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临床试验/NL-OMON56170
NL-OMON56170招募中2 期

Phase 1/2, Open-label, Dose Escalation and Dose Expansion Study of TransCon TLR7/8 Agonist Alone or in Combination with Pembrolizumab in Participants with Locally Advanced or Metastatic Solid Tumor Malignancies - TransCon TLR7/8 Agonist in Advanced Solid Tumor Malignancies

Ascendis Pharma Oncology Division A/S0 个研究点目标入组 7 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
7

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • •At least 18 years of age.
  • •Participants must have histologically confirmed locally advanced, recurrent
  • •or metastatic solid tumor malignancies that cannot be treated with curative
  • •intent (surgery or radiotherapy), with the exception of participants enrolling
  • •to the neoadjuvant cohorts.
  • •Participants must have progressed on or be intolerant of available SOC
  • •treatment options or have disease for which there is no SOC treatment
  • •available, with the exception of participants enrolling to the neoadjuvant
  • •At least 2 lesions of measurable disease, unless specified otherwise in the
  • •selection criteria.
  • •Willingness to undergo biopsies.
  • •Demonstrated adequate organ function within 28 days of Cycle 1 Day 1 (C1D1).
  • •Life expectancy >12 weeks as determined by the Investigator.
  • •Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2.
  • •Participants who have undergone treatment with anti-PD-1, anti-PD-L1, or anti
  • •CTLA 4 antibody must have at least 4 weeks from the last dose of antibody and
  • •evidence of disease progression per investigator assessment before enrollment.
  • •Participants who have previously received an immune checkpoint inhibitor
  • •prior to enrollment must have any immune related toxicities resolved to <=Grade
  • •1 or baseline (prior to the checkpoint inhibitor) to be eligible.
  • •Female and male participants of childbearing potential who are sexually
  • •active must agree to use highly effective methods of contraception.
  • •Specific Inclusion Criteria for Part 1:
  • •Participants with any solid tumor malignancies who are deemed by the
  • •investigator to be refractory to or intolerant of existing therapies known to
  • •provide clinical benefit.
  • •Participants should have visible or easily palpable lesions to enable early
  • •assessment of injection site reactions.
  • •Specific Inclusion Criteria for Part 2:
  • •Participants with histologically confirmed tumor types where there is
  • •expected clinical activity of pembrolizumab in the advanced treatment setting
  • •will be enrolled.
  • •Participation in this clinical study must be deemed by the investigator to be
  • •in the best interest of the patient compared to any other available therapies.
  • •Participants must have received no more than 2 lines of therapy or treatment
  • •regimens for locally advanced, unresectable, recurrent or metastatic disease.
  • •Specific Inclusion Criteria for Part 3 (Indication-Specific Dose Expansion
  • •Specific Inclusion Criteria for HNSCC (Cohort 3a):
  • •Histologically confirmed squamous cell cancers, regardless of HPV or PD-L1
  • •Known HPV (for example, p16 immunohistochemistry, IHC) status.
  • •Participants must have received no more than 1 prior line of
  • •chemotherapy-based treatment for locally advanced, unresectable, recurrent or
  • •metastatic disease.
  • •Specific Inclusion Criteria for Other HPV-associated Tumor Types (Cohort 3b):
  • •Histologically confirmed anal, vulvar, cervical, penile or vaginal cancers.
  • •Known HPV (for example, p16 IHC) status.
  • •Participants must have received no more than 1 prior line of therapy or
  • •treatment regimen for locally advanced, unresectable, recurrent or metastatic
  • •Specific Inclusion Criteria for Neoadjuvant Melanoma (Cohort 3c):
  • •Histologically or cytologically confirmed diagnosis of cutaneous melanoma.
  • 另有 1 项未显示

排除标准

  • •Participants who have been previously treated with a TLR agonist (excluding
  • •topical agents for unrelated disease) are not eligible.
  • •Other active malignancies within the last 2 years are excluded.
  • •Active autoimmune diseases, regardless of need for immunosuppressive
  • •treatment at the time of screening, with the exception of patients well
  • •controlled on physiologic endocrine replacement.
  • •Systemic immunosuppressive treatment with the exception for patients on
  • •corticosteroid taper (for example, for chronic obstructive pulmonary disease
  • •exacerbation). Participants cannot start dosing on study until steroid dose is
  • •at or lower than 10 mg per day prednisone or equivalent.
  • •Women who are breastfeeding or have a positive serum pregnancy test during
  • •screening or within 72 hours prior to C1D1 are not eligible.
  • •Vaccination with live, attenuated vaccines within 4 weeks of enrollment.
  • •Symptomatic central nervous system metastases.
  • •Known bleeding disorder that is deemed to place the patient at unacceptable
  • •risk for bleeding complications from intratumoral injections or biopsies.
  • •Known hypersensitivity to any component of TransCon TLR7/8 Agonist or
  • •pembrolizumab.
  • •Any uncontrolled bacterial, fungal, viral, or other infection.
  • •Treatment with any other anti-cancer systemic treatment (approved or
  • •investigational) or radiation therapy within 4 weeks of first dosing on study
  • •is not allowed.
  • •Significant cardiac disease.
  • •A marked baseline prolongation of QT/QTc (corrected QT) interval (e.g.,
  • •repeated demonstration of a QTc interval >480 ms (National Cancer Institute
  • •(NCI) Common Terminology Criteria for Adverse Events [CTCAE] grade 1) using
  • •Fredericia*s QT correction formula.
  • •A history of additional risk factors for Torsades de Pointes (TdP) (e.g.,
  • •heart failure, clinically significant hypokalemia, family history of Long QT
  • •The use of concomitant medications that prolong the QT/QTc interval within 14
  • •days of enrollment.
  • •Positive for HIV or with active hepatitis B or C infection.
  • •Specific Exclusion Criteria for Part 3 (Indication-Specific Dose Expansion
  • •Specific Exclusion Criteria for Neoadjuvant Melanoma (Cohort 3c)
  • •Disease that is deemed unresectable is excluded.
  • •Participants with acral/lentiginous, mucosal, or uveal melanoma are excluded.
  • •Specific Exclusion Criteria for Neoadjuvant cSCC (Cohort 3d)
  • •Patients whose tumor burden, or pace of tumor growth, in the opinion of the
  • •Principal Investigator will not permit delaying surgery.
  • •Previous solid organ transplantation or bone marrow transplantation.

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