A Phase I/II Study of M3814 and Avelumab in Combination With Hypofractionated Radiation in Patients With Advanced/Metastatic Solid Tumors and Hepatobiliary Malignancies

Who is this study for? Adult patients with Metastatic or Locally Advanced Unresectable Solid Tumor or Cholangiocarcinoma or Gallbladder Carcinoma
Status: Recruiting
Location: See all (46) locations...
Intervention Type: Drug, Radiation, Procedure
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This phase I/II trial studies the best dose and side effects of peposertib and to see how well it works with avelumab and hypofractionated radiation therapy in treating patients with solid tumors and hepatobiliary malignancies that have spread to other places in the body (advanced/metastatic). Peposertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Immunotherapy with monoclonal antibodies, such as avelumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Hypofractionated radiation therapy delivers higher doses of radiation therapy over a shorter period of time and may kill more tumor cells and have fewer side effects. Giving peposertib in combination with avelumab and hypofractionated radiation therapy may work better than other standard chemotherapy, hormonal, targeted, or immunotherapy medicines available in treating patients with solid tumors and hepatobiliary malignancies.

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

• PHASE 1: Patients must have a histologically confirmed metastatic or locally advanced unresectable solid tumor that has progressed on or after available standard of care therapy or for which no acceptable standard of care therapy exists, or in which the patient declines standard of care therapy (each patient that declines standard of care therapy will be documented in the case report form)

• PHASE 2: Patients must have a histologically confirmed metastatic or locally advanced unresectable cholangiocarcinoma/gallbladder carcinoma that has progressed on gemcitabine, cisplatin, and durvalumab/pembrolizumab.

• Age \>= 18 years

⁃ Because no dosing or adverse event data are currently available on the use of peposertib (M3814) in combination with avelumab in patients \< 18 years of age

• Eastern Cooperative Oncology Group (ECOG) performance status =\< 2 (Karnofsky \>= 60%)

• Patients with at least 1 index lesion to irradiate for whom palliative radiation treatment is indicated (including but not limited to pain and/or symptom control, prevention of disease -related complications, and preservation of organ function). Lung and liver lesions are preferred, though alternate lesions may be considered after discussion with trial principal investigator (PI). Up to 2 lesions may be considered for irradiation provided at least 1 lesion will receive the study treatment of total of 60 Gy and all prescribed irradiation will be completed within the radiation window

• Patients with at least 1 Response Evaluation Criteria in Solid Tumors (RECIST) measurable lesion (to be unirradiated) (defined as those accurately measured in at least one dimension, with the longest diameter to be recorded for non-nodal lesions and the shortest diameter for nodal lesions). Measurable is defined as at least 10 mm in longest diameter for solid tumors, at least 15 mm in shortest diameter for lymph nodes

• Patients must be willing to undergo fresh biopsies at baseline (as opposed to using archival tissue), in the event their baseline tissue was obtained \> 12 months prior to study consent and/or they are randomized to the gamma H2AX, pNBS1 and pKAP1 IFA with beta CATN segmentation assay

• Absolute neutrophil count (ANC) \>= 1,500/mcL

• Platelet count \>= 100,000/mcL

• Hemoglobin \>= 9.0 g/dL

• Serum creatinine =\< 1.5 x upper limit of normal (ULN) OR calculated serum creatinine clearance (glomerular filtration rate \[GFR\] can be used in place of creatinine or creatinine clearance) \>= 60 mL/min for participants with creatinine levels \> 1.5 x institutional ULN

⁃ Calculate serum creatinine clearance using the standard Cockcroft-Gault formula

• Serum total bilirubin =\< 1.5 x ULN or direct bilirubin =\< ULN for participants with total bilirubin \> 1.5 x ULN

⁃ Patients with known Gilbert disease with serum bilirubin level =\< 3 x ULN are eligible

• Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase \[SGOT\]) and alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase \[SGPT\]) =\< 2.5 x ULN or =\< 5.0 x ULN for patients with hepatobiliary tumors/liver metastases

• Albumin \>= 2.8 g/L

• International normalized ratio (INR) or prothrombin time (PT) or activated partial thromboplastin time (aPTT) =\< 1.5 x ULN

⁃ This applies only to patients not receiving therapeutic anticoagulation; patients receiving therapeutic anticoagulation should be on a stable dose

• Participants must have the ability to swallow and retain oral medication and not have any clinically significant gastrointestinal abnormalities that might alter absorption

• Female patients of childbearing potential must have a negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. The effects of peposertib (M3814) and avelumab on the developing human fetus are unknown and there is the potential for teratogenic or abortifacient effects. For this reason, women and men of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study treatment, and for 6 months after completion of peposertib (M3814) and avelumab administration. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with peposertib (M3814) and avelumab, breastfeeding should be discontinued if the mother is treated with peposertib (M3814) and avelumab

• Ability to understand and the willingness to sign a written informed consent document. Participants with impaired decision-making capacity (IDMC) who have a close caregiver or legally authorized representative (LAR) and/or family member available will also be eligible

Locations
United States
California
City of Hope Comprehensive Cancer Center
RECRUITING
Duarte
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
RECRUITING
Irvine
UC San Diego Moores Cancer Center
RECRUITING
La Jolla
UC Irvine Health/Chao Family Comprehensive Cancer Center
RECRUITING
Orange
University of California Davis Comprehensive Cancer Center
SUSPENDED
Sacramento
Colorado
UCHealth University of Colorado Hospital
RECRUITING
Aurora
Connecticut
Smilow Cancer Hospital-Derby Care Center
RECRUITING
Derby
Smilow Cancer Hospital Care Center-Fairfield
RECRUITING
Fairfield
Smilow Cancer Hospital Care Center at Glastonbury
RECRUITING
Glastonbury
Smilow Cancer Hospital Care Center at Greenwich
RECRUITING
Greenwich
Smilow Cancer Hospital Care Center - Guilford
RECRUITING
Guilford
Smilow Cancer Hospital Care Center at Saint Francis
RECRUITING
Hartford
Smilow Cancer Center/Yale-New Haven Hospital
RECRUITING
New Haven
Yale University
RECRUITING
New Haven
Yale-New Haven Hospital North Haven Medical Center
RECRUITING
North Haven
Smilow Cancer Hospital Care Center at Long Ridge
RECRUITING
Stamford
Smilow Cancer Hospital-Torrington Care Center
RECRUITING
Torrington
Smilow Cancer Hospital Care Center-Trumbull
RECRUITING
Trumbull
Smilow Cancer Hospital-Waterbury Care Center
RECRUITING
Waterbury
Smilow Cancer Hospital Care Center - Waterford
RECRUITING
Waterford
Washington, D.c.
MedStar Georgetown University Hospital
RECRUITING
Washington D.c.
Sibley Memorial Hospital
RECRUITING
Washington D.c.
Florida
UM Sylvester Comprehensive Cancer Center at Aventura
RECRUITING
Aventura
UM Sylvester Comprehensive Cancer Center at Coral Gables
RECRUITING
Coral Gables
UM Sylvester Comprehensive Cancer Center at Deerfield Beach
RECRUITING
Deerfield Beach
UM Sylvester Comprehensive Cancer Center at Kendall
RECRUITING
Miami
University of Miami Miller School of Medicine-Sylvester Cancer Center
RECRUITING
Miami
UM Sylvester Comprehensive Cancer Center at Plantation
RECRUITING
Plantation
Georgia
Emory Saint Joseph's Hospital
RECRUITING
Atlanta
Emory University Hospital Midtown
RECRUITING
Atlanta
Emory University Hospital/Winship Cancer Institute
RECRUITING
Atlanta
Illinois
Northwestern University
RECRUITING
Chicago
Michigan
Wayne State University/Karmanos Cancer Institute
ACTIVE_NOT_RECRUITING
Detroit
Weisberg Cancer Treatment Center
ACTIVE_NOT_RECRUITING
Farmington Hills
New Jersey
Rutgers Cancer Institute of New Jersey
RECRUITING
New Brunswick
New York
Bellevue Hospital Center
SUSPENDED
New York
Laura and Isaac Perlmutter Cancer Center at NYU Langone
SUSPENDED
New York
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
RECRUITING
New York
NYP/Weill Cornell Medical Center
RECRUITING
New York
Pennsylvania
University of Pittsburgh Cancer Institute (UPCI)
RECRUITING
Pittsburgh
Rhode Island
Smilow Cancer Hospital Care Center - Westerly
RECRUITING
Westerly
Tennessee
Vanderbilt University/Ingram Cancer Center
RECRUITING
Nashville
Utah
Huntsman Cancer Institute/University of Utah
RECRUITING
Salt Lake City
Virginia
VCU Massey Comprehensive Cancer Center
RECRUITING
Richmond
Wisconsin
University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
RECRUITING
Madison
University of Wisconsin Carbone Cancer Center - University Hospital
RECRUITING
Madison
Time Frame
Start Date: 2020-04-07
Estimated Completion Date: 2025-12-31
Participants
Target number of participants: 103
Treatments
Active_comparator: Arm A (hypofractionated RT, avelumab)
Patients undergo 8 fractions of hypofractionated RT QD on days -17 to -7. Patients also receive avelumab IV over 60 minutes on days 1 and 15. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo biopsy, CT, and collection of blood on the trial.
Experimental: Arm B (hypofractionated RT, peposertib, avelumab)
Patients undergo 8 fractions of hypofractionated RT QD on days -17 to -7. Patients also receive peposertib PO BID on days 1-28, and avelumab IV over 60 minutes on days 1 and 15. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo biopsy, CT, and collection of blood on the trial.
Experimental: Phase I (hypofractionated RT, peposertib, avelumab)
Patients with advanced/metastatic malignant solid tumors undergo 8 fractions of hypofractionated RT QD on days -17 to -7. Patients also receive peposertib PO BID on days 1-28, and avelumab IV over 60 minutes on days 1 and 15. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, biopsy, and collection of blood samples during screening and on study.
Sponsors
Leads: National Cancer Institute (NCI)

This content was sourced from clinicaltrials.gov

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