A Phase 1/2, Open-label, Multi-center, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Anti-tumor Activity of STX-001 Delivered by Intratumoral Injection in Patients With Advanced Solid Tumors as a Monotherapy or in Combination With Pembrolizumab
Summary
Phase 1/2, Open-label, Multi-center, First-in-human Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Anti-tumor Activity of STX-001 Delivered by Intratumoral Injection in Patients with Advanced Solid Tumors as a Monotherapy or in Combination with Pembrolizumab. The study now includes a monotherapy cohort targeting visceral lesions and a separate Phase 2 monotherapy cohort for advanced melanoma.
Detailed description
This open-label, Phase 1/2, first-in-human (FIH), multiple ascending dose and dose expansion study involves STX-001 administration, alone or in combination with pembrolizumab, to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antitumor activity in patients with advanced cancers. Phase 1 consists of 4 planned dose escalation cohorts of STX-001 delivered as a monotherapy (Cohorts 1m), 4 planned dose escalation monotherapy cohorts of STX-001 delivered as a combination therapy with pembrolizumab treatment given concurrently (Cohorts 1c), and an additional monotherapy cohort targeting visceral lesions (Cohort 1vm) that will be evaluated at 30ug, 100ug and 300ug. New patients will be enrolled in each dose escalation cohort. Phase 2 consists of dose expansion cohorts in patients with 2 defined cancer types: triple-negative breast cancer (TNBC) and melanoma. There will also be a monotherapy cohort for advanced melanoma. Phase 2 will evaluate STX-001 in combination with pembrolizumab; the recommended Phase 2 dose (RP2D) will be selected based on analysis of the totality of data from Phase 1 safety, tolerability, PK, PD and preliminary efficacy data.
Arms & interventions
- BiologicalSTX-001
STX-001 encapsulates a self-replicating RNA encoded for IL-12, contained within an LNP for intratumoral injection. Injections may be administered into multiple lesions according to protocol-defined procedures.
- BiologicalKeytruda®
Pembrolizumab (Keytruda USPI 2023) is a marketed PD-1 blocking humanized monoclonal IgG4 kappa antibody.
Outcome measures
Primary
Number and nature of dose-limiting toxicities (DLTs), treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) in patients with advanced solid tumors.
The occurrence of DLTs, TEAEs, and SAEs will be used to determine the maximum tolerated dose and recommended Phase 2 dose of STX-001.
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Occurrence of changes from baseline in patients' clinical safety laboratory values and vital signs to assess the safety and tolerability of STX-001.
Collection and analysis of changes in data from baseline of patients' vital signs (temperature, pulse, respiratory rate, blood pressure, oxygen saturation via pulse oximetry) as well as clinical safety laboratory values (chemistry, hematology, coagulation, complement (Bb \& C3a), urinalysis, and lipids).
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Secondary
Assessment of PK in patients dosed with STX-001
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Assessment of Tumor infiltrating lymphocytes (TILs)
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Number and nature of preliminary antitumor activity of STX-001.
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Number and nature of preliminary antitumor activity of STX-001 in combination with pembrolizumab.
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Number and nature of preliminary antitumor activity of STX-001.
Time frame: From time of informed consent until 18 months after the last dose of investigational product (STX-001).
Number and nature of preliminary antitumor activity of STX-001 in combination with pembrolizumab.
Time frame: From time of informed consent until 18 months after the last dose of investigational product (STX-001).
Occurrence of TEAEs, SAEs, and AESIs graded according to NCI CTCAE v5.0
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Occurrence of changes from baseline in patients' clinical safety laboratory values and vital signs to assess the safety and tolerability of STX-001.in combination with pembrolizumab.
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Objective Response Rate (ORR) in patients with advanced solid tumors.
Time frame: From time of informed consent until 30 days after the last dose of investigational product (STX-001).
Eligibility criteria
Study locations (6)
HonorHealth Research and Innovation Institute
Scottsdale, Arizona, 85258
NextGen Oncology
Beverly Hills, California, 90212
Cleveland Clinic
Cleveland, Ohio, 44195
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Huntsman Cancer Institute - University of Utah
Salt Lake City, Utah, 84112