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CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers

Primary Purpose

Non-Small Cell Lung Cancer, Renal Cell Cancer, Colorectal Cancer

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CPI-006
CPI-006 + ciforadenant
CPI-006 + pembrolizumab
CPI-006
CPI-006 + ciforadenant
CPI-006 + pembrolizumab
Sponsored by
Corvus Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer focused on measuring NSCLC, RCC, TNBC, mCRPC, CRC, Lung Cancer, Kidney Cancer, Rectal Cancer, Breast Cancer, Sarcoma, Endometrial, Pancreatic, Ovarian, SCCHN, NHL

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
  2. Documented incurable cancer with one of the following histologies: nonsmall cell lung cancer, renal cell cancer, triple negative breast cancer, colorectal cancer with microsatellite instability(MSI), bladder cancer, cervical cancer, uterine cancer, sarcoma, endometrial cancer, and metastatic castration resistant prostate cancer.
  3. At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
  4. For Escalation: At least 1 but not more than 5 prior systemic therapies for advanced/ recurrent or progressing disease. For Expansion: Subject must have progressed on, be refractory to, or intolerant to 1-3 prior systemic therapies.
  5. Willingness to provide tumor biopsies.

Exclusion Criteria

  1. History of severe hypersensitivity reaction to monoclonal antibodies.
  2. Subjects who have received prior therapy with regimens containing cytotoxicT-lymphocyte antigen-4 (CTLA-4), programmed cell death ligand 1 (PDL1), or PD1 antagonists are NOT permitted to enroll unless all adverse events (AEs) while receiving prior immunotherapy have resolved to Grade 1 or baseline prior to screening.
  3. History of (non-infectious) pneumonitis that required steroids or subject has current pneumonitis.
  4. The use of any investigational medication or device in the 30 days prior to screening and throughout the study is prohibited.
  5. Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.

Sites / Locations

  • Arizona Oncology
  • City Of Hope
  • UC San Francisco
  • Yale School of Medicine
  • University of Miami
  • Northwestern University
  • The University of Chicago
  • The John Hopkins University
  • Dana Farber
  • Comprehensive Cancer Centers of Nevada
  • NY Hematology
  • Roswell Park Cancer Institute
  • Icahn School of Medicine at Mount Sinai
  • Carolina BioOncology Institute
  • Oncology Hematology Care
  • University of Oklahoma - Stephenson Cancer Center
  • UPMC Hillman
  • Greenville
  • Sarah Cannon Research Institute
  • Mary Crowley Cancer Research
  • Virginia Cancer
  • Froedtert Hospital & Medical College of Wisconsin
  • Lifehouse
  • St. Vincent's Hospital
  • Westmead
  • Royal Brisbane
  • Monash Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1a

Cohort1b

Cohort 1c

Cohort 2a

Cohort 2b

Cohort 2c

Arm Description

CPI-006

CPI-006 + ciforadenant

CPI-006 + pembrolizumab

CPI-006

CPI-006 + ciforadenant

CPI-006 + pembrolizumab

Outcomes

Primary Outcome Measures

Incidence of dose-limiting toxicities (DLTs) of CPI-006 as a single agent and in combination with ciforadenant and with pembrolizumab.
Incidence of treatment-emergent adverse events as assessed by NCI CTCAE v.4.03, of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.
Identify the MDL(maximum dose level) of single agent CPI-006

Secondary Outcome Measures

Area under the curve (AUC) of CPI-006
Maximum serum concentration (Cmax) of CPI-006
Objective response rate per RECIST v.1.1 criteria of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.

Full Information

First Posted
February 5, 2018
Last Updated
August 1, 2022
Sponsor
Corvus Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03454451
Brief Title
CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers
Official Title
A PHASE 1/1b MULTICENTER STUDY TO EVALUATE THE HUMANIZED ANTI-CD73 ANTIBODY, CPI-006, AS A SINGLE AGENT OR IN COMBINATION WITH CIFORADENANT, WITH PEMBROLIZUMAB, AND WITH CIFORADENANT PLUS PEMBROLIZUMAB IN ADULT SUBJECTS WITH ADVANCED CANCERS
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 25, 2018 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Corvus Pharmaceuticals, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a Phase 1/1b open-label, dose escalation and dose expansion study of CPI-006, a humanized monoclonal antibody (mAb) targeting the CD73 cell-surface ectonucleotidase in adult subjects with select advanced cancers. CPI-006 will be evaluated as a single agent, in combination with ciforadenant (an oral adenosine 2A receptor antagonist), in combination with pembrolizumab (an anti-PD1 antibody), and in combination with ciforadenant and pembrolizumab.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Small Cell Lung Cancer, Renal Cell Cancer, Colorectal Cancer, Triple Negative Breast Cancer, Cervical Cancer, Ovarian Cancer, Pancreatic Cancer, Endometrial Cancer, Sarcoma, Squamous Cell Carcinoma of the Head and Neck, Bladder Cancer, Metastatic Castration Resistant Prostate Cancer, Non-hodgkin Lymphoma
Keywords
NSCLC, RCC, TNBC, mCRPC, CRC, Lung Cancer, Kidney Cancer, Rectal Cancer, Breast Cancer, Sarcoma, Endometrial, Pancreatic, Ovarian, SCCHN, NHL

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
378 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1a
Arm Type
Experimental
Arm Description
CPI-006
Arm Title
Cohort1b
Arm Type
Experimental
Arm Description
CPI-006 + ciforadenant
Arm Title
Cohort 1c
Arm Type
Experimental
Arm Description
CPI-006 + pembrolizumab
Arm Title
Cohort 2a
Arm Type
Experimental
Arm Description
CPI-006
Arm Title
Cohort 2b
Arm Type
Experimental
Arm Description
CPI-006 + ciforadenant
Arm Title
Cohort 2c
Arm Type
Experimental
Arm Description
CPI-006 + pembrolizumab
Intervention Type
Drug
Intervention Name(s)
CPI-006
Intervention Description
Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days until MTD is reached or until disease progression.
Intervention Type
Drug
Intervention Name(s)
CPI-006 + ciforadenant
Intervention Description
Subjects will receive escalating doses of CPI-006 administered intravenously once every 21 days in combination with CPI-444 orally twice daily until MTD is reached for CPI-006 or until disease progression.
Intervention Type
Drug
Intervention Name(s)
CPI-006 + pembrolizumab
Intervention Description
Subjects will receive escalating doses of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until MTD is reached for CPI-006 or until disease progression.
Intervention Type
Drug
Intervention Name(s)
CPI-006
Intervention Description
Selected dose of CPI-006 administered intravenously once every 21 days until disease progression.
Intervention Type
Drug
Intervention Name(s)
CPI-006 + ciforadenant
Intervention Description
Selected dose of CPI-006 administered intravenously once every 21 days, in combination with CPI-444 orally twice daily until disease progression.
Intervention Type
Drug
Intervention Name(s)
CPI-006 + pembrolizumab
Intervention Description
Selected dose of CPI-006 in combination with pembrolizumab administered intravenously once every 21 days until disease progression.
Primary Outcome Measure Information:
Title
Incidence of dose-limiting toxicities (DLTs) of CPI-006 as a single agent and in combination with ciforadenant and with pembrolizumab.
Time Frame
From start of treatment to end of treatment, up to 36 months
Title
Incidence of treatment-emergent adverse events as assessed by NCI CTCAE v.4.03, of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.
Time Frame
From start of treatment to end of treatment, up to 36 months
Title
Identify the MDL(maximum dose level) of single agent CPI-006
Time Frame
From start of treatment to end of treatment, up to 36 months
Secondary Outcome Measure Information:
Title
Area under the curve (AUC) of CPI-006
Time Frame
Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).
Title
Maximum serum concentration (Cmax) of CPI-006
Time Frame
Day 1, 2, 8 , and 15 of Cycle 1 & 4 (each cycle is 21 days).
Title
Objective response rate per RECIST v.1.1 criteria of CPI-006 as single agent and in combination with ciforadenant and with pembrolizumab.
Time Frame
From start of treatment to end of treatment, up to 36 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1. Documented incurable cancer with one of the following histologies: nonsmall cell lung cancer, renal cell cancer, triple negative breast cancer, colorectal cancer with microsatellite instability(MSI), bladder cancer, cervical cancer, uterine cancer, sarcoma, endometrial cancer, and metastatic castration resistant prostate cancer. At least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST 1.1). For Escalation: At least 1 but not more than 5 prior systemic therapies for advanced/ recurrent or progressing disease. For Expansion: Subject must have progressed on, be refractory to, or intolerant to 1-3 prior systemic therapies. Willingness to provide tumor biopsies. Exclusion Criteria History of severe hypersensitivity reaction to monoclonal antibodies. Subjects who have received prior therapy with regimens containing cytotoxicT-lymphocyte antigen-4 (CTLA-4), programmed cell death ligand 1 (PDL1), or PD1 antagonists are NOT permitted to enroll unless all adverse events (AEs) while receiving prior immunotherapy have resolved to Grade 1 or baseline prior to screening. History of (non-infectious) pneumonitis that required steroids or subject has current pneumonitis. The use of any investigational medication or device in the 30 days prior to screening and throughout the study is prohibited. Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
S Mahabhashyam, MD
Organizational Affiliation
Corvus Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
Arizona Oncology
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85711
Country
United States
Facility Name
City Of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
UC San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Yale School of Medicine
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06519
Country
United States
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
The University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
The John Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States
Facility Name
Dana Farber
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Comprehensive Cancer Centers of Nevada
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89169
Country
United States
Facility Name
NY Hematology
City
Albany
State/Province
New York
ZIP/Postal Code
12206
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Carolina BioOncology Institute
City
Huntsville
State/Province
North Carolina
ZIP/Postal Code
28078
Country
United States
Facility Name
Oncology Hematology Care
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
Facility Name
University of Oklahoma - Stephenson Cancer Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
UPMC Hillman
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Greenville
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
Sarah Cannon Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Mary Crowley Cancer Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Virginia Cancer
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Facility Name
Froedtert Hospital & Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Lifehouse
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
Facility Name
St. Vincent's Hospital
City
Darlinghurst
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia
Facility Name
Westmead
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
3168
Country
Australia
Facility Name
Royal Brisbane
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
Facility Name
Monash Hospital
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia

12. IPD Sharing Statement

Learn more about this trial

CPI-006 Alone and in Combination With Ciforadenant and With Pembrolizumab for Patients With Advanced Cancers

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