Brief Title: A Study of SAR444245 Combined With Other Anticancer Therapies for the Treatment of Participants With Gastrointestinal Cancer Master Protocol Pegathor Gastrointestinal 203
Official Title: A Phase 2 Non-randomized Open-label Multi-cohort Multi-center Study Assessing the Clinical Benefit of SAR444245 THOR-707 Combined With Other Anticancer Therapies for the Treatment of Participants With Advanced and Metastatic Gastrointestinal Cancer
Status: TERMINATED
Status Verified Date: 2024-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Early discontinuation based on strategic sponsor decision not driven by any safety concerns
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The study is a phase 2 non-randomized open-label multi-cohort multi-center study assessing the clinical benefit of SAR444245 THOR-707 combined with other anticancer therapies for the treatment of participants aged 18 years and older with advanced and metastatic gastrointestinal cancer This study is structured as a master protocol for the investigation of SAR444245 with other anticancer therapies
Sub study 01 - Cohort A aims to establish proof-of-concept that combining the non-alpha-IL2 SAR444245 with the anti-PD1 antibody pembrolizumab will result in a significant increase in the percentage of patients experiencing an objective response in the setting of advanced unresectable or metastatic esophageal squamous cell carcinoma ESCC
Sub study 02 - Cohort B1 B2 and B3 would focus on non MSI-H tumors with a large unmet need to establish proof-of-concept that combining the non-alpha-IL2 SAR444245 with the anti-PD1 antibody pembrolizumab will result in a significant increase in the percentage of patients experiencing an objective response in the setting of advanced unresectable or metastatic gastric cancer or gastro-esophageal junction adenocarcinoma GCGEJ especially with low PD-L1 expression or after progression on prior PD1PD-L1-based regimens
Sub study 03 - Cohort C aims to establish proof-of-concept that combining the non-alpha-IL2 SAR444245 with the anti-PD1 antibody pembrolizumab will result in a significant increase in the percentage of patients experiencing an objective response in participants with advanced unresectable or metastatic HCC who relapsed on prior PD1PD-L1-based regimens
Sub study 04 - Cohort D1 and D2 aims to establish proof-of-concept that combining the non-alpha-IL2 SAR444245 with either the anti-PD1 antibody pembrolizumab or with the anti-EGFR IgG1 antibody cetuximab will result in a significant increase in the percentage of patients experiencing an objective response in the setting of advanced unresectable or metastatic colorectal cancer mCRC
Detailed Description: The duration of the study for an individual patient will start from the signature of the main informed consent and include a screening period of up to 28 days a treatment period max 35 cycles cohort A B1B2 B3 C and D1 735 days or until PD cohort D2 an end-of-treatment visit at least 30 days following the last administration of study drug or until the patient receives another anticancer therapy whichever is earlier and a follow-up visit 3 months after treatment discontinuation and every 3 months following until disease progression or initiation of another antitumor treatment or death whichever is earlier