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MDM2 Inhibitor
APG-115 + Pembrolizumab for Skin Cancer
Phase 1 & 2
Recruiting
Research Sponsored by Ascentage Pharma Group Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Tumor tissue must be provided for all subjects for biomarker analysis before treatment with investigational product
Left ventricular ejection fraction (LVEF) ≥ lower limit of institutional normal (LLN) as assessed by echocardiogram (ECHO) or multigated acquisition (MUGA) scan
Must not have
Any prior systemic MDM2-p53 inhibitor treatment
Active rheumatoid arthritis (RA), active inflammatory bowel disease, chronic infections, or any other disease or condition associated with chronic inflammation
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 12 months
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new drug, APG-115, in combination with pembrolizumab, to see if it is effective in treating cancer.
Who is the study for?
This trial is for adults with metastatic melanomas or advanced solid tumors who have specific heart health measures, can provide tumor tissue samples, and are willing to use effective contraception. It's not for those with active brain metastases, certain recent treatments, uncontrolled illnesses, autoimmune diseases requiring steroids, live vaccines recently taken, or women who are pregnant.
What is being tested?
The study tests APG-115 combined with pembrolizumab. Part 1 finds the safe dose level; Part 2 uses this dose in a larger group to see how well it works against different types of cancer like melanoma and nerve sheath tumors.
What are the potential side effects?
Potential side effects may include reactions related to immune system activation such as inflammation in various organs (like lungs), fatigue, skin reactions, hormonal changes affecting normal body functions and increased risk of infections.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can provide a sample of my tumor for testing before starting the trial treatment.
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My heart's pumping ability is within the normal range.
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My side effects from previous cancer treatments are mild.
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My blood tests show my organs and bone marrow are working well.
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My tumor is a type of sarcoma that cannot be removed surgically.
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I can take care of myself and am up and about more than half of the day.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have never been treated with MDM2-p53 inhibitors.
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I have a condition like RA or IBD that causes long-term inflammation.
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I have had a transplant of tissue, organ, stem cells, or bone marrow.
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I have had an organ transplant and take medication to suppress my immune system.
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I received lung radiation of more than 30Gy less than 6 months ago.
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I do not have an active infection needing antibiotics or have hepatitis, HIV, or COVID-19.
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I have an autoimmune disease that needs steroids or immunosuppressants.
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I have had pneumonitis treated with steroids or have it now.
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My cancer has a known FGFR gene mutation.
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I do not have any severe illnesses like heart failure or mental health issues that would stop me from following the study's requirements.
Select...
My cancer has spread to my brain or spinal cord.
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I haven't fully recovered from my last surgery as expected.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 12 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Maximum Tolerated Dose
Overall Response Rate
Recommended Phase II Dose
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: APG-115+pembrolizumab open label, two-part phase Ib/IIExperimental Treatment1 Intervention
single arm dose escalation and dose expansion
Find a Location
Who is running the clinical trial?
Merck Sharp & Dohme LLCIndustry Sponsor
4,032 Previous Clinical Trials
5,189,571 Total Patients Enrolled
Ascentage Pharma Group Inc.Lead Sponsor
52 Previous Clinical Trials
5,437 Total Patients Enrolled
Yifan Zhai, MD, PhDStudy ChairAscentage Pharma
18 Previous Clinical Trials
1,131 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I can provide a sample of my tumor for testing before starting the trial treatment.My melanoma cannot be surgically removed, has returned or didn't respond to PD-1 treatment, and I can't receive other standard treatments.I have never been treated with MDM2-p53 inhibitors.I haven't used any experimental drugs or devices recently.I haven't had a heart attack or heart surgery recently.I have a condition like RA or IBD that causes long-term inflammation.I have not received a live vaccine recently.I have received chemotherapy within the required timeframe before starting this treatment.I had a local treatment for melanoma that cannot be surgically removed within the last 6 weeks.I received lung radiation of more than 30Gy less than 6 months ago.I have taken cancer treatments like hormone therapy or targeted therapy recently.I have not had recent surgery or thoracic radiation.I do not have an active infection needing antibiotics or have hepatitis, HIV, or COVID-19.I have an autoimmune disease that needs steroids or immunosuppressants.You had a really bad allergic reaction to another type of monoclonal antibody treatment before.My heart's pumping ability is within the normal range.I am an adult or a teenager over 12 and weigh at least 40 kg, not pregnant or breastfeeding.My side effects from previous cancer treatments are mild.I have had a transplant of tissue, organ, stem cells, or bone marrow.I have had an organ transplant and take medication to suppress my immune system.I need corticosteroids for my condition, with some exceptions.The time it takes for your heart to beat is within a certain range.I have had pneumonitis treated with steroids or have it now.My blood tests show my organs and bone marrow are working well.My tumor is a type of sarcoma that cannot be removed surgically.You are expected to live for at least 3 more months.My cancer has a known FGFR gene mutation.I do not have any severe illnesses like heart failure or mental health issues that would stop me from following the study's requirements.My cancer has spread to my brain or spinal cord.My cancer can be measured by scans and is not in an area treated by radiation.I can take care of myself and am up and about more than half of the day.I haven't fully recovered from my last surgery as expected.
Research Study Groups:
This trial has the following groups:- Group 1: APG-115+pembrolizumab open label, two-part phase Ib/II
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.