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TerminatedNCT03954704Updated Nov 21, 2023Results posted

Study of Dalutrafusp Alfa (Formerly GS-1423) in Participants With Advanced Solid Tumors

A Phase 1 interventional study of Dalutrafusp alfa and mFOLFOX6 Regimen in Advanced Solid Tumors, sponsored by Gilead Sciences. Terminated at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-21.

Sponsored by Gilead Sciences · Phase 1, Interventional, and Treatment

Why this study was terminated
The decision to discontinue the study was made based on the totality of the clinical, pharmacokinetic, and pharmacodynamic findings. No safety concerns were observed.
Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

For Phase 1a Part A, the primary objectives are to assess safety and tolerability and to define the dose limiting toxicity (DLT) and maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D) of dalutrafusp alfa (formerly GS-1423) monotherapy in participants with advanced solid tumors.

For Phase 1a Part B, the primary objective is to assess safety and tolerability of dalutrafusp alfa monotherapy in participants with advanced solid tumors.

For Phase 1b Cohort 1 safety run-in, the primary objective is to assess safety and tolerability and to define the DLT and MTD or RP2D of dalutrafusp alfa in combination with a chemotherapy regimen in participants with advanced gastric or gastroesophageal junction adenocarcinoma.

For Phase 1b Cohort 1 post safety run-in, the primary objective is to assess the preliminary efficacy of dalutrafusp alfa in combination with a chemotherapy regimen in participants with advanced gastric or gastroesophageal junction adenocarcinoma, as assessed by the confirmed objective response rate (ORR).

For Phase 1b Cohort 2, the primary objective is to assess safety and tolerability of dalutrafusp alfa monotherapy in participants with advanced solid tumors.

02

Conditions studied

  • Advanced Solid Tumors

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03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 22 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

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

Eligibility criteria

Key Inclusion Criteria:

  • Diagnosis:

    • For Phase 1a and Phase 1b Cohort 2, have a histologically or cytologically confirmed diagnosis of a locally advanced or metastatic solid tumor for which no standard therapy is available (per local guidance) or standard therapy has failed, or
    • For Phase 1b Cohort 1, have histologically or cytologically confirmed unresectable, recurrent or metastatic gastric or gastroesophageal junction adenocarcinoma who have not previously received systemic therapy for advanced disease
  • Measurable disease: Have measurable disease on imaging based on Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
  • Have a life expectancy of at least 3 months and an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Key Exclusion Criteria:

  • Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigation device within 3 weeks of the first dose of treatment
  • Has persisting toxicity related to prior therapy of National Cancer Institute-Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE) Grade >1 severity
  • Is expected to require any other form of systemic or localized anticancer therapy while on trial (including maintenance therapy with another agent, radiation therapy, and/or surgical resection)
  • Has concurrent active malignancy other than nonmelanoma skin cancer, carcinoma in situ of the cervix or superficial bladder cancer who has undergone potentially curative therapy with no evidence of disease. Individuals with other previous malignancies are eligible if disease-free for >2 years
  • Has a known central nervous system metastasis(es), unless metastases are treated and stable and the individual does not require systemic corticosteroids for management of CNS symptoms at least 7 days prior to study treatment. Individuals with history of carcinomatous meningitis are excluded regardless of clinical stability.
  • Has active or history of autoimmune disease that has required systemic treatment within 2 years of the start of trial treatment

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

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

Study arms

  • Experimental
    Phase 1a, Part A - Dose Escalation

    Part A will consist of dose escalation by an accelerated dosing design and a 3+3 dose escalation scheme. Participants will receive escalating dose levels dalutrafusp alfa of up to 45 mg/kg on Day 1 of each 2-week cycle (Q2W) until the participant meets study treatment discontinuation criteria or for up to 1 year.

    Drug: Dalutrafusp alfa

  • Experimental
    Phase 1a, Part B - Flat Dose Regimen

    Part B will consist of 3 adaptive cohorts. Based on PK, pharmacodynamics, and safety results from the Part A study, participants will be administered a flat dose of dalutrafusp alfa on Day 1 of each cycle QW, Q2W and/or every 3 weeks (Q3W) until the participant meets study treatment discontinuation criteria or for up to 1 year.

    Drug: Dalutrafusp alfa

  • Experimental
    Phase 1b, Cohort 1 (Gastric Cancer)

    Safety run-in: A standard 3+3 dose escalation design will be used to determine the DLT and MTD or RP2D of dalutrafusp alfa in combination with mFOLFOX6. The planned starting dose of dalutrafusp alfa will be targeted to achieve the exposure at -1 dose of RP2D monotherapy (Q2W) determined from Phase 1a. Dalutrafusp alfa will be administered in combination with mFOLFOX6. Post safety run-in: Approximately 70 participants will be enrolled to receive dalutrafusp alfa at the dose level determined from the safety run-in period, in combination with mFOLFOX6 regimen. Participants will receive dalutrafusp alfa on Day 1 of each 14-day cycle up to 2 years until PD, or unacceptable toxicity, substantial noncompliance with study procedures or study drug, study discontinuation or withdrawal from study. Participants will also receive mFOLFOX6 regimen Q2W for up to 12 cycles.

    Drug: Dalutrafusp alfa · Drug: mFOLFOX6 Regimen

  • Experimental
    Phase 1b, Cohort 2 (Paired Biopsy)

    Participants will receive dalutrafusp alfa at the dose level determined from Phase 1a Q2W until the participants meets study treatment discontinuation criteria or for up to 1 year.

    Drug: Dalutrafusp alfa

Interventions

  • DrugDalutrafusp alfa

    Administered intravenously

    Also known as: GS-1423

  • DrugmFOLFOX6 Regimen

    Chemotherapy regimen of oxaliplatin, 5-fluorouracil \[5-FU\], and leucovorin

  • DrugDalutrafusp alfa

    Administered intravenously

    Also known as: GS-1423

06

What researchers measure

Primary outcomes

  1. Phase 1a Part A: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs), Graded Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0)

    DLT was defined as: Grade 3 thrombocytopenia with bleeding; Grade ≥ 3 febrile neutropenia; any Grade 4 hematologic laboratory abnormalities/adverse events (AEs) (except Grade 4 lymphopenia and anaemia, Grade 4 neutropenia lasting ≤ 7 days with no fever); Grade 4 non-hematologic AEs; any ≥Grade 2 uveitis, blurred vision, eye pain, and/or reduction of visual acuity that did not respond to topical therapy and did not improve to Grade 1 severity within 2 weeks of topical therapy initiation or required systemic treatment; Grade 3 non-hematologic AEs; any other non-immune-related Grade 3 AE (except any Grade 3 endocrinopathy; Grade 3 AE of tumor flare; transient \[≤ 3 days\] Grade 3 fatigue, local reactions, headache, nausea, emesis, or diarrhea and/or resolved to Grade ≤ 1; transient Grade 3 flu-like symptoms or fever); inability to receive first 2 doses of GS-1423 or \> 2-week delay in starting next cycle of therapy due to a treatment-related toxicity; Grade 5 event (death).

    Time frame: Baseline up to 28 days

Secondary outcomes

  1. Phase 1a Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An AE was any untoward medical occurrence in a participant administered the study drug, which did not necessarily have a causal relationship with the treatment. An AE could therefore, be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. Adverse events might also include pretreatment or posttreatment complications that occurred as a result of protocol-specified procedures or special situations. Preexisting events that increased in severity or change in nature during or as a consequence of participation in the study were also considered AEs. TEAEs were AEs with onset dates on or after the first dose of study drug GS-1423 and up to 30 days after permanent withdrawal of GS-1423.

    Time frame: First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days

  2. Phase 1a Part A: Percentage of Participants With Treatment-Emergent Grade 3 or 4 Laboratory Abnormalities

    Severity was graded per NCI CTCAE v5.0. Grade 1: Mild, Grade 2: Moderate, Grade 3: Severe, Grade 4: Life-threatening or disabling, Grade 5: Death related to AE.

    Time frame: First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days

  3. Phase 1a Part A: Percentage of Participants With Shift in Clinically Significant Abnormal 12-Lead Electrocardiogram (ECG) From Baseline to Overall Study

    The Baseline value was the last available value collected on or prior to first dose of study drug. Percentages were based on participants with values available at both baseline and postbaseline. NCS = Non-clinical significance; CS = Clinical significance.

    Time frame: First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days

  4. Phase 1a Part A: Pharmacokinetic (PK) Parameter: AUCtau of GS-1423

    AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

    Time frame: Cycle 1 and Cycle 4: Day 1 (Predose, end of infusion, 2 and 6 hours post start of infusion); Days 2, 3, 5, and 8 (additionally at Day 15 in Cycle 4)

  5. Phase 1a Part A: Percentage of Participants Who Developed Anti-Drug Antibodies (ADAs)

    Time frame: Baseline, during the treatment (maximum duration: 26.3 weeks), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 4 Day 15, Cycle 6 Day 1, 30-day follow-up (30 days after discontinuation of GS-1423), post treatment follow-up (3 months)

07

Results

Posted Nov 21, 2023
Limitations and caveats
Because the study was terminated after enrolling only 22 participants in the dose-escalation stage (Phase 1a Part A), planned analysis was not conducted for Phase 1a Part B, and Phase 1b.

Participant flow

Participants were enrolled at study sites in United States. The first participant was screened on 03 June 2019. The last study visit occurred on 15 April 2021.

Participant flow — Overall Study
MilestonePhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Started1133383
Completed0000000
Not completed1133383
Withdrew: Death1113220
Withdrew: Withdrew consent0010010
Withdrew: Lost to follow-up0000001
Withdrew: Study terminated by sponsor0010142
Withdrew: Enrolled but not treated0000010

Outcome measures

PrimaryPhase 1a Part A: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs), Graded Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0)

DLT was defined as: Grade 3 thrombocytopenia with bleeding; Grade ≥ 3 febrile neutropenia; any Grade 4 hematologic laboratory abnormalities/adverse events (AEs) (except Grade 4 lymphopenia and anaemia, Grade 4 neutropenia lasting ≤ 7 days with no fever); Grade 4 non-hematologic AEs; any ≥Grade 2 uveitis, blurred vision, eye pain, and/or reduction of visual acuity that did not respond to topical therapy and did not improve to Grade 1 severity within 2 weeks of topical therapy initiation or required systemic treatment; Grade 3 non-hematologic AEs; any other non-immune-related Grade 3 AE (except any Grade 3 endocrinopathy; Grade 3 AE of tumor flare; transient \[≤ 3 days\] Grade 3 fatigue, local reactions, headache, nausea, emesis, or diarrhea and/or resolved to Grade ≤ 1; transient Grade 3 flu-like symptoms or fever); inability to receive first 2 doses of GS-1423 or \> 2-week delay in starting next cycle of therapy due to a treatment-related toxicity; Grade 5 event (death).

Time frame:
Baseline up to 28 days
Reported as:
Number · percentage of participants
Phase 1a Part A: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs), Graded Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0)
percentage of participantsPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Phase 1a Part A: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs), Graded Per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI CTCAE v5.0)0000000
SecondaryPhase 1a Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)

An AE was any untoward medical occurrence in a participant administered the study drug, which did not necessarily have a causal relationship with the treatment. An AE could therefore, be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. Adverse events might also include pretreatment or posttreatment complications that occurred as a result of protocol-specified procedures or special situations. Preexisting events that increased in severity or change in nature during or as a consequence of participation in the study were also considered AEs. TEAEs were AEs with onset dates on or after the first dose of study drug GS-1423 and up to 30 days after permanent withdrawal of GS-1423.

Time frame:
First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days
Reported as:
Number · percentage of participants
Phase 1a Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
percentage of participantsPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Phase 1a Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)100.0100.0100.0100.0100.0100.0100.0
SecondaryPhase 1a Part A: Percentage of Participants With Treatment-Emergent Grade 3 or 4 Laboratory Abnormalities

Severity was graded per NCI CTCAE v5.0. Grade 1: Mild, Grade 2: Moderate, Grade 3: Severe, Grade 4: Life-threatening or disabling, Grade 5: Death related to AE.

Time frame:
First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days
Reported as:
Number · percentage of participants
Phase 1a Part A: Percentage of Participants With Treatment-Emergent Grade 3 or 4 Laboratory Abnormalities
percentage of participantsPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Hematology0100.00033.314.30
Serum Chemistry00033.333.314.30
Coagulation0000000
Endocrine Function Tests0000000
Urinalysis0000000
SecondaryPhase 1a Part A: Percentage of Participants With Shift in Clinically Significant Abnormal 12-Lead Electrocardiogram (ECG) From Baseline to Overall Study

The Baseline value was the last available value collected on or prior to first dose of study drug. Percentages were based on participants with values available at both baseline and postbaseline. NCS = Non-clinical significance; CS = Clinical significance.

Time frame:
First dose date up to permanent withdrawal of GS-1423 (maximum duration: 26.3 weeks) plus 30 days
Reported as:
Number · percentage of participants
Phase 1a Part A: Percentage of Participants With Shift in Clinically Significant Abnormal 12-Lead Electrocardiogram (ECG) From Baseline to Overall Study
percentage of participantsPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Normal baseline - Normal0033.333.3000
Normal baseline - Abnormal NCS00033.366.771.40
Normal baseline - Abnormal CS0000000
Abnormal NCS Baseline - Normal0000000
Abnormal NCS Baseline - Abnormal NCS100.0100.066.733.333.328.6100.0
Abnormal NCS Baseline - Abnormal CS0000000
Abnormal CS Baseline - Normal0000000
Abnormal CS Baseline - Abnormal NCS0000000
Abnormal CS Baseline - Abnormal CS0000000
SecondaryPhase 1a Part A: Pharmacokinetic (PK) Parameter: AUCtau of GS-1423

AUCtau was defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

Time frame:
Cycle 1 and Cycle 4: Day 1 (Predose, end of infusion, 2 and 6 hours post start of infusion); Days 2, 3, 5, and 8 (additionally at Day 15 in Cycle 4)
Reported as:
Mean · µg*h/mL
Phase 1a Part A: Pharmacokinetic (PK) Parameter: AUCtau of GS-1423
µg*h/mLPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Cycle 1——1476.9 ± 759.845311.8 ± 595.7733530.9 ± 1646.2251593.2 ± 16313.2064856.3 ± 9814.95
Cycle 4——1711.9 ± 1486.08—28558.065368.1 ± 5469.8274097.0
SecondaryPhase 1a Part A: Percentage of Participants Who Developed Anti-Drug Antibodies (ADAs)
Time frame:
Baseline, during the treatment (maximum duration: 26.3 weeks), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 4 Day 15, Cycle 6 Day 1, 30-day follow-up (30 days after discontinuation of GS-1423), post treatment follow-up (3 months)
Reported as:
Number · percentage of participants
Phase 1a Part A: Percentage of Participants Who Developed Anti-Drug Antibodies (ADAs)
percentage of participantsPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Baseline0000014.30
During the Treatment100.0066.766.766.7033.3
Cycle 2 Day 100066.733.3033.3
Cycle 3 Day 10033.333.366.700
Cycle 4 Day 10033.3033.300
Cycle 4 Day 15000033.300
Cycle 6 Day 10033.30000
30-Day Follow-Up100.000033.300
Post Treatment Follow-Up (3 months)000033.000

Adverse events

Collected over Adverse Events and Serious Adverse Events: First dose date up to 30 days after permanent withdrawal of GS-1423 (maximum exposure: 26.3 weeks); All-Cause Mortality: Enrollment up to 22 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kg1/1 (100%)0/1 (0%)1/1 (100%)
Phase 1a (Part A) Cohort 2: GS-1423 1 mg/kg1/1 (100%)1/1 (100%)1/1 (100%)
Phase 1a (Part A) Cohort 3: GS-1423 3 mg/kg1/3 (33.3%)0/3 (0%)3/3 (100%)
Phase 1a (Part A) Cohort 4: GS-1423 10 mg/kg3/3 (100%)2/3 (66.7%)3/3 (100%)
Phase 1a (Part A) Cohort 5: GS-1423 20 mg/kg2/3 (66.7%)2/3 (66.7%)3/3 (100%)
Phase 1a (Part A) Cohort 6: GS-1423 30 mg/kg2/8 (25%)4/7 (57.1%)7/7 (100%)
Phase 1a (Part A) Cohort 7: GS-1423 45 mg/kg0/3 (0%)0/3 (0%)3/3 (100%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
AnaemiaBlood and lymphatic system disorders0/11/10/30/30/30/70/3
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/11/10/30/30/30/70/3
Abdominal painGastrointestinal disorders0/10/10/31/30/30/70/3
VomitingGastrointestinal disorders0/10/10/31/30/30/70/3
Disease progressionGeneral disorders0/10/10/31/30/30/70/3
FatigueGeneral disorders0/10/10/31/30/30/70/3
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/10/10/30/31/30/70/3
Pleural effusionRespiratory, thoracic and mediastinal disorders0/10/10/30/31/31/70/3
Aortic embolusVascular disorders0/10/10/31/30/30/70/3
ThrombocytopeniaBlood and lymphatic system disorders0/10/10/30/30/31/70/3
Most frequent other events
Showing 10 of 75
Most frequent other events
EventPhase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kg
Abdominal distensionGastrointestinal disorders0/11/10/30/31/30/70/3
Abdominal painGastrointestinal disorders1/10/10/32/31/30/70/3
ConstipationGastrointestinal disorders0/11/10/31/30/30/70/3
DiarrhoeaGastrointestinal disorders0/11/12/30/31/32/70/3
NauseaGastrointestinal disorders0/11/11/31/30/32/72/3
FatigueGeneral disorders0/11/11/31/32/34/70/3
PyrexiaGeneral disorders0/11/11/30/31/31/70/3
Alanine aminotransferase increasedInvestigations1/10/10/30/30/31/70/3
Aspartate aminotransferase increasedInvestigations1/10/10/30/30/31/70/3
Lymphocyte count decreasedInvestigations1/10/10/31/30/30/70/3

Baseline characteristics

The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)Phase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kgTotal
Mean586770 ± 8.770 ± 11.662 ± 7.457 ± 15.871 ± 7.264 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)Phase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kgTotal
Female013226115
Male10011126
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Phase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kgTotal
Hispanic or Latino011325214
Not Hispanic or Latino10100204
Unknown or Not Reported00101013
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase 1a (Part A) Cohort 1: GS-1423 0.3 mg/kgPhase 1a (Part A) Cohort 2: GS-1423 1 mg/kgPhase 1a (Part A) Cohort 3: GS-1423 3 mg/kgPhase 1a (Part A) Cohort 4: GS-1423 10 mg/kgPhase 1a (Part A) Cohort 5: GS-1423 20 mg/kgPhase 1a (Part A) Cohort 6: GS-1423 30 mg/kgPhase 1a (Part A) Cohort 7: GS-1423 45 mg/kgTotal
American Indian or Alaska Native00000000
Asian00000000
Native Hawaiian or Other Pacific Islander00000000
Black or African American00001203
White113325318
More than one race00000000
Unknown or Not Reported00000000
08

Study locations

4 sites
  • Scottsdale Healthcare Hospitals d/b/a HonorHealth
    Scottsdale, Arizona 85258, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Mary Crowley Cancer Research
    Dallas, Texas 75230, United States
  • NEXT Oncology
    San Antonio, Texas 78229, United States
09

References and documents

Publications

  • Tolcher AW, Gordon M, Mahoney KM, Seto A, Zavodovskaya M, Hsueh CH, Zhai S, Tarnowski T, Jurgensmeier JM, Stinson S, Othman AA, Chen T, Strauss J. Phase 1 first-in-human study of dalutrafusp alfa, an anti-CD73-TGF-beta-trap bifunctional antibody, in patients with advanced solid tumors. J Immunother Cancer. 2023 Feb;11(2):e005267. doi: 10.1136/jitc-2022-005267. PubMed 36746510 ↗

Study documents

  • Study protocol · Apr 29, 2020
  • Statistical analysis plan · Jul 13, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 21, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03954704
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
May 17, 2019
Start date
Jun 3, 2019
Primary completion
Oct 27, 2020
Completion
Apr 15, 2021
Results posted
Nov 21, 2023
Last update
Nov 21, 2023

Study contacts

Gilead Study Director
study director · Gilead Sciences

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 Feb 2023. You cannot join it, but the record below documents what was studied.

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

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