A Study of XmAb®23104 in Subjects With Selected Advanced Solid Tumors (DUET-3) (DUET-3)
![]() |
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03752398 |
Recruitment Status :
Recruiting
First Posted : November 26, 2018
Last Update Posted : March 28, 2023
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Melanoma (Excluding Uveal Melanoma) Cervical Carcinoma Pancreatic Carcinoma Breast Carcinoma That is Estrogen Receptor, Progesterone Receptor, and Her2 Negative Hepatocellular Carcinoma Urothelial Carcinoma Squamous Cell Carcinoma of the Head and Neck Nasopharyngeal Carcinoma Renal Cell Carcinoma Colorectal Carcinoma Endometrial Carcinoma Non-small Cell Lung Carcinoma Small Cell Lung Cancer Gastric or Gastroesophageal Junction Adenocarcinoma Advanced Solid Tumors Undifferentiated Pleomorphic Sarcoma | Biological: XmAb®23104 Biological: Yervoy® (ipilimumab) | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 300 participants |
Allocation: | Randomized |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 1 Multiple-Dose Study to Evaluate the Safety and Tolerability of XmAb®23104 in Subjects With Selected Advanced Solid Tumors |
Actual Study Start Date : | May 1, 2019 |
Estimated Primary Completion Date : | December 2024 |
Estimated Study Completion Date : | September 2025 |

Arm | Intervention/treatment |
---|---|
Experimental: XmAb®23104 Monotherapy
XmAb®23104 administered by IV dosing on Days 1 and 15 of each 28-day cycle x 2 cycles
|
Biological: XmAb®23104
Monoclonal bispecific antibody |
Experimental: XmAb®23104 Combination Therapy with Ipilimumab
XmAb®23104 administered by IV on Days 1 and 15 of each 28-day cycle x 2 cycles + Yervoy® (ipilimumab)
|
Biological: XmAb®23104
Monoclonal bispecific antibody Biological: Yervoy® (ipilimumab) Monoclonal antibody |
- Treatment-related adverse events as assessed by CTCAE v4.03 [ Time Frame: 56 Days ]Safety and tolerability

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
-
Subjects in Part A (dose escalation) must have a diagnosis of any of the following:
Histologically or cytologically confirmed advanced solid tumors, including the following:
- Melanoma (excluding uveal melanoma)
- Cervical carcinoma
- Pancreatic carcinoma
- Breast carcinoma that is estrogen receptor, progesterone receptor, and Her2 negative
- Hepatocellular carcinoma
- Urothelial carcinoma
- Squamous cell carcinoma of the head and neck
- Nasopharyngeal carcinoma
- Renal cell carcinoma
- Colorectal carcinoma
- Endometrial carcinoma
- NSCLC
- Small cell lung cancer
- Gastric or gastroesophageal junction adenocarcinoma
- Sarcoma
-
Subjects in Part B (expansion) must have a diagnosis of any of the following:
Histologically or cytologically confirmed advanced solid tumors of the following types:
- Non-squamous NSCLC
- Melanoma
- HNSCC, including NPC
- CRC
- UPS, including other select high grade STS, such as MFS
- ccRCC
Prior to enrolling into Part B (expansion), subjects should have received disease-specific standard therapy as indicated for:
- Non-squamous NSCLC
- Melanoma
- HNSCC, including NPC
- CRC
- UPS, including other select high-grade STS such as MFS
- RCC, clear cell histology (ccRCC)
-
Subjects in Part C (expansion)must have a diagnosis of MSS or proficient mismatch repair CRC with the following:
- cancer must have progressed after treatment with standard/approved therapies or have no appropriate available therapies
- subjects will have life expectancy greater than 3 months
- All subjects' cancer must have progressed after treatment with standard/approved therapies or have no appropriate available therapies.
- Subjects must have measurable disease by RECIST 1.1.
- All subjects must have adequate archival tumor sample (slides or archival FFPE block[s] containing tumor.
- All subjects in Part B (dose expansion) must have a tumor lesion that can be biopsied at acceptable risk (in the judgment of the Investigator) and must agree to both a fresh biopsy during screening and a second biopsy following treatment.
- Subjects have an ECOG performance status of 0-1.
Exclusion Criteria:
- Currently receiving other anticancer therapies
- Prior treatment with an investigational anti-ICOS therapy
- Treatment with any PDL1 or PDL2-directed therapy within 4 weeks of the start of study drug
- Treatment with nivolumab within 4 weeks of the start of study drug
- Treatment with pembrolizumab within 24 weeks of start of study drug for Cohorts 1A - 10A
- Treatment with any other anticancer therapy within 2 weeks of the start of study drug (ie, other immunotherapy, chemotherapy, radiation therapy, etc.)
- A life-threatening (Grade 4) irAE related to prior immunotherapy
- Failure to recover from any irAE from prior cancer therapy to Grade ≤ 1, except for endocrinopathies that are on stable hormone replacement doses
- Failure to recover from any other toxicity (other than immune-related toxicity) related to previous anticancer treatment to Grade ≤ 2
- Known active central nervous system involvement by malignant disease. Subjects with previously treated brain metastases may participate provided they are radiologically stable, ie, are without evidence of progression for at least 4 weeks by repeat imaging and are clinically stable and without requirement of steroid treatment for at least 14 days prior to first dose of study treatment.
- Active known or suspected autoimmune disease
- Receipt of an organ allograft
- History or evidence of any other clinically unstable/uncontrolled disorder, condition, or disease (including, but not limited to, cardiopulmonary, renal, metabolic, hematologic or psychiatric) other than their primary malignancy, that in the opinion of the Investigator would pose a risk to patient safety or interfere with study evaluations, procedures, or completion
- Treatment with antibiotics within 14 days prior to first dose of study drug
- Receipt of a live-virus vaccine within 30 days prior to first dose of study drug (seasonal flu vaccines that do not contain live virus are permitted).
- Treatment with ipilimumab within 4 weeks of the start of study drug

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03752398
Contact: Ben Thompson, MD, PhD | 619 571-7381 | bthompson@xencor.com | |
Contact: Amber Sarot | 858-245-9419 | asarot@xencor.com |

Study Director: | Ben Thompson, MD, PhD | Xencor, Inc. |
Responsible Party: | Xencor, Inc. |
ClinicalTrials.gov Identifier: | NCT03752398 |
Other Study ID Numbers: |
XmAb23104-01 DUET-3 ( Other Identifier: Xencor, Inc. ) |
First Posted: | November 26, 2018 Key Record Dates |
Last Update Posted: | March 28, 2023 |
Last Verified: | March 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
DUET-3 Advanced solid tumors Melanoma Cervical Cancer Pancreatic Cancer Triple Negative Breast Cancer Hepatocellular/Liver Cancer Urothelial Cancer Bladder Cancer |
Renal Cell Cancer Head and Neck Cancer Colorectal Cancer Endometrial Cancer Non-small Cell Lung Cancer Small Cell Lung Cancer Gastric Cancer Gastroesophageal Junction Cancer Sarcoma |
Carcinoma Lung Neoplasms Melanoma Sarcoma Small Cell Lung Carcinoma Nasopharyngeal Carcinoma Breast Neoplasms Squamous Cell Carcinoma of Head and Neck Colorectal Neoplasms Endometrial Neoplasms Carcinoma, Non-Small-Cell Lung Pancreatic Neoplasms Histiocytoma, Malignant Fibrous Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type |
Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Lung Diseases Respiratory Tract Diseases Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms, Nerve Tissue Nevi and Melanomas Carcinoma, Squamous Cell Digestive System Neoplasms Digestive System Diseases Neoplasms, Connective and Soft Tissue |