Active, not recruiting
Phase 1/2
A Beta-only IL-2 ImmunoTherapY Study
Condition(s) studied
Advanced Solid TumorUnresectable Solid TumorClear Cell Renal Cell CarcinomaTriple Negative Breast CancerNon-Small Cell Lung Cancer SquamousNon-Small Cell Lung Cancer Non-squamousColorectal Cancer (MSI-H)Gastric CancerCervical CancerBasal Cell CarcinomaBladder CancerMerkel Cell CarcinomaSquamous Cell Carcinoma of Head and NeckCutaneous Squamous Cell CarcinomaPleural MesotheliomaEsophageal CancerEndometrial CarcinomaSolid TumorSolid Tumor, AdultMSI-H Solid Malignant TumorCancer With A High Tumor Mutational BurdenEpithelial Ovarian CarcinomaPrimary Peritoneal CancerGastroesophageal Junction (GEJ) CancerAcral MelanomaMucosal MelanomaCutaneous MelanomaDMMR Solid Malignant TumorFallopian Tube CancerOvarian CancerMSI-H CancerDMMR CancerPancreas Adenocarcinoma (MSI-H)Skin CancerViral CancerCervical CancersEndometrial Cancer
Investigational drug(s) / intervention(s)
MDNA11: Dose escalation/evaluation - MDNA11 will be administered, IV on a once every 2 weeks (Q2W) dosing schedule. Provisional dose cohorts for monotherapy dose escalation doses ranging from 0.003 to 0.6 (mg/kg) until determining the monotherapy Recommended Dose for Expansion (mRDE).
Dose expansion - MDNA11 will be administered according to defined mRDE
Pembrolizumab (KEYTRUDA®): Dose escalation/evaluation - MDNA11 will be administered in combination with pembrolizumab, IV. MDNA11 dose range to be evaluated in combination with pembrolizumab until determining the combination Recommended Dose for Expansion (cRDE).
Dose expansion - MDNA11+ pembrolizumab will be administered according to defined cRDE
Study summary
This is a Phase 1/2, multi-center, open-label, dose-escalation and expansion study to evaluate safety and tolerability, PK, pharmacodynamic, and early signal of anti-tumor activity of MDNA11 alone or in combination with a checkpoint inhibitor in patients with advanced solid tumors.
Eligibility
Key Inclusion Criteria:
1. Aged at least 18 years (inclusive at the time of informed consent).
2. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1.
3. Must be able and willing to provide written informed consent prior to start of any study procedures and assessments and must be willing to comply with all study procedures.
4. Histologically or cytologically confirmed locally advanced or metastatic solid tumor (see tumor types listed under conditions)
5. Demonstrated adequate organ function
6. Measurable disease as per Response Evaluation Criteria in Solid Tumors, (RECIST v1.1) and documented by CT and/or MRI.
7. Life expectancy of ≥ 12 weeks.
8. Women of childbearing potential (WOCBP) must have a negative pregnancy test at screening and within 72 hours before the first dose of study drug(s). Women must not be breastfeeding.
9. Agree to use highly effective contraception methods. WOCBP must agree to use highly effective birth control.
Key Exclusion Criteria:
1. Last administration of prior antitumor therapy:
* Prior systemic anti-cancer therapy including investigational agents within 4 weeks (could consider shorter interval for kinase inhibitors or other short half-life drugs) prior to start of treatment.
* Prior radiotherapy within 2 weeks prior to start of treatment or has had a history of radiation pneumonitis. A 1-week washout is required for palliative radiation (\<2 weeks of radiotherapy) to non-CNS disease.
* Radiation therapy to the lung that is \> 30Gy within 6 months prior to start of treatment.
* Currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to start of treatment. Concomitant participation in an observational study must be discussed on a case-by-case basis with the MM for approval.
2. Has known active CNS metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are radiologically stable, i.e., without evidence of progression for at least 4 weeks by repeat imaging (note that the repeat imaging should be performed during study screening), clinically stable and without requirement of steroid treatment for at least 14 days prior to start of treatment, subject to discussion with MM.
3. Active malignancy (other than the disease under treatment in the study) within the previous 3 years except for curable cancers.
4. Condition requiring long-term systemic treatment with either corticosteroids \> 10 mg daily prednisone equivalent or any other form of immunosuppressive therapy within 7 days prior to start of treatment.
5. Clinically significant active, known or suspected autoimmune disease, or diseases that can be exacerbated with immunotherapy.
6. Severe pulmonary, cardiac or other systemic disease.
7. Known hepatitis B or C virus infection.
8. Females who are pregnant or lactating or planning to become pregnant during the study.
9. Has had an allogeneic tissue/solid organ transplant.
10. Active infection requiring systemic therapy.
11. Any medical, emotional or psychiatric condition that interfere with the patient's ability to adhere to the protocol
12. Any other underlying medical conditions that, in the Investigator's opinion, will make the administration of study drug(s) unsafe or obscure the interpretation of toxicity determination or adverse events.
13. Known severe hypersensitivity to any component of study drug(s).
14. Inability to comply with study and follow up procedures as judged by the Investigator.
Primary outcome measure(s)
- MDNA11 Recommended Dose for Expansion for monotherapy (mRDE) and Recommended Dose for Expansion for combination (cRDE) — 24 months
Evaluation of tolerability as measured by number of patients with dose limiting toxicities (DLTs)
- Incidence of Treatment Related Adverse Events (TRAEs) — 24 months
Rate of TRAEs in patients with advanced solid tumors
- Incidence of Treatment Emergent Adverse Events (TEAEs) — 24 months
Rate of TEAEs in patients with advanced solid tumors
Trial sites (25)
| Facility | City | Region | Status |
| Sharp Memorial Hospital |
San Diego |
California |
|
| UCSF Helen Diller Family Comprehensive Cancer Center |
San Francisco |
California |
|
| Providence Saint John's Health Center |
Santa Monica |
California |
|
| Boca Raton Regional Hospital |
Boca Raton |
Florida |
|
| Emory - Winship Cancer Institute |
Atlanta |
Georgia |
|
| Karmanos Cancer Institute |
Detroit |
Michigan |
|
| MD Anderson Cancer Center |
Houston |
Texas |
|
| Scientia Clinical Research |
Randwick |
New South Wales |
|
| Macquarie University |
Sydney |
New South Wales |
|
| University of the Sunshine Coast |
Buderim |
Queensland |
|
| Gallipoli Medical Research Foundation |
Greenslopes |
Queensland |
|
| Princess Margaret Cancer Center |
Toronto |
Ontario |
|
| Mater Misericordiae University Hospital |
Dublin |
Ireland |
|
| START Lisbon - Centro de Ensaios Clínicos, ULS Sta Maria |
Lisbon |
Portugal |
|
| Instituto Portugues De Oncologia Do Porto |
Porto |
Portugal |
|
| Samsung Medical Center |
Seoul |
Gangnam-gu |
|
| Seoul National University Bundang Hospital |
Seongnam-si |
Gyeonggi-do |
|
| Seoul National University Hospital |
Seoul |
Jongno-gu |
|
| Institut Catala d'Oncologia (ICO)-Badalona |
Badalona |
Spain |
|
| START Barcelona / HM Nou Delfos |
Barcelona |
Spain |
|
| Hospital Universitario Ramón y Cajal |
Madrid |
Spain |
|
| START Madrid / Hospital Universitario Fundacion Jimenez Diaz |
Madrid |
Spain |
|
| Hospital Universitario Hm Sanchinarro |
Madrid |
Spain |
|
| Hospital Universitario de Torrejon |
Torrejón |
Spain |
|
| Hautkrebszentrum, Dermatologische Klinik Universitätsspital Zürich |
Zurich |
Switzerland |
|
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