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Study of SO-C101 and SO-C101 in Combination With Pembro in Adult Patients With Advanced/Metastatic Solid Tumors

Primary Purpose

Thyroid, Renal Cell Carcinoma, Non Small Cell Lung Cancer

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SO-C101
pembrolizumab
Sponsored by
SOTIO Biotech AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thyroid focused on measuring thyroid cancer, Renal Cell Carcinoma, Non Small Cell Lung Cancer, Small-cell Lung Cancer, Bladder Cancer, Melanoma, Merkel Cell Carcinoma, Skin Squamous Cell Carcinoma, Microsatellite Instability High, Triple Negative Breast Cancer, Mesothelioma, Thymic Cancer, Cervical Cancer, Biliary Tract Cancer, Hepatocellular Carcinoma, Ovarian Cancer, Gastric Cancer, Head and Neck Squamous Cell Carcinoma, Anal Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with selected histologically or cytologically confirmed advanced and/or metastatic solid tumors who are refractory to or intolerant of existing therapies known to provide clinical benefit for their condition.
  • ECOG performance score 0-1. Patients with ECOG is 2 to be discussed with the sponsor's medical monitor to be agreed for inclusion.
  • Estimated life expectancy of ≥3 months
  • Washout periods: 4 weeks for chemotherapy, 4 weeks or 5 half-lives (whichever shorter) for biologic agents including immuno-oncology therapy and 4 weeks from major surgeries, definitive radiotherapy and 2 weeks after palliative radiotherapy
  • At least one measurable lesion per iRECIST in a non-irradiated port. If in a previously irradiated port, must have demonstrated progression since best response to radiation therapy.
  • Have fully recovered from previous treatment to grade ≤1 toxicity (excluding alopecia) or have stable grade 2 neuropathy
  • Adequate organ system function
  • Negative serum pregnancy test, if woman of child-bearing potential (WOCBP; non-childbearing is defined as greater than one year postmenopausal or surgically sterilized).
  • Accessible tumor tissue available for fresh biopsy

Exclusion Criteria:

  • Key exclusion criteria (Part A and B)

    • Patient with untreated CNS metastases and/or leptomeningeal carcinomatosis (see list of all exclusion criteria for details)
    • Known additional malignancy that is progressing and/or requires active treatment.
    • Prior exposure to drugs that are agonists of IL-2- or IL-15-like but not limited to rhIL-15 (NCI), ALT-803 (ALTOR), NKTR-214 (Nektar)
    • History of and current interstitial lung disease or fibrosis and pneumonitis; patients with clinically significant or oxygen requiring COPD or any chronic inflammatory disease (sarcoidosis etc.)
    • Has received a live vaccine within 30 days of planned start of study therapy (see list of all exclusion criteria for details)
    • Absolute WBC count ≤ 2.0 ×109/L;
    • ALC ≤0.5×109/L
    • Absolute neutrophil count ≤1.0 ×109/L
    • Platelet count ≤100×109/L
    • Pregnant or breastfeeding women
    • Any active autoimmune disease or a documented history of autoimmune disease, poorly controlled asthma, or history of syndrome that required systemic steroids (except the allowed doses) or immunosuppressive medications, except for patients with vitiligo or resolved childhood asthma/atopy (see list of all exclusion criteria for details)
    • Specific co-morbidities (see list of all exclusion criteria for details)
    • Is hypersensitive to any of the ingredients of pembrolizumab drug product (KeytrudaTM)
    • History of solid organ transplantation or hematopoietic stem cell transplantation

Sites / Locations

  • Yale Cancer Center
  • University of Pittsburgh
  • MD Anderson Cancer Center
  • Masarykův Onkologický Ústav Brno Klinika komplexní onkologické péče
  • Centre Léon Bérard
  • Hôpitaux Universitaires de Marseille Timone
  • Hopital Saint Louis
  • Institut Gustave Roussy
  • Institut de Cancerologie de L'Ouest
  • Institut Claudius Regaud
  • Vall d'Hebron Institute of Oncology
  • University Hospital Sanchinarro

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

Experimental: Part A (SO-C101 Monotherapy)

Experimental: Part B (SO-C101 combined with pembrolizumab)

Experimental: Part A1 (SO-C101 divided dosing, Monotherapy)

Experimental: Part B1 (SO-C101 divided dosing, combined with pembrolizumab)

Experimental: Part D (SO-C101 Monotherapy, dose expansion at the RP2D identified in Part A)

Part D1 (SO-C101 divided dosing, Monotherapy, dose expansion at RP2D identified in Part A1)

Arm Description

Drug: SO-C101

Drug: SO-C101 Drug: pembrolizumab

Drug: SO-C101, twice a day as 2 divided doses (50%:50%)

Drug: SO-C101, twice a day as 2 divided doses (50%:50%) Drug: pembrolizumab

Drug: SO-C101 Indications: Relapsed/refractory advanced/metastatic renal cell carcinoma, relapsed/refractory advanced/metastatic skin squamous-cell carcinoma, and relapsed/refractory advanced/metastatic melanoma.

Drug: SO-C101, twice a day as 2 divided doses (50%:50%) Indications: Relapsed/refractory advanced/metastatic renal cell carcinoma, relapsed/refractory advanced/metastatic skin squamous-cell carcinoma, and relapsed/refractory advanced/metastatic melanoma.

Outcomes

Primary Outcome Measures

Part A;Number of Participants With Dose-Limiting Toxicities (DLT):
DLT was defined as any of the following AEs occurring in the first cycle of treatment which were attributable to the study drug: •Grade 5 events not clearly related to disease progression or any other causes, grade 3 or higher non-hematologic toxicity regardless of duration, and Hy's law cases will be considered DLTs. .•Grade 3 AST, ALT, or bilirubinemia that lasts >5 days •Grade 4 neutropenia or thrombocytopenia lasting >7 days Febrile neutropenia Grade 3 or higher thrombocytopenia with bleeding Grade 4 immune-related AEs regardless of duration Grade 3 or grade 4 non-infectious pneumonitis regardless of duration Grade 3 immune-related AEs, excluding colitis, hepatitis, and pneumonitis, that do not downgrade to grade ≤2 within 3 days after onset of the event despite maximal supportive care including systemic corticosteroids or downgrade to grade 1 or baseline within 14 days Grade 2 pneumonitis that does not resolve to grade 1 within 3 days of care Grade 3 colitis
Part A;Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
Part A;Number of Participants With Treatment Related Adverse Events (AEs) and Serious Adverse Events (SAEs
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Part A;Number of Participants With Adverse Events (AEs) According to Severity of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs were graded according to the Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 and coded using the Medical Dictionary for Regulatory Activities (MedDRA) as Grade 3: Severe, Grade 4: Life threatening, Grade 5: Death related to AE. Participants were counted once according to the maximum grade observed
Part A;Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0: Biochemistry and Hematology
Laboratory parameters included hematological and biochemistry includes Na, Cl, ALT, AST, bilirubin (direct, total), alkaline phosphatase, lactate dehydrogenase, creatinine, glucose (preferably fasting) for hyper- or hypoglycemia, urea or blood urea nitrogen, cholesterol, triglyceride, CRP, uric acid, amylase, and lipase, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia. Hematology parameters included anemia, hemoglobin increased, lymphocyte count increased, lymphopenia, neutrophils (absolute), platelets and white blood cells Hematology panel will include hemoglobin, glycated hemoglobin HbA1c at study entry, hematocrit, red blood cell count (for anemia), reticulocytes, WBC count (with full differentiation for leukopenia, neutropenia and etc)), ALC (lymphopenia), and platelet count assessment of for thrombocytopenia.
Part A;Number of Participants With Laboratory Test Abnormalities: Urinalysis
Urinalysis parameter includes: pH, glucose, protein, bilirubin, urobilinogen. Microscopic examination: red blood cell count, WBC, epithelial cells, bacteria. In case of proteinuria ≥100 mg/dL at screening, a 24-hour urine analysis will have to be performed (prior to the start of SO-C101 treatment) to document 24-hour proteinuria levels and a urine test will continue during the treatment period. In case of increase of proteinuria with ≥300 mg/dL (at any time), a 24-hour urine analysis will be performed. Test abnormalities was defined as deviation from normal range: Urine blood/hemoglobin abnormality was defined as presence and absence of blood/hemoglobin in urine of participants
Part A;Number of Participants With Clinically Significant Change From Screening in Vital Signs
Vital signs included blood pressure, pulse rate, respiratory rate and weight. Change from screening values which are considered to be clinically significant based on investigator's judgement
Part A; Number of Participants With Eastern Cooperative Oncology Group [ECOG] Performance Status Score
ECOG performance status was used to assess how disease affect the daily living abilities of a participant. It was measured on a scale ranging from 0 to 4, where 0=fully active (able to carry on all pre-disease activities without restriction); 1=restricted in physically strenuous activity but ambulatory (able to carry out light/sedentary work); 2=ambulatory and capable of all self-care but unable to carry out any work activities (for more than 50% of waking hours); 3=capable of limited self-care, confined to bed or chair (for >50% of waking hours); 4=completely disabled, not capable of any self-care, totally confined to bed or chair. Higher scores signified =more functional impairment of a participant.
Part B: Number of Participants With Dose-Limiting Toxicities (DLT): Dose Finding Phase
DLT was defined as any of the following AEs occurring in the first cycle of treatment which were attributable to the study drug: •Grade 5 events not clearly related to disease progression or any other causes, grade 3 or higher non-hematologic toxicity regardless of duration, and Hy's law cases will be considered DLTs. .•Grade 3 AST, ALT, or bilirubinemia that lasts >5 days •Grade 4 neutropenia or thrombocytopenia lasting >7 days Febrile neutropenia Grade 3 or higher thrombocytopenia with bleeding Grade 4 immune-related AEs regardless of duration Grade 3 or grade 4 non-infectious pneumonitis regardless of duration Grade 3 immune-related AEs, excluding colitis, hepatitis, and pneumonitis, that do not downgrade to grade ≤2 within 3 days after onset of the event despite maximal supportive care including systemic corticosteroids or downgrade to grade 1 or baseline within 14 days Grade 2 pneumonitis that does not resolve to grade 1 within 3 days of care Grade 3 colitis
Part B: Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Part B: Number of Participants With Treatment Related Adverse Events (AEs) and Serious Adverse Events
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Part B: Number of Participants With Adverse Events (AEs) According to Severity of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs were graded according to the Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 and coded using the Medical Dictionary for Regulatory Activities (MedDRA) as Grade 3: Severe, Grade 4: Life threatening, Grade 5: Death related to AE. Participants were counted once according to the maximum grade observed.
Part B: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0: Biochemistry and Hematology
Laboratory parameters included hematological and biochemistry parameters. Biochemistry parameters includes Na, Cl, ALT, AST, bilirubin (direct, total), alkaline phosphatase, lactate dehydrogenase, creatinine, glucose (preferably fasting) for hyper- or hypoglycemia, urea or blood urea nitrogen, cholesterol, triglyceride, CRP, uric acid, amylase, and lipase, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia. Hematology parameters included anemia, hemoglobin increased, lymphocyte count increased, lymphopenia, neutrophils (absolute), platelets and white blood cells Hematology panel includes hemoglobin, glycated hemoglobin HbA1c at study entry, hematocrit, red blood cell count (for anemia), reticulocytes, WBC count (with full differentiation for leukopenia, neutropenia and etc)), ALC (lymphopenia), and platelet count assessment of for thrombocytopenia.
Part B: Number of Participants With Laboratory Test Abnormalities: Urinalysis
Urinalysis parameter includes: pH, glucose, protein, bilirubin, urobilinogen. Microscopic examination: red blood cell count, WBC, epithelial cells, bacteria. In case of proteinuria ≥100 mg/dL at screening, a 24-hour urine analysis will have to be performed (prior to the start of SO-C101 treatment) to document 24-hour proteinuria levels and a urine test will continue during the treatment period. In case of increase of proteinuria with ≥300 mg/dL (at any time), a 24-hour urine analysis will be performed. Test abnormalities was defined as deviation from normal range: Urine blood/hemoglobin abnormality was defined as presence and absence of blood/hemoglobin in urine of participants
Part B: Number of Participants With Clinically Significant Change From Screening in Vital Signs
Vital signs included blood pressure, pulse rate, respiratory rate and weight. Change from screening values which are considered to be clinically significant based on investigator's judgement.
Part B: Number of Participants With Eastern Cooperative Oncology Group [ECOG]
ECOG performance status was used to assess how disease affect the daily living abilities of a participant. It was measured on a scale ranging from 0 to 4, where 0=fully active (able to carry on all pre-disease activities without restriction); 1=restricted in physically strenuous activity but ambulatory (able to carry out light/sedentary work); 2=ambulatory and capable of all self-care but unable to carry out any work activities (for more than 50% of waking hours); 3=capable of limited self-care, confined to bed or chair (for >50% of waking hours); 4=completely disabled, not capable of any self-care, totally confined to bed or chair. Higher scores signified =more functional impairment of a participant.

Secondary Outcome Measures

Part A PK parameters
Assess plasma concentration of SO-C101 at various timepoints
Part A Objective response rate (ORR)
based on investigator review of radiographic images according to iRECIST
Part A Best overall response (BOR)
BOR by iRECIST
Part A Duration of Response (DOR)
DOR by iRECIST
Part A Clinical benefit rate (CBR)
CBR by iRECIST
Part A Progression-Free Survival (PFS)
PFS by iRECIST
Part A Immunogenicity analysis to assess antibodies to SO-C101 in human serum
to assess antibodies to SO-C101 in human serum
Part B PK parameters of SO-C101 administered in combination with pemrolizumab
Assess plasma concentration of SO-C101 (administered in combination with pembrolizumab) at various timepoints
Part B Objective response rate (ORR)
SO-C101combined with pemrolizumab based on investigator review of radiographic images according to iRECIST
Part B Best overall response (BOR) of SO-C101
combined with pemrolizumab by iRECIST
Part B Duration of Response (DOR)
of SO-C101 combined with pembrolizumab by iRECIST
Part B Clinical benefit rate (CBR)
of SO-C101 combined with by iRECIST
Part B Progression-Free Survival (PFS)
of SO-C101combined with pemrolizumab by iRECIST
Immunogenicity analysis to assess antibodies to SO-C101
SO-C101 in human serum

Full Information

First Posted
November 14, 2019
Last Updated
September 26, 2023
Sponsor
SOTIO Biotech AG
Collaborators
SOTIO Biotech a.s.
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1. Study Identification

Unique Protocol Identification Number
NCT04234113
Brief Title
Study of SO-C101 and SO-C101 in Combination With Pembro in Adult Patients With Advanced/Metastatic Solid Tumors
Official Title
A Multicenter Open-label Phase 1/1b Study to Evaluate the Safety and Preliminary Efficacy of SO-C101 as Monotherapy and in Combination With Pembrolizumab in Patients With Selected Advanced/Metastatic Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 13, 2019 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SOTIO Biotech AG
Collaborators
SOTIO Biotech a.s.

4. Oversight

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

5. Study Description

Brief Summary
A multicenter open-label phase 1/1b study to evaluate the safety and preliminary efficacy of SO-C101 as monotherapy and in combination with pembrolizumab in patients with selected advanced/metastatic solid tumors
Detailed Description
This study will assess the safety and tolerability of SO-C101 administered as monotherapy and in combination with an anti-PD-1 antibody (pembrolizumab) in patients with selected relapsed/refractory advanced/metastatic solid tumors (renal cell carcinoma, non-small cell lung cancer, small-cell lung cancer, bladder cancer, melanoma, Merkel-cell carcinoma, skin squamous-cell carcinoma, microsatellite instability high solid tumors, triple-negative breast cancer, mesothelioma, thyroid cancer, thymic cancer, cervical cancer, biliary track cancer, hepatocellular carcinoma, ovarian cancer, gastric cancer, head and neck squamous-cell carcinoma, and anal cancer).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thyroid, Renal Cell Carcinoma, Non Small Cell Lung Cancer, Small-cell Lung Cancer, Bladder Cancer, Melanoma, Merkel Cell Carcinoma, Skin Squamous Cell Carcinoma, Microsatellite Instability High, Triple Negative Breast Cancer, Mesothelioma, Thymic Cancer, Cervical Cancer, Biliary Tract Cancer, Hepatocellular Carcinoma, Ovarian Cancer, Gastric Cancer, Head and Neck Squamous Cell Carcinoma, Anal Cancer
Keywords
thyroid cancer, Renal Cell Carcinoma, Non Small Cell Lung Cancer, Small-cell Lung Cancer, Bladder Cancer, Melanoma, Merkel Cell Carcinoma, Skin Squamous Cell Carcinoma, Microsatellite Instability High, Triple Negative Breast Cancer, Mesothelioma, Thymic Cancer, Cervical Cancer, Biliary Tract Cancer, Hepatocellular Carcinoma, Ovarian Cancer, Gastric Cancer, Head and Neck Squamous Cell Carcinoma, Anal Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Experimental: Part A (SO-C101 Monotherapy)
Arm Type
Experimental
Arm Description
Drug: SO-C101
Arm Title
Experimental: Part B (SO-C101 combined with pembrolizumab)
Arm Type
Experimental
Arm Description
Drug: SO-C101 Drug: pembrolizumab
Arm Title
Experimental: Part A1 (SO-C101 divided dosing, Monotherapy)
Arm Type
Experimental
Arm Description
Drug: SO-C101, twice a day as 2 divided doses (50%:50%)
Arm Title
Experimental: Part B1 (SO-C101 divided dosing, combined with pembrolizumab)
Arm Type
Experimental
Arm Description
Drug: SO-C101, twice a day as 2 divided doses (50%:50%) Drug: pembrolizumab
Arm Title
Experimental: Part D (SO-C101 Monotherapy, dose expansion at the RP2D identified in Part A)
Arm Type
Experimental
Arm Description
Drug: SO-C101 Indications: Relapsed/refractory advanced/metastatic renal cell carcinoma, relapsed/refractory advanced/metastatic skin squamous-cell carcinoma, and relapsed/refractory advanced/metastatic melanoma.
Arm Title
Part D1 (SO-C101 divided dosing, Monotherapy, dose expansion at RP2D identified in Part A1)
Arm Type
Experimental
Arm Description
Drug: SO-C101, twice a day as 2 divided doses (50%:50%) Indications: Relapsed/refractory advanced/metastatic renal cell carcinoma, relapsed/refractory advanced/metastatic skin squamous-cell carcinoma, and relapsed/refractory advanced/metastatic melanoma.
Intervention Type
Drug
Intervention Name(s)
SO-C101
Other Intervention Name(s)
SOT101
Intervention Description
SO-C101
Intervention Type
Drug
Intervention Name(s)
pembrolizumab
Intervention Description
pembrolizumab
Primary Outcome Measure Information:
Title
Part A;Number of Participants With Dose-Limiting Toxicities (DLT):
Description
DLT was defined as any of the following AEs occurring in the first cycle of treatment which were attributable to the study drug: •Grade 5 events not clearly related to disease progression or any other causes, grade 3 or higher non-hematologic toxicity regardless of duration, and Hy's law cases will be considered DLTs. .•Grade 3 AST, ALT, or bilirubinemia that lasts >5 days •Grade 4 neutropenia or thrombocytopenia lasting >7 days Febrile neutropenia Grade 3 or higher thrombocytopenia with bleeding Grade 4 immune-related AEs regardless of duration Grade 3 or grade 4 non-infectious pneumonitis regardless of duration Grade 3 immune-related AEs, excluding colitis, hepatitis, and pneumonitis, that do not downgrade to grade ≤2 within 3 days after onset of the event despite maximal supportive care including systemic corticosteroids or downgrade to grade 1 or baseline within 14 days Grade 2 pneumonitis that does not resolve to grade 1 within 3 days of care Grade 3 colitis
Time Frame
Through Cycle 1 (a cycle is 21 days]
Title
Part A;Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Cycle 1, Day 1 (each cycle is 21 days) through study completion an average of 1 year
Title
Part A;Number of Participants With Treatment Related Adverse Events (AEs) and Serious Adverse Events (SAEs
Description
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Time Frame
assessed in average of 7 months
Title
Part A;Number of Participants With Adverse Events (AEs) According to Severity of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0
Description
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs were graded according to the Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 and coded using the Medical Dictionary for Regulatory Activities (MedDRA) as Grade 3: Severe, Grade 4: Life threatening, Grade 5: Death related to AE. Participants were counted once according to the maximum grade observed
Time Frame
assessed in average of 7 months
Title
Part A;Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0: Biochemistry and Hematology
Description
Laboratory parameters included hematological and biochemistry includes Na, Cl, ALT, AST, bilirubin (direct, total), alkaline phosphatase, lactate dehydrogenase, creatinine, glucose (preferably fasting) for hyper- or hypoglycemia, urea or blood urea nitrogen, cholesterol, triglyceride, CRP, uric acid, amylase, and lipase, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia. Hematology parameters included anemia, hemoglobin increased, lymphocyte count increased, lymphopenia, neutrophils (absolute), platelets and white blood cells Hematology panel will include hemoglobin, glycated hemoglobin HbA1c at study entry, hematocrit, red blood cell count (for anemia), reticulocytes, WBC count (with full differentiation for leukopenia, neutropenia and etc)), ALC (lymphopenia), and platelet count assessment of for thrombocytopenia.
Time Frame
Cycle 1 Day 1 (each cycle is 21 days) through study completion, an average of 1 year
Title
Part A;Number of Participants With Laboratory Test Abnormalities: Urinalysis
Description
Urinalysis parameter includes: pH, glucose, protein, bilirubin, urobilinogen. Microscopic examination: red blood cell count, WBC, epithelial cells, bacteria. In case of proteinuria ≥100 mg/dL at screening, a 24-hour urine analysis will have to be performed (prior to the start of SO-C101 treatment) to document 24-hour proteinuria levels and a urine test will continue during the treatment period. In case of increase of proteinuria with ≥300 mg/dL (at any time), a 24-hour urine analysis will be performed. Test abnormalities was defined as deviation from normal range: Urine blood/hemoglobin abnormality was defined as presence and absence of blood/hemoglobin in urine of participants
Time Frame
Cycle 1 Day 1, (each cycle is 21 days) through study completion, an average of 1 year
Title
Part A;Number of Participants With Clinically Significant Change From Screening in Vital Signs
Description
Vital signs included blood pressure, pulse rate, respiratory rate and weight. Change from screening values which are considered to be clinically significant based on investigator's judgement
Time Frame
Screening, through study completion, an average of 1 year
Title
Part A; Number of Participants With Eastern Cooperative Oncology Group [ECOG] Performance Status Score
Description
ECOG performance status was used to assess how disease affect the daily living abilities of a participant. It was measured on a scale ranging from 0 to 4, where 0=fully active (able to carry on all pre-disease activities without restriction); 1=restricted in physically strenuous activity but ambulatory (able to carry out light/sedentary work); 2=ambulatory and capable of all self-care but unable to carry out any work activities (for more than 50% of waking hours); 3=capable of limited self-care, confined to bed or chair (for >50% of waking hours); 4=completely disabled, not capable of any self-care, totally confined to bed or chair. Higher scores signified =more functional impairment of a participant.
Time Frame
Screening, through study completion, an average of 1 year
Title
Part B: Number of Participants With Dose-Limiting Toxicities (DLT): Dose Finding Phase
Description
DLT was defined as any of the following AEs occurring in the first cycle of treatment which were attributable to the study drug: •Grade 5 events not clearly related to disease progression or any other causes, grade 3 or higher non-hematologic toxicity regardless of duration, and Hy's law cases will be considered DLTs. .•Grade 3 AST, ALT, or bilirubinemia that lasts >5 days •Grade 4 neutropenia or thrombocytopenia lasting >7 days Febrile neutropenia Grade 3 or higher thrombocytopenia with bleeding Grade 4 immune-related AEs regardless of duration Grade 3 or grade 4 non-infectious pneumonitis regardless of duration Grade 3 immune-related AEs, excluding colitis, hepatitis, and pneumonitis, that do not downgrade to grade ≤2 within 3 days after onset of the event despite maximal supportive care including systemic corticosteroids or downgrade to grade 1 or baseline within 14 days Grade 2 pneumonitis that does not resolve to grade 1 within 3 days of care Grade 3 colitis
Time Frame
Cycle 1 Day 1 to Cycle 2 Day 1 21 days
Title
Part B: Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events
Description
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Time Frame
Cycle 1 Day 1, up to 90 days after last dose of study drug (assessed in average of 7 months
Title
Part B: Number of Participants With Treatment Related Adverse Events (AEs) and Serious Adverse Events
Description
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events which occurred between first dose of study drug and up to 90 days after last dose that were absent before treatment or that worsened relative to pre-treatment state
Time Frame
Cycle 1 Day 1, up to 90 days after last dose of study drug (assessed in average of 7 months
Title
Part B: Number of Participants With Adverse Events (AEs) According to Severity of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0
Description
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant and jeopardized the participants or required treatment to prevent other AE outcomes for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs were graded according to the Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 and coded using the Medical Dictionary for Regulatory Activities (MedDRA) as Grade 3: Severe, Grade 4: Life threatening, Grade 5: Death related to AE. Participants were counted once according to the maximum grade observed.
Time Frame
Cycle 1 Day 1, (each cycle is 21 days) through study completion, an average of 1 year
Title
Part B: Number of Participants With Laboratory Test Abnormalities of Grade 3 or Higher Severity Based on NCI CTCAE Version 5.0: Biochemistry and Hematology
Description
Laboratory parameters included hematological and biochemistry parameters. Biochemistry parameters includes Na, Cl, ALT, AST, bilirubin (direct, total), alkaline phosphatase, lactate dehydrogenase, creatinine, glucose (preferably fasting) for hyper- or hypoglycemia, urea or blood urea nitrogen, cholesterol, triglyceride, CRP, uric acid, amylase, and lipase, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia, hypophosphatemia. Hematology parameters included anemia, hemoglobin increased, lymphocyte count increased, lymphopenia, neutrophils (absolute), platelets and white blood cells Hematology panel includes hemoglobin, glycated hemoglobin HbA1c at study entry, hematocrit, red blood cell count (for anemia), reticulocytes, WBC count (with full differentiation for leukopenia, neutropenia and etc)), ALC (lymphopenia), and platelet count assessment of for thrombocytopenia.
Time Frame
Cycle 1 Day 1, (each cycle is 21 days) through study completion, an average of 1 year
Title
Part B: Number of Participants With Laboratory Test Abnormalities: Urinalysis
Description
Urinalysis parameter includes: pH, glucose, protein, bilirubin, urobilinogen. Microscopic examination: red blood cell count, WBC, epithelial cells, bacteria. In case of proteinuria ≥100 mg/dL at screening, a 24-hour urine analysis will have to be performed (prior to the start of SO-C101 treatment) to document 24-hour proteinuria levels and a urine test will continue during the treatment period. In case of increase of proteinuria with ≥300 mg/dL (at any time), a 24-hour urine analysis will be performed. Test abnormalities was defined as deviation from normal range: Urine blood/hemoglobin abnormality was defined as presence and absence of blood/hemoglobin in urine of participants
Time Frame
Screening, through study completion, an average of 1 year
Title
Part B: Number of Participants With Clinically Significant Change From Screening in Vital Signs
Description
Vital signs included blood pressure, pulse rate, respiratory rate and weight. Change from screening values which are considered to be clinically significant based on investigator's judgement.
Time Frame
Screening, through study completion, an average of 1 year
Title
Part B: Number of Participants With Eastern Cooperative Oncology Group [ECOG]
Description
ECOG performance status was used to assess how disease affect the daily living abilities of a participant. It was measured on a scale ranging from 0 to 4, where 0=fully active (able to carry on all pre-disease activities without restriction); 1=restricted in physically strenuous activity but ambulatory (able to carry out light/sedentary work); 2=ambulatory and capable of all self-care but unable to carry out any work activities (for more than 50% of waking hours); 3=capable of limited self-care, confined to bed or chair (for >50% of waking hours); 4=completely disabled, not capable of any self-care, totally confined to bed or chair. Higher scores signified =more functional impairment of a participant.
Time Frame
Screening, through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Part A PK parameters
Description
Assess plasma concentration of SO-C101 at various timepoints
Time Frame
assessed in average of 2 months
Title
Part A Objective response rate (ORR)
Description
based on investigator review of radiographic images according to iRECIST
Time Frame
assessed in average of 5 months
Title
Part A Best overall response (BOR)
Description
BOR by iRECIST
Time Frame
assessed in average of 5 months
Title
Part A Duration of Response (DOR)
Description
DOR by iRECIST
Time Frame
assessed in average of 5 months
Title
Part A Clinical benefit rate (CBR)
Description
CBR by iRECIST
Time Frame
assessed in average of 5 months
Title
Part A Progression-Free Survival (PFS)
Description
PFS by iRECIST
Time Frame
assessed in average of 5 months
Title
Part A Immunogenicity analysis to assess antibodies to SO-C101 in human serum
Description
to assess antibodies to SO-C101 in human serum
Time Frame
assessed in average of 4 months
Title
Part B PK parameters of SO-C101 administered in combination with pemrolizumab
Description
Assess plasma concentration of SO-C101 (administered in combination with pembrolizumab) at various timepoints
Time Frame
assessed in average of 2 months
Title
Part B Objective response rate (ORR)
Description
SO-C101combined with pemrolizumab based on investigator review of radiographic images according to iRECIST
Time Frame
assessed in average of 5 months
Title
Part B Best overall response (BOR) of SO-C101
Description
combined with pemrolizumab by iRECIST
Time Frame
assessed in average of 5 months
Title
Part B Duration of Response (DOR)
Description
of SO-C101 combined with pembrolizumab by iRECIST
Time Frame
assessed in average of 5 months
Title
Part B Clinical benefit rate (CBR)
Description
of SO-C101 combined with by iRECIST
Time Frame
assessed in average of 5 months
Title
Part B Progression-Free Survival (PFS)
Description
of SO-C101combined with pemrolizumab by iRECIST
Time Frame
assessed in average of 5 months
Title
Immunogenicity analysis to assess antibodies to SO-C101
Description
SO-C101 in human serum
Time Frame
assessed in average of 4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with selected histologically or cytologically confirmed advanced and/or metastatic solid tumors who are refractory to or intolerant of existing therapies known to provide clinical benefit for their condition. ECOG performance score 0-1. Patients with ECOG is 2 to be discussed with the sponsor's medical monitor to be agreed for inclusion. Estimated life expectancy of ≥3 months Washout periods: 4 weeks for chemotherapy, 4 weeks or 5 half-lives (whichever shorter) for biologic agents including immuno-oncology therapy and 4 weeks from major surgeries, definitive radiotherapy and 2 weeks after palliative radiotherapy At least one measurable lesion per iRECIST in a non-irradiated port. If in a previously irradiated port, must have demonstrated progression since best response to radiation therapy. Have fully recovered from previous treatment to grade ≤1 toxicity (excluding alopecia) or have stable grade 2 neuropathy Adequate organ system function Negative serum pregnancy test, if woman of child-bearing potential (WOCBP; non-childbearing is defined as greater than one year postmenopausal or surgically sterilized). Accessible tumor tissue available for fresh biopsy Exclusion Criteria: Key exclusion criteria (Part A and B) Patient with untreated CNS metastases and/or leptomeningeal carcinomatosis (see list of all exclusion criteria for details) Known additional malignancy that is progressing and/or requires active treatment. Prior exposure to drugs that are agonists of IL-2- or IL-15-like but not limited to rhIL-15 (NCI), ALT-803 (ALTOR), NKTR-214 (Nektar) History of and current interstitial lung disease or fibrosis and pneumonitis; patients with clinically significant or oxygen requiring COPD or any chronic inflammatory disease (sarcoidosis etc.) Has received a live vaccine within 30 days of planned start of study therapy (see list of all exclusion criteria for details) Absolute WBC count ≤ 2.0 ×109/L; ALC ≤0.5×109/L Absolute neutrophil count ≤1.0 ×109/L Platelet count ≤100×109/L Pregnant or breastfeeding women Any active autoimmune disease or a documented history of autoimmune disease, poorly controlled asthma, or history of syndrome that required systemic steroids (except the allowed doses) or immunosuppressive medications, except for patients with vitiligo or resolved childhood asthma/atopy (see list of all exclusion criteria for details) Specific co-morbidities (see list of all exclusion criteria for details) Is hypersensitive to any of the ingredients of pembrolizumab drug product (KeytrudaTM) History of solid organ transplantation or hematopoietic stem cell transplantation
Facility Information:
Facility Name
Yale Cancer Center
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15216
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Masarykův Onkologický Ústav Brno Klinika komplexní onkologické péče
City
Brno
ZIP/Postal Code
65653
Country
Czechia
Facility Name
Centre Léon Bérard
City
Lyon
ZIP/Postal Code
69379
Country
France
Facility Name
Hôpitaux Universitaires de Marseille Timone
City
Marseille
ZIP/Postal Code
13005
Country
France
Facility Name
Hopital Saint Louis
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Institut Gustave Roussy
City
Paris
ZIP/Postal Code
94805
Country
France
Facility Name
Institut de Cancerologie de L'Ouest
City
Saint Herblain
ZIP/Postal Code
44805
Country
France
Facility Name
Institut Claudius Regaud
City
Toulouse
ZIP/Postal Code
31059
Country
France
Facility Name
Vall d'Hebron Institute of Oncology
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
University Hospital Sanchinarro
City
Madrid
ZIP/Postal Code
28050
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of SO-C101 and SO-C101 in Combination With Pembro in Adult Patients With Advanced/Metastatic Solid Tumors

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