An Open-Label, Phase 1, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Intravenous DCR-PDL1 in Adults With Solid Tumors
Summary
The study will evaluate the safety, tolerability, and pharmacokinetics of intravenous DCR-PDL1 in adults with solid tumors. Participants will be enrolled in one of 4 ascending-dose cohorts. Each treatment cycle will consist of multiple intravenous (IV) doses. Dose escalation decisions will be based on data collected during the dose-limiting toxicity (DLT) period.
Arms & interventions
- DrugDCR-PDL1
Solution for IV Infusion
Outcome measures
Primary
Incidence and Nature of Adverse Events (AEs)
Time frame: Baseline to week 8
Incidence of Dose-limiting Toxicities (DLTs)
Time frame: Baseline to week 8
Change From Baseline in Vital Signs: Oral, Tympanic, Temporal Artery Temperature
Vital signs will be measured in a semi-supine (i.e., semi-recumbent) position.
Time frame: Baseline up to week 8
Change From Baseline in Vital Signs: Systolic and Diastolic Blood Pressure
Vital signs will be measured in a semi-supine (i.e., semi-recumbent) position.
Time frame: Baseline up to week 8
Change From Baseline in Vital Signs: Pulse and Respiratory Rate
Vital signs will be measured in a semi-supine (i.e., semi-recumbent) position. Blood pressure and pulse measurements should be preceded by at least 5 minutes of rest for the participant in a quiet setting without distractions.
Time frame: Baseline up to week 8
Change from Baseline in 12-lead Electrocardiogram (ECG): Heart Rate and Pulse Rate
Time frame: Baseline to week 8
Change from Baseline in 12-lead Electrocardiogram (ECG): QRS intervals
ECG recordings will be made in a semi-supine (i.e., semi-recumbent) position, preceded by at least 5 minutes of rest for the participant in a quiet setting without distractions.
Time frame: Baseline to week 8
Change from Baseline in 12-lead Electrocardiogram (ECG): QT intervals
ECG recordings will be made in a semi-supine (i.e., semi-recumbent) position, preceded by at least 5 minutes of rest for the participant in a quiet setting without distractions.
Time frame: Baseline to week 8
Change from Baseline in 12-lead Electrocardiogram (ECG): QTcF intervals (QT Interval Corrected by the Fridericia Formula)
ECG recordings will be made in a semi-supine (i.e., semi-recumbent) position, preceded by at least 5 minutes of rest for the participant in a quiet setting without distractions.
Time frame: Baseline to week 8
Change from Baseline in Hematology Parameter: Red blood cells, White blood cells, Lymphocytes, Monocytes, Eosinophils, Neutrophils, Basophils and Platelets, Reticulocytes
Time frame: Baseline to week 8
Change from Baseline in Hematology Parameter: Mean corpuscular volume (MCV)
Time frame: Baseline to week 8
Change from Baseline in Hematology Parameter: Mean corpuscular hemoglobin (MCH)
Time frame: Baseline to week 8
Change from Baseline in Hematology Parameter: Hemoglobin
Time frame: Baseline to week 8
Change from Baseline in Hematology Parameter: Hematocrit and Mean corpuscular hemoglobin concentration (MCHC)
Time frame: Baseline to week 8
Change from Baseline in Coagulation Parameter: International normalized ratio (INR)
Time frame: Baseline to week 8
Change from Baseline in Coagulation Parameter: Prothrombin Time (PT) and Partial Thromboplastin Time (PTT)
Time frame: Baseline to week 8
Change from Baseline in Coagulation Parameter: Fibrinogen
Time frame: Baseline to week 8
Change from Baseline in Clinical Chemistry Parameter: Alanine transaminase (ALT), Aspartate transaminase (AST), Gamma-glutamyl transferase (GGT), Alkaline phosphatase (ALP), Lactate dehydrogenase (LDH) and Creatine kinase (CK)
Time frame: Baseline to week 8
Change from Baseline in Clinical Chemistry Parameter: Total protein and Albumin
Time frame: Baseline to week 8
Change from Baseline in Clinical Chemistry Parameter: Total bilirubin, Direct bilirubin, Fasting blood glucose, Creatinine and Blood urea nitrogen (BUN)
Time frame: Baseline to week 8
Change from Baseline in Clinical Chemistry Parameter: Sodium, Chloride and Potassium
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Glucose, Protein, Bilirubin and Urobilinogen
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Specific Gravity
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Potential of Hydrogen (pH) of Urine
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Blood
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Ketones and Nitrite
Time frame: Baseline to week 8
Change from Baseline in Urinalysis Parameter: Leukocyte esterase
Time frame: Baseline to week 8
Number of Participants with Change from Baseline in Physical Examination Findings: Cardiovascular, Respiratory, Gastrointestinal, and Neurological systems
A complete physical examination will include, at a minimum, assessments of the cardiovascular, respiratory, gastrointestinal, and neurological systems.
Time frame: Baseline to week 8
Secondary
Pharmacokinetic Plasma Concentrations of DCR-PDL1
Time frame: Pre-dose up to 48 hours post-dose
Pharmacokinetic Urine Concentrations of DCR-PDL1
Time frame: Up to 8 hours post-dose
Eligibility criteria
Study locations (2)
NEXT Oncology
Irving, Texas, 75039
Next Oncology
San Antonio, Texas, 78229