Active, not recruiting
Phase 1
Evaluating Safety and Biomarkers Using DK210 (EGFR) for Locally Advanced or Metastatic EGFR+ Tumors
Condition(s) studied
CancerSolid TumorColorectal CancerPancreas CancerNon Small Cell Lung CancerHead and Neck CancerGynecologic CancerSkin CancerKidney Cancer
Investigational drug(s) / intervention(s)
DK210 (EGFR): Solution for SC administration
Radiation therapy: Short regimen radiation therapy (10 fractions or less)
Immune checkpoint blockers: IV administration of approved PD1 blocker
Chemotherapy: Single agent or combination of not more than two
Study summary
This study will evaluate safety, pharmacodynamics and biomarkers of subcutaneous (SC) DK210(EGFR) given as monotherapy and in combination with immunotherapy, chemotherapy or radiation.
Eligibility
Inclusion Criteria:
* ECOG performance status of 0-1
* Life expectancy of \>3 months according to the investigator's judgment
* Solid tumors known for response on Il-2 or Il-10 and/or high expression of EGFR like all Non-small cell Lung, Skin, Head and Neck, Colon, Kidney, Bladder, Pancreatic cancers and all squamous cell carcinoma of other organs can be included with a classical histology report, specific EGFR expression or amplification reports are needed for other solid tumor types like gynecologic, prostate or triple negative breast cancer
* Measurable disease, defined as at least one (non-irradiated) lesion measurable on CT/MRI or bone scan as defined by RECIST 1.1.
* Progressive disease (PD) at study entry defined as one or more of the following criteria:
* Clinical PD with performance decline, clinical symptoms and/or observed tumor growth
* PD documented with imaging showing at least 20% growth (largest diameter) and/or new lesions
* Adequate cardiovascular, hematological, liver, and renal function.
* Subjects have failed one or more lines of systemic therapy and have not been operated on or receiving anti-cancer medication for at least 4 weeks.
* Males and females of childbearing potential must agree to use effective contraception starting prior to the first day of treatment and continuing during treatment
* Additional criteria may apply
Exclusion Criteria:
* Subjects with documented diffuse peritoneal disease or persistent abundant ascites
* Subjects with known prolonged QtC interval
* Concomitant or recent (\<4 weeks or 5 half-lives of the last treatment, whichever is shorter) treatment with agents with anti-tumor activity, including immunotherapies, or experimental therapies. Bone treatments and supportive care can be continued
* Major surgery within 4 weeks, Radiation therapy for the treatment of metastases within less than 3 weeks (if single fraction of radiotherapy, then within 2 weeks) and radionuclide therapy for the treatment of metastases within 4 weeks prior to screening
* Uncontrolled intercurrent illness including, but not limited to, ongoing and uncontrolled infection (TBC, COVID or HIV patients treated with at least two anti-retroviral drugs and control of their infection with at least 500 /mm3 CD4+ T-cells in their blood and patients cured from Hepatitis B or C (i.e negativity of PCR) and liver function compatible with eligibility criteria are allowed to participate), multiple myeloma, multiple sclerosis, myasthenia gravis, or psychiatric illness/social situations that, in the opinion of the investigator, would limit compliance with study requirement
* Any other conditions that, in the investigator's opinion, might indicate the subject to be unsuitable for the study
* Additional criteria may apply
Primary outcome measure(s)
- Incidence of Adverse Events (AEs) with DK210 (EGFR) — Minimum of 90 days from initiation of experimental therapy
Based on toxicities observed
- Identify recommended dose of DK210 (EGFR) — Initiation of therapy up to day 90
Based on toxicities observed
- Incidence of Adverse Events (AE) of DK210 (EGFR) in combination with radiation, chemotherapy, or checkpoint blockers in Parts B, C, D — Minimum of 90 days from initiation of experimental therapy
Based on toxicities observed
Trial sites (7)
| Facility | City | Region | Status |
| City of Hope |
Duarte |
California |
|
| Northwell Health |
Manhasset |
New York |
|
| OU Health Stephenson Cancer Center |
Oklahoma City |
Oklahoma |
|
| Mary Crowley Cancer Research |
Dallas |
Texas |
|
| University of Texas Southwestern |
Dallas |
Texas |
|
| The University of Texas M.D. Anderson Cancer Center |
Houston |
Texas |
|
| NEXT Oncology |
Fairfax |
Virginia |
|
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