A Phase 1a/1b Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of PY314 as a Single Agent and In Combination With Pembrolizumab in Subjects With Advanced Solid Tumors

Status: Terminated
Location: See all (23) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This is an open-label, multicenter, first in human, Phase 1a/1b study of PY314 in subjects with locally advanced (unresectable) and/or metastatic solid tumors that are refractory or relapsed to standard of care (including pembrolizumab, if approved for that indication).

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

• Adults ≥18 years of age at the time of study consent

• Subjects with any of the following eligible solid tumor diagnoses as confirmed by cytology or histology:

‣ Escalation Cohorts (Part A): Subjects with advanced solid tumors from pre-specified tumor types (Gynecological cancers \[including ovarian, fallopian, primary peritoneal, endometrial, cervical, vaginal, vulvar\], gastric \[adenocarcinoma\], Colorectal (\[MSIlow and CPI refractory MSIhigh\]), lung \[non-small cell lung adenocarcinoma and squamous cell carcinoma\] who are recurrent or refractory to platinum-based chemotherapy in addition to prior treatment with CPI Programmed Cell Death-1 (PD-1)/Programmed Cell Death-Ligand 1 (PD-L1) or who give informed consent to forego such therapy, renal \[clear cell and non-clear cell\], breast \[TNBC and HR+ HER-2-\] with locally advanced or metastatic disease that is relapsed or refractory to at least one line of post-adjuvant therapy (including a CPI-either alone or in combination if approved for that indication, and not eligible for other targeted therapies specific for their tumor type).

⁃ Expansion Cohorts (Part B): Subjects with advanced solid tumors selected from 5 prespecified cancers based on preclinical and Part A.

• Subjects must provide an original, diagnostic tumor sample to determine TREM2 expression (sites have verified source prior to screening and availability of archival tissue during screening). Subjects without an archival tissue sample will only be eligible if they choose and consent to provide a CNB of primary or a metastatic lesion required for part B, used in Part A only if an archival specimen unavailable.

• Subjects must have documented disease progression (including prior treatment with a CPI (alone or in combination), if approved for that indication.

• There is no limit to the number of prior treatments.

• Measurable disease by RECIST 1.1

• All acute toxic effects of any prior antitumor therapy, including immunotherapy, have resolved to Grade \< 2 before the start of study drug dosing (including Grade \< 2 alopecia or peripheral neuropathy, or if controlled on thyroid replacement therapy).

• Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤ 2

• Coagulation: International Normalized Ratio (INR) ≤ 1.3, unless on a therapeutic anticoagulant

• Adequate hematologic function defined as follows: Platelets ≥ 100 x 10\^9/L; Hemoglobin ≥ 8.0 g/dL; ANC ≥ 1.5 x 10\^9/L (without granulocytic growth factors within the previous 7 days of obtaining the screening hematologic laboratory values)

• Adequate hepatic function defined as follows: AST / ALT ≤ 2.5 x upper limit of normal (ULN) (if liver metastases are present, ≤ 5 x ULN); Total or conjugated bilirubin ≤ 1.5 x ULN

• Adequate renal function defined as follows: Serum Creatinine ≤ 2 x ULN or creatinine clearance (CrCl) ≥45 mL/min as calculated by the Cockroft-Gault method

Locations
United States
Arizona
Mayo Clinic Scottsdale - PPDS
Phoenix
Honor Health Research Institute
Scottsdale
California
City of Hope - Comprehensive Cancer Center
Duarte
Stanford Hospital and Clinics
Palo Alto
UC San Diego Moores Cancer Center
San Diego
Colorado
University of Colorado Hospital
Aurora
Florida
Mayo Clinic Jacksonville - PPDS
Jacksonville
H Lee Moffitt Cancer Center and Research Institute
Tampa
Illinois
University of Chicago
Chicago
Massachusetts
Dana-Farber Cancer Institute
Boston
Massachusetts General Hospital
Boston
Michigan
Karmanos Cancer Institute
Detroit
Minnesota
Mayo Clinic - PPDS
Rochester
New York
Icahn School of Medicine at Mount Sinai
New York
Ohio
The Cleveland Clinic Foundation
Cleveland
Oklahoma
University of Oklahoma Peggy and Charles Stephenson Cancer Center
Oklahoma City
Oregon
OHSU Knight Cancer Institute Beaverton Clinic
Portland
Pennsylvania
Thomas Jefferson University
Philadelphia
Tennessee
Sarah Cannon Research Institute
Nashville
Vanderbilt Ingram Cancer Center
Nashville
Texas
Start South Texas Accelerated Research Therapeutics
San Antonio
Virginia
NEXT Virginia
Fairfax
Wisconsin
Wisconsin Institutes for Medical Research
Madison
Time Frame
Start Date: 2020-10-29
Completion Date: 2023-09-22
Participants
Target number of participants: 86
Treatments
Experimental: Part A: PY314 Single agent dose level 1
PY314 single agent dose level will depend on any safety signal observed in this cohorts only. Following the determination of the safety and tolerability of at least two PY314 dose levels by the safety review committee.
Experimental: Part A: PY314 Single agent dose level 2
PY314 single agent dose level 2 dose escalation of PY314 as a single agent will continue in the absence of unacceptable dose limiting toxicity to the maximum administered dose as defined in the predefined dose escalation schema.
Experimental: Part A: PY314 Single agent dose level 3
PY314 single agent dose level 3 to identify the maximum tolerated dose and/or to determine the recommended dose for expansion of PY314
Experimental: Part A: PY314 Single agent dose level 4
PY314 single agent dose level 4 to characterize the pharmacokinetic profile of PY314 as a single agent.
Experimental: Part A: Combination dose level 1
Combination dose level 1 to characterize the safety and tolerability of PY314 as a single agent and in combination with pembrolizumab in subjects with advanced refractory solid tumors including refractory to check point inhibitor.
Experimental: Part A: Combination dose level 2
PY314 combination dose level 2 to identify the maximum tolerated dose and/or to determine the recommended dose for expansion of PY314 administered alone and in combination with pembrolizumab.
Experimental: Part A: Combination dose level 3
PY314 combination dose level 3 to characterize the pharmacokinetic profile of PY314 as a single agent and in combination with pembrolizumab.
Experimental: Part A: Combination dose level 4
PY314 combination dose level 4 to describe, in subjects selected by pre-specified tumor histology, anti-tumor activity of PY314 administered alone and in combination with pembrolizumab.
Experimental: Part B: Single agent dose expansion dose level 1
PY314 single agent dose expansion dose level 1 to define further the safety and tolerability of PY314 alone.
Experimental: Part B: Combination dose expansion cohort 1
PY314 in combination with pembrolizumab dose expansion cohort 1 to define the safety and tolerability of PY314 alone and in combination with pembrolizumab over multiple treatment cycles in subjects with pre-defined tumor histologies and confirmed TREM2 expression.
Experimental: Part B: Combination dose expansion cohort 2
PY314 in combination with pembrolizumab dose expansion cohort 2 to further characterize the PK profile of PY314 as a single agent and in combination with pembrolizumab.
Experimental: Part B: Combination dose expansion cohort 3
PY314 in combination with pembrolizumab dose expansion cohort 3 to characterize the anti-tumor activity of PY314 alone and in combination with pembrolizumab in subjects with selected prespecified tumor histologies and known TREM2 expression.
Experimental: Part B: Combination dose expansion cohort 4
PY314 in combination with pembrolizumab dose expansion cohort 4 to evaluate the incidence of ADA formation and TREM2 expression.
Experimental: Part B: Combination dose expansion cohort 5
PY314 in combination with pembrolizumab dose expansion cohort 5 to further explore and characterize the anti-tumor activity of PY314 alone and in combination with pembrolizumab in subjects with selected prespecified tumor histologies and known TREM2 expression.
Sponsors
Leads: Ikena Oncology

This content was sourced from clinicaltrials.gov

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