YH001 Plus Envafolimab With or Without Doxorubicin in Patients With Advanced or Metastatic Sarcoma
Advanced Sarcoma, Metastatic Sarcoma, Soft Tissue Sarcoma
About this trial
This is an interventional treatment trial for Advanced Sarcoma focused on measuring Tracon, STS, LMS, DDLS, ASPS, envafolimab, YH001, CTLA-4, PD-L1, chondrosarcoma
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who are refractory to or intolerant to standard treatments for their disease.
- Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who have not received any immune checkpoint inhibitors or doxorubicin, and with histology for which doxorubicin is considered a reasonable treatment option (for Cohort 1B, 2B and Expanded Cohort 1B and/or 2B)
- Measurable disease by RECIST 1.1
- Age ≥ 18 years
- Adequate organ function
- Left ventricular ejection fraction (LVEF) as measured by echo or multigated acquisition scan of > 50% (for patients to receive doxorubicin)
- Willingness and ability to consent for self to participate in study
- Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
- Men who are sterile or agree to use a condom with spermicide .
- Women of non-child bearing potential due to surgical sterilization or medically-documented ovarian failure confirmed by medical history, or women of child bearing potential who test negative for pregnancy at time of enrollment and agree to use at least 2 acceptable methods of birth control
Exclusion Criteria:
- Gastrointestinal stromal tumor (GIST) or desmoid tumors
- Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days prior to enrollment
- Known allergy to any component of any study drug that the patient would receive if enrolled into this study
- Prior T-cell or NK-cell therapy
- Prior pericardial or mediastinal radiation (for patients to receive doxorubicin)
- Acute coronary syndromes within 6 months of enrollment
- Women who are pregnant or breast feeding
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for this study
Sites / Locations
- Sarcoma Oncology Center
- Northwestern University
- Memorial Sloan Kettering Cancer Center
- Duke University
- Cleveland Clinic
- University of Pittsburgh Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
P1 Cohort 1A: Dose 1 YH001 + Dose 1 Envafolimab Q3WK
P1 Cohort 2A: Dose 2 YH001 + Dose 1 Envafolimab Q3WK
P1 Cohort 1B: Dose 1 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
P1 Cohort 2B: Dose 2 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
P2: Sarcoma Subtype 1 RP2D YH001 + Dose 1 Envafolimab Q3WK
P2: Sarcoma Subtype 2 RP2D YH001 + Dose 1 Envafolimab Q3WK
P2: Sarcoma Subtype 3 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
P2: Sarcoma Subtype 4 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.
Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.
Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.
Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses