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Active, not recruitingNCT05311618Updated Apr 1, 2024

Study of NGM438 as Monotherapy and in Combination With Pembrolizumab in Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of NGM438 and Pembrolizumab (KEYTRUDA ®) in Pancreatic Cancer, Breast Cancer and Gastric Cancer, sponsored by NGM Biopharmaceuticals, Inc. Active, not recruiting at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-01.

Sponsored by NGM Biopharmaceuticals, Inc · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2025, 1 year 6 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 1
Study type
Interventional
Enrollment
71
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Study of NGM438 as Monotherapy and in Combination with Pembrolizumab in Advanced or Metastatic Solid Tumors

02

Conditions studied

  • Pancreatic Cancer
  • Breast Cancer
  • Gastric Cancer
  • Non Small Cell Lung Cancer
  • Cervical Cancer
  • Endocervical Cancer
  • Squamous Cell Carcinoma of Head and Neck
  • Bladder Urothelial Cancer
  • Colorectal Cancer
  • Esophageal Cancer
  • Ovarian Cancer
  • Renal Cell Carcinoma
  • Prostate Cancer
  • Melanoma
  • Mesothelioma
  • Cholangiocarcinoma
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 71 is above the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

NGM Biopharmaceuticals, Inc is the lead sponsor of 26 studies on the registry; 1 is open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) 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

Inclusion criteria

  • Histologically or cytologically documented locally advanced or metastatic solid tumor malignancy.
  • Progressed or was intolerant to all available therapies known to confer clinical benefit appropriate for their tumor type for which the patient was eligible and willing to receive.
  • Adequate bone marrow, kidney and liver function
  • Performance status of 0 or 1.
  • Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade 1 except for AEs not constituting a safety risk by Investigator judgement.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment targeting LAIR1
05

Study design

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

Study arms

  • Experimental
    NGM438 Monotherapy Dose Escalation

    Part 1a Single Agent Dose Escalation

    Drug: NGM438

  • Experimental
    NGM438 Combination Dose Finding with pembrolizumab ( KEYTRUDA ® )

    Part 1b NGM438 plus pembrolizumab ( KEYTRUDA ® )

    Drug: NGM438 · Drug: Pembrolizumab (KEYTRUDA ®)

  • Experimental
    Biopsy Cohort with NGM438 Monotherapy Followed by Combination Therapy with Pembrolizumab(KEYTRUDA ®)

    Part 1C NGM438 followed by NGM438 plus pembrolizumab ( KEYTRUDA ® )

    Drug: NGM438 · Drug: Pembrolizumab (KEYTRUDA ®)

Interventions

  • DrugNGM438

    NGM438 is given intravenously (IV) every 3 weeks in a 21 day cycle. Multiple dose levels will be evaluated.

  • DrugPembrolizumab (KEYTRUDA ®)

    Pembrolizumab (KEYTRUDA®) will be administered intravenously (IV) every 3 weeks in a 21 day cycle.

06

What researchers measure

Primary outcomes

  1. Number of Patients with Dose-limiting Toxicities

    A DLT is defined as an AE that meets at least one of the criteria listed in protocol, according to National Cancer Institute (NCI) common terminology criteria for AE (CTCAE) version 5.0, and is considered by the Investigator to be clinically relevant and attributed to the study treatment during the first 21 days after the first dose of study treatment.

    Time frame: Baseline up to 21 Days

  2. Number of Patients with Adverse Events

    Number of patients with adverse events (AEs) according to severity, seriousness, and relationship to study drug. An AE is defined as any untoward medical occurrence in a patient, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of patients who experience at least one AE will be presented.

    Time frame: Approximately 24 months

  3. Number of Patients with Clinically Significant Laboratory Abnormalities

    Number of patients with clinically significant change from baseline in laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE version 5.0) and timing.

    Time frame: Approximately 24 months

  4. Changes in potential pharmacodynamic biomarker CD163 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in CD163

    Time frame: Baseline up to 15 days

  5. Changes in potential pharmacodynamic biomarker MMP9 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in MMP9

    Time frame: Baseline up to 15 days

  6. Changes in potential pharmacodynamic biomarker CD8 in paired tumor tissue in Patients in the Biopsy Cohort Summary of baseline, post baseline and changes from baseline in CD8

    Time frame: Baseline up to 15 days

Secondary outcomes

  1. Maximum Observed Serum Concentration (Cmax) of NGM438

    Cmax is defined as the observed maximum serum concentration post drug administration. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  2. Area Under the Curve (AUC) of Serum NGM438

    Area under the curve from time zero extrapolated to the last time point prior to the next dose. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  3. Time to Maximum (Tmax) Observed Serum Concentration of NGM438

    Tmax is defined as the time to reach the observed maximum serum concentration (Cmax). Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  4. Half-life (t1/2) of NGM438 in Serum

    Time measured for the serum concentration to decrease by one half during the terminal phase. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  5. Systemic Clearance (CL) of NGM438

    CL is defined as systemic clearance. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  6. Volume of Distribution (Vss) of NGM438 at Steady State

    Vss is defined as the volume of distribution at steady state. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycles 4-6 and every third cycle thereafter

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  7. Anti-drug Antibodies (ADA) Against NGM438

    Incidence and titers of anti-drug antibodies (ADA) against NGM438. Will be measured on Day 1 of each cycle through Cycle 6 and every third cycle thereafter.

    Time frame: Approximately 24 months. Each Cycle is 21 days.

  8. Number of Patients in Dose Escalation and Dose Finding Cohorts with Objective Responses

    Objective Response Rate is defined as the proportion of patients who achieve a confirmed complete response (CR) or partial response (PR) divided by the total number of evaluable patients per RECIST v1.1

    Time frame: Approximately 24 months

  9. Trough Concentrations of NGM438 in Patients in the Biopsy Cohort

    Trough Concentration refers to the serum concentration of NGM438 observed just before treatment administration. Will be measured on Day 1, 2, 4, 8 and 15 of Cycles 1 and 3, Day 1 of Cycle 2 and Day 1 of Cycle 4 and each cycle thereafter.

    Time frame: Approximately 24 months. Each Cycle is 21 days.

07

Study locations

6 sites
  • SCRI Denver
    Denver, Colorado 80218, United States
  • Yale Cancer Center
    New Haven, Connecticut 06520, United States
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
  • START Midwest
    Grand Rapids, Michigan 49546, United States
  • Mount Sinai Hospital
    New York, New York 10029, United States
  • MD Anderson
    Houston, Texas 77030, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05311618
Lead sponsor
NGM Biopharmaceuticals, Inc
Collaborators
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Apr 5, 2022
Start date
May 11, 2022
Primary completion
Apr 2025 (estimated)
Completion
Jun 2025 (estimated)
Last update
Apr 1, 2024

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 active, not recruiting, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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