A Phase 1/2, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of TNG260 as Single Agent and in Combination With an Anti-PD-1 Antibody In Patients With STK11 Mutated Advanced Solid Tumors
Summary
The goal of this interventional clinical trial is to learn about TNG260, a CoREST inhibitor, in combination with pembrolizumab in patients with advanced solid tumors with a known STK11 mutation. The main question\[s\] it aims to answer are: * the recommended dose for Phase 2 * to evaluate the safety and tolerability of the combination therapy * to determine the pharmacokinetics of TNG260 * to evaluate the initial antineoplastic activity Participants will receive study treatment until they experience an undesirable side effect, their disease progresses or until they withdraw consent.
Detailed description
This is a first-in-human Phase 1/2, open-label, multicenter, dose-escalation and expansion study designed to determine the maximum tolerated dose and recommended phase 2 dose(s) and evaluate the safety and tolerability, pharmacokinetics, and antineoplastic activity of escalating oral doses of TNG260 when administered with a standard dose of pembrolizumab in participants with locally advanced or metastatic STK11 mutated solid tumors.
Arms & interventions
- DrugTNG260
CoREST inhibitor, administered orally
- DrugPembrolizumab
Pembrolizumab, an anti-PD-1 antibody, administered intravenously
Outcome measures
Primary
Determine the MTD and RP2D(s) (Phase 1 only)
To determine the MTD and RP2D(s) of TNG260 when administered in combination with pembrolizumab
Time frame: 42 days
Measure antitumor activity using RECIST 1.1 (Phase 2 only)
To assess antineoplastic activity of TNG260 when administered in combination with pembrolizumab in participants with locally advanced unresectable or metastatic STK11-mutated solid tumors by measuring ORR, DOR, and PFS by RECIST 1.1
Time frame: 12 weeks
Secondary
Measure antitumor evidence of TNG260 + pembrolizumab antineoplastic activity by RECIST 1.1 (Phase 1 only)
Time frame: 12 weeks
Characterize Area Under the Curve (AUC) of TNG260
Time frame: 37 days
Characterize the time to achieve Time to Maximal Concentration (Tmax) of TNG260
Time frame: 37 days
Characterize Maximum Observed Plasma Concentration (Cmax) of TNG260
Time frame: 37 days
Characterize Terminal Half-life (T1/2) of TNG260
Time frame: 37 days
Characterize pembrolizumab concentrations when administered with TNG260
Time frame: 43 days
Safety and tolerability of TNG260 by CTCAE 5.0
Time frame: 42 days
To measure changes in histone acetylation when administered with TNG260
Time frame: 12 weeks
Eligibility criteria
Study locations (13)
UCLA Hematology/Oncology
Santa Monica, California, 90404
SCRI at HealthOne
Denver, Colorado, 80218
Florida Cancer Specialists
Sarasota, Florida, 34232
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Henry Ford Health System
Detroit, Michigan, 48202
START MidWest
Grand Rapids, Michigan, 49546
NYU Langone Hematology Oncology Associates-Mineola
Mineola, New York, 11501
New York University Langone Health
New York, New York, 10016
Sarah Cannon Tennessee Oncology
Nashville, Tennessee, 37203
US Oncology Investigational Products Center
Dallas, Texas, 75246
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
NEXT Oncology Virginia
Fairfax, Virginia, 22031
US Oncology Investigational Products Center
Norfolk, Virginia, 23502