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TerminatedPhase 1/2

A Phase 1/2 Study of FS118 in Patients With Advanced Malignancies

Reason given: Business Decision

Key facts

Where
Atlanta, Cincinnati, Houston, Los Angeles, New Haven, Philadelphia, and San Antonio, United StatesSee the 7 sites
Phase
Phase 1/2

Where in United States

  • Emory HealthcareAtlanta, United StatesNo longer taking part
  • University of CincinnatiCincinnati, United StatesNo longer taking part
  • MD Anderson Cancer CenterHouston, United StatesNo longer taking part
  • University of California Los Angeles (UCLA).Los Angeles, United StatesNo longer taking part
  • Yale University School Of MedicineNew Haven, United StatesNo longer taking part
  • University of PennsylvaniaPhiladelphia, United StatesNo longer taking part
  • South Texas Accelerated Research TherapeuticsSan Antonio, United StatesNo longer taking part

Trial details

Who runs it
invoX Pharma Limited
Trial code
NCT03440437
Record updated
1 July 2025
Original description
This study will be conducted in adult participants diagnosed with advanced tumors to characterize the safety, tolerability, pharmacokinetics (PK), and activity of FS118. This is a Phase 1/2, multi-center, open-label, multiple-dose, first-in-human study, designed to systematically assess safety and tolerability, to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for FS118 in participants with advanced tumors and to determine the efficacy of FS118 in participants with squamous cell carcinoma of the head and neck (SCCHN) as monotherapy and in combination with paclitaxel. In addition to safety, pharmacokinetics, pharmacodynamics, immunogenicity and efficacy will also be assessed.Read full original descriptionShow less

A Phase 1/2, Open-Label, Study to Evaluate the Safety and Anti-Tumor Activity of FS118, a LAG-3/PD-L1 Bispecific Antibody, as a Monotherapy and in Combination With Paclitaxel, in Patients With Advanced Malignancies

This study will be conducted in adult participants diagnosed with advanced tumors to characterize the safety, tolerability, pharmacokinetics (PK), and activity of FS118. This is a Phase 1/2, multi-center, open-label, multiple-dose, first-in-human study, designed to systematically assess safety and tolerability, to identify the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for FS118 in participants with advanced tumors and to determine the efficacy of FS118 in participants with squamous cell carcinoma of the head and neck (SCCHN) as monotherapy and in combination with paclitaxel. In addition to safety, pharmacokinetics, pharmacodynamics, immunogenicity and efficacy will also be assessed.

Inclusion: All participants:; Age ≥18 years; Participants with histologically confirmed, locally advanced, unresectable, or metastatic solid tumors that progressed while on or after PD-1/PD-L1 containing therapy; Measurable disease; Eastern Cooperative Oncology Group (ECOG) Performance Status ≤1; Life expectancy estimated to be at least 3 months; Highly effective contraception; Willing and able to provide written informed consent; Expansion cohort only:; Histologically and/or cytologically confirmed recurrent/metastatic (R/M) SCCHN that is not amenable to curative therapy by surgery or radiation; Only 1 prior anti-PD-1 or anti-PD-L1 therapy and documented PD-L1 scoring ≥1% by combined positive score or tumor proportion score as part of their treatment; An anti-PD-1 or anti-PD-L1 treatment regimen must be the last prior therapy before study enrollment, following no more than 2 prior systemic regimens for R/M SCCHN; Acquired resistance to an anti-PD-1- or anti-PD-L1-containing therapy; The participant agrees to undergo a pre-treatment and on-treatment core or excisional biopsy and the biopsy procedure is not judged to be high risk by the Investigator.

Exclusion: Prior therapy: Received systemic anti-cancer therapy within 28 days or 5 half-lives, of the first dose of study drug, or prior treatment with a LAG-3 inhibitor; Prior history of or active interstitial lung disease or pneumonitis, encephalitis, seizures, severe immune related adverse events with prior PD-1/PD-L1 containing treatments; Intolerance to the investigational product or its excipients, or any condition that would significantly impair and/or prohibit the participants's participation in the study, as per the Investigator's judgment; Expansion cohort only:; History of severe immune-related toxicity during the prior treatment with checkpoint inhibitors; Participant is deemed at high risk of fatal outcome in case of COVID-19; Participants with a history of COVID-19 and have not provided a negative test for SARS CoV-2 infection within 28 days of the planned first dose date with FS118; Participants with active or documented history of autoimmune disease; History of uncontrolled intercurrent illness; Known infections; Uncontrolled CNS metastases, primary CNS tumors, or solid tumors with CNS metastases as only measurable disease; Significant cardiac abnormalities; Significant laboratory abnormalities; All participants:; Participant has nasopharynx or thyroid primary tumor site.

ClinicalTrials.gov NCT03440437