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NCT03593226

Study to Evaluate Safety & Tolerability of AGI-134 in Solid Tumour

Completed Phase 1, PHASE2 Results posted Last updated 14 February 2025
What this trial tests

Phase 1, PHASE2 trial testing AGI-134 in Superficial, Palpable, Unresectable/Metastatic Solid Tumour in 38 participants. Completed in 31 December 2023.

Timeline
30 November 2018
Primary endpoint
31 December 2023
31 December 2023

Quick facts

Lead sponsorAgalimmune Ltd.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment38
Start date30 November 2018
Primary completion31 December 2023
Estimated completion31 December 2023
Sites14 locations across United Kingdom, United States, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Agalimmune Ltd.

Who can join

18 and older, any sex, with Superficial, Palpable, Unresectable/Metastatic Solid Tumour. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety and Tolerability of AGI-134 Injected Intra-tumourally (IT) Primary · Up to 3 weeks after first administration of each dose level

Safety and tolerability of AGI-134 injected intra-tumourally (IT) by assessment of the percentage of participants who experienced a dose-limiting toxicity (DLT) . DLTs will be assessed during the first cycle (21 days)

GroupValue95% CI
AGI-134 25 mg0
AGI-134 50 mg0
AGI-134 100 mg0
AGI-134 200 mg0
Discontinue Study Drug Due to an Adverse Events Primary · Approximately 12 months

Percentage of Participants Who Discontinue Study Drug Due to an Adverse Event (AE) AEs are defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of study treatment or protocol-specified procedure, whether or not considered related to the study treatment or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study treatment, is also an AE. The

GroupValue95% CI
AGI-134 25mg/1mL0
AGI-134 50mg/2mL1
AGI-134 100mg/4mL0
AGI-134 200mg/8mL0

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs collected during the course of the study from Informed Consent Form (ICF) signature time until study completed or ceased, approximately 12 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Overall
Serious: 18/38 (47%)
Deaths: 1/38
AGI-134 25 mg
Serious: 3/6 (50%)
Deaths: 0/6
AGI-134 50 mg
Serious: 8/19 (42%)
Deaths: 0/19
AGI-134 100 mg
Serious: 2/7 (29%)
Deaths: 0/7
AGI-134 200 mg
Serious: 5/6 (83%)
Deaths: 1/6

Serious adverse events (30 terms)

ReactionSystemOverallAGI-134 25 mgAGI-134 50 mgAGI-134 100 mgAGI-134 200 mg
Abdominal painGastrointestinal disorders
BradycardiaCardiac disorders
HypotensionVascular disorders
SyncopeNervous system disorders
AnaemiaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Catheter site infectionInfections and infestations
NauseaGastrointestinal disorders
FatigueGeneral disorders
ChillsGeneral disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Groin infectionInfections and infestations
Injection related reactionInjury, poisoning and procedural complications
Skin infectionInfections and infestations
Lower respiratory tract infectionInfections and infestations
Localised infectionInfections and infestations
Injection site infectionInfections and infestations
Acute kidney injuryRenal and urinary disorders
OliguriaRenal and urinary disorders
Pelvic painReproductive system and breast disorders
VomitingGastrointestinal disorders
Pericardial effusionCardiac disorders
HyponatraemiaMetabolism and nutrition disorders
HypersensitivityImmune system disorders
Confusional statePsychiatric disorders
Other adverse events (164 terms — click to expand)

ReactionSystemOverallAGI-134 25 mgAGI-134 50 mgAGI-134 100 mgAGI-134 200 mg
FatigueGeneral disorders
VomitingGastrointestinal disorders
Injection site painGeneral disorders
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
DizzinessNervous system disorders
PruritusSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ErythemaSkin and subcutaneous tissue disorders
LymphopeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Chest discomfortGeneral disorders
Urinary tract infectionInfections and infestations
Blood lactate dehydrogenase increasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
TachycardiaCardiac disorders
DyspepsiaGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
ChillsGeneral disorders
CellulitisInfections and infestations
PresyncopeNervous system disorders
ParaesthesiaNervous system disorders
FlushingVascular disorders
HypotensionVascular disorders
Lymph node painBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
AstheniaGeneral disorders
Peripheral swellingGeneral disorders
Injection site discomfortGeneral disorders
Injection site erythemaGeneral disorders
NoduleGeneral disorders

Most-reported serious reactions: Abdominal pain, Bradycardia, Hypotension, Syncope, Anaemia, Pyrexia, Catheter site infection, Nausea.

Data from ClinicalTrials.gov NCT03593226 adverse events section.

Sponsor's own description

This study will evaluate if AGI-134 given alone is safe and tolerate in treating patients with unresectable/metastatic solid tumours.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immune Evasion by Head and Neck Cancer: Foundations for Combination Therapy.
    Horton JD, Knochelmann HM, Day TA, Paulos CM, et al · · 2019 · cited 65× · PMID 30961829 · DOI 10.1016/j.trecan.2019.02.007
  2. Role and Mechanism of Galactose-Alpha-1,3-Galactose in the Elicitation of Delayed Anaphylactic Reactions to Red Meat.
    Hilger C, Fischer J, Wölbing F, Biedermann T. · · 2019 · cited 65× · PMID 30673913 · DOI 10.1007/s11882-019-0835-9
  3. AGI-134: a fully synthetic α-Gal glycolipid that converts tumors into in situ autologous vaccines, induces anti-tumor immunity and is synergistic with an anti-PD-1 antibody in mouse melanoma models.
    Shaw SM, Middleton J, Wigglesworth K, Charlemagne A, et al · · 2019 · cited 11× · PMID 31889898 · DOI 10.1186/s12935-019-1059-8
  4. Self-Tumor Antigens in Solid Tumors Turned into Vaccines by α-gal Micelle Immunotherapy.
    Galili U. · · 2024 · cited 4× · PMID 39458595 · DOI 10.3390/pharmaceutics16101263

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