A Phase 1b/2 Trial of Dupilumab Given in Conjunction with PD-1 or PD-L1 Blockade and Anakinra in the Treatment of Relapsed/refractory Metastatic NSCLC

Who is this study for? Patients with relapsed/refractory metastatic NSCLC
What treatments are being studied? Dupilumab+PD-1/PD-L1 blockade
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a multi cohort, sequential enrollment clinical trial to determine the safety and tolerability of Dupilumab and Anakinra with PD-(L)1 blockade for patients with relapsed/refractory metastatic NSCLC. For Phase 2, to determine the effect of adding IL-4Ra and IL-1R blockade to PD-(L)1 blocking agents in patients with relapsed/refractory NSCLC, who have progressed on prior PD-(L)1 agents.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients must have a pathologically confirmed diagnosis of NSCLC

• Patients must have progressed (clinically or radiographically) on or following prior therapy with a PD-1 or PD-L1 targeted antibody

• Patients may have only 0 or 1 intervening lines of therapy from the prior PD-(L)1 blocking therapy

• Patient must be willing and able to provide blood samples (12 green-top tubes, roughly 100mL) at the time points indicated in the Study Calendar.

• Patient must be willing and able to have core needle biopsies, or forceps biopsies if clinically feasible by (Goal 3-6 biopsies, final number to be determined by the interventionalist performing the procedure as safe) of tumor prior to initiation of dupilumab and at the on-treatment time point. Should patients undergo pre-treatment or on-treatment biopsy procedure, and inadequate number of biopsies are obtained, they may proceed with initiation/continuation of treatment at the discretion of the investigator and treating physician

• Age ≥ 18 years.

• ECOG 0-2. The exception will be patients carrying long term disability (such as cerebral palsy) where the disability is not acute nor progressive, and unlikely to significantly affect their response to therapy.

• Women of child-bearing potential and men must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 3 months following completion of therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately. A female of child-bearing potential is any woman (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:

• Has not undergone a hysterectomy or bilateral oophorectomy; or

• Has not been naturally postmenopausal for at least 12 consecutive months

• Ability to understand and the willingness to sign a written informed consent.

Locations
United States
New York
The Blavatnik Family-Chelsea Medical Center at Mount Sinai
WITHDRAWN
New York
Tisch Cancer Institute, Mount Sinai Hospital
RECRUITING
New York
Contact Information
Primary
Thomas Marron, MD PhD
thomas.marron@mssm.edu
212-824-9472
Time Frame
Start Date: 2021-09-10
Estimated Completion Date: 2026-12
Participants
Target number of participants: 21
Treatments
Experimental: Dupilumab + anti-PD-1/PD-L1 (SOC)
Patients will continue SOC immunotherapy with PD-1/PD-L1 blockade following progression of disease, and three q3w cycles of dupilumab will be administered
Experimental: Anakinra + Dupilumab + anti-PD-1/PD-L1 (SOC)
Patients will continue SOC immunotherapy with PD-1/PD-L1 blockade following progression of disease, and three q3w cycles of dupilumab and anakinra will be administered
Sponsors
Leads: Thomas Marron

This content was sourced from clinicaltrials.gov

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