Compassionate Use of Brontictuzumab for Adenoid Cystic Carcinoma (ACC)

Treatment:

Participant will receive brontictuzumab by vein over 30 minutes one time every 3 weeks.

Clinic Visits:

On Day 1 of Cycle 1 and then every 3 weeks from then on:

- Participant will have a physical exam

- Blood (about 3 teaspoons) will be drawn for routine tests.

Every 6 weeks, participant will have an MRI and CT scan to check the status of the disease.

Length of Treatment:

Participant may continue taking brontictuzumab for as long as the doctor thinks it is in
their best interest. Participant will no longer be able to take the drug if the disease gets
worse, they develop another illness that prevents receiving more treatment, or if
intolerable side effects occur.

Brontictuzumab is not FDA approved or commercially available. It is currently being used for
research purposes only.

Inclusion Criteria:

1. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1

2. Organ and marrow function as follows: absolute neutrophil count (ANC) ≥1000/mm3,
platelets ≥50,000/dL, hemoglobin ≥8 g/dL, bilirubin ≤ 1.5 times the upper limit of
normal, serum creatinine ≤1.5 mg/dL or creatinine clearance ≥50 mL/min, alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 times the upper limit
of normal.

3. Central Nervous System (CNS) metastases allowed if subject does not require steroids,
brain metastases are clinically stable without symptomatic progression

4. Capability to understand and comply with the protocol and signed informed consent
document.

Exclusion Criteria:

1. Major medical conditions that might affect study participation (e.g. uncontrolled
pulmonary, renal, or hepatic dysfunction, uncontrolled infection, cardiac disease)

2. Inability or unwillingness to abide by the study protocol or cooperate fully with the
investigator.