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Clinical Trials in the USA / NCT04140526
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

NCT04140526 · tracked via the Priya Life Science USA tracker
Sponsor
OncoC4, Inc.
Phase
Phase 1/2
Started
2020-09-16
Last updated
2026-09-14

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

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
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)

Trial sites (37)

FacilityCityRegionStatus
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

On this site

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04140526 on ClinicalTrials.gov ↗ ← All trials in the USA