About this trial
The main objectives of this trial are to determine the recommended dose for expansion of xaluritamig (dose confirmation part only) and to determine the safety and tolerability of xaluritamig in adult, adolescent and pediatric participants with relapsed or refractory EWS.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Part 1: evaluable disease as defined by RECIST v1.1, as determined by the site investigator.
Histologically or cytologically confirmed EWS with molecular evidence of an EWSR1 translocation with an E26 transformation-specific (ETS) family gene, eg, FLI1, ETS-related gene [ERG]) via next generation sequencing (based on local testing).
Relapsed or refractory EWS following at least 1 line of chemotherapy (including treatment with an anthracycline and at least 1 alkylating agent).
Karnofsky ≥ 70% for participants ≥ 16 years of age.
Disqualifiers
Untreated central nervous system (CNS) metastases or leptomeningeal disease. Participants with a history of treated CNS metastases are eligible if there is radiographic evidence of improvement upon the completion of CNS-directed therapy and no evidence of interim progression between the completion of CNS-directed therapy and the screening radiographic study.
History of other malignancy within the past 2 years, except for malignancy treated with curative intent with low risk for recurrence (approximately < 10%) and with no known active disease present for >1 year before enrollment.
Active autoimmune disease that has required systemic treatment (except physiologic adrenal hormone replacement therapy) within the past 2 years or any other diseases requiring immunosuppressive therapy while on study. Participants with Type 1 diabetes, vitiligo, psoriasis, hypo- or hyper-thyroid disease not requiring immunosuppressive treatment are permitted.
Cytotoxic chemotherapy: 21 days.
Trial design
Sequential
Treatments tested in this trial
Xaluritamig
DrugParticipants will receive xaluritamig via short-term intravenous (IV) infusion.
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants Experiencing a Dose-limiting Toxicity (DLT) (Part 1 Only)
Number of Participants with Treatment-emergent Adverse Events
This includes treatment-emergent, treatment-related, serious, and fatal adverse events. Any changes in safety assessments (vital signs and clinical laboratory tests) will be recorded as adverse events.
Secondary outcomes
Maximum Serum Concentration (Cmax) of Xaluritamig
Time to Cmax (tmax) of Xaluritamig
Minimum Serum Concentration (Cmin) of Xaluritamig
Accumulation Following Multiple Doses of Xaluritamig