Safety Study of Adenovirus Vector Engineered to Express hIL-12 in Combination With Activator Ligand to Treat Melanoma
Primary Purpose
Melanoma
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
INXN-2001
INXN-1001
Sponsored by

About this trial
This is an interventional treatment trial for Melanoma focused on measuring Melanoma, Unresectable
Eligibility Criteria
Inclusion Criteria:
- Males or females of all races ≥ 18 years of age, who have provided written informed consent prior to completing any study specific procedure.
- Unresectable Stage III or Stage IV melanoma arising from any site other than ocular melanoma.
- A minimum of 2 accessible nonvisceral lesions (shortest diameter ≥1 cm) or palpable tumor-involved lymph nodes (shortest diameter ≥1.5 cm).
- ECOG performance status of 0 or 1 (Appendix 1).
- Adequate bone marrow, liver, and renal function.
- An expected survival of at least approximately 6 months.
- Male and female subjects must agree to use a highly reliable method of birth control (expected failure rate less than 5% per year) from the screening visit through 28 days after the last dose of study drug.
Exclusion Criteria:
- Any prior anti-cancer therapy or investigational agent within 28 days prior to the first dose of study drug. (NOTE: For the expansion cohort ONLY, if subjects received ipilimumab, a 90-day washout period since last dose of ipilimumab is required. If subjects received other immunomodulating therapies (eg, anti-PD1 antibodies), the medical monitor should be contacted and an evaluation will be made.)
- Clinically significant infection requiring systemic antibacterial, antifungal, or antiviral therapy within 2 weeks of the first dose of study drug.
- History of HIV infection.
- Active autoimmune disease requiring steroids (>10 mg prednisone or comparable) or other immunosuppressive therapy (e.g., methotrexate, etc.).
- Documented symptomatic brain metastases. Screening for brain lesions by CT or MRI is not required for all potential subjects; however, if there are any neurological signs or symptoms consistent with brain metastases, then a brain CT or MRI should be performed as clinically indicated.
- Any medications that induce, inhibit or are substrates of CYP450 3A4 within 7 days prior to the first dose of study drug.
- Prior history of hematopoietic stem cell transplant or organ allograft.
- Other concurrent clinically active malignant disease, with the exception of other cancers of the skin.
- Females who are nursing or pregnant.
- Subjects who have a history of hypersensitivity that may relate to any component of the study drugs, e.g. to benzoic acid since INXN-1001 contains two benzene rings.
- Unstable or clinically significant concurrent medical condition that would, in the opinion of the investigator, jeopardize the safety of a subject and/or their compliance with the protocol.
Sites / Locations
- The Angeles Clinic
- Oncology Specialists
- Indiana University Health Goshen Center for Cancer Care
- James Graham Brown Cancer Center
- Washington University
- Atlantic Melanoma Center
- St. Lukes
- Mary Crowley Cancer Research Center
- Fletcher Allen Health
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
INXN-1001 in combination with INXN-2001
Arm Description
Intratumoral injections of INXN-2001 (Ad-RTS-hIL-12) at a constant dose in combination with inter-cohort escalating doses of INXN-1001 (activator ligand).
Outcomes
Primary Outcome Measures
Evaluate the safety and tolerability of intratumoral injections of INXN-2001 (Ad-RTS-hIL-12) at a constant dose in combination with inter-cohort escalating doses of INXN-1001 (activator ligand) in subjects with unresectable Stage III or IV melanoma.
Evaluation will be based on the incidence, intensity, and type of Adverse Events (AEs). Clinically significant changes in the subjects' physical examinations, vital signs, and ECG evaluations, and clinical manifestations relevant to abnormal laboratory values will be captured as AEs.
Secondary Outcome Measures
Inform the selection of an INXN-1001 dose(s) for further study in combination with INXN-2001.
To obtain preliminary anti-tumor activity according to RECIST 1.1 criteria.
Evaluate the immunological effect of study treatment in terms of cellular and tumoral immune responses.
Evaluate the extent of the uptake of INXN-2001 into tumor cells and tumor-infiltrating immune cells.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01397708
Brief Title
Safety Study of Adenovirus Vector Engineered to Express hIL-12 in Combination With Activator Ligand to Treat Melanoma
Official Title
A Phase I/II, Open Label Study of Ad-RTS-hIL-12, an Adenovirus Vector Engineered to Express hIL-12, in Combination With an Oral Activator Ligand, in Subjects With Unresectable Stage III or IV Melanoma
Study Type
Interventional
2. Study Status
Record Verification Date
March 2014
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alaunos Therapeutics
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This research study involves two investigational drugs, an Activator Ligand (INXN-1001) in combination with an Adenovirus Vector Engineered to Express hIL-12 (INXN-2001). IL-12 is a protein that may improve the body's natural response to disease by enhancing the ability of the immune system to kill tumor cells and may interfere with blood flow to the tumor.
The main purpose of this study is to evaluate the safety and tolerability of tumor injections of INXN-2001 given in combination with different doses of INXN-1001.
Detailed Description
Single-arm, open label, Phase I/II dose escalation study of intratumoral injections INXN-2001 and oral INXN-1001 in subjects with unresectable Stage III or IV melanoma.
Four sequential dose escalation cohorts of INXN-1001 in combination with a fixed dose of INXN-2001 are planned. Subject enrollment and dose escalation will proceed according to a standard 3+3 design.
Approximately 15 additional subjects will be enrolled as an expansion cohort at a single dose level at or below the MTD.
Safety and tolerability will be assessed by the incidence and severity of adverse events.
The antitumor activity of study treatment will be assessed according to RECIST v1.1 guidelines. Additional assessment of anti-tumor activity will be explored based on total measurable tumor burden.
Immunological and biological markers of response will include examinations of tumor biopsy samples, cytokine levels, peripheral blood mononuclear cells (PBMC) and antibody response to INXN-2001.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma
Keywords
Melanoma, Unresectable
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
26 (Actual)
8. Arms, Groups, and Interventions
Arm Title
INXN-1001 in combination with INXN-2001
Arm Type
Experimental
Arm Description
Intratumoral injections of INXN-2001 (Ad-RTS-hIL-12) at a constant dose in combination with inter-cohort escalating doses of INXN-1001 (activator ligand).
Intervention Type
Biological
Intervention Name(s)
INXN-2001
Other Intervention Name(s)
Ad-RTS-hIL-12
Intervention Description
approximately 1.0 x 1012 viral particles (vp) per injection
one intratumoral injection of INXN-2001 per study cycle
maximum of 6 study cycles
Intervention Type
Drug
Intervention Name(s)
INXN-1001
Other Intervention Name(s)
Activator Ligand
Intervention Description
4 dose cohorts (5mg/day, 20mg/day, 100mg/day, and 160mg/day)
7 oral daily doses of INXN-1001 per study cycle
maximum of 6 study cycles
1 Expansion cohort at a single dose level at or below MTD (160mg/day)
Primary Outcome Measure Information:
Title
Evaluate the safety and tolerability of intratumoral injections of INXN-2001 (Ad-RTS-hIL-12) at a constant dose in combination with inter-cohort escalating doses of INXN-1001 (activator ligand) in subjects with unresectable Stage III or IV melanoma.
Description
Evaluation will be based on the incidence, intensity, and type of Adverse Events (AEs). Clinically significant changes in the subjects' physical examinations, vital signs, and ECG evaluations, and clinical manifestations relevant to abnormal laboratory values will be captured as AEs.
Time Frame
June 2014
Secondary Outcome Measure Information:
Title
Inform the selection of an INXN-1001 dose(s) for further study in combination with INXN-2001.
Time Frame
June 2014
Title
To obtain preliminary anti-tumor activity according to RECIST 1.1 criteria.
Time Frame
June 2014
Title
Evaluate the immunological effect of study treatment in terms of cellular and tumoral immune responses.
Time Frame
June 2014
Title
Evaluate the extent of the uptake of INXN-2001 into tumor cells and tumor-infiltrating immune cells.
Time Frame
June 2014
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or females of all races ≥ 18 years of age, who have provided written informed consent prior to completing any study specific procedure.
Unresectable Stage III or Stage IV melanoma arising from any site other than ocular melanoma.
A minimum of 2 accessible nonvisceral lesions (shortest diameter ≥1 cm) or palpable tumor-involved lymph nodes (shortest diameter ≥1.5 cm).
ECOG performance status of 0 or 1 (Appendix 1).
Adequate bone marrow, liver, and renal function.
An expected survival of at least approximately 6 months.
Male and female subjects must agree to use a highly reliable method of birth control (expected failure rate less than 5% per year) from the screening visit through 28 days after the last dose of study drug.
Exclusion Criteria:
Any prior anti-cancer therapy or investigational agent within 28 days prior to the first dose of study drug. (NOTE: For the expansion cohort ONLY, if subjects received ipilimumab, a 90-day washout period since last dose of ipilimumab is required. If subjects received other immunomodulating therapies (eg, anti-PD1 antibodies), the medical monitor should be contacted and an evaluation will be made.)
Clinically significant infection requiring systemic antibacterial, antifungal, or antiviral therapy within 2 weeks of the first dose of study drug.
History of HIV infection.
Active autoimmune disease requiring steroids (>10 mg prednisone or comparable) or other immunosuppressive therapy (e.g., methotrexate, etc.).
Documented symptomatic brain metastases. Screening for brain lesions by CT or MRI is not required for all potential subjects; however, if there are any neurological signs or symptoms consistent with brain metastases, then a brain CT or MRI should be performed as clinically indicated.
Any medications that induce, inhibit or are substrates of CYP450 3A4 within 7 days prior to the first dose of study drug.
Prior history of hematopoietic stem cell transplant or organ allograft.
Other concurrent clinically active malignant disease, with the exception of other cancers of the skin.
Females who are nursing or pregnant.
Subjects who have a history of hypersensitivity that may relate to any component of the study drugs, e.g. to benzoic acid since INXN-1001 contains two benzene rings.
Unstable or clinically significant concurrent medical condition that would, in the opinion of the investigator, jeopardize the safety of a subject and/or their compliance with the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francois Lebel, MD
Organizational Affiliation
Ziopharm Oncology
Official's Role
Study Director
Facility Information:
Facility Name
The Angeles Clinic
City
Los Angeles
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Oncology Specialists
City
Park Ridge
State/Province
Illinois
ZIP/Postal Code
60068
Country
United States
Facility Name
Indiana University Health Goshen Center for Cancer Care
City
Goshen
State/Province
Indiana
ZIP/Postal Code
46526
Country
United States
Facility Name
James Graham Brown Cancer Center
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Washington University
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Atlantic Melanoma Center
City
Morristown
State/Province
New Jersey
ZIP/Postal Code
07960
Country
United States
Facility Name
St. Lukes
City
Easton
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Mary Crowley Cancer Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75201
Country
United States
Facility Name
Fletcher Allen Health
City
Burlington
State/Province
Vermont
ZIP/Postal Code
05401
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety Study of Adenovirus Vector Engineered to Express hIL-12 in Combination With Activator Ligand to Treat Melanoma
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