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NCT03829501

A Phase 1/2, Open-label, Multi-center Study of the Safety and Efficacy of Alomfilimab (KY1044) as Single Agent and in Combination With Anti-PD-L1 (Atezolizumab) in Adult Patients With Selected Advanced Malignancies

Terminated Phase 1, PHASE2 Results posted Last updated 2 April 2025
What this trial tests

Phase 1, PHASE2 trial testing Alomfilimab in Squamous Cell Carcinoma of Head and Neck in 222 participants. Terminated before completion.

Timeline
28 January 2019
Primary endpoint
3 October 2024
3 October 2024

Quick facts

Lead sponsorKymab Limited
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment222
Start date28 January 2019
Primary completion3 October 2024
Estimated completion3 October 2024
Sites22 locations across Italy, Taiwan, United Kingdom, Poland, Hungary, United States

Drugs / interventions tested

Conditions studied

Sponsor

Kymab Limited — full company profile →

Who can join

18 and older, any sex, with Squamous Cell Carcinoma of Head and Neck or Non-small Cell Lung Cancer. 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.

Phase 1: Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs) Primary · From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment; maximum duration of treatment exposure was up to approximately 212 weeks

An adverse event (AE) was any untoward medical occurrence in a participant administered a pharmaceutical product, which did not necessarily have a causal relationship with this treatment. An serious AE (SAE) was any AE that: * resulted in death; * was life-threatening; * resulted in inpatient hospitalization or prolongation of existing hospitalization; * resulted in a persistent or significant disability/incapacity; * resulted in congenital anomaly/birth defect in the offspring of a participant who received IMPs; * constituted an important medical event. Clinically significant changes in lab

Any TEAEs
GroupValue95% CI
Alomfilimab 0.8 mg4
Alomfilimab 2.4 mg4
Alomfilimab 8 mg8
Alomfilimab 24 mg7
Alomfilimab 80 mg7
Alomfilimab 240 mg5
Alomfilimab 0.8 mg + Atezolizumab4
Alomfilimab 2.4 mg + Atezolizumab43
Alomfilimab 8 mg + Atezolizumab34
Alomfilimab 24 mg + Atezolizumab9
Alomfilimab 80 mg + Atezolizumab9
Any Serious TEAEs
GroupValue95% CI
Alomfilimab 0.8 mg1
Alomfilimab 2.4 mg1
Alomfilimab 8 mg3
Alomfilimab 24 mg2
Alomfilimab 80 mg3
Alomfilimab 240 mg2
Alomfilimab 0.8 mg + Atezolizumab2
Alomfilimab 2.4 mg + Atezolizumab17
Alomfilimab 8 mg + Atezolizumab11
Alomfilimab 24 mg + Atezolizumab4
Alomfilimab 80 mg + Atezolizumab3
Phase 1: Number of Participants Experiencing Dose Changes Primary · From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment; maximum duration of treatment exposure was up to approximately 212 weeks

Dose changes were defined as infusion interruption and dose reduction.

Infusion Interruption
GroupValue95% CI
Alomfilimab 0.8 mg1
Alomfilimab 2.4 mg0
Alomfilimab 8 mg0
Alomfilimab 24 mg1
Alomfilimab 80 mg1
Alomfilimab 240 mg0
Alomfilimab 0.8 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab2
Alomfilimab 8 mg + Atezolizumab0
Alomfilimab 24 mg + Atezolizumab0
Alomfilimab 80 mg + Atezolizumab2
Dose Reduction
GroupValue95% CI
Alomfilimab 0.8 mg0
Alomfilimab 2.4 mg0
Alomfilimab 8 mg0
Alomfilimab 24 mg0
Alomfilimab 80 mg0
Alomfilimab 240 mg0
Alomfilimab 0.8 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab0
Alomfilimab 8 mg + Atezolizumab0
Alomfilimab 24 mg + Atezolizumab0
Alomfilimab 80 mg + Atezolizumab0
Phase 1: Absolute Dose Intensity Primary · From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment; maximum duration of treatment exposure was up to approximately 212 weeks

Absolute dose intensity was calculated as cumulative dose received (mg) / study treatment duration (weeks).

GroupValue95% CI
Alomfilimab 0.8 mg0.260± 0.0000
Alomfilimab 2.4 mg0.778± 0.0179
Alomfilimab 8 mg2.616± 0.0427
Alomfilimab 24 mg7.799± 0.2694
Alomfilimab 80 mg26.174± 0.1952
Alomfilimab 240 mg76.650± 4.8260
Alomfilimab 0.8 mg + Atezolizumab0.236± 0.0288
Alomfilimab 2.4 mg + Atezolizumab0.780± 0.0176
Alomfilimab 8 mg + Atezolizumab2.573± 0.1159
Alomfilimab 24 mg + Atezolizumab7.418± 1.1455
Alomfilimab 80 mg + Atezolizumab25.774± 0.9037
Phase 1: Relative Dose Intensity Primary · From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment; maximum duration of treatment exposure was up to approximately 212 weeks

Relative dose intensity was calculated as the cumulative dose received (mg) / initial planned cumulative dose (mg). Initial planned cumulative dose was calculated as the starting dose multiplied by the scheduled number of administrations within the study treatment duration.

GroupValue95% CI
Alomfilimab 0.8 mg0.988± 0.0189
Alomfilimab 2.4 mg0.978± 0.0179
Alomfilimab 8 mg0.979± 0.0179
Alomfilimab 24 mg1.015± 0.0835
Alomfilimab 80 mg0.980± 0.0058
Alomfilimab 240 mg0.958± 0.0610
Alomfilimab 0.8 mg + Atezolizumab0.884± 0.1071
Alomfilimab 2.4 mg + Atezolizumab0.978± 0.0202
Alomfilimab 8 mg + Atezolizumab0.963± 0.0432
Alomfilimab 24 mg + Atezolizumab0.928± 0.1422
Alomfilimab 80 mg + Atezolizumab0.967± 0.0316
Phase 1: Number of Participants Experiencing Dose Limiting Toxicities (DLTs) Primary · From first dose of study treatment (Day 1) up to 21 days

A DLT was defined as a clinically relevant AE or abnormal laboratory value of Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE v5.0) ≥ Grade 3 assessed as unrelated to disease, PD, inter-current illness or concomitant medications, which occurs within the first cycle (21 days) of treatment with alomfilimab as single agent or in combination with atezolizumab during the dose escalation part of the study.

GroupValue95% CI
Alomfilimab 0.8 mg0
Alomfilimab 2.4 mg0
Alomfilimab 8 mg0
Alomfilimab 24 mg0
Alomfilimab 80 mg0
Alomfilimab 240 mg0
Alomfilimab 0.8 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab0
Alomfilimab 8 mg + Atezolizumab0
Alomfilimab 24 mg + Atezolizumab0
Alomfilimab 80 mg + Atezolizumab0
Phase 2: Overall Response Rate (ORR) Per RECIST 1.1 Primary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 162 weeks

ORR was the percentage of participants with a measurable disease at baseline and with a confirmed response of complete response (CR) or partial response (PR) according to RECIST v1.1 as the best response. The response is confirmed by a later scan conducted at least 4 weeks after the initial response is observed. The 95% confidence interval (CI) was calculated using the exact binomial method (Clopper-Pearson). CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \< 10 mm. All lymph nodes m

GroupValue95% CI
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer00.0 – 21.8
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer00.0 – 28.5
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Triple Negative BC00.0 – 45.9
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve Triple Negative BC7.10.2 – 36.0
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve HNSCC00.0 – 60.2
Alomfilimab 24 mg + Atezolizumab in Anti-PD-(L)1 Naïve HNSCC00.0 – 70.8
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Pancreatic Cancer00.0 – 97.5
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Pancreatic Cancer00.0 – 97.5
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Triple Negative BC00.0 – 97.5
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Triple Negative BC00.0 – 52.2
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated HNSCC33.30.8 – 90.6
Alomfilimab 24 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated HNSCC00.0 – 41.0
Best Overall Response (BOR) Per RECIST 1.1 Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 and 162 weeks for Phase 1 and 2, respectively

BOR for each participant was defined as the best confirmed response per RECIST 1.1 among all responses recorded from start of treatment until PD, initiation of new anti-cancer therapy, death, or analysis cut-off date, whichever comes first, with responses of: CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \< 10 mm. All lymph nodes must have been non-pathological in size (\< 10mm short axis). PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference

GroupValue95% CI
Alomfilimab 0.8 mg0
Alomfilimab 2.4 mg0
Alomfilimab 8 mg0
Alomfilimab 24 mg0
Alomfilimab 80 mg0
Alomfilimab 240 mg0
Alomfilimab 0.8 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab1
Alomfilimab 8 mg + Atezolizumab0
Alomfilimab 24 mg + Atezolizumab0
Alomfilimab 80 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer0
Alomfilimab 0.8 mg0
Alomfilimab 2.4 mg0
Alomfilimab 8 mg0
Alomfilimab 24 mg0
Alomfilimab 80 mg0
Alomfilimab 240 mg0
Alomfilimab 0.8 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab3
Alomfilimab 8 mg + Atezolizumab2
Alomfilimab 24 mg + Atezolizumab1
Alomfilimab 80 mg + Atezolizumab0
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer0
Alomfilimab 0.8 mg1
Alomfilimab 2.4 mg0
Alomfilimab 8 mg2
Alomfilimab 24 mg2
Alomfilimab 80 mg2
Alomfilimab 240 mg1
Alomfilimab 0.8 mg + Atezolizumab3
Alomfilimab 2.4 mg + Atezolizumab12
Alomfilimab 8 mg + Atezolizumab8
Alomfilimab 24 mg + Atezolizumab1
Alomfilimab 80 mg + Atezolizumab4
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer6
Alomfilimab 0.8 mg3
Alomfilimab 2.4 mg3
Alomfilimab 8 mg7
Alomfilimab 24 mg3
Alomfilimab 80 mg4
Alomfilimab 240 mg4
Alomfilimab 0.8 mg + Atezolizumab1
Alomfilimab 2.4 mg + Atezolizumab20
Alomfilimab 8 mg + Atezolizumab22
Alomfilimab 24 mg + Atezolizumab7
Alomfilimab 80 mg + Atezolizumab2
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer9
Progression-free Survival (PFS) Per RECIST 1.1 Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 and 162 weeks for Phase 1 and 2, respectively

PFS was calculated as (first documented PD or death due to any cause - first dose date of study drug +1)/30.4375. Participants who were not observed to have progressed or died were censored at the date of the last tumor assessment. Participants who missed two or more sequential assessments were censored at the date of the last tumor assessment before the missed assessments. Participants who started new anti-cancer therapy prior to documented PD were censored at the date of the last tumor assessment prior to the start of the new therapy. Participants who did not have any tumor assessments were

GroupValue95% CI
Alomfilimab 0.8 mg22 – NA
Alomfilimab 2.4 mg21 – NA
Alomfilimab 8 mg21 – 6
Alomfilimab 24 mg31 – NA
Alomfilimab 80 mg21 – NA
Alomfilimab 240 mg11 – NA
Alomfilimab 0.8 mg + Atezolizumab32 – NA
Alomfilimab 2.4 mg + Atezolizumab22 – 4
Alomfilimab 8 mg + Atezolizumab22 – 2
Alomfilimab 24 mg + Atezolizumab21 – 4
Alomfilimab 80 mg + Atezolizumab42 – NA
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer21 – 4
Duration of Response Per RECIST 1.1 Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 and 162 weeks for Phase 1 and 2, respectively

Duration of response was calculated as (date of the first documentation of PD or to death due to any cause in the absence of PD - date of the first documentation of unconfirmed objective response \[CR or PR\] + 1\]/30.4375. Participants who were not observed to have progressed or died were censored at the date of the last tumor assessment. Participants who missed two or more sequential assessments were censored at the date of the last tumor assessment before the missed assessments. Participants who started new anti-cancer therapy prior to documented PD were censored at the date of the last tum

GroupValue95% CI
Alomfilimab 0.8 mg + Atezolizumab11NA – NA
Alomfilimab 2.4 mg + Atezolizumab62.1 – NA
Alomfilimab 8 mg + AtezolizumabNA13.9 – NA
Alomfilimab 24 mg + Atezolizumab11NA – NA
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer2NA – NA
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve Triple Negative BC13NA – NA
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated HNSCCNANA – NA
ORR Per iRECIST Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 and 162 weeks for Phase 1 and 2, respectively

RECIST 1.1 has been modified to take into consideration the unique response kinetics which have been observed with immunotherapy in some patients where responses to immune therapies may occur after progression has been assessed. ORR was the percentage of participants with a measurable disease at baseline and with a confirmed response of complete immune-response (iCR) or partial immune-response (iPR) according to iRECIST as the best response. The 95% CI was calculated using the exact binomial method (Clopper-Pearson). iCR: disappearance of all target and non-target lesions. Any pathological ly

GroupValue95% CI
Alomfilimab 0.8 mg00.0 – 60.2
Alomfilimab 2.4 mg00.0 – 70.8
Alomfilimab 8 mg00.0 – 33.6
Alomfilimab 24 mg00.0 – 52.2
Alomfilimab 80 mg00.0 – 45.9
Alomfilimab 240 mg00.0 – 52.2
Alomfilimab 0.8 mg + Atezolizumab00.0 – 60.2
Alomfilimab 2.4 mg + Atezolizumab9.33.1 – 26.1
Alomfilimab 8 mg + Atezolizumab5.60.8 – 21.4
Alomfilimab 24 mg + Atezolizumab11.10.3 – 48.2
Alomfilimab 80 mg + Atezolizumab00.0 – 45.9
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer00.0 – 23.2
PFS Per iRECIST Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 and 162 weeks for Phase 1 and 2, respectively

PFS was calculated as (first documented iPD or death due to any cause - first dose date of study drug +1)/30.4375. Participants who were not observed to have progressed or died were censored at the date of the last tumor assessment. Participants who missed two or more sequential assessments were censored at the date of the last tumor assessment before the missed assessments. Participants who started new anti-cancer therapy prior to documented PD were censored at the date of the last tumor assessment prior to the start of the new therapy. Participants who did not have any tumor assessments were

GroupValue95% CI
Alomfilimab 0.8 mg7NA – NA
Alomfilimab 2.4 mg104.2 – NA
Alomfilimab 8 mg103.4 – NA
Alomfilimab 24 mg63.3 – NA
Alomfilimab 80 mg62.7 – NA
Alomfilimab 240 mg63.4 – NA
Alomfilimab 0.8 mg + Atezolizumab42.5 – NA
Alomfilimab 2.4 mg + Atezolizumab75.5 – 10.0
Alomfilimab 8 mg + Atezolizumab52.8 – 9.9
Alomfilimab 24 mg + Atezolizumab31.8 – 4.0
Alomfilimab 80 mg + Atezolizumab54.6 – NA
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer52.5 – NA
Phase 1: ORR Per RECIST 1.1 Secondary · From first dose of study treatment (Day 1) up to the end of the long term follow-up, approximately 236 weeks

ORR was the percentage of participants with a measurable disease at baseline and with a confirmed response of CR or PR according to RECIST v1.1 as the best response. The response is confirmed by a later scan conducted at least 4 weeks after the initial response is observed. The 95% CI was calculated using the exact binomial method (Clopper-Pearson). CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have had a reduction in short axis to \< 10 mm. All lymph nodes must have been non-pathological in size (\< 10mm short axis).

GroupValue95% CI
Alomfilimab 0.8 mg00.0 – 60.2
Alomfilimab 2.4 mg00.0 – 70.8
Alomfilimab 8 mg00.0 – 33.6
Alomfilimab 24 mg00.0 – 52.2
Alomfilimab 80 mg00.0 – 45.9
Alomfilimab 240 mg00.0 – 52.2
Alomfilimab 0.8 mg + Atezolizumab00.0 – 60.2
Alomfilimab 2.4 mg + Atezolizumab9.33.1 – 26.1
Alomfilimab 8 mg + Atezolizumab5.60.8 – 20.8
Alomfilimab 24 mg + Atezolizumab11.10.3 – 48.2
Alomfilimab 80 mg + Atezolizumab00.0 – 45.9

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs: up to 30 days post last dose of study treatment, a maximum of approximately 216 and 90 weeks for Phase 1 and 2, respectively; All-cause mortality: up to the end of the long term follow-up, a maximum of approximately 236 and 162 weeks for Phase 1 and 2, respectively. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Alomfilimab 0.8 mg
Serious: 1/4 (25%)
Deaths: 2/4
Alomfilimab 2.4 mg
Serious: 1/5 (20%)
Deaths: 4/5
Alomfilimab 8 mg
Serious: 3/10 (30%)
Deaths: 5/9
Alomfilimab 24 mg
Serious: 2/8 (25%)
Deaths: 7/8
Alomfilimab 80 mg
Serious: 3/7 (43%)
Deaths: 5/7
Alomfilimab 240 mg
Serious: 2/5 (40%)
Deaths: 4/5
Alomfilimab 0.8 mg + Atezolizumab
Serious: 2/5 (40%)
Deaths: 5/5
Alomfilimab 2.4 mg + Atezolizumab
Serious: 17/43 (40%)
Deaths: 24/43
Alomfilimab 8 mg + Atezolizumab
Serious: 11/35 (31%)
Deaths: 22/36
Alomfilimab 24 mg + Atezolizumab
Serious: 4/9 (44%)
Deaths: 6/9
Alomfilimab 80 mg + Atezolizumab
Serious: 3/9 (33%)
Deaths: 3/9
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer
Serious: 6/15 (40%)
Deaths: 10/15
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve Pancreatic Cancer
Serious: 2/14 (14%)
Deaths: 10/14
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Naïve Triple Negative BC
Serious: 1/7 (14%)
Deaths: 5/7
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve Triple Negative BC
Serious: 2/14 (14%)
Deaths: 7/14
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Naïve HNSCC
Serious: 1/5 (20%)
Deaths: 3/5
Alomfilimab 24 mg + Atezolizumab in Anti-PD-(L)1 Naïve HNSCC
Serious: 1/5 (20%)
Deaths: 2/5
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Pancreatic Cancer
Serious: 1/2 (50%)
Deaths: 1/2
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Pancreatic Cancer
Serious: 0/1 (0%)
Deaths: 1/1
Alomfilimab 2.4 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Triple Negative BC
Serious: 0/1 (0%)
Deaths: 1/1
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated Triple Negative BC
Serious: 2/6 (33%)
Deaths: 1/6
Alomfilimab 8 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated HNSCC
Serious: 1/3 (33%)
Deaths: 2/3
Alomfilimab 24 mg + Atezolizumab in Anti-PD-(L)1 Pre-treated HNSCC
Serious: 4/8 (50%)
Deaths: 4/9

Serious adverse events (77 terms)

ReactionSystemAlomfilimab 0.8 mgAlomfilimab 2.4 mgAlomfilimab 8 mgAlomfilimab 24 mgAlomfilimab 80 mgAlomfilimab 240 mgAlomfilimab 0.8 mg + Atezo…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…Alomfilimab 80 mg + Atezol…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…
Abdominal painGastrointestinal disorders
DysphagiaGastrointestinal disorders
PneumoniaInfections and infestations
Blood bilirubin increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Inappropriate antidiuretic hormone secretionEndocrine disorders
AscitesGastrointestinal disorders
Mouth haemorrhageGastrointestinal disorders
NauseaGastrointestinal disorders
Obstruction gastricGastrointestinal disorders
OdynophagiaGastrointestinal disorders
Oesophageal haemorrhageGastrointestinal disorders
Oesophageal stenosisGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
ChillsGeneral disorders
DeathGeneral disorders
Face oedemaGeneral disorders
FatigueGeneral disorders
Medical device discomfortGeneral disorders
Other adverse events (232 terms — click to expand)

ReactionSystemAlomfilimab 0.8 mgAlomfilimab 2.4 mgAlomfilimab 8 mgAlomfilimab 24 mgAlomfilimab 80 mgAlomfilimab 240 mgAlomfilimab 0.8 mg + Atezo…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…Alomfilimab 80 mg + Atezol…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 2.4 mg + Atezo…Alomfilimab 8 mg + Atezoli…Alomfilimab 8 mg + Atezoli…Alomfilimab 24 mg + Atezol…
AnaemiaBlood and lymphatic system disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
Infusion related reactionInjury, poisoning and procedural complications
DyspnoeaRespiratory, thoracic and mediastinal disorders
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
LymphopeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
LeukopeniaBlood and lymphatic system disorders
DysphagiaGastrointestinal disorders
VomitingGastrointestinal disorders
Lymphocyte count decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Oedema peripheralGeneral disorders
COVID-19Infections and infestations
Alanine aminotransferase increasedInvestigations
International normalised ratio increasedInvestigations
HypomagnesaemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
NeutropeniaBlood and lymphatic system disorders
HypothyroidismEndocrine disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
Mucosal inflammationGeneral disorders
PainGeneral disorders
Herpes zosterInfections and infestations

Most-reported serious reactions: Abdominal pain, Dysphagia, Pneumonia, Blood bilirubin increased, Back pain, Pleural effusion, Anaemia, Atrial fibrillation.

Data from ClinicalTrials.gov NCT03829501 adverse events section.

Sponsor's own description

A Phase 1/2, open label, multi-center study to evaluate the safety, efficacy and tolerability of alomfilimab as single agent and in combination with anti-PD-L1 (atezolizumab) in adult patients with selected advanced malignancies, who are ineligible for or there are no available therapies known to confer a clinical benefit for their disease, or they have exhausted all such available options in each indication and therefore will be patients for whom a clinical trial is appropriate.

Publications & conference data

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

  1. Combination strategies with PD-1/PD-L1 blockade: current advances and future directions.
    Yi M, Zheng X, Niu M, Zhu S, et al · · 2022 · cited 1018× · PMID 35062949 · DOI 10.1186/s12943-021-01489-2
  2. The tumour microenvironment in pancreatic cancer - clinical challenges and opportunities.
    Ho WJ, Jaffee EM, Zheng L. · · 2020 · cited 963× · PMID 32398706 · DOI 10.1038/s41571-020-0363-5
  3. Regulatory T cells in tumor microenvironment: new mechanisms, potential therapeutic strategies and future prospects.
    Li C, Jiang P, Wei S, Xu X, et al · · 2020 · cited 679× · PMID 32680511 · DOI 10.1186/s12943-020-01234-1
  4. Immunosuppressive cells in cancer: mechanisms and potential therapeutic targets.
    Tie Y, Tang F, Wei YQ, Wei XW. · · 2022 · cited 386× · PMID 35585567 · DOI 10.1186/s13045-022-01282-8
  5. Mechanisms of regulatory T cell infiltration in tumors: implications for innovative immune precision therapies.
    Nishikawa H, Koyama S. · · 2021 · cited 227× · PMID 34330764 · DOI 10.1136/jitc-2021-002591
  6. Hypoxia as a barrier to immunotherapy in pancreatic adenocarcinoma.
    Daniel SK, Sullivan KM, Labadie KP, Pillarisetty VG. · · 2019 · cited 148× · PMID 30931508 · DOI 10.1186/s40169-019-0226-9
  7. The rationale behind targeting the ICOS-ICOS ligand costimulatory pathway in cancer immunotherapy.
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