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RecruitingInterventionalPhase 1

An Open-Label, Phase 1, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Intravenous DCR-PDL1 in Adults With Solid Tumors

NCT ID: NCT06504368Sponsor: Dicerna Pharmaceuticals, Inc., a Novo Nordisk companyLast updated: 2025-11-06

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: * Male or female adults, aged greater than or equal to (≥) 18 years. * Participants are required to have a documented, locally advanced or metastatic solid tumor malignancy, or non-Hodgkin's lymphoma * that is refractory to standard therapy known to provide clinical benefit for their condition OR * have demonstrated evidence of disease progression or relapse, via imaging, during or following standard therapy known to provide clinical benefit for their condition, OR * have demonstrated intolerance to standard therapy known to provide clinical benefit for their condition. OR * for which no standard therapy is available * Measurable disease according to RECIST version 1.1. * Malignancy not currently amenable to surgical intervention. * ECOG performance status of 0, 1, or 2, and an anticipated life expectancy of ≥ 3 months at the time of signing the informed consent. * Other protocol defined inclusion criteria could apply Exclusion Criteria: * Participants with known CNS or leptomeningeal metastases not controlled by prior surgery or radiotherapy, or symptoms suggesting CNS involvement for which treatment is required. * Other protocol defined exclusion criteria could apply

Study locations (2)

NEXT Oncology

Irving, Texas, 75039

Recruiting

Next Oncology

San Antonio, Texas, 78229

Recruiting
Safety, Tolerability, and Pharmacokinetics of DCR-PDL1 in Adults With Solid Tumors | Cancerify