A Study of DSP-7888 Dosing Emulsion in Combination With Immune Checkpoint Inhibitors in Adult Pat⦠(NCT03311334) | Clinical Trial Compass
TerminatedPhase 1/2
A Study of DSP-7888 Dosing Emulsion in Combination With Immune Checkpoint Inhibitors in Adult Patients With Advanced Solid Tumors
Stopped: Sponsor's decision to terminate development of the program.
United States47 participantsStarted 2017-12-14
Plain-language summary
This is a Phase 1b/2, open-label, multicenter study of DSP-7888 Dosing Emulsion in combination with checkpoint inhibitors (nivolumab or pembrolizumab) in adult patients with solid tumors, that consists of 2 parts: dose search part of the study (Phase 1b and Phase 1b Enrichment Cohort) and the dose expansion part of the study (Phase 2). In Phase 1b of this study there will be 2 arms: Arm 1 and Arm 2. In Arm 1, there will be 6 to 12 patients who will be dosed with DSP-7888 Dosing Emulsion and nivolumab and in Arm 2 there will be 6 to 12 patients who will be dosed with DSP-7888 Dosing Emulsion and pembrolizumab. In addition, an enrichment cohort of a further 10 patients who have locally advanced or metastatic Renal Cell Carcinoma or Urothelial Cancer with primary or acquired resistance to previous checkpoint inhibitors will be enrolled into Phase 1b of the study to help evaluate the preliminary antitumor activity of DSP-7888 Dosing Emulsion at the safe dose level identified in the dose-search part of the study, and will be dosed with DSP-7888 Dosing Emulsion and nivolumab, or DSP-7888 Dosing Emulsion and pembrolizumab, as per the investigator's preference. At the safe, recommended dose determined in Phase 1b, platinum-resistant ovarian cancer (PROC) patients will be enrolled in Phase 2 of the study with DSP-7888 Dosing Emulsion, exploring the combination with pembrolizumab (Arm 2). In Phase 2, approximately 40 patients with PROC will be initially enrolled; additional patients may be enrolled to further assess anti-tumor activities, but the total sample size will not exceed 60 patients. This brings the total maximum study population to approximately 84 patients.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
β. Phase 1b Dose Search Part Only: A histologically or cytologically confirmed cancer that is metastatic and is approved to be treated with nivolumab or pembrolizumab with the following origins:
β. Patients must not be considered eligible for a potentially curative resection.
β. Patients who are eligible for PD-1 therapy based on either criterion (i) or (ii) below:
β. Patients must be positive for at least 1 of the following human leukocyte antigens:
β. HLA-A\*02:01
β. HLA-A\*02:06
β. HLA-A\*24:02
β. HLA-A\*03:01
Exclusion criteria
β. Anticancer chemotherapy (including molecular targeted drugs), immunotherapy, radiotherapy, or investigational agents within 4 weeks of the first dose of DSP 7888 Dosing Emulsion
β. Major surgery within 4 weeks prior to study treatment
What they're measuring
1
Number of Patients With Adverse Events and Serious Adverse Events
Timeframe: From the date of signing informed consent until 30 days after last dose for an average of 3 months.
2
Determination of the Recommended Phase 2 Dose (RP2D) by Assessing Dose-limiting Toxicities (DLTs).
Timeframe: 28 days
3
Phase II: The Objective Response Rate (ORR) of DSP-7888 Dosing Emulsion Administered With Pembrolizumab in Patients With Platinum-resistant Ovarian Cancer (PROC).
Timeframe: Radiographic imaging every 6 weeks for 24 weeks and then every 12 weeks until progression for an average of 12 months
β. Patients who have received a live vaccine within 4 weeks prior to the first dose
β. Any known, untreated brain metastases; patients with treated brain metastases must be clinically stable for 4 weeks after completion of treatment for brain metastases and have radiographic image documentation of stability. Patients must have no clinical symptoms from brain metastases and not have required systemic corticosteroids \> 10 mg/day prednisone or equivalent for at least 2 weeks prior to the first dose of study drug
β. Patients who have multifocal glioblastoma
β. Pregnant or breastfeeding
β. Patients who have an active autoimmune disease requiring immunosuppression \> 10 mg/day prednisone or equivalent a. Patients with controlled hyperthyroidism must be negative for thyroglobulin and thyroid peroxidase antibodies and thyroid stimulating immunoglobulin prior to study drug administration
β. Patients who have interstitial lung disease or active, non-infectious pneumonitis