A Phase 1/2 Open-Label, Dose-Escalation and Clinical Response Study of Quaratusugene Ozeplasmid in Combination With Osimertinib in Patients With Advanced, Metastatic EGFR-Mutant, Metastatic Non-Small Cell Lung Cancer

Who is this study for? Patients with Carcinoma, Non-Small Cell Lung
What treatments are being studied? Osimertinib
Status: Recruiting
Location: See all (8) locations...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The purpose of this randomized study is to determine the safety and efficacy of quaratusugene ozeplasmid (Reqorsa) added to osimertinib in NSCLC patients with activating EGFR mutations who have progressed while on treatment with osimertinib. Quaratusugene ozeplasmid consists of non-viral lipid nanoparticles that encapsulate a DNA plasmid with the TUSC2 tumor suppressor gene and is the first systemic gene therapy for cancer. The study is comprised of a Phase 1 dose escalation portion and two Phase 2 portions evaluating safety and efficacy. Enrollment in the Phase 1 dose escalation portion is complete and the recommended Phase 2 dose (RP2D) was determined. Phase 2a has initiated and enrolled patients are treated with quaratusugene ozeplasmid at the RP2D in combination with osimertinib. In Phase 2b, patients will be randomized to receive either quaratusugene ozeplasmid plus osimertinib or platinum-based chemotherapy.

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

• Age ≥18 years.

• Histologically or cytologically documented NSCLC.

• Stage III or IV NSCLC or recurrent NSCLC that is not potentially curable by radiotherapy or surgery.

• The NSCLC must be epidermal growth factor receptor (EGFR) mutation positive-positive based on results from most recent tissue biopsy or most recent evaluation of circulating tumor DNA.

• Achieved clinical response to osimertinib for ≥4 months, which can be a response of stable disease. Must have a minimum of a 10-day osimertinib washout completed at the time of enrollment.

• Must have radiological progression on osimertinib treatment and can have either asymptomatic disease or symptomatic disease. In addition:

∙ Must have measurable disease per RECIST 1.1.

‣ Must have progression on osimertinib treatment as a single agent or in combination with other anti-cancer agents as their most recent treatment.

• Notes:

⁃ Patients may have had treatment with other EGFR inhibitors as single agents prior to osimertinib.

⁃ Patients may have progression on osimertinib treatment being used for adjuvant therapy after surgery.

• Eastern Cooperative Oncology Group performance status (ECOG PS) score from 0 to 1.

• Must be ≥28 days beyond major surgical procedures such as thoracotomy, laparotomy, or joint replacement and must not have evidence of wound dehiscence, active wound infection, or comparable major residual complications of the surgery per Investigator assessment.

• Asymptomatic brain metastases must meet ALL criteria of the following (a-d):

∙ No history of seizures in the preceding six months.

‣ Definitive treatment must be completed ≥21 days.

‣ Must be off steroids administered because of brain metastases or related symptoms for ≥7 days.

‣ Post-treatment imaging must demonstrate stability or regression of the brain metastases.

⁃ Must have and be willing to submit a prior tumor biopsy or undergo a biopsy during Screening to obtain tumor tissue for submission to a central laboratory for IHC analysis and FISH or qPCR testing.

⁃ Absolute neutrophil count (ANC) \>1500/mm3, platelet count \>100,000/mm3 within ≤28 days.

⁃ Adequate renal function documented by serum creatinine of ≤1.5 mg/dL or calculated creatinine clearance \>50 ml/min within ≤28 days.

⁃ Adequate hepatic function as documented by serum bilirubin \<1.5 mg/dL and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 X upper limit of normal (ULN) within ≤28 days.

⁃ Stable cardiac condition with a left ventricular ejection fraction ≥40% within ≤28 days.

⁃ If female of childbearing potential (FOCBP), must have negative serum pregnancy test (serum beta-human chorionic gonadotropin \[β-hCG\]) within ≤7 days.

⁃ FOCBP and non-sterile male patients with female partner(s) of childbearing potential must agree to use two forms of contraception including one highly effective and one effective method beginning ≥2 weeks prior to enrollment through four months following the last dose of study treatment.

⁃ If male, must agree to no sperm donation during study treatment and for an additional four months following the last dose of study treatment.

⁃ Must have voluntarily signed an informed consent in accordance with institutional policies.

Locations
United States
California
Valkyrie Clinical Trials
RECRUITING
Los Angeles
Colorado
Rocky Mountain Cancer Centers
RECRUITING
Lone Tree
Illinois
Carle Cancer Institute
RECRUITING
Urbana
Maryland
Maryland Oncology Hematology
RECRUITING
Rockville
New Jersey
The Valley Hospital - Luckow Pavilion
RECRUITING
Paramus
Texas
Millennium Oncology
RECRUITING
Houston
Virginia
Virginia Cancer Specialists
RECRUITING
Fairfax
Virginia Oncology Associates
RECRUITING
Norfolk
Contact Information
Primary
Sr Director, Clinical Operations
kcombs@genprex.com
1-877-774-GNPX
Backup
Chief Medical Officer
mberger@genprex.com
1-877-774-GNPX
Time Frame
Start Date: 2021-09-03
Estimated Completion Date: 2029-03
Participants
Target number of participants: 158
Treatments
Experimental: Investigational
In Phase 1, Phase 2a and the investigational arm of Phase 2b, patients will receive their assigned dose of quaratusugene ozeplasmid (intravenous administration once every 21 days) plus osimertinib (80 mg fixed dose oral tablet taken daily starting on Day 1 through Day 21 of every 21-day treatment cycle) until disease progression or unacceptable toxicity.
Active_comparator: Control
In the control arm of Phase 2b, patients will receive platinum-based chemotherapy until disease progression or unacceptable toxicity.
Sponsors
Leads: Genprex, Inc.

This content was sourced from clinicaltrials.gov

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