A Window of Opportunity Study of KTN3379 in Surgically Resectable Head and Neck Cancer Patients
Primary Purpose
Squamous Cell Carcinoma of the Head and Neck
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
KTN3379
Sponsored by
About this trial
This is an interventional treatment trial for Squamous Cell Carcinoma of the Head and Neck focused on measuring CDX3379
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed primary, untreated SCCHN including variants. Patients must be candidates for surgical resection. Primary tumors of oral cavity, oropharynx, hypopharnyx or larynx are included.
- Written informed consent and any locally required authorization (e.g., HIPAA in the USA) obtained from the patient/legal representative prior to performing any protocol-related procedures, including screening evaluations.
- Females of childbearing potential who are sexually active with a nonsterilized male partner must use 2 methods of effective contraception from screening, and must agree to continue using such precautions for 60 days after the final dose of KTN3379. Females of childbearing potential are defined as those who are not surgically sterile (i.e., bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy) or those who are postmenopausal (defined as 12 months with no menses without an alternative medical cause)
- Nonsterilized males who are sexually active with a female partner of child-bearing potential must, with their partner, use 2 acceptable methods of effective contraception from Day 1 through 60 days after receipt of the final dose of KTN3379.
- Eastern Cooperative Oncology Group (ECOG) status of 0 or 1
Adequate bone and marrow function as defined below:
- Hemoglobin ≥ 10 g/dL
- Absolute neutrophil count ≥ 1500/mm3
- Platelet count ≥ 100,000/mm3
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 ×ULN
- Bilirubin ≤ 1.5 × ULN except for cases of documented or suspected Gilbert's disease, in which bilirubin must be ≤ 5 × ULN
- Serum creatinine ≤ 1.5 g/dL
- Normal PT or INR and aPTT
Exclusion Criteria:
- Any concurrent chemotherapy, radiotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment.
- Immunosuppressive or systemic steroids medication within 7 days before the first dose of KTN3379 (inhaled and topical corticosteroids are permitted).
- Another invasive malignancy within 2 years prior to enrollment except for localized prostate cancer, cervical carcinoma in situ, non-melanomatous carcinoma of the skin, or ductal carcinoma in situ of the breast that has/have been surgically cured
- Major surgical procedure within 30 days prior to Day 1 or incomplete recovery from any prior surgery
- Pregnancy or lactation
- Uncontrolled intercurrent illness including but not limited to ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled or idiopathic hypotension, unstable angina pectoris, cardiac arrhythmia including atrial fibrillation, significant cardiac conduction abnormalities including prolongation of QTc interval or BBB, active peptic ulcer disease or gastritis, or psychiatric illness/social situations that would limit compliance with study requirements or compromise the ability of the patient to give written informed consent
- Patients with a left ventricular cardiac ejection fraction < 50% as assessed by an echocardiogram or MUGA scan
- Patients with prior primary treatment for head and neck cancer (e.g. chemoradiation or radiation alone).
Sites / Locations
- UCSF Helen Diller Family Comprehensive Cancer Center
- University of Pittsburgh
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
A
B
Arm Description
Treatment with KTN3379 in HPV positive head and neck cancer patients
Treatment with KTN3379 in HPV negative head and neck cancer patients
Outcomes
Primary Outcome Measures
Change in pErbB3 levels in tumor tissue
Reduction in pErbB3 levels
Secondary Outcome Measures
Number of patients with adverse events as a measure of safety and tolerability
Adverse events (AEs), serious adverse events (SAEs), laboratory evaluations, radiological assessments, vital signs, electrocardiograms (ECGs), and physical examinations.
Ki67 proliferative index in tumor tissue
Ki67 proliferative index in tumor tissue before and after treatment
Changes in tumor measurements (RECIST 1.1 measurements)
RECIST 1.1 measurements before and after treatment
Pharmacokinetics (Peak plasma concentrations of KTN3379 Trough plasma concentrations of KTN3379)
Peak plasma concentrations of KTN3379 Trough plasma concentrations of KTN3379
Anti drug antibodies
Measurement of anti KTN3379 antibodies in blood
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02473731
Brief Title
A Window of Opportunity Study of KTN3379 in Surgically Resectable Head and Neck Cancer Patients
Official Title
A Window of Opportunity Study of KTN3379 in Surgically Resectable Head and Neck Cancer Patients
Study Type
Interventional
2. Study Status
Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
October 2015 (Actual)
Primary Completion Date
September 22, 2016 (Actual)
Study Completion Date
October 10, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celldex Therapeutics
4. Oversight
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the activity and safety of KTN3379 in head and neck cancer patients and to explore downstream molecular pathways to identify tumor response and resistance mechanisms by evaluating various biomarkers before and after treatment.
Detailed Description
This is an open-label study in patients with squamous cell carcinoma of the head and neck (SCCHN) scheduled for surgery. Two cohorts of SCCHN patients, HPV negative and HPV positive, will be treated with KTN3379 to evaluate effects on ErbB3 phosphorylation and other biomarkers in tumor tissue. The KTN3379 treatment duration is within the expected window of time that elapses from initial patient evaluation by a surgeon to performance of surgery. Paired preoperative and postoperative tumor specimen analyses allow evaluation of proliferation, ErbB3 related biomarkers, pErbB3 modulation and pharmacodynamic changes in downstream molecular pathways.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Squamous Cell Carcinoma of the Head and Neck
Keywords
CDX3379
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Arm Description
Treatment with KTN3379 in HPV positive head and neck cancer patients
Arm Title
B
Arm Type
Experimental
Arm Description
Treatment with KTN3379 in HPV negative head and neck cancer patients
Intervention Type
Biological
Intervention Name(s)
KTN3379
Primary Outcome Measure Information:
Title
Change in pErbB3 levels in tumor tissue
Description
Reduction in pErbB3 levels
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Number of patients with adverse events as a measure of safety and tolerability
Description
Adverse events (AEs), serious adverse events (SAEs), laboratory evaluations, radiological assessments, vital signs, electrocardiograms (ECGs), and physical examinations.
Time Frame
6 weeks
Title
Ki67 proliferative index in tumor tissue
Description
Ki67 proliferative index in tumor tissue before and after treatment
Time Frame
4 weeks
Title
Changes in tumor measurements (RECIST 1.1 measurements)
Description
RECIST 1.1 measurements before and after treatment
Time Frame
4 weeks
Title
Pharmacokinetics (Peak plasma concentrations of KTN3379 Trough plasma concentrations of KTN3379)
Description
Peak plasma concentrations of KTN3379 Trough plasma concentrations of KTN3379
Time Frame
4 weeks
Title
Anti drug antibodies
Description
Measurement of anti KTN3379 antibodies in blood
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed primary, untreated SCCHN including variants. Patients must be candidates for surgical resection. Primary tumors of oral cavity, oropharynx, hypopharnyx or larynx are included.
Written informed consent and any locally required authorization (e.g., HIPAA in the USA) obtained from the patient/legal representative prior to performing any protocol-related procedures, including screening evaluations.
Females of childbearing potential who are sexually active with a nonsterilized male partner must use 2 methods of effective contraception from screening, and must agree to continue using such precautions for 60 days after the final dose of KTN3379. Females of childbearing potential are defined as those who are not surgically sterile (i.e., bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy) or those who are postmenopausal (defined as 12 months with no menses without an alternative medical cause)
Nonsterilized males who are sexually active with a female partner of child-bearing potential must, with their partner, use 2 acceptable methods of effective contraception from Day 1 through 60 days after receipt of the final dose of KTN3379.
Eastern Cooperative Oncology Group (ECOG) status of 0 or 1
Adequate bone and marrow function as defined below:
Hemoglobin ≥ 10 g/dL
Absolute neutrophil count ≥ 1500/mm3
Platelet count ≥ 100,000/mm3
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 ×ULN
Bilirubin ≤ 1.5 × ULN except for cases of documented or suspected Gilbert's disease, in which bilirubin must be ≤ 5 × ULN
Serum creatinine ≤ 1.5 g/dL
Normal PT or INR and aPTT
Exclusion Criteria:
Any concurrent chemotherapy, radiotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment.
Immunosuppressive or systemic steroids medication within 7 days before the first dose of KTN3379 (inhaled and topical corticosteroids are permitted).
Another invasive malignancy within 2 years prior to enrollment except for localized prostate cancer, cervical carcinoma in situ, non-melanomatous carcinoma of the skin, or ductal carcinoma in situ of the breast that has/have been surgically cured
Major surgical procedure within 30 days prior to Day 1 or incomplete recovery from any prior surgery
Pregnancy or lactation
Uncontrolled intercurrent illness including but not limited to ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled or idiopathic hypotension, unstable angina pectoris, cardiac arrhythmia including atrial fibrillation, significant cardiac conduction abnormalities including prolongation of QTc interval or BBB, active peptic ulcer disease or gastritis, or psychiatric illness/social situations that would limit compliance with study requirements or compromise the ability of the patient to give written informed consent
Patients with a left ventricular cardiac ejection fraction < 50% as assessed by an echocardiogram or MUGA scan
Patients with prior primary treatment for head and neck cancer (e.g. chemoradiation or radiation alone).
Facility Information:
Facility Name
UCSF Helen Diller Family Comprehensive Cancer Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
31308059
Citation
Duvvuri U, George J, Kim S, Alvarado D, Neumeister VM, Chenna A, Gedrich R, Hawthorne T, LaVallee T, Grandis JR, Bauman JE. Molecular and Clinical Activity of CDX-3379, an Anti-ErbB3 Monoclonal Antibody, in Head and Neck Squamous Cell Carcinoma Patients. Clin Cancer Res. 2019 Oct 1;25(19):5752-5758. doi: 10.1158/1078-0432.CCR-18-3453. Epub 2019 Jul 15.
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A Window of Opportunity Study of KTN3379 in Surgically Resectable Head and Neck Cancer Patients
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