Phase 1/2 Study of IDP-023 as a Single Agent and in Combination With Antibody Therapies in Patients With Advanced Hematologic Cancers
Summary
This is an open label, Phase 1/2, first-in-human, multiple ascending dose, and dose-expansion study of IDP-023 administered as a single agent and in combination with or without interleukin-2 (IL-2), and with or without isatuximab, daratumumab or rituximab to evaluate the safety, tolerability and preliminary antitumor activity in patients with advanced hematologic cancers.
Detailed description
IDP-023 is an off-the-shelf, allogeneic cell product made of "natural killer" cells, also called NK cells. White blood cells are part of the immune system and NK cells are a type of white blood cell that are known to kill cancer cells. This is an open label, Phase 1/2, first-in-human, multiple ascending dose, and dose-expansion study of IDP-023 administered as a single agent and in combination with or without interleukin-2 (IL-2), and with or without isatuximab, daratumumab or rituximab to evaluate the safety, tolerability, and preliminary antitumor activity in patients with relapsed and/or refractory advanced multiple myeloma (MM) or non-Hodgkin's lymphoma (NHL), respectively. The study is divided into a phase 1 dose escalation phase and a phase 2 expansion phase. Phase 1 (Escalation Phase): The primary objectives of Phase 1 are to define the safety of different IDP-023 containing regimens and to define the recommended regimen and Phase 2 doses (RP2D) of IDP-023. Phase 2 (Expansion Phase): The objective of the Phase 2 expansion cohort is to evaluate the safety and efficacy of IDP-023 in advanced MM in combination with isatuximab or daratumumab and advanced NHL in combination with rituximab.
Arms & interventions
- DrugIDP-023
NK cell therapy
- DrugRituximab
Anti-CD20 antibody therapy
- DrugDaratumumab
Anti-CD38 antibody therapy
- DrugInterleukin-2
Immune cytokine
- DrugCyclophosphamide
Lymphodepleting chemotherapy
- DrugFludarabine
Lymphodepleting chemotherapy
- DrugMesna
Chemoprotectant
- DrugIsatuximab
Anti-CD38 antibody therapy
Outcome measures
Primary
Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Phase 1)
Escalation Period
Time frame: 1 year
Incidence of dose-limiting toxicities (DLTs) of IDP-023 Monotherapy - (Phase 1)
Escalation Period
Time frame: up to 21 days
Nature of dose-limiting toxicities (DLTs) of IDP-023 Monotherapy - (Phase 1)
Escalation Period
Time frame: up to 21 days
Incidence of dose-limiting toxicities (DLTs) of IDP-023 in combination with Isatuximab, Daratumumab or Rituximab - (Phase 1)
Escalation Period
Time frame: up to 35 days
Nature of dose-limiting toxicities (DLTs) of IDP-023 in combination with Isatuximab, Daratumumab or Rituximab - (Phase 1)
Escalation Period
Time frame: up to 35 days
Maximum tolerable dose (MTD) or a tolerated dose below MTD - (Phase 1)
Escalation Period
Time frame: 1 year
For MM: Anti-tumor activity by objective response rate (ORR), complete response (CR), stringent complete response (sCR), very good partial response (VGPR), and partial response (PR) - (Phase 2)
Expansion period
Time frame: 2 years
For NHL: Anti-tumor activity by objective response rate (ORR) - (Phase 2)
Expansion period
Time frame: 2 years
Secondary
PK (Cmax) of IDP-023 - (Phase 1/2)
Time frame: 2 years
PK (AUC) of IDP-023 - (Phase 1/2)
Time frame: 2 years
For MM: Anti-tumor activity by objective response rate (ORR), complete response (CR), stringent complete response (sCR), very good partial response (VGPR), and partial response (PR) - (Phase 1)
Time frame: 1 year
For NHL: Anti-tumor activity by objective response rate (ORR) - (Phase 1)
Time frame: 1 year
Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Phase 2)
Time frame: 2 years
Eligibility criteria
Study locations (12)
Valkyrie Clinical Trials
Los Angeles, California, 90670
Florida Cancer Specialists and Research Institute - Lake Mary Cancer Center
Lake Mary, Florida, 32746
Emory University Hospital
Atlanta, Georgia, 30322
University of Minnesota
Minneapolis, Minnesota, 55455
NYP/Weill Cornell Medical Center
New York, New York, 10065
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27157
University Hospitals Cleveland
Cleveland, Ohio, 44106
Providence Cancer Institute Franz Clinic
Portland, Oregon, 97213
Rhode Island Hospital
Providence, Rhode Island, 02903
SCRI Oncology Partners
Nashville, Tennessee, 37203
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
NEXT Oncology Virginia
Fairfax, Virginia, 22031