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A study to evaluate the safety and efficacy of CC-90011 in combination with nivolumab in subjects with advanced cancers.

Phase 1
Conditions
Small cell lung cancer (SCLC) and squamous non-small cell lung cancer (sqNSCLC)
MedDRA version: 21.1Level: LLTClassification code 10041071Term: Small cell lung cancer stage unspecifiedSystem Organ Class: 100000004864
MedDRA version: 21.1Level: LLTClassification code 10029514Term: Non-small cell lung cancer NOSSystem Organ Class: 100000004864
MedDRA version: 21.1Level: LLTClassification code 10025126Term: Lung squamous cell carcinoma stage unspecifiedSystem Organ Class: 100000004864
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2019-004194-95-ES
Lead Sponsor
Celgene Corporation
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
135
Inclusion Criteria

1. Subject is = 18 years of age at the time of signing the informed consent form (ICF).
2. Subject with histological or cytological confirmation of extensive stage SCLC (ES SCLC) or Stage IIIb or IV sqNSCLC.
3. Subject has received 1 or 2 prior lines of therapie (further defined in the protocol).
4. Subject has progressed at the last line of therapy.
5. Subject has a measurable disease defined by RECISTv1.1.
6. Subject agrees to provide a tumor biopsy from primary or metastatic site prior to first dose and at a pre-specified timepoint during treatment. Core biopsy is required however, in the event a core biopsy may not otherwise be feasible in the opinion of the treating physician, an endobronchial ultrasound-guided fine needle aspirate [EBUS-FNA]) biopsy, using the largest gauge needle, may be performed instead.
7. Subject has ECOG Performance Status of 0 to 1.
8. Subject is able to swallow medication.
9. Subject must have the lab values as specified in the protocol.
10.A female of childbearing potential (FCBP) is a female who:
1) has achieved menarche at some point,
2) has not undergone a hysterectomy or bilateral oophorectomy, or
3) has not been naturally postmenopausal (amenorrhea following cancer therapy or other medical condition does not rule out childbearing potential) for at least 24 consecutive months (ie, has had menses at any time in the preceding 24 consecutive months) and must:
a. Have 2 negative pregnancy tests as verified by the Investigator prior to starting study treatments as specified in the protocol.
b. Either commit to true abstinence from heterosexual contact (which must be reviewed on a monthly basis and source documented) or agree to use, and be able to comply with 1 highly effective contraceptive method plus 1 barrier method during the following time periods related to this study: 1) from signing of ICF; 2) while taking study treatment; 3) during dose interruptions; and 4) for at least 45 days after the subject’s last dose of CC-90011 or 5 months after the last dose of nivolumab, whichever is later.
-Refer to the protocol for highly effective contraceptive methods.
c. Avoid conceiving or donating ova while on treatment and for 45 days after the last dose of CC-90011 or 5 months after the last dose of nivolumab, whichever is later.
d. Agree to ongoing pregnancy testing during the course of the study. This applies even if the subject practices true abstinence* from heterosexual contact.
11.Males must practice true abstinence from heterosexual intercourse (which must be reviewed on a monthly basis) or agree to use a condom (a latex or non-latex synthetic condom is recommended)during sexual contact with a pregnant female or a FCBP while participating in the study, during dose interruptions, and for at least 105 days after the subject’s last dose of CC-90011 or 7 months after the last dose of nivolumab, whichever is later, even if he has undergone a successful vasectomy. Males must agree not to donate semen or sperm while on treatment and for at least 105 days following the last dose of CC-90011 or 7 months after the last dose of nivolumab, whichever is later.
12.Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted.
13.Subject is willing and able to adhere to the study visit schedule and other protocol requirements.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number

Exclusion Criteria

1. Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
2. Subject has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
3. Subject has any condition that confounds the ability to interpret data from the study.
4. Subject has not recovered to Grade 2 or lower clinically significant toxicities related to the prior therapy (alopecia excluded).
5. Subject has received prior LSD1 therapies.
6. Subject has a history of severe hypersensitivity reactions to other monoclonal antibodies.
7. Subject with symptomatic and untreated or unstable central nervous system (CNS) metastases.
8. Subject has persistent diarrhea due to a malabsorptive syndrome (such as celiac sprue or inflammatory bowel disease) = NCI CTCAE Grade 2, despite medical management), or any other significant gastrointestinal (GI) disorder that could affect the absorption of the study treatments.
9. Subject with symptomatic or uncontrolled ulcers (gastric or duodenal), particularly those with a history of and/or risk of perforation and GI tract hemorrhages.
10.Subject with any hemorrhage/bleeding event > NCI CTCAE Grade 2 or haemoptysis > 1 teaspoon within 4 weeks prior to the first dose.
11.Subject has any of the following cardiovascular criteria further specified in the protocol.
12.Subject has known human immunodeficiency virus (HIV) infection.
13.Subject has known chronic active hepatitis B or C virus (HBV, HCV) infection.
a. Subject who is seropositive due to HBV vaccination is eligible.
b. Subject who has no active viral infection and is under adequate prophylaxis against HBV reactivation is eligible.
14.Subject has any other malignancy within 2 years prior to enrollment, with the exception of adequately treated in-situ bladder cancer, in-situ carcinoma of the cervix, uteri, nonmelanomatous skin cancer, ductal in situ breast carcinoma, thyroid cancer, or early stage prostate cancer (all treatment of which should have been completed 6 months prior to enrollment).
15.Enrollment in any other clinical protocol or investigational study with an interventional agent or assessments that may interfere with study procedures.
16.Subject has medical conditions requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone or equivalent) or other immunosuppressive medications within 14 days of enrollment.
a. A brief (= 7 days) course of corticosteroids for prophylaxis (eg, contrast dye allergy) or for treatment of nonautoimmune conditions (eg, delayed-type hypersensitivity reaction caused by contact allergen) is permitted.
b. Adrenal replacement steroid doses = 10 mg daily prednisone or equivalent are permitted in the absence of active autoimmune disease.
c. Topical, ocular, intra-articular, intranasal, and inhalational corticosteroids (with minimal systemic absorption) are permitted.
17.Subject has active autoimmune diseases or history of autoimmune diseases that may relapse. Subjects with the following diseases are allowed to be enrolled after further screening: type I diabetes, hypothyroidism managed with hormone replacement therapy only, skin diseases not requiring systemic treatment (such as vitiligo, psoriasis, or alopecia), or diseases not expected to recur in the absence of external triggering factors.
18.Subject is pregnant or nursi

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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