Study of GS-0201 Alone and in Combination in Participants With Advanced Solid Tumors

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About the study

The main goal of this first in human (FIH) study is to learn about the safety and dosing of GS-0201 when given alone or in combination with sacituzumab govitecan (SG) in participants with advanced solid tumors. The primary objectives of this study are to: * To assess the safety and tolerability of GS-0201 as monotherapy and in combination with SG in participants with selected advanced solid tumors * To identify the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of GS-0201 as monotherapy and the MTD and/or the RP2D and dosing schedule of GS-0201 in combination with SG in participants with selected advanced solid tumors
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Who can take part

You may be eligible to participate in the study if you meet the following criteria:

INCLUSION CRITERIA

Inclusion Criteria:

  1. * Able to understand and give written informed consent.
  2. * Assigned female or male at birth, 18 years of age or older.
  3. * Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
  4. * Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria by investigator assessment.
  5. * Organ function requirements:
  1. * Adequate hematologic function
  2. * Adequate hepatic function
  3. * Creatinine clearance
  4. * Coagulation
  5. * Tissue requirement:

* Parts A, B, C, and D:

  1. * Pre-treatment tumor tissue is required.
  2. * Parts A and C backfill biopsy cohorts:
  1. * Participants must agree to fresh pre- and on-treatment biopsies.
  2. * Participants assigned male at birth and participants assigned female at birth and of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception
  3. * Willing and able to comply with the requirements and restrictions in this protocol
  4. * Part A (GS-0201 Monotherapy Dose Escalation) Inclusion Criteria:

    1. * Histologically/cytologically confirmed progressive/advanced solid tumors with selected molecular lesions.
    2. * Participants must have received, been intolerant to, or been ineligible for all treatment known to confer clinical benefit or have a contraindication to receive the therapy
    3. * Part B (Dose Expansion) Inclusion Criteria:

      1. * Disease documented as:
      2. * Cohort B1:
      1. * Histologically or cytologically confirmed progressive/advanced selected solid tumor diagnoses harboring defined molecular lesions
      2. * Participants may potentially be required to forgo treatment with approved agent(s) to be able to participate in the study
      3. * Cohort B2:
      1. * Histologically or cytologically confirmed progressive/advanced solid tumor diagnoses harboring defined molecular lesions not included in Cohort B1
      2. * Participants must have received, been intolerant to, or been ineligible for all treatment known to confer clinical benefit or have a contraindication to receive the therapy
      3. * Part C (Dose Escalation) Inclusion Criteria:

        1. * Histologically or cytologically confirmed unresectable locally advanced/metastatic selected solid tumors
        2. * Part D (Dose Expansion) Inclusion Criteria:

          1. * Disease documented as:
          2. * Cohort D1:
          1. * Histologically or cytologically confirmed unresectable locally advanced or metastatic triple-negative breast cancer (mTNBC)
          2. * Cohort D2:

          * Histologically or cytologically confirmed unresectable locally advanced or metastatic HR+/HER2- (IHC 0, IHC 1+ or IHC 2+/ in situ hybridization (ISH-)) breast cancer.

EXCLUSION CRITERIA

Exclusion Criteria:

  1. * Pregnant or lactating females
  2. * Known hypersensitivity to any of the study drugs, its metabolites, or formulation excipients
  3. * Requirement for ongoing therapy with or use of any prohibited medications described in the protocol
  4. * Participants with myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with findings suggestive of MDS/AML
  5. * Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of GS-0201
  6. * The therapies listed below within the specified timeframe:
  1. * Major surgery (excluding minor procedures, eg, placement of vascular access, gastrointestinal/biliary stent, biopsy) \< 4 weeks prior to planned Cycle 1 Day 1
  2. * Immunotherapy or biologic therapy \< 21 days prior to planned Cycle 1 Day 1
  3. * Chemotherapy \< 14 days prior to planned Cycle 1 Day 1, or \< 42 days for mitomycin or nitrosoureas
  4. * Targeted small molecule therapy \< 14 days prior to planned Cycle 1 Day 1
  5. * Receipt of experimental therapy within 21 days or 5 experimental treatment half-lives (whichever is longer) prior to planned Cycle 1 Day 1
  6. * Hormonal or other adjunctive therapy for cancers other than the cancer under evaluation in this study that started \< 14 days prior to planned Cycle 1 Day 1 are not permitted. Hormonal therapy, bisphosphonates, somatostatin analogues, and leuprolide are permitted if started ≥ 14 days prior to planned Cycle 1 Day 1
  7. * Radiotherapy within 2 weeks prior to planned Cycle 1 Day 1 and the radiation is not administered to a target lesion
  8. * Any prior allogeneic tissue/solid organ transplantation, including allogeneic hematopoietic stem cell transplantation. Participants with a history of autologous hematopoietic stem cell transplantation are also excluded
  9. * Have not recovered (ie, Grade 1 or lower) from AEs due to a previously administered agent
  10. * Prior treatment with approved or experimental prohibited agents as detailed in the protocol.
  11. * Diagnosis of immunodeficiency, either primary or acquired, or requires systemic corticosteroids (\> 10 mg of prednisone daily, or equivalent). However, replacement doses, topical, ophthalmologic, and inhalational steroids are permitted
  12. * Have an active second malignancy
  13. * Have known active central nervous system (CNS) metastases
  14. * Participants with carcinomatous meningitis or primary CNS tumors are excluded regardless of clinical stability
  15. * Meet any of the following criteria for cardiac disease:
  1. * Myocardial infarction or unstable angina pectoris within 6 months of enrollment
  2. * History of serious ventricular arrhythmia (ie, ventricular tachycardia or ventricular fibrillation), high-grade atrioventricular block, or other cardiac arrhythmias requiring antiarrhythmic medications (except for atrial fibrillation that is well controlled with antiarrhythmic medication)
  3. * QT interval \> 470 msec
  4. * New York Heart Association Class III or greater congestive heart failure or known left ventricular ejection fraction less than 40%
  5. * Meet any of the following infectious criteria:
  1. * Have active serious infection requiring antimicrobials
  2. * Have active hepatitis B virus (HBV) or hepatitis C virus (HCV), or HIV. In participants with a history of HBV or HCV, participants with detectable viral loads will be excluded
  3. * Participants who test positive for hepatitis B surface antigen. Participants who test positive for hepatitis B core antibody are eligible with a negative HBV DNA by quantitative Polymerase chain reaction (PCR)
  4. * Participants who test positive for HCV antibody. Participants who test positive for HCV antibody are eligible with a negative HCV RNA by quantitative PCR
  5. * Participants who test positive for HIV antibody
  6. * History of pneumonitis requiring treatment with corticosteroids, interstitial lung disease, or radiation pneumonitis requiring steroids
  7. * Symptomatic ascites or pleural effusion
  8. * Have other concurrent medical or psychiatric conditions that, in the investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations
  9. * Any medical condition that, in the investigator's or sponsor's opinion, poses an undue risk to the participant's participation in the study
  10. * Use of any live vaccines against infectious diseases within 4 weeks (28 days) of initiation of study drug(s) (inactivated, viral vector vaccines, and messenger RNA (mRNA) vaccines are allowed; seasonal vaccines should be up to date prior to planned Cycle 1 Day 1)
  11. * Parts C (Dose Escalation) and D (Dose Expansion): Combination Cohorts:
  1. * Participants with active chronic inflammatory bowel disease (ulcerative colitis, Crohn disease) and participants with a history of bowel obstruction or gastrointestinal perforation within 6 months prior to planned Cycle 1 Day 1
  2. * Participants who previously received topoisomerase 1 inhibitors or antibody-drug conjugates containing a topoisomerase 1 inhibitor
  3. * Known severe intolerance or life-threatening hypersensitivity reactions to humanized monoclonal antibodies or intravenous (IV) immunoglobulin preparations; any history of anaphylaxis; history of human anti-human antibody response
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Study Locations

Enter your ZIP code/Postal code/PIN code to locate study sites near you:

How to Apply


Contact the study center to learn if this study is a good match for you.
Phone iconCall 1-833-445-3230 (GILEAD-0)Email iconEmail Study Center

Study Details


Contition
Advanced Solid Tumors
Age (in years)
18+
Phase
PHASE1
Participants Needed
254
Est. Completion Date
Sep 30, 2028
Treatment Type
INTERVENTIONAL

Sponsor
Gilead Sciences
ClinicalTrials.gov NCT Identifier
NCT06167317
Study Number
GS-US-686-6854

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