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RTX-224 Monotherapy in Patients With Solid Tumors

Primary Purpose

Non Small Cell Lung Cancer, Cutaneous Melanoma, Head and Neck Squamous Cell Carcinoma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RTX-224
Sponsored by
Rubius Therapeutics
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 Solid Tumor, Advanced Solid Tumors

Eligibility Criteria

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

Inclusion Criteria:

  • Signed written informed consent obtained prior to study procedures Patients ≥18 years with an ECOG of 0 or 1
  • R/R, or locally advanced, unresectable, and histologically or cytologically confirmed

    (a) NSCLC, (b) cutaneous melanoma, (c) HNSCC, (d) UC, or (e) TNBC, which are refractory to or otherwise ineligible for treatment with standard-of-care treatments

  • Prior therapy in each disease setting must include the following:

    • NSCLC: Patients must have experienced disease progression following platinum-containing chemotherapy and a PD-1 or PD-L1 inhibitor. Patients with EGFR, ALK, ROS-1, or other actionable mutations should have previously received or been ineligible for therapies targeting their respective mutation(s).
    • Cutaneous melanoma: Patients must have experienced disease progression following a PD-1 or PD-L1 inhibitor. Patients with V600E mutations should have previously received or been ineligible for approved BRAF inhibitor or MEK inhibitor therapy.
    • HNSCC: Patients must have experienced disease progression following platinum-based combination chemotherapy and a PD-1 or PD-L1 inhibitor.
    • UC: Patients must have experienced disease progression following platinum-based combination chemotherapy and a PD-1 or PD-L1 inhibitor.
    • TNBC: Patients must have experienced disease progression following single-agent or combination chemotherapy. Patients with BRCA1/2 mutations should have previously received or been ineligible for an approved PARP inhibitor; patients who are PD-L1 positive should have received or been ineligible for an approved PD-1 or PD-L1 inhibitor.
  • Disease must be measurable per Response Evaluation Criteria
  • The shorter of 28 days or 5 half-lives must have elapsed since the completion of prior therapy, before initiation of study treatment.
  • Adequate Organ Function as Defined by the protocol:

    • AST and ALT ≤3 × the upper limit of normal (ULN) Except in documented cases of Gilbert syndrome, total bilirubin ≤1.5 × ULN
    • Serum albumin ≥2.5 g/dL
    • Serum or plasma creatinine ≤1.5 × ULN and/or glomerular filtration rate ≥50 mL/min/1.73 calculated by the Cockcroft-Gault formula
    • Absolute neutrophil count ≥1 × 103/μL
    • Platelet count ≥100 × 103/μL
    • Hemoglobin ≥9 g/dL

Exclusion Criteria:

  • Patient has central nervous system (CNS) involvement. If the patient fulfills the following 3 criteria, she/he is eligible for the trial after consultation with the Sponsor Medical Monitor.
  • Completed prior therapy for CNS metastases (radiation and/or surgery)
  • CNS tumor(s) is clinically stable at the time of enrollment
  • Patient does not require corticosteroid or antiepileptic therapy for management of CNS metastases
  • Known hypersensitivity to any component of study treatment or excipients.
  • Positive antibody screen using institution's standard type and screen test.
  • Clinically significant, active and uncontrolled infection, including human immunodeficiency virus (HIV), Hepatitis B virus (HBV), or Hepatitis C virus (HCV).

Sites / Locations

  • HonorHealth
  • USC Norris Comprehensive Cancer Center
  • University of California San Francisco Health
  • Sarah Cannon Research Institute
  • Virginia Cancer Specialists

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

RTX-224 Dose Escalation

RTX-224 Dose Expansion

Arm Description

Phase 1: RTX-224 monotherapy dose escalation in Solid Tumors, administered intravenously on Day 1 of each cycle.

Phase 2: RTX-224 monotherapy dose expansion in Solid Tumors, administered intravenously on Day 1 of each cycle.

Outcomes

Primary Outcome Measures

Safety Assessment by rate of Adverse Events (AEs)
Measured by incidence of Treatment Emergent Adverse Events (TEAEs)
Dose limiting toxicities (DLTs) of RTX-224
As determined by incidence and severity of adverse events

Secondary Outcome Measures

Pharmacodynamics (PD) of RTX-224
As measured by the changes in immune cell populations, e.g., T cells and NK cells
Pharmacokinetics (PK) of RTX-224
Maximum concentration (Cmax) of RTX-224 cells (positive for both 4-1BBL and IL-12 using flow cytometry) in blood after administration will be measured.
Pharmacokinetics (PK) of RTX-224
Time to maximum concentration (tmax) of RTX-224 cells (positive for both 4-1BBL and IL-12 using flow cytometry) in blood after administration will be measured.
Anti-tumor activity of RTX-224
As measured by duration of response (DoR)
Anti-tumor activity of RTX-224
As measured by overall survival (OS)
Anti-tumor activity of RTX-224
As measured by progression free survival (PFS)
Anti-tumor activity of RTX-224
As measured by disease control rate (DCR)
Anti-tumor activity of RTX-224
As measured by objective response rate (ORR)

Full Information

First Posted
January 6, 2022
Last Updated
December 7, 2022
Sponsor
Rubius Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05219578
Brief Title
RTX-224 Monotherapy in Patients With Solid Tumors
Official Title
A Phase 1/2 Study of RTX-224 for the Treatment of Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Terminated
Why Stopped
The Sponsor terminated study after dosing 2 dose groups (7 pts) and closed trial on 11/30/22. RTX-224 was well-tolerated with no DLTs, no related deaths, SAEs or Gr. 3/4 AEs and cleared rapidly (w/in 10 min).
Study Start Date
January 12, 2022 (Actual)
Primary Completion Date
November 30, 2022 (Actual)
Study Completion Date
November 30, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rubius Therapeutics

4. Oversight

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

5. Study Description

Brief Summary
This is an open-label, multidose, first-in-human (FIH), Phase 1/2 study of RTX-224 for the treatment of patients with relapsed or refractory (R/R), or locally advanced solid tumors.
Detailed Description
This is a Phase 1, open label, multicenter, multidose, first-in-human (FIH), dose escalation and expansion to determine the safety and tolerability, recommended phase 2 dose, and pharmacology, and antitumor activity of RTX-224 in adult patients with persistent, recurrent, or metastatic, unresectable solid tumors. The study will include a monotherapy dose escalation phase followed by an expansion phase.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer, Cutaneous Melanoma, Head and Neck Squamous Cell Carcinoma, Urothelial Carcinoma, TNBC - Triple-Negative Breast Cancer
Keywords
Solid Tumor, Advanced Solid Tumors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RTX-224 Dose Escalation
Arm Type
Experimental
Arm Description
Phase 1: RTX-224 monotherapy dose escalation in Solid Tumors, administered intravenously on Day 1 of each cycle.
Arm Title
RTX-224 Dose Expansion
Arm Type
Experimental
Arm Description
Phase 2: RTX-224 monotherapy dose expansion in Solid Tumors, administered intravenously on Day 1 of each cycle.
Intervention Type
Drug
Intervention Name(s)
RTX-224
Intervention Description
RTX-224 monotherapy
Primary Outcome Measure Information:
Title
Safety Assessment by rate of Adverse Events (AEs)
Description
Measured by incidence of Treatment Emergent Adverse Events (TEAEs)
Time Frame
up to 30 months
Title
Dose limiting toxicities (DLTs) of RTX-224
Description
As determined by incidence and severity of adverse events
Time Frame
up to 30 months
Secondary Outcome Measure Information:
Title
Pharmacodynamics (PD) of RTX-224
Description
As measured by the changes in immune cell populations, e.g., T cells and NK cells
Time Frame
up to 30 months
Title
Pharmacokinetics (PK) of RTX-224
Description
Maximum concentration (Cmax) of RTX-224 cells (positive for both 4-1BBL and IL-12 using flow cytometry) in blood after administration will be measured.
Time Frame
up to 30 months
Title
Pharmacokinetics (PK) of RTX-224
Description
Time to maximum concentration (tmax) of RTX-224 cells (positive for both 4-1BBL and IL-12 using flow cytometry) in blood after administration will be measured.
Time Frame
up to 30 months
Title
Anti-tumor activity of RTX-224
Description
As measured by duration of response (DoR)
Time Frame
up to 30 months
Title
Anti-tumor activity of RTX-224
Description
As measured by overall survival (OS)
Time Frame
up to 30 months
Title
Anti-tumor activity of RTX-224
Description
As measured by progression free survival (PFS)
Time Frame
up to 30 months
Title
Anti-tumor activity of RTX-224
Description
As measured by disease control rate (DCR)
Time Frame
up to 30 months
Title
Anti-tumor activity of RTX-224
Description
As measured by objective response rate (ORR)
Time Frame
up to 30 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written informed consent obtained prior to study procedures Patients ≥18 years with an ECOG of 0 or 1 R/R, or locally advanced, unresectable, and histologically or cytologically confirmed (a) NSCLC, (b) cutaneous melanoma, (c) HNSCC, (d) UC, or (e) TNBC, which are refractory to or otherwise ineligible for treatment with standard-of-care treatments Prior therapy in each disease setting must include the following: NSCLC: Patients must have experienced disease progression following platinum-containing chemotherapy and a PD-1 or PD-L1 inhibitor. Patients with EGFR, ALK, ROS-1, or other actionable mutations should have previously received or been ineligible for therapies targeting their respective mutation(s). Cutaneous melanoma: Patients must have experienced disease progression following a PD-1 or PD-L1 inhibitor. Patients with V600E mutations should have previously received or been ineligible for approved BRAF inhibitor or MEK inhibitor therapy. HNSCC: Patients must have experienced disease progression following platinum-based combination chemotherapy and a PD-1 or PD-L1 inhibitor. UC: Patients must have experienced disease progression following platinum-based combination chemotherapy and a PD-1 or PD-L1 inhibitor. TNBC: Patients must have experienced disease progression following single-agent or combination chemotherapy. Patients with BRCA1/2 mutations should have previously received or been ineligible for an approved PARP inhibitor; patients who are PD-L1 positive should have received or been ineligible for an approved PD-1 or PD-L1 inhibitor. Disease must be measurable per Response Evaluation Criteria The shorter of 28 days or 5 half-lives must have elapsed since the completion of prior therapy, before initiation of study treatment. Adequate Organ Function as Defined by the protocol: AST and ALT ≤3 × the upper limit of normal (ULN) Except in documented cases of Gilbert syndrome, total bilirubin ≤1.5 × ULN Serum albumin ≥2.5 g/dL Serum or plasma creatinine ≤1.5 × ULN and/or glomerular filtration rate ≥50 mL/min/1.73 calculated by the Cockcroft-Gault formula Absolute neutrophil count ≥1 × 103/μL Platelet count ≥100 × 103/μL Hemoglobin ≥9 g/dL Exclusion Criteria: Patient has central nervous system (CNS) involvement. If the patient fulfills the following 3 criteria, she/he is eligible for the trial after consultation with the Sponsor Medical Monitor. Completed prior therapy for CNS metastases (radiation and/or surgery) CNS tumor(s) is clinically stable at the time of enrollment Patient does not require corticosteroid or antiepileptic therapy for management of CNS metastases Known hypersensitivity to any component of study treatment or excipients. Positive antibody screen using institution's standard type and screen test. Clinically significant, active and uncontrolled infection, including human immunodeficiency virus (HIV), Hepatitis B virus (HBV), or Hepatitis C virus (HCV).
Facility Information:
Facility Name
HonorHealth
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
USC Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
University of California San Francisco Health
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Sarah Cannon Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Virginia Cancer Specialists
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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RTX-224 Monotherapy in Patients With Solid Tumors

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