448 + pembrolizumab | Experimental | Drug: EOS-448, Drug: pembrolizumabParticipants will receive EOS-448 and pembrolizumab at every cycle |
| Part 1B - EOS-448 + inupadenant | Experimental | Drug: EOS-448, Drug: inupadenantParticipants will receive EOS-448 at every cycle and inupadenant on an ongoing basis |
| Part 1C - EOS-448 + inupadenant | Experimental | Drug: EOS-448, Drug: inupadenantParticipants will receive EOS-448 at every cycle and inupadenant on an ongoing basis |
| Part 1D - EOS-448 + dostarlimab | Experimental | Drug: EOS-448, Drug: DostarlimabParticipants will receive EOS-448 and dostarlimab at every cycle |
| Part 1E - inupadenant HCl + dostarlimab | Experimental | Drug: inupadenant, Drug: DostarlimabParticipants will receive dostarlimab at every cycle and inupadenant on an ongoing basis |
| Part 1F - EOS-448 + dostarlimab + inupadenant HC | Experimental | Drug: EOS-448, Drug: inupadenant, Drug: DostarlimabParticipants will receive EOS-448 and dostarlimab at every cycle and inupadenant on an ongoing basis |
| Part 1G - EOS-448 + dostarlimab + chemotherapies | Experimental | Drug: EOS-448, Drug: Dostarlimab, Drug: SOC chemotherapiesParticipants with 1L mNSCLC will receive EOS-448 and dostarlimab and chemotherapies at every cycle |
| Part 2C - EOS-448 + dostarlimab | Experimental | Drug: EOS-448, Drug: DostarlimabParticipants with 1L mHNSCC CPS ≥ 20 will receive EOS-448 and dostarlimab at every cycle |
| Part 2D - EOS-448 + dostarlimab | Experimental | Drug: EOS-448, Drug: DostarlimabParticipants with 1L mHNSCC 1 < CPS < 20 will receive EOS-448 and dostarlimab at every cycle |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Provide a signed written informed consent for the trial
- Have measurable disease, per RECIST v1.1
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of Grade 0 or 1.
- Have adequate organ functions
- Part 1A/1B/1C/1D/1E/1F: Have histologically or cytologically confirmed advanced or metastatic solid tumor for whom no standard treatment with survival benefit is available
Key exclusion criteria (13 listed)
- Have received any anti-cancer therapy within 4 weeks prior to the first dose
- Have received a live vaccine within 30 days prior to the first dose
- Have known primary CNS cancer.
- Have known CNS metastases unless previously treated and well controlled for at least 1 month
- Have concomitant second malignancies unless a complete remission was achieved at least 2 years before study entry
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EOS-448Also: EOS884448, GSK4428859, belrestotugAnti-TIGIT monoclonal antibody | Drug | Part 1A - EOS-448 + pembrolizumab, Part 1B - EOS-448 + inupadenant, Part 1C - EOS-448 + inupadenant, Part 1D - EOS-448 + dostarlimab, Part 1F - EOS-448 + dostarlimab + inupadenant HC, Part 1G - EOS-448 + dostarlimab + chemotherapies, Part 2C - EOS-448 + dostarlimab, Part 2D - EOS-448 + dostarlimab |
| pembrolizumabAnti-PD-1 monoclonal antibody | Drug | Part 1A - EOS-448 + pembrolizumab |
| inupadenantAlso: EOS100850A2A receptor antagonist | Drug | Part 1B - EOS-448 + inupadenant, Part 1C - EOS-448 + inupadenant, Part 1E - inupadenant HCl + dostarlimab, Part 1F - EOS-448 + dostarlimab + inupadenant HC |
| DostarlimabAnti-PD-1 monoclonal antibody | Drug | Part 1D - EOS-448 + dostarlimab, Part 1E - inupadenant HCl + dostarlimab, Part 1F - EOS-448 + dostarlimab + inupadenant HC, Part 1G - EOS-448 + dostarlimab + chemotherapies, Part 2C - EOS-448 + dostarlimab, Part 2D - EOS-448 + dostarlimab |
| SOC chemotherapiesSOC chemotherapies in 1L mNSCLC | Drug | Part 1G - EOS-448 + dostarlimab + chemotherapies |
Primary outcome
Percentage of participants with DLT and Adverse Events
Time frame: From first study treatment administration through Day 21-28 for DLT / Up to 120 days after the last dose
Recommended Phase 2 dose (RP2D) of EOS884448 in participants with advanced solid tumors
Time frame: Up to 48 weeks
Percentage of participants with Objective Response as determined by Investigator
Time frame: Until disease progression - Approximately 48 months
5 secondary outcomes
Duration of Response (DOR)
Time frame: Until disease progression or death - Approximately 48 months
Disease Control Rate (DCR)
Time frame: Until disease progression or death - Approximately 48 months
Progression-free-survival (PFS)
Time frame: Until disease progression or death - Approximately 48 months
Mean and median Maximum concentration (Cmax) of EOS884448 at each dose level
Time frame: Up to 48 weeks
Percentage of participants with anti-drug antibodies to EOS884448
Time frame: Up to 48 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Iteos Clinical Trials study director
iTeos Belgium SA
42 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing EOS-448, pembrolizumab and inupadenant in people with Advanced Cancer and Lung Cancer, run by iTeos Belgium SA at 42 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 21 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in Spain, France, Belgium, United Kingdom, Italy and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of participants with DLT and Adverse Events (time frame: From first study treatment administration through Day 21-28 for DLT / Up to 120 days after the last dose). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2024.