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临床试验/NCT03525795
NCT03525795已完成1 期

A Phase 1 Study of CPI-1205 With Ipilimumab in Patients With Advanced Solid Tumors Followed by a Phase 2 Basket Study of CPI-1205 With Ipilimumab in Selected Tumor Types Previously Treated With PD-1 or PD-L1 Inhibitors

Constellation Pharmaceuticals3 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2017年12月14日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
24
试验地点
3
主要终点
Phase 1: Frequency of Dose-limiting toxicities (DLTs)

研究概览

简要总结

This is a Phase 1/2, multi-center, open-label study of CPI-1205 + ipilimumab in patients with histologically or cytologically confirmed advanced solid tumors. This study is designed to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of CPI-1205 + ipilimumab in patients with advanced solid tumors. Patients in Phase 2 will be treated at the RP2D of CPI-1205 + ipilimumab.

This study was stopped prior to proceeding to Phase 2; no patients were enrolled in Phase 2.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
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
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Diagnosis and Prior Treatment:
  • Phase 1: Patients with histologically or cytologically confirmed locally advanced (unresectable) or metastatic solid tumors and with progressive disease during or after treatment with a PD-1 or PD-L1-inhibitor who meet one of the following criteria:
  • Relapsed following or progressed through standard therapy
  • Have a disease for which no standard effective therapy exists (i.e., a therapy that demonstrates a significant increase in survival)
  • Not a candidate for standard effective therapy NOTE: In men with prostate cancer, baseline testosterone levels must also be ≤50ng/dL (≤ 2.0nM) and surgical or ongoing medical castration must be maintained throughout the duration of the study.
  • Phase 2: Patients with histologically or cytologically confirmed diagnosis of one of the following and with progressive disease during or after treatment with a PD-1 or PD-L1-inhibitor:
  • Cohort A: unresectable or metastatic melanoma
  • Cohort B: metastatic NSCLC
  • Cohort C: advanced or metastatic (stage 4) RCC
  • Cohort D: unresectable or metastatic urothelial carcinoma (urethra, bladder, ureters, or renal pelvis)
  • If patient has known brain metastases, must have stable neurologic status following local therapy for at least 4 weeks without the use of steroids or on stable or decreasing dose of ≤10 mg daily prednisone (or equivalent), and must be without neurologic dysfunction that would confound the evaluation of neurologic and other adverse events (AEs).
  • Phase 1: patients may have measurable or non-measurable disease; measurable disease via RECIST 1.1 is required for Phase 2 patients
  • Recovery from recent surgery, radiotherapy, chemotherapy or any other anti-cancer therapy to baseline or ≤ Grade 1 (other than alopecia); ≤ Grade 2 neuropathy allowed
  • Demonstrate adequate organ function
  • Ability to swallow and retain oral medications

排除标准

  • Carcinomatous meningitis
  • Prior treatment with CTLA-4 inhibitor
  • Phase 2 Cohort: ocular melanoma
  • Experienced an immune-related adverse event (irAE) that led to permanent discontinuation of prior immunotherapy
  • History of severe hypersensitivity reaction to treatment with another monoclonal antibody
  • History of interstitial lung disease, idiopathic pulmonary fibrosis, pneumonitis (including drug induced), organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia, etc.), or evidence of active pneumonitis on screening chest computed tomography (CT) scan; NOTE: history of radiation pneumonitis in the radiation field (fibrosis) is permitted.
  • Active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV)
  • Known history of human immunodeficiency virus (HIV) (HIV1/2 antibodies)
  • Gastrointestinal (GI) disorder that negatively affects absorption

研究组 & 干预措施

CPI-1205 Combination with ipilimumab

Experimental

干预措施: CPI-1205 (Drug)

CPI-1205 Combination with ipilimumab

Experimental

干预措施: ipilimumab (Drug)

结局指标

主要结局

Phase 1: Frequency of Dose-limiting toxicities (DLTs)

时间窗: 1 year

The RP2D will be selected based on the PK, pharmacodynamics and overall tolerability of the regimen, but will not exceed the MTD.

Phase 2: Objective response rate

时间窗: 1 year

The rate of confirmed complete responses (CR) + partial responses (PR) as determined by RECIST 1.1 criteria

次要结局

  • Time to response(1 year)
  • Objective response rate(1 year)
  • Clinical Benefit Rate(3 months)
  • Progression free survival(6 months)
  • Duration of Response(1 year)
  • Duration of treatment(1 year)
  • Adverse Events(1 year)

研究者

发起方
Constellation Pharmaceuticals
申办方类型
Industry
责任方
Sponsor

研究点 (3)

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