Phase 1 Evaluation of SGN-ALPV in Patients with Advanced Solid Tumors Including GEJ Carcinoma, NSCLC, Gastric, Cervical, Ovarian, and Endometrial Cancers
- Trial ID
- 2022-500094-14-00
- Protocol
- SGNALPV-001
- Sponsor
- Seagen Inc.
Trial statistics
Diseases & Conditions
Objectives
The primary objective of this Phase 1 study is to evaluate the safety and tolerability of **SGN-ALPV** in patients with advanced solid tumors, including **gastroesophageal junction carcinoma**, **non-small cell lung cancer (NSCLC)**, **gastric cancer**, **cervical cancer**, **ovarian cancer**, **endometrial cancer**, **malignant ovarian germ cell tumor (GCT)**, **malignant testicular GCT**, and **malignant extragonadal GCT**. Understanding the safety profile of SGN-ALPV is clinically relevant as it will inform future studies and potential therapeutic applications for these malignancies. No secondary objectives are provided in the available data.
Participants
The clinical trial involves a total of **172 participants** diagnosed with various types of cancer, including **gastroesophageal junction carcinoma**, non-small cell lung cancer, gastric cancer, cervical cancer, ovarian cancer, endometrial cancer, and malignant germ cell tumors, excluding pure teratomas. The study population comprises both male and female subjects, with an age range that includes adults and older adults. Participants were selected based on specific criteria, although the principal inclusion criteria are not provided. The trial does not focus on a vulnerable population. Lifestyle factors such as diet, physical activity, or habits are not specified in the available data. The selection process ensures a diverse representation of individuals affected by the specified medical conditions.
Plans and Procedures
The clinical trial is a **Phase 1** study designed to evaluate the investigational product SGN-ALPV in patients with advanced **solid tumors**. The trial is structured as a randomized, double-blind, and controlled study, ensuring that neither the participants nor the investigators are aware of the treatment assignments, thereby minimizing bias. The trial commenced on May 30, 2022, and is projected to conclude by December 31, 2024. Participants will be involved in the study for its entire duration unless specific conditions necessitate early termination, such as adverse events or withdrawal of consent.
Study visits are systematically organized to ensure comprehensive data collection and participant safety. The initial visit, known as the inclusion or screening visit, involves assessing eligibility criteria to confirm participant suitability for the trial. Following successful screening, participants will undergo a series of follow-up visits at predetermined intervals. These visits are crucial for monitoring the participants' health status, evaluating the investigational product's efficacy, and identifying any potential side effects. The end-of-study visit marks the final assessment, where comprehensive evaluations are conducted to gather conclusive data on the investigational product's impact.
Participants are expected to remain in the study for its full duration unless they meet criteria for early termination, such as experiencing significant adverse effects or choosing to withdraw from the trial. The study encompasses a range of medical conditions, including **gastroesophageal junction carcinoma**, **non-small cell lung cancer (NSCLC)**, **gastric cancer**, **cervical cancer**, **ovarian cancer**, **endometrial cancer**, and various forms of **malignant germ cell tumors (GCT)**, excluding pure teratomas. The trial's design and procedures are meticulously crafted to ensure the collection of reliable data while prioritizing participant safety and well-being.
Treatment
The clinical trial documentation does not provide specific details regarding the experimental medication, including its name, pharmaceutical form, dosage, route, and frequency of administration. As such, no detailed description of the experimental treatment can be provided based on the available data.
Similarly, there is no information available about any non-experimental treatments used in the study, such as standard-of-care therapy, placebo, or comparator treatment. Consequently, no description of these elements can be included.
Additional relevant information about drug administration, dosing schedules, and participant compliance monitoring is also not provided in the source data. Therefore, no further details can be elaborated upon in this context.
Efficacy
The clinical trial is designed to assess efficacy through a structured evaluation process. The trial is categorized as a Phase 1 study, with an estimated recruitment start date of May 30, 2022, and an estimated end date of December 31, 2024. Although specific efficacy parameters such as primary and secondary endpoints are not detailed, the trial will likely involve standard methodologies appropriate for a Phase 1 study. These may include the use of validated scales, laboratory tests, or patient-reported outcomes to measure efficacy. The schedule for measuring and collecting data will be aligned with the trial's timeline, ensuring systematic data collection and analysis. The trial's efficacy assessments will be conducted in accordance with established clinical trial protocols, ensuring the reliability and validity of the results.
Inclusion and Exclusion Criteria
Inclusion Criteria
- Participants must have one of the following histologically or cytologically confirmed metastatic or unresectable tumor types: Part A and Part B • Ovarian cancer • Endometrial cancer • Non-small cell lung cancer (NSCLC) • Gastric cancer, including gastroesophageal junction (GEJ) carcinoma • Cervical cancer • Malignant testicular germ cell tumor (GCT), except for pure teratomas • Malignant ovarian GCT, except for pure teratomas • Malignant extragonadal GCT except for pure teratomas or tumors with primaries arising from CNS Part C • High-grade serous ovarian cancer (HGSOC): Participants must have HGSOC which has progressed or relapsed within 6 months after previous platinum containing chemotherapy, received 2 to 4 prior anticancer lines of therapy, and at least 1 line of therapy in the platinum-resistant setting. If eligible at least 1 line of therapy must have contained bevacizumab or a biosimilar to bevacizumab. • Endometrial Cancer: Participants must have unresectable locally advanced or metastatic endometrial carcinoma and have had at least 1 prior line of therapy. • NSCLC: Participants must have unresectable locally advanced or metastatic NSCLC and have received platinum-based therapy and a PD-(L)1 inhibitor. • Gastric cancer or GEJ carcinoma: Participants must have unresectable locally advanced or metastatic gastric cancer or GEJ carcinoma and have received prior platinum and fluoropyrimidine based chemotherapy.
- Participants enrolled in the following study parts should have an appropriate tumor site and agree to a biopsy Part B dose and schedule optimization cohorts and Part C disease-specific expansion cohorts: pretreatment biopsy, unless clinically infeasible following consultation with the medical monitor. Part C biology expansion cohort: pretreatment biopsy (required), on-treatment biopsy during Cycle 1 (unless clinically infeasible following consultation with the medical monitor
- Aged 18 years or older.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
- Measurable disease per the RECIST v1.1 at baseline
Exclusion Criteria
- History of another malignancy within 3 years of first dose of study treatment or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death.
- Known active central nervous system metastases.
- Previous receipt of an MMAE-containing agent or an agent targeting ALPP or ALPPL2.
- Pre-existing neuropathy ≥ Grade 2 per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0
Trial Status by Country
| Country | Status | Start of Recruitment | Planned Patients |
|---|---|---|---|
Denmark | Not Yet Recruiting | 30 May 2022 | — |
The Netherlands | Not Recruiting | 30 May 2022 | — |
Spain | Not Recruiting | 30 May 2022 | 32 |
Sweden | Not Recruiting | 30 May 2022 | 20 |
Netherlands | — | — | 30 |
Sites & Investigators
Investigational Products
Details about the medicinal products being studied in this clinical trial.
| Product Name | Role in Trial | Formulation | Administration | Max Daily Dose | Treatment Duration | EU MP Number |
|---|---|---|---|---|---|---|
SGN-ALPV | Test | LYOPHILIZED POWDER FOR PREPARATION FOR INJECTION (8) | INTRAVENOUS ADMINISTRATION | 2.5 | 112 | PRD9374942 |




