Active, not recruiting
Phase 1/2
Safety, PK and Efficacy of ONC-392 in Monotherapy and in Combination of Anti-PD-1 in Advanced Solid Tumors and NSCLC
Condition(s) studied
Non Small Cell Lung CancerAdvanced Solid TumorMetastatic MelanomaMetastatic Head and Neck CarcinomaMetastatic Renal Cell CarcinomaMetastatic Colorectal CancerSarcomasMetastatic Prostate CancerOvarian CancerSmall Cell Lung CancerMetastatic Breast CancerPancreas CancerGastric CancerEsophageal CancerGastroesophageal Junction AdenocarcinomaCervical CancerAdenoid Cystic CarcinomaSalivary Gland CancerUrothelial Carcinoma
Investigational drug(s) / intervention(s)
ONC-392PembrolizumabDocetaxel
ONC-392: ONC-392 will be given by intravenous infusion, once every 21 days (Q3W). In Part C Arm M and in Part D, ONC-392 will be given Q4W.
Pembrolizumab: Pembrolizumab will be given intravenous (IV) infusion at 200 mg/cycle, once every 21 days (Q3W).
Docetaxel: Docetaxel will be given intravenous (IV) infusion at 75 mg/m2, once every 21 days (Q3W).
Study summary
This is a First-in-Human Phase IA/IB/II open label dose escalation study of intravenous (IV) administration of ONC-392, a humanized anti-CTLA4 IgG1 monoclonal antibody, as single agent and in combination with pembrolizumab in participants with advanced or metastatic solid tumors and non-small cell lung cancers.
Eligibility
Inclusion Criteria:
1. . Patients must have a histological or cytological diagnosis of NSCLC or any other type of carcinoma or sarcomas, progressive metastatic disease, or progressive locally advanced disease not amenable to local therapy.
1. In the Part A Phase I dose escalation study of ONC-392 monotherapy, patients with advanced/metastatic solid tumors of any histology are eligible for participation.
Please note: tumor types of primary interest in this study are malignant melanoma, renal cell carcinoma, hepatocellular carcinoma, non-small cell lung cancer, head and neck carcinoma, gastric carcinoma, ovarian carcinoma, colorectal cancer, any type of sarcoma.
2. In Part B dose finding of the ONC-392 plus pembrolizumab combination, patients with advanced/metastatic solid tumors of any histology that Pembrolizumab has been approval as standard of care are eligible for participation.
3. In Part C, patients with pancreatic cancer, triple negative breast cancer, non small cell lung cancer, melanoma, Head and Neck cancer, ovarian cancer, and other solid tumors are eligible.
4. In Part D, patients with recurrent and/or metastatic adenoid cystic carcinoma with disease progression within 12 months are eligible.
5. Patients must have RECIST V1.1 Measurable disease:
2. Patient is male or female and \>18 years of age on day of signing informed consent.
3. Patient must have a performance status of 0 or 1 on the ECOG Performance Scale
4. Patient must have adequate organ function as indicated by the following laboratory values:
Hematological: Absolute neutrophil count (ANC) ≥1,500 /mcL; Plateletsa ≥100,000 / mcL; Hemoglobin ≥9 g/dL or ≥5.6 mmol/L- without qualifications; Renal: Serum creatinine ≤1.5 X upper limit of normal (ULN); Hepatic: Serum total bilirubin ≤1.5 X ULN; OR Direct bilirubin ≤ ULN for patients with total bilirubin levels \>1.5 ULN; AST (SGOT) and ALT (SGPT) ≤2.5 X ULN, OR ≤5 X ULN for patients with active liver metastases Coagulation: International Normalized Ratio (INR) or Prothrombin Time (PT) ≤1.5 X ULN Activated Partial Thromboplastin Time (aPTT) ≤1.5 X ULN
5. Patient has voluntarily agreed to participate by giving written informed consent.
6. Female patient of childbearing potential has a negative urine or serum pregnancy test.
7. Female and Male patients must agree to use adequate methods of contraception starting with the first dose of study drug through 90 days after the last dose of study therapy.
Exclusion Criteria:
A patient meeting any of the following criteria is not eligible to participate in this study:
1. Patients who have not recovered to CTCAE ≤ 1 from the AE due to cancer therapeutics. The washout period for cancer therapeutic drugs (such as chemotherapy, radioactive, or targeted therapy) is 21 days, and for antibody drug 28 days.
2. Patients who are currently enrolled in a clinical trial of an investigational agent or device.
3. Patients who are on chronic systemic steroid therapy at doses \>10 mg/day
4. Patients who have active symptomatic brain metastasis or leptomeningeal metastasis.
5. Patients who have an active infection requiring systemic IV therapy within 14 days of prior to administration of ONC-392 or combined ONC-392 and Pembrolizumab.
6. Patients who have a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in the best interest of the patient to participate, in the opinion of the treating Investigator.
7. Patients with known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
8. Patients who are pregnant or breastfeeding.
9. For the Part B and Part C Arm D to G, the patients that are deemed to be not suitable for Pembrolizumab.
Primary outcome measure(s)
- Dose limiting toxicity (DLT) in monotherapy — 21 days
The number of subjects who have dose limiting toxicity during the first cycle of study drug, ONC-392, administration.
- Maximal tolerable dose (MTD) in monotherapy — 21 days
The study drug, ONC-392, dose level that has two out of six subjects who have dose limiting toxicity.
- Recommended Phase II Dose (RP2D) — 21 days
The study drug, ONC-392, dose level that is one level below MTD, or an intermediate dose level that below MTD and pre-specified in protocol. This dose level will be the RP2D for monotherapy.
- Rate of treatment related adverse events (TRAE) according to CTCAE v5.0 — One year
The safety profile will be presented as tabulated TRAE.
Trial sites (37)
| Facility | City | Region | Status |
| Highlands Oncology Group |
Springdale |
Arkansas |
|
| University of California at Davis |
Davis |
California |
|
| The Oncology Institute of Hope and Innovation |
Downey |
California |
|
| City of Hope Cancer Center |
Duarte |
California |
|
| University of Colorado Hospital |
Aurora |
Colorado |
|
| Nuvance Health |
Norwalk |
Connecticut |
|
| MedStar Georgetown University Hospital |
Washington D.C. |
District of Columbia |
|
| Florida Cancer Specialists |
Atlantis |
Florida |
|
| University of Florida Health Cancer Center |
Gainesville |
Florida |
|
| Ocala Oncology Florida Cancer Affiliates |
Ocala |
Florida |
|
| AdventHealth Cancer Institute |
Orlando |
Florida |
|
| Memorial Cancer Institute |
Pembroke Pines |
Florida |
|
| Emory University Winship Cancer Institute |
Atlanta |
Georgia |
|
| Norton Health |
Lexington |
Kentucky |
|
| Greater Baltimore Medical Center |
Baltimore |
Maryland |
|
| The Center for Cancer and Blood Disorders |
Bethesda |
Maryland |
|
| Dana Farber Cancer Institute |
Boston |
Massachusetts |
|
| Massachusetts General Hospital |
Boston |
Massachusetts |
|
| University of Michigan Medical Center |
Ann Arbor |
Michigan |
|
| Atlantic Healthcare System |
Morristown |
New Jersey |
|
| Memorial Sloan Kettering Cancer Center |
New York |
New York |
|
| University of Cincinnati Medical Center |
Cincinnati |
Ohio |
|
| The Ohio State University James Cancer Center |
Columbus |
Ohio |
|
| Zangmeister Cancer Center |
Columbus |
Ohio |
|
| Pennsylvania Cancer Specialists & Research Institute (Formerly Gettysburg Cancer Center) |
Gettysburg |
Pennsylvania |
|
| Prisma Health |
Greenville |
South Carolina |
|
| Tennessee Oncology Chattanooga Memorial Plaza |
Chattanooga |
Tennessee |
|
| Tennessee Oncology - Nashville |
Nashville |
Tennessee |
|
| Houston Methodist Cancer Center |
Houston |
Texas |
|
| Oncology Consultants |
Houston |
Texas |
|
| University of Utah Huntsman Cancer Institute |
Salt Lake City |
Utah |
|
| NEXT/Virginia Cancer Specialists |
Fairfax |
Virginia |
|
| University of Washington / Fred Hutchinson Cancer Center |
Seattle |
Washington |
|
| Newcastle Private Hospital |
New Lambton Heights |
New South Wales |
|
| Tasman Oncology Research |
Southport |
Queensland |
|
| Cancer Research SA |
Adelaide |
South Australia |
|
| Southern Oncology Clinical Research Unit |
Bedford Park |
South Australia |
|
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