A Phase 1/2a Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Subcutaneously Administered CDK-003 in Healthy Adult Participants and Intralesionally Administered CDK-003 in Patients With Cutaneous T-cell Lymphoma (CTCL)
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Cutaneous T-cell Lymphoma (CTCL)
- Sponsor
- Codiak BioSciences
- Enrollment
- 2
- Locations
- 4
- Primary Endpoint
- Primary Outcome
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a Phase 1, dose escalation study to assess the safety, tolerability, pharmacokinetic and pharmacodynamic effects of CDK-003. The study is performed in two parts: Part A is a randomized, double-blind, placebo-controlled, single ascending dose study of CDK-003 in healthy adult male participants, and Part B is a single arm, open-label, multiple ascending dose in patient-participants with CTCL. Dose escalation in the study will only occur after satisfactory review of all available predefined data by the Safety Review Committee. Part A is complete and this entry describes Part B only.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically confirmed CTCL as per Olsen et al, 2011 or per algorithm for diagnosis of early MF as per Pimpinelli et al,
- •Patient-participants with Stage IA-IIB CTCL (MF) with injectable lesions (patches, plaques, or tumors), who have relapsed or refractory disease following at least 1 prior standard treatment. Patient-participants who are unsuitable to receive standard treatment or who have declined standard treatment are also eligible.
- •Patient-participants must have ≥ 1 treatable/measurable lesion(s) for injection as per Olsen criteria.
- •Understands and is able to comply with the study requirements and has signed the informed consent form.
- •Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or
- •Life expectancy of at least 6 months.
- •Age 18 years or older at the time of signing the informed consent form.
- •Acceptable liver function:
- •Bilirubin equal 1.5x ULN.
- •AST (SGOT), ALT (SGPT) equal 3.0x ULN.
Exclusion Criteria
- •Patient-participants with CTCL disease involving N3 nodes.
- •Clinically significant ongoing AEs that have not returned to baseline or to Grade 1 National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 during the Screening Period.
- •Received nitrogen mustard, PUVA, narrow band UVB light therapy, carmustine (BCNU), other systemic therapies, radiation therapy or investigational agents for CTCL within 21 days of Day
- •Received systemic corticosteroids within 28 days of Day
- •Use of topical corticosteroids on any of the target lesions for CDK-003 injection or non-injected target lesion within 28 days of Day
- •Topical corticosteroid use is permitted for non-target lesions.
- •Major surgery within 2 months or minor surgery (excluding tumor biopsies) within 14 day prior to Day
- •Clinically significant cardiovascular disease including but not limited to myocardial infarction or stroke within the past 6 months prior to Day 1, New York Heart Association Class III or IV heart failure, uncontrolled arrhythmia, or severe aortic stenosis. Sponsor approval of patient-participants with an arrhythmia is required.
- •Active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy.
- •Prophylactic antibiotics are acceptable.
Outcomes
Primary Outcomes
Primary Outcome
Time Frame: up to 2 years
To identify a recommended phase 2 dose (RP2D) for CDK-003 monotherapy.
Secondary Outcomes
- Secondary Outcome(up to 2 years)