ClinicalTrials.gg
TerminatedNCT03809624PDL1x41BBUpdated Oct 23, 2024

Study of INBRX-105 and INBRX-105 With Pembrolizumab in Patients With Solid Tumors Including Head and Neck Cancer

A Phase 1 interventional study of INBRX-105 - PDL1x41BB antibody and Pembrolizumab in Metastatic Solid Tumors, Non-small Cell Lung Cancer and Melanoma, sponsored by Inhibrx Biosciences, Inc. Terminated at 23 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-23.

Sponsored by Inhibrx Biosciences, Inc · Phase 1, Interventional, and Treatment

Why this study was terminated
Program terminated due to lack of meaningful efficacy signal.

From the registry’s dates

  • Primary completion was Oct 2024, 2 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
160
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a first-in-human, open-label, nonrandomized, four-part trial to determine the safety profile and identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of INBRX-105 and INBRX-105 in combination with Pembrolizumab. INBRX-105, a next generation bispecific antibody, targets the human programmed death-ligand 1 (PD-L1) receptor and the human 4-1BB receptor. INBRX-105 provides localized conditional T-cell co-stimulation through 4-1BB agonism.

02

Conditions studied

  • Metastatic Solid Tumors
  • Non-small Cell Lung Cancer
  • Melanoma
  • Head and Neck Squamous Cell Carcinoma
  • Gastric Adenocarcinoma
  • Renal Cell Carcinoma
  • Esophageal Adenocarcinoma
  • Nasopharyngeal Carcinoma
  • Oropharyngeal Carcinoma

Keywords

  • Solid Tumors
  • Lung Cancer
  • Melanoma
  • Head and Neck Cancer
  • Stomach Cancer
  • Gastric Cancer
  • Kidney Cancer
  • Renal cell carcinoma
  • Renal Cancer
  • Urothelial Carcinoma
  • PDL1
  • 41BB
  • PD-L1
  • 4-1BB
  • Pembrolizumab
  • Keytruda
  • Nasopharyngeal carcinoma
  • Oropharyngeal carcinoma
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's enrollment of 160 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Inhibrx Biosciences, Inc is the lead sponsor of 6 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parts 1 and 3 (escalation cohorts; completed): Patients with locally advanced or non-resectable solid tumors, whose disease has progressed despite standard therapy and for whom no further standard therapy exists.
  • Part 2 (expansion cohorts): Patients with non-small cell lung cancer, cutaneous melanoma, head and neck squamous cell carcinoma or solid tumors amenable to paired , with locally advanced or metastatic, non-resectable disease, which has progressed despite standard therapy or for whom no standard or clinically acceptable therapy exists.
  • Part 4 to CPI cohorts: NSCLC, cutaneous melanoma, HNSCC, MSI/TMB-high or MMRd solid tumors
  • Part 4 CPI naive cohorts: locally advanced or metastatic, non-resectable NSCLC or HNSCC
  • Refractory or relapsed to or anti-PD-L1, and anti-CTLA4 if applicable (NOTE: For all tumor types with checkpoint inhibitor approvals) with exception of the treatment naive NSCLC cohort.
  • PD-L1 positivity by immunohistochemistry (IHC): Parts 1 and 3 (escalation cohorts) PD-L1 positivity is not required. Parts 2 and 4 (expansion cohorts): Combined Positive Score (CPS) or Tumor Proportion Score (TPS) above certain thresholds as defined per protocol.
  • Adequate hematologic, coagulation, hepatic and renal function as defined per protocol.
  • performance status (ECOG PS) of 0 or 1.

Exclusion criteria

Exclusion Criteria:

  • Prior exposure to 4-1BB agonists.
  • Receipt of any product or any approved anticancer drug(s) or biological product(s) within 4 weeks prior to the first dose of study drug. Exceptions: Hormone replacement therapy, testosterone, or oral . NOTE: Previous exposure to checkpoint inhibitor requires a minimum of 24 weeks prior to the first dose of study drug.
  • Hematologic (e.g., ALL, AML, MDS, CLL, CML, NHL, Hodgkin lymphoma and multiple myeloma).
  • Prior or concurrent malignancies. Exception: Subjects with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessments of INBRX-105.
  • Known or active primary central nervous system (CNS) tumors, and . Exception: Subjects with previously treated, asymptomatic, and clinically stable CNS metastases may be allowed study entry if certain criteria apply.
  • Grade ≥ 3 immune-related adverse events (irAEs) or irAE that lead to discontinuation of prior immunotherapy. Some exceptions as defined per protocol apply.
  • Active disease or documented history of autoimmune disease that required systemic or other medications. Certain exceptions as defined in protocol apply.
  • Treatment with systemic immunosuppressive medications within 4 weeks prior to the first dose of study drug. Certain exceptions as defined in protocol apply.
  • History of , , or (HIV). Exceptions as defined in protocol for expansion cohorts will apply.
  • History of hepatitis or cirrhosis (e.g., non-alcohol steatohepatitis, alcohol or drug-related, autoimmune, hepatitis B, or hepatitis C). Exceptions as defined in protocol for expansion cohorts will apply.
  • Active interstitial lung disease (ILD) or pneumonitis or a history of ILD or pneumonitis requiring treatment with steroids or other immunosuppressive medications.
  • cardiac condition, including myocardial infarction, uncontrolled angina, cerebrovascular accident, or other acute uncontrolled heart disease \< 3 months; (LVEF) \< 50%; (NYHA) Class III or IV congestive heart failure; or uncontrolled hypertension.
  • Active, hemodynamically significant pulmonary embolism within 3 months prior to enrollment on this trial.
  • Major surgery within 4 weeks prior to enrollment on this trial.
  • Anti-infectious drug treatments (i.e., antibiotics) within 4 weeks prior to the first dose of study drug.
  • Prior organ allograft transplantations or allogeneic peripheral blood stem cell (PBSC) or bone marrow (BM) transplantation.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

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

Study arms

  • Experimental
    Single Agent Escalation

    INBRX-105 will be escalated in patients with locally advanced or metastatic solid tumors.

    Drug: INBRX-105 - PDL1x41BB antibody

  • Experimental
    Expansion Cohort Non-small Cell Lung Cancer

    Patients will be treated with single-agent INBRX-105 at either the MTD or RP2D.

    Drug: INBRX-105 - PDL1x41BB antibody

  • Experimental
    Expansion Cohort Melanoma

    Patients will be treated with single-agent INBRX-105 at either the MTD or RP2D.

    Drug: INBRX-105 - PDL1x41BB antibody

  • Experimental
    Expansion Cohort PD-L1 Positive Basket

    Patients with gastric or gastro-esophageal junction adenocarcinoma, renal cell carcinoma, and urothelial (transitional) cell carcinoma will be treated with single-agent INBRX-105 at either the MTD or RP2D.

    Drug: INBRX-105 - PDL1x41BB antibody

  • Experimental
    Expansion Cohort Nasopharyngeal or Oropharyngeal Carcinoma

    Patients with head and neck squamous cell carcinoma (NPC or OPC) will be treated with single-agent INBRX-105 at either the MTD or RP2D.

    Drug: INBRX-105 - PDL1x41BB antibody

  • Experimental
    INBRX-105 Escalation in Combination with Pembrolizumab

    INBRX-105 will be escalated in combination with Pembrolizumab in pateitns with locally advanced or metastatic solid tumors.

    Drug: INBRX-105 - PDL1x41BB antibody · Drug: Pembrolizumab

  • Experimental
    Combination Expansion Cohort Non-small Cell Lung Cancer

    CPI relapsed/refractory patients will be treated with INBRX-105 in combination with Pembrolizumab.

    Drug: INBRX-105 - PDL1x41BB antibody · Drug: Pembrolizumab

  • Experimental
    Combination Expansion Cohort Melanoma

    CPI relapsed/refractory patients will be treated with INBRX-105 in combination with Pembrolizumab.

    Drug: INBRX-105 - PDL1x41BB antibody · Drug: Pembrolizumab

  • Experimental
    Combination Expansion Cohort Cohort PD-L1 Positive Basket

    CPI-relapsed/refractory patients with head and neck squamous cell carcinoma, gastro-esophageal junction adenocarcinoma, renal cell carcinoma, and urothelial (transitional) cell carcinoma will be treated with INBRX-105 in combination with Pembrolizumab.

    Drug: INBRX-105 - PDL1x41BB antibody · Drug: Pembrolizumab

  • Experimental
    Combination Expansion Cohort CPI Naive Non-small Cell Lung Cancer

    CPI naive patients (PD-L1 IHC between 1 and 49%) will be treated with INBRX-105 in combination with Pembrolizumab.

    Drug: INBRX-105 - PDL1x41BB antibody · Drug: Pembrolizumab

  • Experimental
    Combination Expansion Cohort CPI Naive HNSCC

    CPI naive patients (PD-L1 IHC \>50%) will be treated with INBRX-105 in combination with Pembrolizumab.

    Drug: INBRX-105 - PDL1x41BB antibody

Interventions

  • The active ingredient of INBRX-105 is a recombinant, humanized, bispecific IgG antibody that targets the human programmed death-ligand 1 (PD-L1) receptor and the human 4-1BB receptor.

  • Pembrolizumab 200 mg by intravenous (IV) infusion, given on Day 1 of each 21-day cycle.

    Also known as: Keytruda

06

What researchers measure

Primary outcomes

  1. Frequency of adverse events of INBRX-105

    Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.

    Time frame: Up to 2-3 years

  2. Severity of adverse events of INBRX-105

    Severity of adverse events will be assessed and assigned by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.

    Time frame: Up to 2-3 years

  3. Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of INBRX-105

    The MTD and/or RP2D of INBRX-105 will be determined.

    Time frame: Up to 2-3 years

Secondary outcomes

  1. Area under the serum concentration time curve (AUC) of INBRX-105

    Area under the serum concentration time curve (AUC) of INBRX-105 will be determined.

    Time frame: Up to 2-3 years

  2. Maximum observed serum concentration (Cmax) of INBRX-105

    Maximum observed serum concentration (Cmax) of INBRX-105 will be determined.

    Time frame: Up to 2-3 years

  3. Trough observed serum concentration (Ctrough) of INBRX-105

    Trough observed serum concentration (Cmax) of INBRX-105 will be determined.

    Time frame: Up to 2-3 years

  4. Time to Cmax (Tmax) of INBRX-105

    Time to Cmax (Tmax) of INBRX-105 will be determined.

    Time frame: Up to 2-3 years

  5. Immunogenicity of INBRX-105

    Frequency of anti-drug antibodies (ADA) against INBRX-105 will be determined.

    Time frame: Up to 2-3 years

Other outcomes

  1. Anti-tumor activity of INBRX-105

    Tumor response will be determined by immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    Time frame: Up to 2-3 years

07

Study locations

23 sites
  • HonorHealth Research Institute
    Scottsdale, Arizona 85258, United States
  • City of Hope at Irvine Lennar
    Duarte, California 91010, United States
  • City of Hope
    Duarte, California 91010, United States
  • Valkyrie Clinical Trials
    Los Angeles, California 90069, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • University of Colorado Denver
    Denver, Colorado 80045, United States
  • Emory University - Winship Cancer Institute
    Atlanta, Georgia 30322, United States
  • Goshen Center for Cancer Care
    Goshen, Indiana 46526, United States
  • Norton Cancer Center
    Louisville, Kentucky 40202, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • START Midwest
    Grand Rapids, Michigan 49546, United States
  • Washington University
    Saint Louis, Missouri 63110, United States
  • Nebraska Cancer Specialists - Grand Island
    Omaha, Nebraska 68114, United States
  • Nebraska Cancer Specialists
    Omaha, Nebraska 68130, United States
  • Providence Cancer Institute
    Portland, Oregon 97213, United States
  • Abramson Cancer Center - University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Abramson Cancer Center at Pennsylvania Hospital
    Philadelphia, Pennsylvania 19104, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37204, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • New Experimental Therapeutics of San Antonio - NEXT Oncology
    San Antonio, Texas 78229, United States
  • START Mountain Region
    West Valley City, Utah 84119, United States
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
  • Northwest Medical Specialties, PLLC
    Tacoma, Washington 98405, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2019 to primary completion in Oct 2024, 68 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 15, 2019
First posted
Jan 18, 2019
StartActual
Jan 30, 2019
Primary completionActual
Oct 3, 2024
CompletionActual
Oct 3, 2024
Last update
Oct 23, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03809624
Lead sponsor
Inhibrx Biosciences, Inc
Responsible party
Sponsor
First posted
Jan 18, 2019
Start date
Jan 30, 2019
Primary completion
Oct 3, 2024
Completion
Oct 3, 2024
Last update
Oct 23, 2024

Study contacts

Clinical Lead
study director · Inhibrx Biosciences, Inc

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Enristomig

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