A Phase 1/2a, Open-Label, Dose Escalation and Expansion Study of the Safety and Tolerability of T3011 Administered Via Intratumoral Injection as a Single Agent and in Combination With Intravenous Pembrolizumab in Patients With Advanced or Metastatic Solid Tumors
Summary
This is a Phase 1/2a, open-label, study to evaluate the safety and preliminary efficacy of intratumoral T3011 given alone and in combination with intravenous pembrolizumab in partients with advanced or metastatic solid tumors.
Detailed description
This is a Phase 1/2a, open-label, first-in-human study of T3011 given via intratumoral (IT) injection as a single agent and in combination with IV pembrolizumab in participants with advanced or metastatic solid tumors. The Phase 1 portion of the study is a single agent dose escalation which will use a 3+3 design to evaluate escalating doses of T3011. Total enrollment will depend on the toxicities and/or activity observed, with approximately 15 to 30 evaluable participants enrolled. Once the RP2D is established Phase 2a Part 1 will enroll approximately 10 participants with locally recurrent or metastatic melanoma (in Arm A) 23 to 53 participants with HNSCC in Arm B, 40 to 80 participants with sarcoma in Arm C and 10 participants with cSCC in Arm D. During Phase 2a Part 1 the safety, tolerability, and preliminary efficacy of T3011 as a single agent will be evaluated. Phase 2a Part 2 will enroll in parallel to Phase 2a Part 1 once the RP2D is established. The safety, tolerability, and preliminary efficacy of IT T3011 given in combination with IV pembrolizumab will be evaluated in 15 participants with histologically or pathologically confirmed metastatic NSCLC (Arm E). A rollover arm is also included in this study to allow participants who have documented progression on T3011 alone to receive T3011 in combination with pembrolizumab if considered eligible.
Arms & interventions
- BiologicalT3011
T3011 will be administered up to 4mL as an intratumoral injection given Q2W.
- Combination ProductT3011 + pembrolizumab
T3011 will be administered up to 4mL as an intratumoral injection in combination with intravenous pembrolizumab given Q3W.
Outcome measures
Primary
Safety and tolerability of escalating doses T3011
Number of participants in dose escalating cohorts with dose limiting toxicities (DLTs), treatment-emergent adverse events (TEAEs), and/or changes in clinical laboratory abnormalities.
Time frame: Up to 2 years from first dose of T3011
To determine the dose(s) of T3011 to be examined in Phase 2a
Incidence of DLTs
Time frame: Through the first two T3011 injections (approximately 28 days)
Safety and tolerability of T3011 dose(s) selected from Phase 1 in disease specific cohorts
Number of participants with treatment-emergent adverse events (TEAEs), and/or changes in clinical laboratory abnormalities.
Time frame: Up to 2 years from first dose of T3011
Characterize the safety and tolerability of T3011 in combination with pembrolizumab
Number of participants with treatment-emergent adverse events (TEAEs), and/or changes in clinical laboratory abnormalities.
Time frame: Up to 2 years from first dose of T3011
Characterize the safety and tolerability of T3011 in combination with pembrolizumab in participants who progress on T3011 alone
Number of participants with treatment-emergent adverse events (TEAEs), and/or changes in clinical laboratory abnormalities.
Time frame: Up to 2 years from first dose of T3011
Secondary
Overall response rate (ORR)
Time frame: Up to 2 years from first dose of T3011
Disease control rate (DCR)
Time frame: Up to 2 years from first dose of T3011
Duration of response (DOR)
Time frame: Up to 2 years from first dose of T3011
Durable response (DR)
Time frame: Up to 2 years from first dose of T3011
Progression-free survival (PFS)
Time frame: Up to 2 years from first dose of T3011
Overall Survival (OS)
Time frame: Up to 1 year after last dose of T3011
Presence of neutralizing antibodies of anti-PD-1 antibody for antidrug antibodies (ADAs) development
Time frame: Up to 2 years from first dose of T3011
Presence and frequency of T3011 in injection site swab, saliva, and urine
Time frame: Up to 2 years from first dose of T3011
Eligibility criteria
Study locations (6)
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232
Mary Crowley Cancer Research
Dallas, Texas, 75230
Virginia Cancer Specialists
Fairfax, Virginia, 22031