Overview
Sponsor-declared trial summary
Solid tumors
1) To evaluate safety and tolerability of treatment with ACTengine® IMA203/IMA203CD8 products as monotherapy or in combination with nivolumab (Phase I) 2) To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for IMA203/IMA203CD8 (Phase I) 3) To evaluate safety and tolerability of treatme…
Key facts
- Sponsor
- Immatics US Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 10 Aug 2020 → ongoing
- Decision date (initial)
- 2024-08-27
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Immatics Biotechnologies GmbH · Immatics US Inc
External identifiers
- EU CT number
- 2024-515114-41-00
- EudraCT number
- 2019-002370-31
- ClinicalTrials.gov
- NCT03686124
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy, Dose response
1) To evaluate safety and tolerability of treatment with ACTengine® IMA203/IMA203CD8 products as monotherapy or in combination with nivolumab (Phase I)
2) To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for IMA203/IMA203CD8 (Phase I)
3) To evaluate safety and tolerability of treatment with ACTengine® IMA203 product as monotherapy (Phase II)
4) To evaluate the anti-tumor activity of IMA203 (Phase II)
Conditions and MedDRA coding
Solid tumors
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10065252 | Solid tumor | 10029104 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Phase Ia: Dose escalation/de-escalation Patients participating in the dose escalation part of the clinical trial (IMA203/IMA203CD8 respectively) will sequentially be allocated to the dose-level cohort according to the dose escalation procedures
|
Not Applicable | None | ||
| 2 | Phase Ib - Dose extension Following the identification of provisional / anticipated final maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D), the safety and initial anti-tumor activity data of IMA203 /IMA203CD8 monotherapy or in combination with a checkpoint inhibitor collected in the Phase Ia dose escalation part will be substantiated in Phase Ib extension cohorts.
|
Not Applicable | None | IMA203 Monotherapy: Patients will receive IMA203 as monotherapy according to assigned dose IMA203 in combination with nivolumab: Patients will receive IMA203 in combination with nivolumab IMA203CD8 in combination with nivolumab: Patients will receive IMA203CD8 in combination with nivolumab IMA203CD8 monotherapy in indication specific extension cohorts: Patients will receive IMA203CD8 monotherapy within indication specific extension cohorts IMA203CD8 monotherapy with or without IL-2: Patient will receive IMA203CD8 with or without IL-2 as monotherapy IMA203 Monotherapy (flat dose): Patients will receive IMA203 as monotherapy according to assigned dose |
|
| 3 | Phase II Patients will receive IMA203 monotherapy within indication specific Phase 2 cohorts at final RP2D
|
Not Applicable | None |
Regulatory references
- Scientific advice from competent authorities
- Paul-Ehrlich-Institut
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 7
- Patient must have pathologically confirmed advanced and/or metastatic solid tumor with defined tumor target expression
- Patients ≥ 18 years of age
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
- Confirmed HLA status
- Adequate hepatic and renal function, acceptable coagulation status and adequate organ and marrow function
- Patients must have measurable disease according to RECIST 1.1
- Patients must have recovered from infections to Grade 1 or lower (Nivolumab combination arm)
Exclusion criteria 6
- Patients with history of other malignancies or with active brain metastases
- The patient is pregnant or is breastfeeding
- Patients with prior allogenic stem cell transplantation or solid organ transplantation
- History of hypersensitivity to CY, FLU or IL-2 and Rescue medication
- The patient has concurrent severe and/or uncontrolled medical disease or any other condition that would, in the investigator's or sponsor's judgment, contraindicate the patient's participation in the clinical study because of safety concerns or compliance with clinical study procedures
- Patients with a history of severe immune-related toxicities, defined as any Grade 3 or 4 toxicities related to prior PD1/PD-L1 inhibitor therapy (Nivolumab combination arm)
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 5
- Treatment-emergent adverse events (TEAEs) (Phase I/II)
- Adverse Events of special interest (AESIs) (Phase I/II)
- Serious TEAEs (Phase I/II)
- Number of patients with dose-limiting toxicities (Phase I)
- Objective response rate based on best overall response of complete response and partial response centrally assessed using RECIST 1.1 (Phase II)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
PRD9613338 · Product
- Active substance
- IMA203CD8
- Pharmaceutical form
- INFUSION
- Route of administration
- INTRAVENOUS USE
- Authorisation status
- Not Authorised
- MA holder
- IMMATICS US INC.
- Paediatric formulation
- No
- Orphan designation
- No
PRD7629213 · Product
- Active substance
- Autologous T-Cells Transduced with the Lentiviral LV-R11KEA Encoding T-Cell Receptor Targeting Patient-Specific Tumor-Associated Antigens
- Pharmaceutical form
- DISPERSION FOR INFUSION
- Route of administration
- INTRAVENOUS USE
- Authorisation status
- Not Authorised
- MA holder
- IMMATICS US INC.
- Paediatric formulation
- No
- Orphan designation
- No
OPDIVO 10 mg/mL concentrate for solution for infusion.
PRD2941375 · Product
- Active substance
- Nivolumab
- Substance synonyms
- BMS936558, ABP 206
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS ADMINISTRATION
- Authorisation status
- Authorised
- ATC code
- L01FF01 — -
- Marketing authorisation
- EU/1/15/1014/002
- MA holder
- BRISTOL-MYERS SQUIBB PHARMA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Immatics US Inc.
- Sponsor organisation
- Immatics US Inc.
- Address
- 13203 Murphy Road
- City
- Stafford
- Postcode
- 77477-4303
- Country
- United States
Scientific contact point
- Organisation
- Immatics US Inc.
- Contact name
- Clinical Development
Public contact point
- Organisation
- Immatics US Inc.
- Contact name
- Clinical Development
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Genewiz Germany GmbH ORG-100049496
|
Leipzig, Germany | Laboratory analysis |
| Quanticate UK Limited ORG-100027726
|
Hitchin, United Kingdom | Other, Data management |
| Imaging Endpoints II LLC ORG-100045399
|
Scottsdale, United States | Other |
| Precision for Medicine GmbH ORG-100044456
|
Berlin, Germany | Other |
| Medidata Solutions International Limited ORG-100048319
|
London, United Kingdom | Other, E-data capture |
| Scope International AG ORG-100009715
|
Mannheim, Germany | On site monitoring |
| Cogitars GmbH ORG-100044720
|
Heidelberg, Germany | Code 10 |
| MicroCoat Biotechnologie GmbH ORG-100031937
|
Bernried Am Starnberger See, Germany | Laboratory analysis |
| Winicker-Norimed Medizinische Forschung GmbH ORG-100035700
|
Nuremberg, Germany | Code 11 |
| Angle Europe Limited ORG-100051451
|
Guildford, United Kingdom | Laboratory analysis |
| ProtaGene CGT GmbH ORG-100041450
|
Heidelberg, Germany | Laboratory analysis |
| spm²-safety projects & more GmbH ORG-100013935
|
Hirschberg An Der Bergstrasse, Germany | Code 8 |
| Labcorp ORG-100011514
|
Burlington, United States | Laboratory analysis |
| The University of Texas MD Anderson Cancer Center ORL-000009972
|
Houston TX, United States | Laboratory analysis |
Locations
1 EU/EEA country · 8 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Germany | Ongoing, recruiting | 272 | 8 |
| Rest of world
United States
|
— | 271 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Germany | 2020-08-10 | 2020-08-10 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 20 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-515114-41-00_Redacted | 13.0 |
| Protocol (for publication) | D4_EORTC QLQ-C30_DE_EN_Redacted | 3 |
| Protocol (for publication) | D4_EQ-5D-5L_DE_EN_Redacted | 1 |
| Protocol (for publication) | D4_Patient Card_DE_Redacted | 4.0 |
| Protocol (for publication) | D4_Patient questionnaire_DE_EN_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Redacted | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_social media posts_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults ICF1_DE_EN_redacted | 19 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults ICF2_IMA203_DE_EN_redacted | 18 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults ICF2_IMA203CD8_DE_EN_redacted | 13 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults legal guardian_DE_EN_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults optional biosample_DE_EN_redacted | 5.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_adults pregnant partner_DE_EN_redacted | 7.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Greenphire_ICF_DE_EN_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L2_Clincard-GreenSpace_DE_EN_redacted | 10 |
| Subject information and informed consent form (for publication) | L2_ConneX Travel_DE_EN_redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material description_ACTengine_Pathway_DE_EN | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material description_Patient Journey Video_Script_DE_EN | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Opdivo | 4 |
| Synopsis of the protocol (for publication) | D1_Protocol layperson synopsis DE 2024-515114-41-00_Redacted | 2.0 |
Application history
7 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-08-14 | Germany | Acceptable with conditions 2024-08-22
|
2024-08-27 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-10-21 | Germany | Acceptable 2024-12-06
|
2024-12-10 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-01-15 | Germany | Acceptable 2025-02-06
|
2025-02-07 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-06-30 | Germany | Acceptable 2025-08-26
|
2025-08-26 |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-09-16 | Germany | Acceptable 2025-11-21
|
2025-11-21 |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-12-12 | Germany | Acceptable | 2025-12-29 |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2026-03-27 | Germany | Acceptable 2026-05-11
|
2026-05-13 |