A Phase 2 Study of LTX-315 in Combination with Pembrolizumab in Patients with Advanced Melanoma Refractory to PD-1/PD-L1 Inhibitor Therapy (ATLAS-IT-05)
- Conditions
- Advanced MelanomaMedDRA version: 21.1Level: LLTClassification code: 10053571Term: Melanoma Class: 10029104Therapeutic area: Diseases [C] - Neoplasms [C04]
- Registration Number
- CTIS2022-500628-31-00
- Lead Sponsor
- ytix Biopharma AS
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 37
Have one of the following confirmed histologically: Patients with Stage III B, C, D or Stage IV m1a, m1b unresectable metastatic melanoma who have received an approved anti-PD-1/PD-L1 therapy and have progressed on or after prior anti-PD-1 or anti-PD-L1 therapy, alone or in combination with systemic therapy. For patients who have refused prior standard-of-care treatment other than anti-PD-1/PDL-1, the patient’s reason for refusing standard therapy for their disease shall be clearly documented in the study electronic case report form prior to study participation. All patients must have received anti-PD-1 or anti- PD-L1 in addition to complying with the relevant criteria below. Melanoma patients with BRAF (v-raf murine sarcoma viral oncogene homolog B1) mutation who are eligible and suitable for BRAF inhibitor therapy should have received specific BRAF inhibitor therapy before enrolling in this study and must have completed treatments at least 3 weeks prior to starting treatment and have no signs of rapidly progressive disease (PD). Patients who have refused BRAF inhibitor therapy are also eligible for the study. The patients should have had radiologically PD after the most recent line of systemic therapy (no more than two prior lines in the metastatic setting). Adjuvant or Neoadjuvant therapy is not considered as a prior line or treatment for eligibility purposes. Anti-PD-1 or anti-PD-L1 does not need to be the most recent line of therapy prior to study entry, Meet the following laboratory requirements: a. Absolute neutrophil count =1.00 × 109 /L b. Absolute lymphocyte count that is =0.5 k/µL or equivalent c. Platelet count =75.0 × 109 /L d. Hemoglobin =9.0 g/dL e. Prothrombin time/partial thromboplastin time = 1.5 x upper limit of normal (ULN), if the patient is receiving oral anticoagulation international normalized ratio = 1.5 x ULN, activated partial thromboplastin time =1.5 x ULN. f. Total bilirubin =1.5 x ULN (=2 x ULN if associated with hepatobiliary metastases or Gilbert’s syndrome) AND associated to the aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 2.5 x ULN. g. AST and ALT =2.5 × ULN. h. Calculated creatinine clearance =30 mL/min using Cockcroft-Gault formula. i. Lactate dehydrogenase (LDH) = ULN. j. Serum albumin =30g/L., Are willing and able to comply with the protocol and agree to return to the clinical site for follow-up visits and examinations., Are willing to undergo tumor biopsy procedures., Are fully informed about the study and have signed the informed consent form., Are willing to use contraceptive measures as prescribed by the protocol. Female patients of childbearing potential and their partners who are sexually active must agree to the use of two highly effective forms of contraception starting from the screening visit, throughout their participation in the study, and for at least 120 days after their last dose of pembrolizumab or at least 180 days after their last dose of LTX-315, whichever is longer. Male patients with partners who are pregnant or of childbearing potential must use a barrier method of contraception starting from the screening visit, throughout their participation in the study and for at least 120 days after their last dose of pembrolizumab or at least 180 days after their last dose of LTX-315, whichever is longer. A woman is considered of childbearing potential, that is, fertile, following menarche and until becoming postmenopausal unless permanently sterile., Female patient
Patients with primary ocular melanoma or mucosal melanoma are not eligible., Have had (non-infectious) pneumonitis Grade =3 in the past or current pneumonitis., History of interstitial lung disease., Have a known hypersensitivity to pembrolizumab or LTX-315 or any of their excipients (for pembrolizumab those listed in the prescribing information)., Have any other serious illness or medical condition, such as, but not limited to: a. Uncontrolled infection or infection requiring systemic antibiotics b. Uncontrolled cardiac failure: Class III or IV New York Heart Association c. Uncontrolled hypertension or risk factors for uncontrolled hypertension (>160 mmHg systolic and/or >100 mmHg diastolic), despite appropriate antihypertensive medication d. Uncontrolled systemic or gastrointestinal inflammatory conditions e. Known bone marrow dysplasia f. History of positive tests for human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome or active hepatitis B or C (based on serology); positive serology will be confirmed by a viral load test. Patients with treated HIV and a viral load test result consistent with treated HIV, as well as patients with treated hepatitis B or C with an undetectable viral load test result, are eligible g. History of or current mastocytosis., Have received external radiotherapy or cytotoxic chemotherapy within 4 weeks prior to Day 1 or have not recovered (to NCI-CTCAE Grade =1; alopecia of any grade is allowed, and peripheral neuropathy of up to Grade 2 is allowed) from AEs due to such agents being administered more than 4 weeks prior to Day 1., Have received cancer immunotherapy within 4 weeks prior to Day 1 or have not recovered from AEs (to NCI-CTCAE Grade =1) due to such agents being administered more than 4 weeks prior to Day 1., Have received an investigational drug within 4 weeks prior to Day 1 or are scheduled to receive one during the treatment or post-treatment periods., Are expected to need any other anticancer therapy or immunotherapy to be initiated during the study period., Receipt of any BRAF and/or MEK inhibitor (including any investigational inhibitor) within 3 weeks before first dose of study drug and/or with evidence of rapidly progressive disease., Has excessive tumor burden. The patient has more than 10 lesions available for injection, or has any injected lesion > 2cm, or in the opinion of the Investigator. For larger lesions or conglomerate lesions, approval from the sponsor's Medical Monitor is needed prior to enrollment. Patients with more than 10 lesions may be deemed eligible after discussion with the sponsor's Medical Monitor, based on assessment of overall tumor burden., Known bone-only or active central nervous system metastases and/or carcinomatous meningitis. Patients with untreated brain metastases =3 mm that are asymptomatic, do not have significant edema, and do not require steroids or anti-seizure medications are eligible after discussion with the sponsor's Medical Monitor. Patients with previously treated brain metastases may participate provided they are stable after treatment and without evidence of progression by imaging for at least 4 weeks prior to the first dose of study drug administration, and are not using corticosteroids for at least 7 days prior to study drug administration, Have a history of cerebrovascular or cardiac disorders (e.g., Class III or IV New York Heart Association cardiac failure) and in the investigators’ opinion the patient would be at particular
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