727 Participants Needed

IMC-F106C Combinations for Solid Cancers

Recruiting at 75 trial locations
SA
SE
MD
JM
SA
CL
IM
IM
Overseen ByImmunocore Medical Information EU
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Immunocore Ltd
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests IMC-F106C, a treatment that helps the immune system target and kill cancer cells in adults with advanced cancers. It guides immune cells to attack cancer cells more effectively.

Will I have to stop taking my current medications?

The trial does not specify if you must stop taking your current medications, but it mentions that there should be an adequate washout period (time without taking certain medications) from prior anticancer therapy. It's best to discuss your current medications with the trial team.

What makes the drug IMC-F106C unique for treating solid cancers?

IMC-F106C, also known as Brenetafusp, is a novel treatment that uses a bispecific T cell engager approach to target cancer cells by redirecting T cells to attack them, which is different from traditional therapies that may not effectively engage the immune system in 'cold' tumors (tumors that are not easily recognized by the immune system). This approach is particularly promising for solid tumors that have been difficult to treat with existing therapies.12345

What data supports the effectiveness of the treatment IMC-F106C Combinations for Solid Cancers?

Tebentafusp, a similar treatment, has shown effectiveness in treating metastatic uveal melanoma by improving overall survival rates, even though the response rate was modest. This suggests that combining immune therapies, like those in the IMC-F106C trial, could potentially enhance treatment outcomes for solid cancers.12367

Who Is on the Research Team?

SA

Shaad Abdullah, MD

Principal Investigator

Immunocore Ltd

SA

Shaad Abdullah, MD, FACP

Principal Investigator

Immunocore Ltd

Are You a Good Fit for This Trial?

This trial is for adults with solid tumors that have relapsed, are resistant to standard therapy, or can't tolerate it. Participants must test positive for HLA-A*02:01 and PRAME in their tumors and agree to use effective contraception if applicable. They should be able to consent and follow the study's rules but can't join if they have serious heart, lung, autoimmune diseases, transplants, active hepatitis B/C, HIV, significant other cancers or allergies related to the study drugs.

Inclusion Criteria

If applicable, must agree to use highly effective contraception
I am fully active or restricted in physically strenuous activity but can do light work.
I am HLA-A*02:01 positive.
See 3 more

Exclusion Criteria

I had a severe reaction to previous immunotherapy.
I have an active hepatitis B or C infection.
I recently had cancer treatment and haven't waited long enough to start a new one.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1: Dose Escalation

To identify the Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 dose (RP2D) of brenetafusp as a single agent and in combination with other therapies

12-24 weeks

Phase 2: Efficacy Assessment

To assess the efficacy of brenetafusp in selected advanced solid tumors

24-48 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • anti-PD(L)1
  • IMC-F106C
Trial Overview The trial tests IMC-F106C alone and combined with cancer treatments like atezolizumab (a checkpoint inhibitor), pembrolizumab (another checkpoint inhibitor), chemotherapy or tebentafusp. It aims to see how safe and effective these combinations are against cancers that show a specific antigen called PRAME.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Group I: Brenetafusp and Targeted TherapyExperimental Treatment3 Interventions
Group II: Brenetafusp and Multimodal TherapyExperimental Treatment1 Intervention
Group III: Brenetafusp and ChemotherapyExperimental Treatment1 Intervention
Group IV: Brenetafusp and Anti-PD(L)1 AgentExperimental Treatment1 Intervention
Group V: Brenetafusp MonotherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Immunocore Ltd

Lead Sponsor

Trials
17
Recruited
4,400+

Published Research Related to This Trial

In a phase 1b trial involving 85 heavily pretreated patients with metastatic cutaneous melanoma, tebentafusp combined with durvalumab and/or tremelimumab showed a promising overall survival rate of 76% at one year, indicating potential efficacy for patients who had previously progressed on checkpoint inhibitors.
The combination therapy was well-tolerated, with no new safety concerns or treatment-related deaths reported, suggesting that tebentafusp can be safely administered alongside existing checkpoint inhibitors.
Tebentafusp in combination with durvalumab and/or tremelimumab in patients with metastatic cutaneous melanoma: a phase 1 study.Hamid, O., Hassel, JC., Shoushtari, AN., et al.[2023]
Tebentafusp, approved by the FDA for treating unresectable or metastatic uveal melanoma, activates T cells to induce tumor cell death, showing a 1-year overall survival rate of 73% in Phase III trials with a disease control rate of 46%.
Common side effects include cytokine release syndrome and rash, but the drug's unique mechanism offers a promising alternative for patients with limited treatment options and poor prognosis in this specific type of melanoma.
Tebentafusp: a novel drug for the treatment of metastatic uveal melanoma.Wang, Z., Xie, Y., Wang, JQ., et al.[2023]
Tebentafusp is a groundbreaking bispecific T cell engager that targets HLA-A*02:01-positive uveal melanoma cells, activating T cells to attack and destroy tumor cells, demonstrating its mechanism of action in cancer treatment.
In January 2022, tebentafusp became the first approved treatment for adults with unresectable or metastatic uveal melanoma in the USA, with ongoing regulatory reviews in other countries, highlighting its significance in melanoma therapy.
Tebentafusp: First Approval.Dhillon, S.[2023]

Citations

Tebentafusp in combination with durvalumab and/or tremelimumab in patients with metastatic cutaneous melanoma: a phase 1 study. [2023]
Tebentafusp: a novel drug for the treatment of metastatic uveal melanoma. [2023]
Tebentafusp: First Approval. [2023]
Gp-100 as a Novel Therapeutic Target in Uveal Melanoma. [2021]
Tebentafusp, A TCR/Anti-CD3 Bispecific Fusion Protein Targeting gp100, Potently Activated Antitumor Immune Responses in Patients with Metastatic Melanoma. [2022]
Novel TCR-based biologics: mobilising T cells to warm 'cold' tumours. [2019]
Review of bi-specific therapies in uveal melanoma. [2023]
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