Spevatamig (PT886) as Monotherapy or in Combination With Chemo and/or ICI, for the Treatment of Patients With Advanced Gastric, Gastroesophageal Junction, Pancreatic Ductal or Biliary Tract Carcinomas (the TWINPEAK Study)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorPhanes Therapeutics

About this trial

This is a first-in-human, Phase 1/2, open-label, dose escalation and dose expansion and combination study designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy of Spevatamig (PT886). Patients with the following tumor types will be eligible for screening: unresectable or metastatic gastric adenocarcinoma, gastroesophageal junction (GEJ) adenocarcinoma, biliary tract carcinoma (BTC) and pancreatic ductal adenocarcinoma (PDAC).

Eligibility criteria

Qualifiers

18 years or older and able to sign informed consent and comply with the protocol.

Measurable disease as defined by RECIST V1.1 criteria for solid tumors.

3. Part A and Part B: Histologically or cytologically confirmed unresectable advanced or metastatic solid gastric, gastroesophageal junction (GEJ), biliary tract or pancreatic carcinomas previously treated for advanced (metastatic or unresectable) disease or for which treatment is not available or not tolerated.

ECOG performance status of 0 or 1.

Disqualifiers

Women who are pregnant or lactating.

Women of child-bearing potential (WOCBP) who do not use adequate birth control.

Has an active autoimmune disease that has required systemic treatment in the past 2 years.

Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days prior to study treatment.

Trial design

Treatments tested in this trial

  • Spevatamig (PT886)
  • Paclitaxel
  • Gemcitabine
  • Abraxane
  • KEYTRUDA® (pembrolizumab)
  • Oxaliplatin
  • Leucovorin
  • Fluorouracil
  • Capecitabine
  • FOLFIRINOX

Treatment groups

258 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Phanes Therapeutics

Lead sponsor

Merck Sharp & Dohme LLC

Collaborator