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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03795610
Other study ID # 172058
Secondary ID
Status Recruiting
Phase Phase 2
First received
Last updated
Start date March 6, 2020
Est. completion date June 2023

Study information

Verified date March 2023
Source University of California, San Diego
Contact Debanjali Ghosh, MA
Phone 858-246-0357
Email d1ghosh@health.ucsd.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to investigate how effective the study drug IPI-549 is against types of cancers. IPI-549 is considered experimental because it is not approved by the US Food and Drug Administration (FDA) for the treatment of cancer. Patients will be treated with 2 weeks of IPI-549, a specific PI3Kγ inhibitor. Tumor tissue for research purposes through core biopsies will be obtained prior to initiation of IPI-549 and at surgery.


Description:

This is a phase 2 window of opportunity trial in patients with locally advanced head and neck cancer. A key objective is to provide the first proof that macrophage phenotype switching can be accomplished in humans and lay the groundwork for future trials of this novel approach to immune therapy. Patients who are candidates for surgical resection will be enrolled and treated with 2 weeks of IPI-549, a specific PI3Kγ inhibitor. Tumor tissue for research purposes through core biopsies will be obtained prior to initiation of IPI-549 and at surgery. The study team hypothesizes that mRNA signatures of immune response will be increased in IPI-549-treated patients. For the efficacy endpoints, RECISTv1.1 will be used.


Recruitment information / eligibility

Status Recruiting
Enrollment 15
Est. completion date June 2023
Est. primary completion date June 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Have locally advanced that is amenable to surgical resection - Must be able to swallow tablets - Must be able to undergo a core tumor biopsy. - Must have adequate organ function. Exclusion Criteria: - Diagnosis of cutaneous squamous cell carcinoma (SCC) or Epstein-Barr virus (EBV) related nasopharynx cancer. - Planned major surgery within 4 weeks prior to initiation of study drug - Patients treated with chemotherapy, biologic therapy, or other investigational agent within < 28 days of starting study drug - History of infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C virus (HCV) - On going treatment with chronic immunosuppressants (e.g., cyclosporine) or systemic steroids - Prior surgery or gastrointestinal dysfunction that may affect drug absorption (e.g. gastric bypass surgery, gastrectomy) - Female subjects who are pregnant or breastfeeding - Concurrent active malignancy other than nonmelanoma skin cancer, carcinoma in situ of the cervix, or prostate intraepithelial neoplasia

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
IPI-549
40mg by mouth (PO) every day (QD) for at least 14 days

Locations

Country Name City State
United States UC San Diego Moores Cancer Center La Jolla California

Sponsors (2)

Lead Sponsor Collaborator
Ezra Cohen The V Foundation for Cancer Research

Country where clinical trial is conducted

United States, 

References & Publications (6)

De Palma M, Lewis CE. Macrophage regulation of tumor responses to anticancer therapies. Cancer Cell. 2013 Mar 18;23(3):277-86. doi: 10.1016/j.ccr.2013.02.013. — View Citation

Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009 Jan;45(2):228-47. doi: 10.1016/j.ejca.2008.10.026. — View Citation

Gabrilovich DI, Ostrand-Rosenberg S, Bronte V. Coordinated regulation of myeloid cells by tumours. Nat Rev Immunol. 2012 Mar 22;12(4):253-68. doi: 10.1038/nri3175. — View Citation

Kaneda MM, Cappello P, Nguyen AV, Ralainirina N, Hardamon CR, Foubert P, Schmid MC, Sun P, Mose E, Bouvet M, Lowy AM, Valasek MA, Sasik R, Novelli F, Hirsch E, Varner JA. Macrophage PI3Kgamma Drives Pancreatic Ductal Adenocarcinoma Progression. Cancer Discov. 2016 Aug;6(8):870-85. doi: 10.1158/2159-8290.CD-15-1346. Epub 2016 May 13. — View Citation

Kaneda MM, Messer KS, Ralainirina N, Li H, Leem CJ, Gorjestani S, Woo G, Nguyen AV, Figueiredo CC, Foubert P, Schmid MC, Pink M, Winkler DG, Rausch M, Palombella VJ, Kutok J, McGovern K, Frazer KA, Wu X, Karin M, Sasik R, Cohen EE, Varner JA. PI3Kgamma is a molecular switch that controls immune suppression. Nature. 2016 Nov 17;539(7629):437-442. doi: 10.1038/nature19834. Epub 2016 Sep 19. Erratum In: Nature. 2017 Feb 2;542(7639):124. — View Citation

Schmid MC, Avraamides CJ, Dippold HC, Franco I, Foubert P, Ellies LG, Acevedo LM, Manglicmot JR, Song X, Wrasidlo W, Blair SL, Ginsberg MH, Cheresh DA, Hirsch E, Field SJ, Varner JA. Receptor tyrosine kinases and TLR/IL1Rs unexpectedly activate myeloid cell PI3kgamma, a single convergent point promoting tumor inflammation and progression. Cancer Cell. 2011 Jun 14;19(6):715-27. doi: 10.1016/j.ccr.2011.04.016. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary PI3K-y changes To detect IPI-549-induced changes in PI3K?-regulated signatures of immune suppression. 2 years
Secondary Changes of Myeloid composition Compare pre- vs. post-treatment tumor tissue 2 years
Secondary changes in T cell composition T cell receptor (TCR) sequencing at baseline, surgery, end of treatment or at time of disease progression. 2 years
Secondary Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 To determine safety and tolerability of IPI-549 and change in tumor size in patients with locally advanced HNSCC 2 years
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