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Phase 1a (dose escalation): Participants with histologically or cytologically confirmed advanced, metastatic, unresectable solid tumors who have previously received standard systemic therapy or for whom treatment is not available, not tolerated or refused |
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Enrollment will be limited to participants with advanced solid tumors for which there is clinical evidence of response to T cell based immuno-oncology agents (eg, anti PD 1) or other scientific evidence in support of an immunologically sensitive tumor type |
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Participant has not received prior therapy targeting OX40 or any other T cell agonist therapy (prior checkpoint inhibitor therapy is allowed) |
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Has at least 1 measurable lesion as defined per RECIST 1.1. The target lesion(s) selected have not been previously treated with local therapy OR the target lesion(s) selected that are within the field of prior local therapy have subsequently progressed as defined by RECIST 1.1 |
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Participants must be able to provide an archived formalin fixed paraffin embedded (FFPE) tumor tissue sample (block or approximately 15 freshly unstained FFPE slides) after the most recent line of therapy. If archival tissue is not available, fresh tumor biopsy is mandatory |
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Participants enrolled must provide baseline tumor tissue as outlined as well as be willing and medically fit to undergo mandatory on treatment biopsies with no excessive risk as judged by the investigator |
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Eastern Cooperative Oncology Group (ECOG) Performance Status 1 |
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Adequate organ function as indicated by the following laboratory values up to first dose of study drug |
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Participants must not have required blood transfusion or growth factor support 14 days before sample collection for the following |
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Absolute neutrophil count 1.5 x 109/L |
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Platelet count 75 x 109/L |
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Hemoglobin 90g/L |
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Serum creatinine 1.5 x upper limit of normal (ULN) or estimated glomerular filtration rate (GFR) 60 mL/min/1.73 m2 by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation |
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The estimated GFR for participants with renal cell carcinoma must be 30 mL/min/1.73 m2 by the CKD-EPI equation |
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Serum total bilirubin 1.5 x ULN (< 3 x ULN for participants with Gilbert syndrome) |
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Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 3 x ULN |
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x ULN for participants with hepatocellular carcinoma or liver metastases |
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Active leptomeningeal disease or uncontrolled brain metastasis. Participants with equivocal findings or with confirmed brain metastases are eligible for enrollment provided they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s)
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Active autoimmune diseases or history of autoimmune diseases that may relapse or history of life-threatening toxicity related to prior immune therapy, with the following exceptions
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Controlled type 1 diabetes
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Hypothyroidism (provided it is managed with hormone-replacement therapy only)
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Controlled celiac disease
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Skin diseases not requiring systemic treatment (eg, vitiligo, psoriasis, or alopecia)
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Any other disease that is not expected to recur in the absence of external triggering factors (requires consultation with the medical monitor prior to enrollment)
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Any active malignancy 2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast)
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Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication 14 days before the first dose of study drug(s), with the following exceptions
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Adrenal replacement steroid (dose 10 mg daily of prednisone or equivalent)
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Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption
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Short course ( 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a nonautoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen)
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Any of the following cardiovascular risk factors
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Cardiac chest pain, defined as moderate pain that limits instrumental activities of daily living, 28 days before the first dose of study drug(s)
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Pulmonary embolism 28 days before the first dose of study drug(s)
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Any history of acute myocardial infarction 6 months before the first dose of study drug(s)
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Heart failure that meets the New York Heart Association Classification III or IV 6 months before the first dose of study drug(s)
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Any event of ventricular arrhythmia Grade 2 in severity 6 months before the first dose of study drug(s)
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Any history of cerebrovascular accident 6 months before the first dose of study drug(s)
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Uncontrolled hypertension: systolic pressure 140 mmHg or diastolic pressure 90 mmHg on repeated measurements that cannot be managed by standard antihypertension medications 28 days before the first dose of study drug(s)
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Any episode of syncope or seizure 28 days before the first dose of study drug(s)
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NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
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