Status:

TERMINATED

RTX-240 Monotherapy and in Combination With Pembrolizumab

Lead Sponsor:

Rubius Therapeutics

Conditions:

Solid Tumor, AML Adult

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

Open label, multicenter, multidose, first-in-human Phase 1/2 study of RTX-240 monotherapy or in combination of pembrolizumab for the treatment of patients with (1) relapsed/refractory R/R or locally a...

Detailed Description

This is a Phase 1/2, open label, multicenter, multidose, first-in-human (FIH) dose escalation and expansion study to determine the safety and tolerability, recommended phase 2 dose and optimal dosing ...

Eligibility Criteria

Inclusion

  • Signed written informed consent obtained prior to study procedures
  • Patients ≥18 years with an ECOG 0 or 1 (Parts 1, 2 and 4) or 0-2 (Part 3).
  • Relapsed/Refractory (R/R) or locally advanced, unresectable solid tumor for which no standard therapy exists (Parts 1, 2 and 4), or for which the patient is ineligible or has declined standard therapy or R/R, cytologically confirmed AML (Part 3).
  • Disease must be measurable per Response Evaluation Criteria
  • The shorter of 28 days or 5 half-lives must have elapsed since the completion of prior therapy, before initiation of study treatment.
  • Adequate Organ Function and Blood Cell Counts (Parts 1, 2, and 4) as defined by the protocol:
  • GFR ≥ 50 mL/min/1.73,
  • AST and ALT ≤ 3 × the ULN and total bilirubin ≤ 1.5 × ULN, in the absence of cancer within the liver
  • Or AST and ALT ≤ 5 × ULN and total bilirubin ≤ 3 × ULN, in the setting of primary or metastatic liver tumors.
  • ANC ≥ 1 × 10\^3/μL without myeloid growth factor support for at least one week prior to enrollment
  • Platelet count ≥ 75 × 10\^3/μL
  • Hemoglobin should be ≥ 9 g/dL without red blood cell transfusion for at least one week
  • Patients must have LVEF ≥ 45%
  • Patients enrolling into Part 2 of the study must be diagnosed with NSCLC, RCC, or anal cancers
  • Patients enrolling into Part 4 must be diagnosed with NSCLC or RCC
  • Patients enrolling into either Part 2 or 4 must have 2 or fewer prior treatment regimens. If patient received a prior PD-1/PD-L1-containing regimen, a prior response is required.

Exclusion

  • Primary central nervous system (CNS) malignancy or CNS involvement, unless asymptomatic, previously treated, and stable without steroids (Parts 1, 2 and 4) or known CNS leukemia (Part 3).
  • Known hypersensitivity to any component of study treatment or excipients.
  • Positive antibody screen using institution's standard type and screen test.
  • Clinically significant, active and uncontrolled infection, including human immunodeficiency virus (HIV), Hepatitis B virus (HBV), or Hepatitis C virus (HCV).
  • Clinically significant coagulopathy, uncontrolled hypertension or autoimmune hemolytic anemia
  • Class III or IV cardiomyopathy per the New York Heart Association criteria
  • Leukemic blast count ≥ 25 x 10\^3/µL (Part 3)
  • Concomitant conditions requiring active immunosuppression
  • History of clinically significant Grade 3 or higher immune related Adverse Event (irAE)
  • Prior malignancy within the past 3 years, with protocol specified exceptions
  • History of severe hypersensitivity to a PD-1/PD-L1 blocking Ab unless previously rechallenged successfully (Part 4)
  • Current noninfectious pneumonitis or a history of radiation pneumonitis or pneumonitis that required steroids, or Grade 2 or greater immune related pneumonitis, hepatitis, hypophysitis, or other endocrinopathy (Part 4)

Key Trial Info

Start Date :

May 6 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 30 2022

Estimated Enrollment :

69 Patients enrolled

Trial Details

Trial ID

NCT04372706

Start Date

May 6 2020

End Date

November 30 2022

Last Update

December 13 2022

Active Locations (11)

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Page 1 of 3 (11 locations)

1

University of California San Diego

La Jolla, California, United States, 92093

2

The Angeles Clinic & Research Institute

Los Angeles, California, United States, 90025

3

Sarah Cannon Research Institute/ Colorado Blood Cancer Institute

Denver, Colorado, United States, 80218

4

Sylvester Comprehensive Cancer Center/UMHC

Miami, Florida, United States, 33136