A Phase II Multi-Arm (basket) Trial Investigating the Safety and Efficacy of IO102-IO103 in Combination with Pembrolizumab, as First-line Treatment for Patients with Metastatic Non-Small Cell Lung Cancer (NSCLC), Squamous Cell Carcinoma of Head and Neck (SCCHN), or Metastatic Urothelial Bladder Cancer (mUBC)
- Conditions
- Metastatic Non-Small Cell Lung Cancer (NSCLC), Metastatic Urothelial Bladder Cancer (mUBC), Metastatic Squamous Cell Carcinoma of Head and Neck (SCCHN)MedDRA version: 22.0Level: LLTClassification code: 10082179Term: Squamous cell carcinoma of head and neck metastatic Class: 10029104MedDRA version: 21.1Level: PTClassification code: 10059515Term: Non-small cell lung cancer metastatic Class: 100000004864MedDRA version: 21.0Level: LLTClassification code: 10046722Term: Urothelial carcinoma bladder stage IV Class: 10029104Therapeutic area: Diseases [C] - Neoplasms [C04]
- Registration Number
- CTIS2024-511561-10-00
- Lead Sponsor
- Io Biotech ApS
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 90
Patients with histologically or cytologically confirmed: Metastatic NSCLC (adenocarcinoma) (Cohort A), who have not received prior systemic treatment for their metastatic disease and who have: •No known sensitizing genetic aberrations where there are approved therapies (such as ALK, ROS1, EGFR, BRAF V600E, MET skipping mutations, and RET mutations or rearrangements) or SCCHN (Cohort B) with no prior systemic therapy administered in the recurrent or metastatic setting (with the exception of systemic therapy completed >6 months prior if given as part of multimodal treatment for locally advanced disease) and who have: •SCCHN considered incurable by local therapies. Tumors of nasopharyngeal origin (any histology) are excluded •Documented results of p16/HPV status for oropharyngeal cancer (per institution standard) or Metastatic UBC (Cohort C) with no prior therapy and not eligible for any platinum-containing chemotherapy: •Urothelial cancer of the renal pelvis, ureter, bladder or urethra (transitional cell and mixed transitional/non transitional cell histologies permitted but transitional cell histology must be the dominant histology) For all cohorts, any solitary metastases must be biopsied to confirm diagnosis of metastases from primary indication., Have adequate organ function as defined below. Specimens must be collected within 10 days prior to the start of trial treatment. Adequate organ function as defined by: •Haematology: Absolute neutrophil count =1500/µL or =1.5 × 109/L, Platelets =100,000/µL or =100 × 109/L, Hemoglobin =9.0 g/dL or =5.6 mmol/L. Criteria must be met without packed red blood cell transfusion within the prior 2 weeks. Participants can be on stable dose of erythropoietin (= approximately 3 months). •Renal: Creatinine =1.5 × upper limit of normal (ULN), or Measured or calculated creatinine clearance (CrCl) =50 mL/min for patients with creatinine levels >1.5 × institutional ULN; GFR can also be used in place of creatinine or CrCl •Hepatic: Total bilirubin =1.5 × ULN or direct bilirubin = ULN for patients with total bilirubin levels >1.5 × ULN, Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =2.5 × ULN (=5 × ULN for patients with liver metastases), Alkaline phosphatase =2.5 × ULN •Endocrine: No uncontrolled endocrinopathies •Coagulation: International normalised ratio or prothrombin time (PT) and activated partial thromboplastin time (aPTT) = 1.5 × ULN unless patient is receiving anticoagulant therapy as long as PT or aPTT is within therapeutic range of intended use of anticoagulants, Patients who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to treatment initiation. Note: Patients should remain on anti-viral therapy throughout trial treatment and follow local guidelines for HBV anti-viral therapy after completion of trial treatment. Hepatitis B screening tests are not required unless: a. Known history of HBV infection b. As mandated by local health authority, Patients with history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening. Note: Patients must have completed curative anti-viral therapy at least 4 weeks before treatment initiation. Hepatitis C screening tests are not required unless: a. Known history of HCV infection b. As mandated by local health authority, PD-L1 TPS or PD-L1 CPS (as confirmed
Cohorts A, B, and C: A WOCBP who has a positive urine pregnancy test (within 72 hours) prior to treatment. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required., Cohorts A, B, and C: Received any of the following medications or procedures within 2 weeks prior to first dose of trial treatment: chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy, Cohorts A, B, and C: Has a known additional malignancy that is progressing or has required active treatment within the past 2 years. Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded., Cohorts A, B, and C: Has CNS metastases and/or carcinomatous meningitis. Participants in Cohort A (NSCLC) with previously treated brain metastases may participate provided they are clinically stable and without requirement of steroid treatment for at least 14 days prior to first dose of trial treatment., Cohorts A, B, and C: Has severe hypersensitivity (= Grade 3) to IO102 or IO103, pembrolizumab and/or any of their excipients., Cohorts A, B, and C: Has an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed., Cohorts A, B, and C: Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis/insterstitial lung disease., Cohorts A, B, and C: Has an active infection requiring systemic therapy., Cohorts A, B, and C: Has a known history of human immunodeficiency virus (HIV) infection. No HIV testing is required unless mandated by local health authority., Cohorts A, B, and C: Known adrenal insufficiency function (that is basal cortisol level <140nmol/L or <5 µg/dL)., Cohorts A, B, and C: Has known active Hepatitis B virus (defined as Hepatitis B surface antigen [HBsAg] reactive and/or detectable HBV DNA) or known active Hepatitis C virus (HCV) (defined as anti HCV Ab positive and detectable HCV ribonucleic acid [RNA] [qualitative]) infection. Note: No testing for Hepatitis B and Hepatitis C is required unless a. Known history of HBV or HCV infection b. Mandated by local health authority. Patients who have a history of hepatitis will be screened using serology to confirm status., Cohorts A, B, and C: Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T cell receptor (e.g., CTLA-4, OX 40, CD137) AND was discontinued from that treatment due to a Grade 3 or higher immune-related AE (irAE)., Cohorts A, B, and C: Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient’s participation for the full duration of the trial, or is not in the best interest of the patient to participate, in the opinion of the treating investigator., Cohorts A, B, and C: Has known psychiatric or substance abuse disorders that would interfere with the patient’s ability to cooperate with the requ
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method