Breast Cancer Clinical Trial
Official title:
A Phase 1 Study of CDX-1140 as Monotherapy or in Combination in Patients With Advanced Malignancies
Verified date | March 2024 |
Source | Celldex Therapeutics |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a study to determine the maximum tolerated dose (MTD) for CDX-1140 (CD40 antibody), either alone or in combination with CDX-301 (FLT3L), pembrolizumab, or chemotherapy and to further evaluate its tolerability and efficacy in expansion cohorts once the MTD is determined.
Status | Completed |
Enrollment | 132 |
Est. completion date | September 13, 2022 |
Est. primary completion date | September 13, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Key Inclusion Criteria: 1. Recurrent, locally advanced or metastatic melanoma (including mucosal and/or ocular), bladder/urothelial, non-small cell lung cancer, pancreatic adenocarcinoma, breast, colorectal, gastric, esophageal, renal cell, hepatic, ovarian fallopian or primary peritoneal carcinoma, head and neck, and cholangiocarcinoma. Additional tumor types (except primary CNS tumors) may be enrolled after discussion with, and approval from, the medical monitor. 2. Must have received all standard of care therapies (approved or unapproved) as deemed appropriate by the treating physician. Patients who refuse standard therapy are excluded from the study. 3. If of childbearing potential (male or female), agrees to practice an effective form of contraception during study treatment and for at least 3 months following last treatment 4. Willingness to undergo a pre-treatment and on-treatment biopsy, if required. Additional Inclusion Criteria for Part 1: 1. Advanced diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma, or indolent B-cell lymphoma are also eligible. 2. Lymphoma patients must have received = 1 prior systemic therapy Additional Inclusion Criteria for Part 3: 1. Patients must have documented progression while receiving anti-PD-1 or anti-PD-L1 based regimens for FDA approved indications 2. Patients cannot have received more than one anti-PD-1 or anti-PD-L1 based regimen Additional Inclusion Criteria for Part 4: 1. Patients must have metastatic pancreatic adenocarcinoma, and have not received previous treatment in a metastatic setting Key Exclusion Criteria: 1. History of severe hypersensitivity reactions to other monoclonal antibodies. 2. Previous treatment with any anti-CD40 antibody or with FLT3L. 3. Inadequate washout period from prior therapy as defined in the Protocol. 4. Major surgery within 4 weeks prior to study treatment. 5. Use of immunosuppressive medications within 4 weeks or systemic corticosteroids within 2 weeks prior to study treatment. 6. Other prior malignancy, except for adequately treated basal or squamous cell skin cancer or in situ cancers. For all other cancers, the patient must be disease-free for at least 3 years to be allowed to enroll. 7. Active, untreated central nervous system metastases. 8. Active autoimmune disease or documented history of autoimmune disease. 9. History of (non-infectious) pneumonitis or has current pneumonitis. 10. Active infection requiring systemic therapy, known infection of HIV, Hepatitis B, or Hepatitis C. Additional Exclusion Criteria for lymphoma patients in Part 1: 1. Prior allogenic stem cell transplantation 2. Patients who have received autologous stem cell transplant = 12 weeks prior to the first dose of study drug. There are additional criteria your study doctor will review with you to confirm your eligibility for the study. |
Country | Name | City | State |
---|---|---|---|
United States | Northside Hospital, Inc. | Atlanta | Georgia |
United States | Georgia Cancer Center at Augusta University | Augusta | Georgia |
United States | Gabrail Cancer Center Research LLC | Canton | Ohio |
United States | Houston Methodist | Houston | Texas |
United States | Icahn School of Medicine at Mount Sinai | New York | New York |
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
United States | Oncology Hematology West, PC dba Nebraska Cancer Specialists | Omaha | Nebraska |
United States | Abramson Cancer Center at the University of Pennsylvania | Philadelphia | Pennsylvania |
United States | Providence Portland Medical Center | Portland | Oregon |
United States | Rhode Island Hospital (RIH) The Miriam Hospital (TMH) | Providence | Rhode Island |
United States | HonorHealth Research Insititute | Scottsdale | Arizona |
Lead Sponsor | Collaborator |
---|---|
Celldex Therapeutics | Merck Sharp & Dohme LLC |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Safety and Tolerability of CDX-1140 as assessed by CTCAE v5.0 | The rates of drug-related adverse events will be summarized and maximum tolerated dose will be determined. | From first dose through 30 days after last dose | |
Secondary | Objective Response Rate | The percentage of patients who achieved a confirmed complete response or partial response by evaluation criteria in solid tumors for immune-based therapeutics (iRECIST; for solid tumor patients) and the lymphoma response to immunomodulatory therapy criteria (LYRIC; for lymphoma patients). | Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years. | |
Secondary | Clinical benefit rate | The percentage of patients who achieve best response of confirmed CR or PR, or stable disease (SD) for at least four months | Every 8-12 weeks, starting with first dose until disease progression, assessed up to approximately 1-3 years | |
Secondary | Duration of Response | The interval from which measurement criteria are first met for CR or PR until the first date that progressive disease is objectively documented | First occurrence of a documented objective response to disease progression or death (up to approximately 1-3 years) | |
Secondary | Progression-free survival | The time from start of study drug to time of progression or death, whichever occurs first | From first dose to the first occurrence of disease progression or death due to any cause (up to approximately 1-3 years) | |
Secondary | Overall survival | The time from start of study drug to death | The time from start of study drug to death from any cause (up to approximately 1-3 years) | |
Secondary | Immunogenicity evaluation | Serum samples will be obtained for assessment of human anti-CDX-1140 and anti-CDX-301 antibodies | Prior to each dose of study treatment and at treatment discontinuation, up to approximately 1-3 years | |
Secondary | Pharmacokinetic evaluation | CDX-1140 and CDX-301 concentrations will be measured | Prior to each study treatment, multiple timepoints after each study treatment, and at treatment discontinuation up to approximately 1-3 years |
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