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Clinical Trials/NCT02663518
NCT02663518TerminatedPhase 1

A Phase 1a/1b Dose Escalation and Expansion Trial of TTI-621, a Novel Biologic Targeting CD47, in Subjects With Relapsed or Refractory Hematologic Malignancies and Selected Solid Tumors

Pfizer50 sites in 2 countries249 target enrollmentStarted: January 28, 2016Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Sponsor
Pfizer
Enrollment
249
Locations
50
Primary Endpoint
Part 4: Number of Participants With TEAEs and TESAEs

Study Overview

Brief Summary

Multicenter, open-label, phase 1a/1b trial of PF-07901800 (TTI-621) in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.

Detailed Description

This is a trial of PF-07901800 (TTI-621) in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.

TTI-621 (SIRPαFc) is a soluble recombinant fusion protein created by directly linking the sequences encoding the N-terminal CD47 binding domain of human SIRPα with the Fc domain of human immunoglobulin (IgG1). TTI-621 acts by binding human CD47 and preventing it from delivering an inhibitory "do not eat" (anti phagocytic) signal to macrophages.

This trial will be conducted in 2 phases and 4 parts: Phase 1a Part 1 (escalation phase) and Phase 1b Parts 2-4 (expansion phase).

In the dose Escalation Phase (phase 1a Part 1), subjects with lymphoma will be enrolled in sequential dose cohorts to receive TTI-621 to characterize safety, tolerability, pharmacokinetics, and the maximum-tolerated dose (MTD).

In the Expansion Phase (phase 1b Parts 2-4), TTI-621 will be given to subjects with a variety of hematologic malignancies and selected solid tumors to further define safety and to characterize efficacy. In the Expansion Phase Part 2, the safety and efficacy of TTI-621 will also be assessed when it is given in combination with other anti-cancer drugs. The dose of TTI-621 to be delivered in the Expansion Phase Parts 2-3 of the study may be increased or decreased based on the subject's tolerability and on the subject's response to treatment.

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
None

Masking Description

Open label

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Not provided

Exclusion Criteria

  • Known current central nervous system disease involvement or untreated brain metastases
  • Allogeneic transplant within 30 days prior to the planned start of treatment or subjects with active graft-vs-host disease with the exception of Grade 1 skin involvement
  • History of hemolytic anemia or bleeding diathesis

Arms & Interventions

PF-07901800 (TTI-621) Escalation Phase - R/R Lymphoma

Experimental

The Escalation Phase will include multiple doses of PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Indolent B-Cell Lymphoma

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Acute Myeloid Leukemia

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Aggressive B-Cell Lymphoma

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

T-Cell Lymphoma

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Hodgkin Lymphoma

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Chronic Lymphocytic Leukemia

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Multiple Myeloma

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Myelodysplastic Syndrome

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Myeloproliferative Neoplasms

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Small Cell Lung Cancer

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Rituximab Combination

Experimental

Combination therapy expansion cohort with PF-07901800 (TTI-621) plus Rituximab for CD20 positive malignancies

Intervention: PF-07901800 (TTI-621) plus Rituximab (Drug)

Nivolumab Combination

Experimental

Combination therapy expansion cohort with PF-07901800 (TTI-621) plus Nivolumab for Hodgkin Lymphoma

Intervention: PF-07901800 (TTI-621) plus Nivolumab (Drug)

Cutaneous T-Cell Lymphoma (CTCL)

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Peripheral T-Cell Lymphoma (PTCL)

Experimental

Monotherapy expansion cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Part 4: Cutaneous T-Cell Lymphoma (CTCL)

Experimental

Monotherapy expansion Part 4 (Dose Optimization) cohort with PF-07901800 (TTI-621)

Intervention: PF-0791800 (TTI-621) (Drug)

Outcomes

Primary Outcomes

Part 4: Number of Participants With TEAEs and TESAEs

Time Frame: Part 4: Day 1 of dosing up to 1 year of safety follow-up visit after the last dose (maximum treatment exposure for Part 4 was 667 days)

An AE was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A SAE event was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.

Part 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

Time Frame: Part 1: Day 1 of dosing up to 30 days of safety follow-up visit after the last dose (maximum treatment exposure for Part 1 was 414 days)

An adverse event (AE) was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.

Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)

Time Frame: Part 1: Day 1 of dosing up to Pre-dose on Day 22

DLT was defined as any of the protocol specified TEAEs that occurred during the 21-day. DLT treatment/observation period (including the pre-dose tests on Day 22/Week 4 Day 1) and that were considered at least possibly related to study treatment by the investigator. Protocol specified DLT TEAE criteria: Grade 4 thrombocytopenia; Grade 3 thrombocytopenia with bleeding (with the exception of brief, easily-controlled epistaxis, mild gum bleeding or normal menses) or with any requirement for platelet transfusions; Grade 4 anemia, unexplained by underlying disease; Grade 4 neutropenia lasting more than 5 days; Febrile neutropenia of any duration ( Absolute Neutrophil Count (ANC) less than (\<) 1.0 \* 10\^9/L. fever greater than (\>) 38.5° Degree Celsius (C); Grade 3 or higher non-hematologic toxicity except for alopecia and nausea controlled by medical management; Grade 3 or 4 hemorrhage.

Part 2 and 3: Number of Participants With TEAEs and TESAEs

Time Frame: Day 1 of dosing up to 30 days of safety follow-up visit after the last dose (maximum treatment exposure for Part 2 was 1793 days and for Part 3 was 938 days)

An AE was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A SAE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.

Part 4: Number of Participants With Dose Limiting Toxicities (DLTs)

Time Frame: Part 4: Day 1 of dosing up to Pre-dose on Day 22

DLT was defined as any of the protocol specified TEAEs that occurred during the 21-day. DLT treatment/observation period (including the pre-dose tests on Day 22/Week 4 Day 1) and that were considered at least possibly related to study treatment by the investigator. Protocol specified DLT TEAE criteria: Grade 4 thrombocytopenia; Grade 3 thrombocytopenia with bleeding (with the exception of brief, easily-controlled epistaxis, mild gum bleeding or normal menses) or with any requirement for platelet transfusions; Grade 4 anemia, unexplained by underlying disease; Grade 4 neutropenia lasting more than 5 days; Febrile neutropenia of any duration (ANC \< 1.0 x 109/L, fever \> 38.5°C); Grade 3 or higher non-hematologic toxicity except for alopecia and nausea controlled by medical management; Grade 3 or 4 hemorrhage.

Secondary Outcomes

  • Part 2 and 3: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)(Part 2 and 3: From pre-infusion on day 1 up to end of study treatment (maximum treatment exposure for Part 2 was 1793 days and for Part 3 was 938 days))
  • Part 1: Maximum Plasma Concentration (Cmax) of TTI-621(Part 1: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 1: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621(Part 1: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 4: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621(Part 4: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 1: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells(Part 1: Week 1 end of infusion (EOI))
  • Part 1: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)(Part 1: From pre-infusion on day 1 up to end of study treatment (maximum treatment exposure for Part 1 was 414 days))
  • Part 2 and 3 Combined: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621(Part 2 and 3: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 2 and 3 Combined: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells(Part 2 and 3: Week 1 end of infusion (EOI))
  • Part 4: Maximum Plasma Concentration (Cmax) of TTI-621(Part 4: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 2 and 3 Combined: Maximum Plasma Concentration (Cmax) of TTI-621(Part 2 and 3: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1)
  • Part 2: Overall Response Rate (ORR)-Savona 2015- Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 4: Overall Response Rate (ORR) in Cutaneous T-Cell Lymphoma (CTCL) Both Fungoides and Sezary Syndrome(From first dose of study till the progressive disease/death or withdrawal (maximum observation 6 years 10 months))
  • Part 2 and 3: Overall Response Rate (ORR) - Lugano Classification (Cheson 2014) and Refinement (Cheson 2016) Disease Indications and Nivolumab/Rituximab Combinations(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 2: Overall Response Rate (ORR)- Durie 2006- Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Parts 2 and 3: Overall Response Rate (ORR)-Olsen 2011-Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 2: Overall Response Rate (ORR)- Hallek 2008- Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 2: Overall Response Rate (ORR)- Cheson 2003- Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 2: Overall Response Rate (ORR)- Bohnsack 2014- Disease Indication(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Parts 2 and 3: Progression Free Survival (PFS)(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 4: Duration of Response (DoR)(From first dose of study till the progressive disease/death or withdrawal (maximum observation 6 years 10 months))
  • Parts 2 and 3: Duration of Response (DoR)- Disease Indication and Nivolumab/Rituximab Combinations(From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months))
  • Part 4: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells(Part 4: Week 1 end of infusion (EOI))
  • Part 4: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)(Part 4: From pre-infusion on day 1 up to end of study treatment (maximum treatment exposure for Part 4 was 667 days))
  • Part 4: Overall Response Rate (ORR)(From first dose of study till the progressive disease/death or withdrawal (maximum observation 6 years 10 months))

Investigators

Sponsor
Pfizer
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (50)

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