Phase II, Multi-cohort Trial of Neoadjuvant and Post-surgery IO102-IO103 and Pembrolizumab KEYTRUDA® in Patients With Selected Resectable Tumors

Status: Recruiting
Location: See all (15) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a multicenter, multi-arm trial evaluating anti-tumor activity, safety, and immune infiltration of IO102-IO103 in combination with pembrolizumab KEYTRUDA® as neoadjuvant and post-surgery treatment. This proof-of-concept trial will include patients with resectable tumors in at least 2 indications.

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

• In addition to the indication-specific inclusion criteria, a patient must meet all the following general criteria to be eligible for participation in this trial:

⁃ Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1

⁃ Candidate for surgical resection with curative intent

⁃ The patient (or legally acceptable representative if applicable) provides written informed consent for the trial.

⁃ Age ≥18 years on the day of signing the informed consent form

⁃ Have provided archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion not previously irradiated. Formalin-fixed, paraffin embedded (FFPE) tissue blocks are preferred to slides.

⁃ Eastern Cooperative Oncology Group (ECOG) performance score status of 0 or 1

⁃ Adequate organ function as defined below performed on screening labs obtained within 4 weeks before first dose:

∙ Absolute neutrophil count (ANC) ≥1500/µL

‣ Platelets ≥100 000/µL

‣ Hemoglobin ≥9.0 g/dL or ≥5.6 mmol/L (Note: Criterion must be met without packed red blood cell transfusion within the prior 2 weeks. Patients can be on stable dose of erythropoietin \[≥ approximately 3 months\].)

‣ Creatinine or measured or calculated creatinine clearance (glomerular filtration rate can also be used in place of creatinine or creatinine clearance) ≤1.5 × upper limit of normal (ULN) or ≥30 mL/min for patient with creatinine levels \>1.5 × institutional ULN

‣ Serum total bilirubin ≤1.5 × ULN or direct bilirubin ≤ ULN for patients with total bilirubin levels \>1.5 × ULN

‣ Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN

‣ International normalized ratio (INR) or prothrombin time (PT) ≤1.5 × ULN unless the patient is receiving anticoagulant therapy as long as PT or partial thromboplastin time (PTT) is within the therapeutic range of intended use of anticoagulants

‣ Activated partial thromboplastin time (aPTT) ≤1.5 × ULN unless the patient is receiving anticoagulant therapy as long as PT or PTT is within the therapeutic range of intended use of anticoagulants

⁃ Women of childbearing potential: Negative urine or serum pregnancy within 72 hours prior to receiving the first dose of trial medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.

⁃ Women of childbearing potential: Willing to use highly effective contraception or abstain from heterosexual activity for the duration of the trial and for at least 120 days after the last dose of trial medication

‣ HIV-infected patients must be on anti-retroviral therapy (ART) and have a well-controlled HIV infection/disease defined as:

• a Patients on ART must have a CD4+ T-cell count \>350 cells/mm3 at time of screening b Patients on ART must have achieved and maintained virologic suppression defined as confirmed HIV RNA level below 50 copies/mL or the lower limit of qualification (below the limit of detection) using the locally available assay at the time of screening and for at least 12 weeks prior to first dose of trial medication (Day 1) c Patients on ART must have been on a stable regimen, without changes in drugs or dose modification, for at least 4 weeks prior to first dose of trial medication (Day 1) 11. Patients who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to start of trial intervention.

• Note: Patients should remain on anti-viral therapy throughout trial intervention and follow local guidelines for HBV anti-viral therapy after completion of trial intervention.

• Hepatitis B screening tests are not required unless:

• Known history of HBV infection

• Mandated by local health authority. 12. Patients with a history of hepatitis C (HCV) infection are eligible if HCV viral load is undetectable at screening.

• Note: Patients must have completed curative antiviral therapy at least 4 weeks prior to start of trial intervention.

• Hepatitis C screening tests are not required unless:

• Known history of HCV infection

• Mandated by local health authority.

• Melanoma-specific exclusion criteria:

• Current or prior history of uveal, mucosal, or acral melanoma

• Oligometastatic stage IV melanoma

• History of in-transit metastases within the last 6 months

• Prior therapy targeting BRAF and/or MEK

• SCCHN-specific exclusion criteria:

• • Nasopharyngeal cancer, unknown primary, nasal cavity or paranasal sinus carcinoma

Locations
United States
Connecticut
Yale
RECRUITING
New Haven
Massachusetts
Dana Farber Cancer Institute
RECRUITING
Boston
Virginia
Massey Cancer Center
RECRUITING
Richmond
Other Locations
Australia
Peter MacCallum Cancer Centre
RECRUITING
Melbourne
Melanoma Institute Australia The Uiniversity of Sydney, and Royal North Shore Hospital
RECRUITING
Sydney
Denmark
Aarhus University Hospital
RECRUITING
Aarhus
Copenhagen University Hospital Herlev
RECRUITING
Copenhagen
France
CHRU Lille
RECRUITING
Lille
Hôpital Ambroise-Paré
RECRUITING
Paris
Institut Gustave Roussy
RECRUITING
Paris
Germany
Universitätsklinikum Essen & Research Alliance Ruhr
RECRUITING
Essen
Universität Heidelberg, Medizinische Fakultät
RECRUITING
Heidelberg
Spain
Hospital Universitario Quirón Dexeus
RECRUITING
Barcelona
Hospital Universitario Ramón y Cajal
RECRUITING
Madrid
Hospital Clínico Universitario de Valencia -INCLIVA
RECRUITING
Valencia
Contact Information
Primary
Diane McDowell SVP, Clinical Development and Medical Affairs, MD
dmd@iobiotech.com
+1 267 252 7296
Backup
Shane O'Neill Clinical Program Director
son@iobiotech.com
+44 790 433 7285
Time Frame
Start Date: 2023-12-21
Estimated Completion Date: 2027-01
Participants
Target number of participants: 60
Treatments
Experimental: Cohort A - Melanoma
Cutaneous resectable Stage III melanoma.~Neoadjuvant Treatment (3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W.~Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W.
Experimental: Cohort B - SCCHN
Stage III or IVA resectable locoregionally advanced Squamous cell carcinoma of the head and neck (SCCHN) of the oral cavity, oropharynx (HPV-negative), hypopharynx, or larynx~Neoadjuvant Treatment (2-3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W.
Experimental: Cohort C
Cutaneous resectable Stage III melanoma. Neoadjuvant Treatment (3 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W (Arm A) versus intravenous Pembrolizumab KEYTRUDA® 200mg Q3W alone (Arm B) Post-surgery Treatment (15 cycles): Subcutaneous IO102-IO103 (IO102 85 μg and IO103 85 μg) and intravenous Pembrolizumab KEYTRUDA® 200mg Q3W (Arm A) versus Pembrolizumab KEYTRUDA® 200mg Q3W alone (Arm B)
Sponsors
Collaborators: Merck Sharp & Dohme LLC, Almac, Theradex
Leads: IO Biotech

This content was sourced from clinicaltrials.gov

Similar Clinical Trials