Status:
COMPLETED
An Open Label Study of Bavituximab and Pembrolizumab in Advanced Gastric and GEJ Cancer Patients
Lead Sponsor:
OncXerna Theraputics, Inc.
Collaborating Sponsors:
Merck Sharp & Dohme LLC
Conditions:
Gastric Cancer
GastroEsophageal Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
This study evaluates the combination of bavituximab and pembrolizumab in the treatment of gastric and gastroesphogeal cancer. All patients will receive both bavituximab, a drug that is not yet approve...
Eligibility Criteria
Inclusion
- Signed written informed consent
- Men and women ≥ 18 years old; ≥ 20 years old in South Korea and Taiwan
- Unresectable metastatic or locally advanced gastric or GEJ adenocarcinoma
- Progressed on and/or after at least 1 prior regimen for metastatic disease or achieved stable disease or better in two consecutive scans to PD-1/PD-L1 inhibition alone or in combination with chemotherapy and relapsed
- Willing and able to provide fresh formalin-fixed paraffin-embedded tissue tumor sample
- Presence of at least one measurable lesion
- ECOG of 0 or 1
- Has adequate organ functions
- Women of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to start of study treatment.
- Women must not be breastfeeding.
- Women of childbearing potential , must agree to follow instructions for highly effective method(s) of contraception
- Males who are sexually active with women of childbearing potential must agree to follow instructions for highly effective method(s) of contraception
- Has adequate treatment washout period before start of study treatment
Exclusion
- Received any form of anti-phosphatidylserine therapies
- Prior treatment with any checkpoint inhibitor or other therapies targeting T-cell control
- Known microsatellite instability-high (MSI-H) gastric or GEJ adenocarcinoma
- Medical history of myocardial infarction within 6 months before registration, symptomatic congestive heart failure (CHF) , troponin levels consistent with myocardial infarction, unstable angina, or serious cardiac arrhythmia
- Weight loss \>10% over 2 months prior to first dose of study treatment
- History of pneumonitis that required steroids or has current pneumonitis
- Has known active CNS metastases/and or carcinomatous meningitis
- Known additional malignancy that is progressing or has required active treatment in within the past 3 years
- An active infection requiring systemic therapy
- Known human immunodeficiency virus (HIV) infection or known acute hepatitis B or C infection
- Unresolved toxicities from previous cancer treatments
- History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator
- Active autoimmune disease or history of chronic recurrent autoimmune disease
- Severe hypersensitivity (≥ Grade 3) to pembrolizumab and/or any of its excipients.
- History of infusion reactions to any component/excipient of bavituximab
- History of severe hypersensitivity reactions to mAbs.
- Systemic steroid therapy within 7 days prior to the first dose of study treatment
- Has received a live vaccine within 30 days prior to first dose of study drug.
- Prior organ transplantation including allogeneic or autologous stem-cell transplantation
- Currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment
- Receipt of treatment with immunotherapy, biological therapies, or therapeutic doses of hormonal therapies within 3 weeks of scheduled C1D1 dosing
- Known psychiatric, substance abuse disorder, or geographical travel limitations that would interfere with participant's ability to cooperate with the requirements of the study
- Pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study
Key Trial Info
Start Date :
September 11 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 26 2022
Estimated Enrollment :
80 Patients enrolled
Trial Details
Trial ID
NCT04099641
Start Date
September 11 2019
End Date
October 26 2022
Last Update
February 8 2023
Active Locations (21)
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1
Smilow Cancer Hospital at Yale-New Haven
New Haven, Connecticut, United States, 06511
2
Cleveland Clinic Florida - Weston
Weston, Florida, United States, 33331
3
Columbus Regional Research Institute
Columbus, Georgia, United States, 31904
4
The University of Chicago Medical Center
Chicago, Illinois, United States, 60637