Solid Tumors Clinical Trial
Official title:
A Phase 1/2, First-In-Human, Multi-Part, Open-Label, Multiple-Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, Biological, and Clinical Activity of DF6002 as a Monotherapy and in Combination With Nivolumab in Patients With Locally Advanced or Metastatic Solid Tumors, and Expansion in Selected Indications
The purpose of this study is to evaluate the safety, tolerability, drug-levels, drug-effects and preliminary anti-tumor activity of DF6002 alone and in combination with Nivolumab in participants with advanced solid tumors.
| Status | Recruiting |
| Enrollment | 473 |
| Est. completion date | December 16, 2025 |
| Est. primary completion date | July 19, 2024 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility | Inclusion Criteria: - Advanced/metastatic solid tumors, for which no standard therapy exists or standard therapy has failed among the following tumor types: melanoma, non-small cell lung cancer, small cell lung cancer, head and neck squamous cell, urothelial, gastric, esophageal, cervical, hepatocellular, merkel cell, cutaneous squamous cell carcinoma, renal cell, endometrial, triple-negative breast, ovarian, and prostate - ECOG performance status of 0 or 1 - Clinical or radiological evidence of disease - Adequate hematological, hepatic and renal function - Anticoagulants are required for the following: Khorana Risk Score = 2 or as assessed by Investigator as being at high risk for venous thromboembolism (VTE) or history of VTE = 6 months from enrollment Exclusion Criteria: - Concurrent anticancer treatment (with the exception of palliative bone directed radiotherapy), immune therapy, or cytokine therapy (except for erythropoietin), major surgery (excluding prior diagnostic biopsy), concurrent systemic therapy with steroids or other immunosuppressive agents, or use of any investigational drug within 28 days before the start of study treatment - Previous malignant disease other than the current target malignancy within the last 3 years, with the exception of basal or squamous cell carcinoma of the skin, localized prostate cancer or cervical carcinoma in situ - Rapidly progressive disease - Serious cardiac illness or medical conditions - Known diagnosis of antiphospholipid syndrome or clinically significant hereditary thrombophilia Other protocol-defined inclusion/exclusion criteria apply |
| Country | Name | City | State |
|---|---|---|---|
| Australia | Local Institution - 0023 | Box Hill | |
| Australia | Local Institution - 0022 | Heidelberg | |
| France | Local Institution - 0026 | Bordeaux Cedex | |
| France | Local Institution | Paris | Ile-de-France |
| France | Local Institution - 0002 | Paris | |
| France | Local Institution - 0027 | Pierre-Benite | |
| France | Local Institution | Pierre-Bénite | Rhone |
| France | Local Institution - 0001 | Villejuif | |
| Spain | Local Institution - 0029 | Barcelona | |
| Spain | Local Institution | Madrid | |
| Spain | Local Institution | Madrid | |
| Spain | Local Institution - 0028 | Madrid | |
| Spain | Local Institution - 0030 | Madrid | |
| Spain | Local Institution - 0031 | Madrid | |
| Spain | Local Institution | Pamplona | Navarre |
| Spain | Local Institution - 0025 | Pamplona | |
| United States | Augusta University Georgia Cancer Center | Augusta | Georgia |
| United States | Local Institution | Augusta | Georgia |
| United States | Dana-Farber Cancer Institute | Boston | Massachusetts |
| United States | Local Institution | Boston | Massachusetts |
| United States | Local Institution | Bronx | New York |
| United States | Montefiore Medical Center | Bronx | New York |
| United States | Local Institution | Buffalo | New York |
| United States | Roswell Park Comprehensive Cancer Center | Buffalo | New York |
| United States | Local Institution | Cleveland | Ohio |
| United States | University Hospitals Cleveland Medical Center | Cleveland | Ohio |
| United States | SCRI - HealthOne Denver | Denver | Colorado |
| United States | Barbara Ann Karmanos Cancer Institute | Detroit | Michigan |
| United States | Henry Ford Hospital | Detroit | Michigan |
| United States | Local Institution | Detroit | Michigan |
| United States | Local Institution | Fairfax | Virginia |
| United States | USOR - Virginia Cancer Specialists - Fairfax Office | Fairfax | Virginia |
| United States | Local Institution | Houston | Texas |
| United States | University of Texas MD Anderson Cancer Center | Houston | Texas |
| United States | University of Texas MD Anderson Cancer Center | Houston | Texas |
| United States | University of Iowa Hospitals and Clinics | Iowa City | Iowa |
| United States | Local Institution | Miami | Florida |
| United States | University of Miami | Miami | Florida |
| United States | Froedtert Hospital | Milwaukee | Wisconsin |
| United States | Atlantic Health System | Morristown | New Jersey |
| United States | Local Institution | Nashville | Tennessee |
| United States | SCRI - Tennessee Oncology - Saint Thomas West Clinic | Nashville | Tennessee |
| United States | Local Institution | New Haven | Connecticut |
| United States | Yale School of Medicine | New Haven | Connecticut |
| United States | Local Institution | Oklahoma City | Oklahoma |
| United States | Stephenson Cancer Center | Oklahoma City | Oklahoma |
| United States | Local Institution | Orange | California |
| United States | University of California Irvine | Orange | California |
| United States | Local Institution | Providence | Rhode Island |
| United States | Rhode Island Hospital | Providence | Rhode Island |
| United States | HealthPartners Cancer Center at Regions Hospital | Saint Paul | Minnesota |
| United States | Local Institution | Saint Paul | Minnesota |
| United States | Huntsman Cancer Institute and Hospital | Salt Lake City | Utah |
| United States | Local Institution | Salt Lake City | Utah |
| Lead Sponsor | Collaborator |
|---|---|
| Dragonfly Therapeutics |
United States, Australia, France, Spain,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Number of participants with dose-limiting toxicities (DLTs) | Phase 1/1b only | During the first 3 weeks of treatment | |
| Primary | Overall Response Rate (ORR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 per an Independent Endpoint Review Committee (IERC) | Phase 2 only | Up to 2 years | |
| Secondary | Number of participants with treatment emergent adverse events (TEAEs) | Up to 2 years | ||
| Secondary | Severity of TEAEs | Up to 2 years | ||
| Secondary | Duration of TEAEs | Up to 2 years | ||
| Secondary | Number of participants with changes from baseline in clinical laboratory parameters | Up to 2 years | ||
| Secondary | Number of participants with changes from baseline in electrocardiogram (ECG) parameters | Up to 2 years | ||
| Secondary | Number of participants with changes from baseline in vital sign parameters | Up to 2 years | ||
| Secondary | Number of participants with changes from baseline in Eastern Cooperative Oncology Group (ECOG) performance status | Up to 2 years | ||
| Secondary | Duration of Response (DOR) according to RECIST 1.1 per Investigator assessment | Up to month 24 | ||
| Secondary | Area under the plasma concentration-time curve from the time of dosing to the time of the last observation (AUC 0-T) | Up to day 28 | ||
| Secondary | Area under the plasma concentration-time curve from the time of dosing extrapolated to infinity (AUC 0-INF) | Up to day 28 | ||
| Secondary | Maximum serum concentration observed post-dose (Cmax) | Up to day 28 | ||
| Secondary | Best overall response (BOR) according to RECIST 1.1 per Investigator assessment | Approximately one year | ||
| Secondary | Clinical benefit rate (CBR) according to RECIST 1.1 per Investigator assessment | Up to 2 years | ||
| Secondary | Confirmed ORR per RECIST 1.1 per Investigator assessment | Phase 1/1b only | Up to 2 years | |
| Secondary | Progression-free survival (PFS) according to RECIST 1.1 per Investigator assessment | Phase 2 only | Up to 2 years | |
| Secondary | CBR according to RECIST 1.1 per IERC | Phase 2 only | Up to 2 years | |
| Secondary | PFS according to RECIST 1.1 per IERC | Phase 2 only | Up to 2 years | |
| Secondary | DOR according to RECIST 1.1 per IERC | Phase 2 only | Up to month 24 | |
| Secondary | Unconfirmed response after 4 cycles according to RECIST 1.1 | Phase 2 only | Up to 2 years | |
| Secondary | Overall Survival (OS) | Phase 2 only | Up to 5 years | |
| Secondary | Serum titers of anti-DF6002 antibodies | Phase 2 only | Up to 2 years | |
| Secondary | Serum titers of anti-nivolumab antibodies | Phase 2 only | Up to 2 years |
| Status | Clinical Trial | Phase | |
|---|---|---|---|
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