A Phase 1 Dose Escalation Trial of Intratumoral Injections of TTI-621 in Subjects With Relapsed and Refractory Percutaneously-Accessible Solid Tumors and Mycosis Fungoides
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- Pfizer
- 入组人数
- 56
- 试验地点
- 7
- 主要终点
- Optimal TTI-621 delivery regimen
研究概览
简要总结
This is a multicenter, open-label, phase 1 study conducted to test intratumoral injections of TTI-621 in subjects that have relapsed and refractory percutaneously accessible solid tumors or mycosis fungoides.
The study will be performed in two different parts. Part 1 is the Dose Escalation phase and Part 2 is the Dose Expansion phase.
The purpose of this study is to characterize the safety profile of TTI-621 and to determine the optimal dose and delivery schedule of TTI-621. In addition, the safety and antitumor activity of TTI-621 will be evaluated in combination with other anti-cancer agents or radiation.
详细描述
This is a multicenter, open-label, phase 1 study conducted to test intratumoral injections of TTI-621 in patients that have relapsed and refractory percutaneously accessible solid tumors or mycosis fungoides.
TTI-621 (SIRPα-IgG1 Fc) 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" (antiphagocytic) signal to macrophages.
The study will be performed in two different parts: Dose Escalation and Dose Expansion.
During the escalation part of the study, TTI-621 was studied at 3 different dose levels and at different dosing frequencies to characterize safety, tolerability, pharmacokinetics, and to determine the maximum tolerated dose (MTD).
During the expansion part of the study, TTI-621 will be studied in an expanded group of patients at the maximum feasible dosing regimen determined in the escalation phase. After completion of their initial assigned therapy, subjects may receive continuation with TTI-621. The expansion phase will further define safety and characterize efficacy of TTI-621 alone and in combination with other anti-cancer therapies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically or cytologically documented, injectable cancer lesion (limited to solid tumors and mycosis fungoides)
- •Adequate renal function
- •Adequate coagulation function
- •Adequate hepatic function
- •Disease that has progressed on standard therapy or for whom there is no other therapy option available
排除标准
- •Central nervous system involvement
- •Significant cardiovascular disease
- •Active autoimmune disease
- •Active hepatitis B or C or a history of HIV infection
- •Uncontrolled infection
- •History of hemolytic anemia or bleeding diathesis
研究组 & 干预措施
TTI-621 Monotherapy Escalation
TTI-621 Escalation phase of single or multiple doses of TTI-621 delivered by intratumoral injections (various dose cohorts).
干预措施: TTI-621 Monotherapy (Drug)
TTI-621 Monotherapy (Single Lesion)
TTI-621 Single Lesion Injection Expansion Cohort
干预措施: TTI-621 Monotherapy (Drug)
TTI-621 Monotherapy (Multiple Lesions)
TTI-621 Multiple Lesion Injections Expansion Cohort
干预措施: TTI-621 Monotherapy (Drug)
TTI-621 + PD-1/PD-L1 Inhibitor
Combination Therapy Expansion Cohort of TTI-621 plus PD-1/PD-L1 Inhibitor
干预措施: TTI-621 + PD-1/PD-L1 Inhibitor (Drug)
TTI-621 + Pegylated Interferon-α2a
Combination Therapy Expansion Cohort of TTI-621 plus Pegylated Interferon-α2a
干预措施: TTI-621 + pegylated interferon-α2a (Drug)
TTI-621 + T-Vec
Combination Therapy Expansion Cohort of TTI-621 plus T-Vec
干预措施: TTI-621 + T-Vec (Other)
TTI-621 + Radiation
Combination Therapy Expansion Cohort of TTI-621 plus Radiation Therapy
干预措施: TTI-621 + radiation (Other)
结局指标
主要结局
Optimal TTI-621 delivery regimen
时间窗: 10 months
Defining the optimal TTI-621 delivery regimen in subjects with advanced percutaneously-accessible cancer
次要结局
- Frequency and severity of adverse events(15 months)
- Preliminary evidence of anti-tumor activity of TTI-621(15 months)
