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临床试验/NCT05865730
NCT05865730招募中2 期

A Phase 1/2 Study of Oncobax®-AK Administered in Combination With Immunotherapy To Patients With Advanced Solid Tumors

EverImmune4 个研究点 分布在 2 个国家目标入组 122 人开始时间: 2022年10月1日最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
EverImmune
入组人数
122
试验地点
4
主要终点
Objective Response Rate

研究概览

简要总结

Akkermansia muciniphila is a naturally occurring bacterium found in the healthy human gastrointestinal tract.

Analysis of the gut microbiota of NSCLC or RCC patients shows that the presence of Akkermansia is associated with the clinical efficacy of immunotherapy. In preclinical models, oral administration of the Akkermansia p2261 strain reverses resistance to PD-1 blockade. In the clinical setting, it is therefore hypothesized that the oral administration of Oncobax®-AK to cancer patients under immunotherapy, but whose gut microbiota is deficient in Akkermansia will restore / improve the efficacy of immunotherapy in patients with NSCLC or RCC.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age > 18 years
  • Histologically confirmed Stage IV non-squamous NSCLC or clear cell RCC
  • NSCLC-specific criterion: Best tumor response (by iRECIST) as Stable Disease
  • NSCLC-specific criterion: PD-L1 expression > 50%
  • ECOG Performance Status = 0-1
  • Negative stool PCR test for Akkermansia
  • At least one measurable lesion per iRECIST
  • Hemoglobin ≥ 100 g/L
  • Albumin > 35 g/L
  • Signed informed consent

排除标准

  • Symptomatic brain metastases
  • AST or ALT > 5 x ULN
  • Calculated creatinine clearance < 45 ml/min
  • Auto-immune diseases requiring systemic therapy
  • Immunosuppressive therapy (> 10 mg prednisone/day equivalent)
  • Radiotherapy (> 30 Gy) to the lung(s) within 6 months of signed informed consent
  • Active infection
  • Co-morbidities that may increase the risk of treatment-related adverse events
  • Inability to comply with protocol-specific assessments

结局指标

主要结局

Objective Response Rate

时间窗: 9 months

iRECIST

次要结局

  • Progression-free survival(9 months)

研究者

发起方
EverImmune
申办方类型
Industry
责任方
Sponsor

研究点 (4)

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