A Phase I Study Evaluating Safety and Efficacy of Hepatic Intra-Arterial Administration of Ipilimumab in Combination With Intra-venous Nivolumab for Advanced Hepatocellular Carcinoma

Who is this study for? Patients with Hepatocellular Carcinoma
What treatments are being studied? Nivolumab+Ipilimumab
Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

To determine the Maximum Tolerated Dose (MTD), and the recommended Phase 2 dose of HIA Ipilimumab in combination with IV Nivolumab by monitoring the Dose Limiting Toxicity (DLT) within 1 month after IA Ipilimumab administration in dose-escalation phase.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
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• Adult Men and women ≥ 18 years old

• Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed.

• Patient should be able to comply with treatment, PK, and pharmacodynamic sample collection and willing to comply with study visits and procedures as per protocol.

• Patients must have pathological confirmation of HCC.

• Patient should be considered as non resectable by Multidisciplinary Team and liver surgeon, and non-eligible for liver transplantation (advanced HCC, BCLC C).

• Patient who progresses on, or is intolerant to, or has refused standard first line therapy and eligible for receiving IV infusion of Nivolumab and HIA administration of Ipilimumab

• Patient with active intrahepatic HCC. Part of the disease should not have undergone local treatments (including chemoembolization, or percutaneous targeted therapies).

• Patients with or without active viral infection (i.e., HCV, HBV) are eligible. Patients with active HBV/HCV are eligible provided they are adequately treated to control the disease.

• Patients should have measurable disease as defined by mRECIST criteria for response assessment.

⁃ ECOG status of 0 or 1 (Appendix 2).

⁃ Life expectancy of ≥ 12 weeks at the time of informed consent per Investigator assessment.

⁃ Adequate organ function as defined by the following:

∙ White blood cells (WBCs) ≥ 2000/mL

‣ Neutrophils ≥ 1000/mL

‣ Platelets ≥ 75 × 103/mL

‣ Hemoglobin ≥ 8.0 g/dL

‣ Creatinine \< 1.5 × ULN or creatinine clearance ≥ 40mL/min (Cockcroft-Gault formula)

‣ ALT and AST ≤ 3 × ULN or \< 5 x ULN in case of liver metastasis

‣ Lipase and amylase ≤ 1.5 × ULN

‣ Total bilirubin ≤ 1.5 × ULN

‣ Normal thyroid function, or stable on hormone supplementation per investigator assessment

⁃ Child-Pugh A, Without history of encephalopathy or clinically significant ascites

⁃ Women of childbearing potential (WOCBP) must have a negative urine or serum β-HCG pregnancy test within 14 days prior inclusion. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required. Sexually active female patients must agree to use two methods of effective contraception, one of them being a barrier method, or to abstain from sexual activity during the study and for at least 5 months after last study drug administration or must refrain from heterosexual activity during this same period.

⁃ Sexually active males patients must agree to use condom during the study and for at least 7 months after the last study treatment administration. Also, it is recommended their women of childbearing potential partner use a highly effective method of contraception for the same duration.

⁃ Patients shall be eligible to undergo pre-treatment and on-treatment tumor biopsies. Patients who either do not consent to a pre-treatment tumor biopsy or do not have accessible lesions will not be eligible.

⁃ Resolved acute effects of any prior therapy to baseline severity or NCI CTCAE v5 Grade ≤1 except for AEs not constituting a safety risk by investigator judgment.

⁃ Patients must be affiliated to a social security system or beneficiary of the same

Locations
Other Locations
France
Gustave Roussy
RECRUITING
Villejuif
Contact Information
Primary
Lambros Tselikas, MD
lambros.tselikas@gustaveroussy.fr
+33 (0)1 42 11 42 11
Backup
Thibault RAOULT
thibault.raoult@gustaveroussy.fr
+33 (0)1 42 11 42 11
Time Frame
Start Date: 2020-11-13
Estimated Completion Date: 2024-11
Participants
Target number of participants: 27
Treatments
Experimental: Patients with hepatocellular carcinoma
1. Intravenous Nivolumab (1mg/kg) will be given every 6 weeks for a maximal period of 6 months within the study.~2. Ipilimumab, single intra-arterial (IA) injection per patient, at 3 dose-levels\*.~ * (D1) Starting dose : 50 mg; n=3 to 6~ * (D2) 2nd dose-level : 100 mg; n=3 to 6~ * (D3) Maximal tested dose : 150mg; n=3 to 6 (if no limiting toxicities) \*Dose level (D-1) : 25 mg will be tested if de-escalation is needed at D1 (\>1/3 DLT at D1)
Related Therapeutic Areas
Sponsors
Leads: Gustave Roussy, Cancer Campus, Grand Paris

This content was sourced from clinicaltrials.gov

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