CClinicalTrials.gg
CompletedNCT03667716Updated Jan 17, 2025

COM701 (an Inhibitor of PVRIG) in Subjects With Advanced Solid Tumors.

A Phase 1 interventional study of COM701 and COM701 with Opdivo (Nivolumab). in Advanced Cancer, Ovarian Cancer and Breast Cancer, sponsored by Compugen Ltd. Completed at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-17.

Sponsored by Compugen Ltd · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
121
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1 open label sequential dose escalation and cohort expansion study evaluating the safety, tolerability and preliminary clinical activity of COM701 as monotherapy and in combination with nivolumab.

Read the detailed description

This Phase 1 study evaluates the safety, tolerability, Pharmacokinetics (PK) and preliminary clinical activity of COM701 an inhibitor of poliovirus receptor related immunoglobulin domain containing (PVRIG) as monotherapy and in combination with nivolumab in subjects with advanced solid tumors. Cohort expansion will be explored evaluating COM701 monotherapy and in combination with nivolumab in subjects with the following select tumor types (Non-Small cell lung cancer (NSCLC), Ovarian, Breast (including Triple negative breast cancer (TNBC) and endometrial cancer. Other tumor types such as CRC-MSS, CRC-KRAS mutant will be enrolled based on emerging clinical activity data.

02

Conditions studied

  • Advanced Cancer
  • Ovarian Cancer
  • Breast Cancer
  • Lung Cancer
  • Endometrial Cancer
  • Ovarian Neoplasm
  • Triple Negative Breast Cancer
  • Lung Neoplasm
  • Neoplasm Malignant
  • Colo-rectal Cancer

Keywords

  • PVRIG
  • advanced cancer
  • checkpoint inhibitor
  • DNAM (DNAX Accessory molecule 1)
  • PD-1 inhibitor
  • CD112
  • CD 112R
  • Poliovirus receptor-related immunoglobulin
  • PVRL2
  • Nivolumab
  • opdivo
  • TIGIT antibody
  • COM902
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Subject has Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • Subjects who received prior immune-stimulatory antitumor agents, such as anti-PD-1, anti-PD-L1, anti-CTLA-4, OX-40, CD137, etc. are eligible.
  • Histologically or cytologically confirmed, locally advanced or metastatic solid malignancy and has exhausted all the available standard therapy or is not a candidate for the available standard therapy.

Select Tumor Types (COM701 monotherapy cohort expansion; COM701 in combination with nivolumab):

  • Breast cancer (TNBC): Histologically confirmed incurable, advanced estrogen receptor-, progesterone receptor-, and human epidermal growth factor receptor 2 (HER2)-negative (triple-negative) adenocarcinoma of the breast, as defined by the American Society of Clinical Oncology-College of American Pathologists (ASCO-CAP) guidelines. Disease recurrence or progression during or after at least one systemic treatment that included an anthracycline and/or a taxane in the neoadjuvant, adjuvant, or metastatic setting. Subjects must have progressed after a poly ADP-ribose polymerase (PARP) inhibitor for patients with deleterious or suspected deleterious germline breast cancer susceptibility gene (BRCA) mutated metastatic breast cancer. P1b COM701 + nivolumab expansion cohort, COM701 monotherapy expansion cohort.
  • Endometrial cancer: Subjects with locally advanced or metastatic endometrial cancer, disease recurrence or progression during or after prior therapy that included platinum-based chemotherapy. P1b COM701 + nivolumab expansion cohort, COM701 monotherapy expansion cohort.
  • Ovarian cancer: Disease recurrence or progression during or after prior therapy that included: surgical resection, platinum agent, PARP inhibitor (for subjects with deleterious or suspected deleterious germline BRCA-mutated advanced ovarian cancer or as a maintenance therapy for subjects who have had complete or partial response to platinum-based therapy). P1b COM701 + nivolumab expansion cohort, COM701 monotherapy expansion cohort.
  • NSCLC: Documented stage IIIB or IV or recurrent NSCLC, Disease recurrence or progression during or after prior treatment that included: platinum agent, targeted therapy such as a TKI (if with biopsy-confirmed cytogenetic mutation eg EGFR, ROS, BRAF). COM701 monotherapy expansion cohort.
  • CRC (microsatellite stable, KRAS mutation) - P1b COM701 + nivolumab expansion cohort, COM701 monotherapy expansion cohort.
  • For Phase 1a monotherapy expansion and Phase 1b only: subject has at least one measurable lesion that could be followed during the study according to RECIST v1.1.

Key Exclusion Criteria:

  • Active autoimmune disease requiring systemic therapy in the last 2 years prior to the first dose of COM701.
  • Symptomatic interstitial lung disease or inflammatory pneumonitis.
  • History of immune-related events that lead to immunotherapy treatment discontinuation.
  • Untreated or symptomatic central nervous system (CNS) metastases.
  • Impaired cardiac function or clinically significant cardiac disease, including any of the following: a) Unstable angina pectoris ≤ 6 months prior to first scheduled dose of COM701; b) Acute myocardial infarction ≤ 6 months prior to first scheduled dose of COM701.
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
121 participants (actual)

Study arms

  • Experimental
    P1a Arm A (Monotherapy Dose Escalation).

    COM701 monotherapy sequential dose escalation administered IV every 3 weeks and a Cohort IV every 4 weeks. Up to 8 dose escalation cohorts may be evaluated until a maximum tolerated dose or recommended phase 2 dose is identified.

    Drug: COM701

  • Experimental
    P1a Arm B (Combination Dose Escalation).

    COM701 sequential dose escalation administered IV every 3 weeks in combination with Opdivo (Nivolumab) 360mg administered IV every 3 weeks and COM701 administered IV every 4 weeks in combination with Opdivo (Nivolumab) 480mg administered IV every 4 weeks.

    Drug: COM701 with Opdivo (Nivolumab).

  • Experimental
    P1a Arm A (Monotherapy Expansion).

    COM701 monotherapy administered IV every 4 weeks. Cohort expansion in subjects with the following select tumor types (NSCLC, Breast, Ovarian, Endometrial and Colorectal cancer).

    Drug: COM701

  • Experimental
    P1b (Combination Cohort Dose Expansion).

    COM701 administered IV every 4 weeks in combination with Opdivo (Nivolumab) 480 mg administered IV every 4 weeks. Cohort expansion in subjects with the following select tumor types (Breast, Ovarian, Endometrial and Colorectal cancer).

    Drug: COM701 with Opdivo (Nivolumab).

Interventions

  • DrugCOM701

    COM701 monotherapy.

  • DrugCOM701 with Opdivo (Nivolumab).

    COM701 in combination with Opdivo (Nivolumab).

05

What researchers measure

Primary outcomes

  1. Incidence of subjects with Adverse Events (AEs) as per CTCAE v4.03 and Dose-Limiting Toxicities (DLTs).

    To evaluate the safety profile of COM701 monotherapy and in combination with nivolumab.

    Time frame: DLT evaluation window in the 1st cycle (21 or 28 days).

  2. Determine the maximum tolerated dose (MTD) and/or the recommended dose for expansion (RDFE) (COM701 monotherapy and in combination with nivolumab).

    Time frame: Approximately 2 year.

Secondary outcomes

  1. Incidence of subjects with Anti-COM701 antibody.

    Immunogenicity of COM701 monotherapy and in combination with nivolumab.

    Time frame: Approximately 2 years.

  2. Overall Response Rate as per RECIST v1.1

    Preliminary antitumor activity of COM701 in combination with nivolumab.

    Time frame: Approximately 2 years.

06

Study locations

11 sites
  • University of California Los Angeles (UCLA).
    Los Angeles, California 90095, United States
  • Florida Cancer Specialists
    Sarasota, Florida 34230, United States
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • START Midwest.
    Grand Rapids, Michigan 49503, United States
  • Columbia University
    New York, New York 10032, United States
  • Cleveland Clinic.
    Cleveland, Ohio 44195, United States
  • The University of Tennessee WEST Cancer Center.
    Memphis, Tennessee 38138, United States
  • Sarah Cannon Research Institute.
    Nashville, Tennessee 37203, United States
  • M D Anderson Cancer Center.
    Houston, Texas 77030, United States
  • The START Center for Cancer Care.
    San Antonio, Texas 78229, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03667716
Lead sponsor
Compugen Ltd
Collaborators
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Sep 12, 2018
Start date
Sep 6, 2018
Primary completion
Jan 30, 2024
Completion
Jan 30, 2024
Last update
Jan 17, 2025

Study contacts

COM701 Study Director
study director · Compugen USA, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion