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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05858736
Registration number
NCT05858736
Ethics application status
Date submitted
3/05/2023
Date registered
15/05/2023
Titles & IDs
Public title
Safety, PK and Efficacy of AI-061 in Advanced Solid Tumors
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Scientific title
Safety, Pharmacokinetics (PK) and Efficacy of AI-061, A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC-392 (Anti-CTLA-4) Antibodies in Advanced Solid Tumors: An Open-Label Phase 1 Study
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Secondary ID [1]
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AI-061-AU-01
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Universal Trial Number (UTN)
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Trial acronym
PRESERVE-009
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Melanoma
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Non Small Cell Lung Cancer
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Head and Neck Squamous Cell Carcinoma
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High Grade Serous Adenocarcinoma of Ovary
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Primary Peritoneal Carcinoma
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0
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Fallopian Tube Cancer
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Endometrial Cancer
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0
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Cervical Cancer
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0
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Renal Cell Carcinoma
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0
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Bladder Cancer
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0
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Esophageal Cancer
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Gastric Cancer
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Gastroesophageal-junction Cancer
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Colorectal Cancer
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Anal Cancer
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Hepatocellular Carcinoma
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Bile Duct Cancer
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Condition category
Condition code
Cancer
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0
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Non melanoma skin cancer
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Cancer
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0
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0
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Kidney
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Cancer
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0
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Womb (Uterine or endometrial cancer)
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Cancer
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0
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0
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Head and neck
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Cancer
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0
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Bowel - Anal
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Cancer
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0
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0
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Biliary tree (gall bladder and bile duct)
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Oral and Gastrointestinal
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0
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
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0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AI-061
Experimental: Level 1 - AI-061, 200 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
Experimental: Level 2 - AI-061, 400 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
Experimental: Level 3 - AI-061, 600 mg, intravenous infusion, Q3W, up to 17 cycles or approximately 1 year.
Treatment: Drugs: AI-061
A 1:1 Co-formulation of AI-025 (Anti-PD-1) and ONC- 392 (Anti-CTLA-4) Antibodies.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Dose Limiting Toxicity (DLT)
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Assessment method [1]
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The number of subjects who have Dose limiting toxicity (DLT) as defined by protocol DLT criteria during the first cycle of study drug, AI-061, administration.
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Timepoint [1]
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21 days after first treatment
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Primary outcome [2]
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Maximum Toxicity Dose (MTD)
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Assessment method [2]
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Maximal tolerable dose (MTD), the study drug, AI-061, dose level that has two out of six subjects who have DLT.
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Timepoint [2]
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21 day after first treatment
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Primary outcome [3]
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Recommended Phase II Dose (RP2D)
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Assessment method [3]
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Recommended Phase II Dose (RP2D), the study drug, AI-061, dose level that is one level below MTD, or an intermediate dose level that below MTD and pre-specified in protocol. This dose level will be the RP2D.
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Timepoint [3]
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21 days after first treatment
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Primary outcome [4]
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Incidence of treatment emergent adverse events (TEAE)
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Assessment method [4]
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Incidence of treatment emergent adverse events (TEAE) according to CTCAE v5.0.
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Timepoint [4]
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From the day with first treatment to 90 days after the last treatment.
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Secondary outcome [1]
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Cmax of AI-061
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Assessment method [1]
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The highest Serum concentration of AI-061 after IV infusion at cycle 1 and cycle 3 dosings from different timepoints after drug administration.
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Timepoint [1]
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Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
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Secondary outcome [2]
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The serum half-life of AI-061
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Assessment method [2]
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To determine the drug concentration in serum samples that are taken in various timepoints during the treatment in order to calculate drug half life.
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Timepoint [2]
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Frequent PK samplings in cycle 1 and cycle 3, pre-dose and post-dose samples in other cycles and End of Treatment. Up to 1 year.
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Secondary outcome [3]
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Objective Response Rate (ORR)
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Assessment method [3]
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Objective Response Rate (ORR), evaluated by investigators on radiological images according to RECIST 1.1.
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Timepoint [3]
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Up to 1 year.
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Secondary outcome [4]
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Progression free survival (PFS)
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Assessment method [4]
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Progression free survival (PFS), the event is the time that diseased progressed evaluated by investigators or death occurs.
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Timepoint [4]
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Up to 1 year.
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Secondary outcome [5]
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Overall survival (OS),
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Assessment method [5]
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Overall survival (OS), the event is the time that all cause death occurs.
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Timepoint [5]
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Up to 1 year.
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Eligibility
Key inclusion criteria
1. Patient is greater or 18 years of age on the day of signing the informed consent.
2. All genders. Female subject with pregnancy potential must have a negative pregnancy test.
3. Patient must have a performance status of less than or equal to 1 on the ECOG Performance Scale.
4. Patients must have a histological or cytological diagnosis of solid tumors and have progressive locally advanced or metastatic disease.
5. Measurable disease as determined by RECIST v1.1 (either tumor lesion or lymph node lesion or both): Tumor mass: Must be accurately measurable in at least 1 dimension (longest diameter to be recorded) with a minimum size of: 10 mm by computed tomography (CT) scan (CT scan slide thickness must be less than 5 mm). Or: 20 mm by chest X-ray (if clearly defined and surrounded by aerated lung).
Malignant lymph nodes: greater than or equal to 15 mm in short axis when assessed by CT scan (CT scan slice thickness must be <5 mm). The measurement should be two dimensions at axial plane. The short axis should be in perpendicular to long diameter.
6. Patient must have adequate organ function as indicated by the laboratory values. LDH less than or equal to ULN.
7. Voluntary agreement to participate as evidenced by written informed consent.
8. Female patient: agreement on contraceptive methods.
9. Male patient: agreement on contraceptive methods.
10. Life expectancy greater than or equal to 12 weeks.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who have not recovered to NCI CTCAE v5.0 less than or equal toGrade 1 from an adverse event (AE) due to cancer therapeutics except endocrinopathy or the chemotherapy-associated peripheral neuropathy (motor or sensory) that has recovered to CTCAE v5.0 less than or equal to Grade 2 will be allowed. The washout period for cancer therapeutic drugs should be 21 days prior to the first AI-061 dose for chemotherapy, radiation, or targeted therapy or 28 days prior to the first AI-061 administration for monoclonal antibody therapy. Best supportive care, such as thyroxine, insulin, steroid replacement treatment, blood transfusion, and therapy for non-cancer conditions are allowed.
2. Patients who are currently enrolled in any other clinical trial testing an investigational agent or device, or with concurrent other systemic cancer therapeutics.
3. Patients who are on chronic systemic steroid therapy at doses higher than 10 mg/day prednisone or equivalent within 7 days before the first treatment.
4. Patients who have active brain metastases or leptomeningeal metastases. 5. Patients who have an active infection requiring systemic IV antibiotics within 14 days prior to administration of AI-061. Regular treatment of urinary tract infection (UTI) and/or topical treatment are allowed.
6. Patients who, in the opinion of the treating Investigator, have a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study or make study participation not in the best interest of the patient. The investigator should discuss this with the Sponsor.
7. Patients with known psychiatric or substance abuse disorders that in the opinion of the investigator, would interfere with cooperation with the requirements of the trial.
8. Patients who are pregnant or breastfeeding.
9. Patients with active autoimmune diseases that require immunosuppressant treatment other than 10 mg per day or lower prednisone. Patients with inflammatory bowel disease or myasthenia gravis will be excluded.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
11/07/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
15/06/2025
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Actual
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Sample size
Target
18
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
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Recruitment hospital [1]
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St. Vincent's Private Hospital - Darlinghurst
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Recruitment hospital [2]
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Mater Misericordiae Ltd. - Brisbane
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Recruitment hospital [3]
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Tasman Oncology Research - Southport
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Recruitment hospital [4]
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Cancer Research SA - Adelaide
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Recruitment hospital [5]
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Southern Oncology Clinical Research Unit - Bedford Park
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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4006 - Brisbane
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Recruitment postcode(s) [3]
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4120 - Southport
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment postcode(s) [5]
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5042 - Bedford Park
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
OncoC4, Inc.
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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OncoC4 AU Pty Ltd
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Address [1]
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Country [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Avance Clinical Pty Ltd.
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
AI-061 is a co-formulation drug product (DP) consisting of 1:1 ratio mix of AI-025, an anti-PD-1 antibody, and ONC-392, an anti-CTLA-4 antibody. This is a dose escalation study to identify the maximum toxicity dose (MTD) or the recommended phase 2 dose (RP2D).
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Trial website
https://clinicaltrials.gov/study/NCT05858736
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Rohit Joshi, MD
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Address
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Cancer Research South Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Pan Zheng, MD, PhD
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Address
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Country
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Phone
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2027516823
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05858736