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Evaluating Safety and Biomarkers Using DK210 (EGFR) for Locally Advanced or Metastatic EGFR+ Tumors

Primary Purpose

Cancer, Solid Tumor, Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DK210 (EGFR)
Radiation therapy
Immune checkpoint blockers
Chemotherapy
Sponsored by
DEKA Biosciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer focused on measuring Cytokine, IL-2, Interleukin 2, IL-10, Interleukin 10, Oncology, Immuno-oncology, DK210(EGFR), Immunotherapy, DEKA, DEKA Biosciences

Eligibility Criteria

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

Inclusion Criteria: ECOG performance status of 0-1 Life expectancy of >3 months according to the investigator's judgment Solid tumors known for response on Il-2 or Il-10 and/or high expression of EGFR like all Non-small cell Lung, Skin, Head and Neck, Colon, Kidney, Bladder, Pancreatic cancers and all squamous cell carcinoma of other organs can be included with a classical histology report, specific EGFR expression or amplification reports are needed for other solid tumor types like gynecologic, prostate or triple negative breast cancer Measurable disease, defined as at least one (non-irradiated) lesion measurable on CT/MRI or bone scan as defined by RECIST 1.1. Progressive disease (PD) at study entry defined as one or more of the following criteria: Clinical PD with performance decline, clinical symptoms and/or observed tumor growth PD documented with imaging showing at least 20% growth (largest diameter) and/or new lesions Adequate cardiovascular, hematological, liver, and renal function. Subjects have failed one or more lines of systemic therapy and have not been operated on or receiving anti-cancer medication for at least 4 weeks. Males and females of childbearing potential must agree to use effective contraception starting prior to the first day of treatment and continuing during treatment Additional criteria may apply Exclusion Criteria: Subjects with documented diffuse peritoneal disease or persistent abundant ascites Subjects with known prolonged QtC interval Concomitant or recent (<4 weeks or 5 half-lives of the last treatment, whichever is shorter) treatment with agents with anti-tumor activity, including immunotherapies, or experimental therapies. Bone treatments and supportive care can be continued Major surgery within 4 weeks, Radiation therapy for the treatment of metastases within less than 3 weeks (if single fraction of radiotherapy, then within 2 weeks) and radionuclide therapy for the treatment of metastases within 4 weeks prior to screening Uncontrolled intercurrent illness including, but not limited to, ongoing and uncontrolled infection (TBC, COVID or HIV patients treated with at least two anti-retroviral drugs and control of their infection with at least 500 /mm3 CD4+ T-cells in their blood and patients cured from Hepatitis B or C (i.e negativity of PCR) and liver function compatible with eligibility criteria are allowed to participate), multiple myeloma, multiple sclerosis, myasthenia gravis, or psychiatric illness/social situations that, in the opinion of the investigator, would limit compliance with study requirement Any other conditions that, in the investigator's opinion, might indicate the subject to be unsuitable for the study Additional criteria may apply

Sites / Locations

  • Northwell Health
  • Mary Crowley Cancer ResearchRecruiting
  • University of Texas SouthwesternRecruiting
  • The University of Texas M.D. Anderson Cancer CenterRecruiting
  • NEXT OncologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

DK210 (EGFR) Monotherapy (Dose escalation and expansion)

DK210 (EGFR) + chemotherapy

DK210 (EGFR) + radiation

DK210 (EGFR) + immunotherapy

Arm Description

DK210 (EGFR) will be administered as monotherapy three times per week via subcutaneous (SC) administration. Dose will be escalated from 0.025 mg/kg to 0.3 mg/kg or until unacceptable toxicity, disease progression, or withdrawal of consent. An expansion cohort at the optimal dose will be enrolled in parallel with the combination arms.

In patients with good tolerance of first line systemic therapy, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with second-line intravenous (IV) chemotherapy until unacceptable toxicity, disease progression, or withdrawal of consent

In patients with need of palliative radiation, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with short course radiation therapy (10 fractions or less) until unacceptable toxicity, disease progression, or withdrawal of consent

In patients with good tolerance of first line immunotherapy, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with intravenous (IV) immune checkpoint blockers until unacceptable toxicity, disease progression, or withdrawal of consent

Outcomes

Primary Outcome Measures

Incidence of Adverse Events (AEs) with DK210 (EGFR)
Based on toxicities observed
Identify recommended dose of DK210 (EGFR)
Based on toxicities observed
Incidence of Adverse Events (AE) of DK210 (EGFR) in combination with radiation, chemotherapy, or checkpoint blockers in Parts B, C, D
Based on toxicities observed

Secondary Outcome Measures

Overall response rate (ORR)
Overall response rate (ORR) will be based on clinical examination and investigator review of radiographic images
Best response rate at 9 weeks
Based on investigator clinical examination and review of radiographic images
Progression-free (PFS)
Time from first dose of DK210 (EGFR) to first documentation of clinical or radiographic disease progression or death due to any cause, whichever occurs first.
Overall Survival (OS)
Time from first dose of DK210 (EGFR) to the time of death
Serum concentrations of DK210 (EGFR) will be determined at various time points
Concentration vs time and standard pharmacokinetic (PK) parameters will be summarized by dose level
Serum will be assayed for the presence of anti-DK210 (EGFR) antibodies
Results will be summarized by dose level
Immunophenotyping of peripheral blood mononuclear cells will be performed by flow cytometry at various time points
Results will be summarized by dose level
Serum concentrations of proinflammatory cytokines such as IL-6, IL-10, TNFa, IL-1b, and interferon (IFN)-g will be assessed at various time points
Results will be summarized by dose level

Full Information

First Posted
January 19, 2023
Last Updated
October 2, 2023
Sponsor
DEKA Biosciences
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1. Study Identification

Unique Protocol Identification Number
NCT05704985
Brief Title
Evaluating Safety and Biomarkers Using DK210 (EGFR) for Locally Advanced or Metastatic EGFR+ Tumors
Official Title
Dose-finding Phase 1 Trial: Evaluating Safety and Biomarkers Using DK210 (EGFR) for Inoperable Locally Advanced and/or Metastatic EGFR+ Tumors With Progressive Disease Failing Systemic Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 3, 2023 (Actual)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
February 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DEKA Biosciences

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 study will evaluate safety, pharmacodynamics and biomarkers of subcutaneous (SC) DK210(EGFR) given as monotherapy and in combination with immunotherapy, chemotherapy or radiation.
Detailed Description
This study will evaluate DK210(EGFR) as monotherapy and combination in subjects with advanced solid EGFR expressing cancers with documented progressive disease after at least one line of systemic treatment (staging performed by local standard).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer, Solid Tumor, Colorectal Cancer, Pancreas Cancer, Non Small Cell Lung Cancer, Head and Neck Cancer, Gynecologic Cancer, Skin Cancer, Kidney Cancer
Keywords
Cytokine, IL-2, Interleukin 2, IL-10, Interleukin 10, Oncology, Immuno-oncology, DK210(EGFR), Immunotherapy, DEKA, DEKA Biosciences

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
DK210 (EGFR) Monotherapy (Dose escalation and expansion)
Arm Type
Experimental
Arm Description
DK210 (EGFR) will be administered as monotherapy three times per week via subcutaneous (SC) administration. Dose will be escalated from 0.025 mg/kg to 0.3 mg/kg or until unacceptable toxicity, disease progression, or withdrawal of consent. An expansion cohort at the optimal dose will be enrolled in parallel with the combination arms.
Arm Title
DK210 (EGFR) + chemotherapy
Arm Type
Experimental
Arm Description
In patients with good tolerance of first line systemic therapy, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with second-line intravenous (IV) chemotherapy until unacceptable toxicity, disease progression, or withdrawal of consent
Arm Title
DK210 (EGFR) + radiation
Arm Type
Experimental
Arm Description
In patients with need of palliative radiation, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with short course radiation therapy (10 fractions or less) until unacceptable toxicity, disease progression, or withdrawal of consent
Arm Title
DK210 (EGFR) + immunotherapy
Arm Type
Experimental
Arm Description
In patients with good tolerance of first line immunotherapy, DK210 (EGFR) will be administered three times per week via subcutaneous (SC) administration in combination with intravenous (IV) immune checkpoint blockers until unacceptable toxicity, disease progression, or withdrawal of consent
Intervention Type
Biological
Intervention Name(s)
DK210 (EGFR)
Intervention Description
Solution for SC administration
Intervention Type
Radiation
Intervention Name(s)
Radiation therapy
Intervention Description
Short regimen radiation therapy (10 fractions or less)
Intervention Type
Biological
Intervention Name(s)
Immune checkpoint blockers
Other Intervention Name(s)
Pembrolizumab, Nivolumab
Intervention Description
IV administration of approved PD1 blocker
Intervention Type
Drug
Intervention Name(s)
Chemotherapy
Other Intervention Name(s)
Paclitaxel, Carboplatin, Oxaliplatin, Fluorouracil, Capecitabine
Intervention Description
Single agent or combination of not more than two
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs) with DK210 (EGFR)
Description
Based on toxicities observed
Time Frame
Minimum of 90 days from initiation of experimental therapy
Title
Identify recommended dose of DK210 (EGFR)
Description
Based on toxicities observed
Time Frame
Initiation of therapy up to day 90
Title
Incidence of Adverse Events (AE) of DK210 (EGFR) in combination with radiation, chemotherapy, or checkpoint blockers in Parts B, C, D
Description
Based on toxicities observed
Time Frame
Minimum of 90 days from initiation of experimental therapy
Secondary Outcome Measure Information:
Title
Overall response rate (ORR)
Description
Overall response rate (ORR) will be based on clinical examination and investigator review of radiographic images
Time Frame
Initiation of therapy up to approximately 12 months
Title
Best response rate at 9 weeks
Description
Based on investigator clinical examination and review of radiographic images
Time Frame
Initiation of therapy through Day 63
Title
Progression-free (PFS)
Description
Time from first dose of DK210 (EGFR) to first documentation of clinical or radiographic disease progression or death due to any cause, whichever occurs first.
Time Frame
Study Day 1 until the date of first documented progression or date of death from any cause, assessed up to approximately 24 months
Title
Overall Survival (OS)
Description
Time from first dose of DK210 (EGFR) to the time of death
Time Frame
Assessed up to 24 months
Title
Serum concentrations of DK210 (EGFR) will be determined at various time points
Description
Concentration vs time and standard pharmacokinetic (PK) parameters will be summarized by dose level
Time Frame
From initiation of treatment through 12 months (every 9 weeks)
Title
Serum will be assayed for the presence of anti-DK210 (EGFR) antibodies
Description
Results will be summarized by dose level
Time Frame
From initiation of treatment through 12 months (every 9 weeks)
Title
Immunophenotyping of peripheral blood mononuclear cells will be performed by flow cytometry at various time points
Description
Results will be summarized by dose level
Time Frame
From initiation of treatment through day 63
Title
Serum concentrations of proinflammatory cytokines such as IL-6, IL-10, TNFa, IL-1b, and interferon (IFN)-g will be assessed at various time points
Description
Results will be summarized by dose level
Time Frame
From initiation of treatment through 12 months (every 9 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ECOG performance status of 0-1 Life expectancy of >3 months according to the investigator's judgment Solid tumors known for response on Il-2 or Il-10 and/or high expression of EGFR like all Non-small cell Lung, Skin, Head and Neck, Colon, Kidney, Bladder, Pancreatic cancers and all squamous cell carcinoma of other organs can be included with a classical histology report, specific EGFR expression or amplification reports are needed for other solid tumor types like gynecologic, prostate or triple negative breast cancer Measurable disease, defined as at least one (non-irradiated) lesion measurable on CT/MRI or bone scan as defined by RECIST 1.1. Progressive disease (PD) at study entry defined as one or more of the following criteria: Clinical PD with performance decline, clinical symptoms and/or observed tumor growth PD documented with imaging showing at least 20% growth (largest diameter) and/or new lesions Adequate cardiovascular, hematological, liver, and renal function. Subjects have failed one or more lines of systemic therapy and have not been operated on or receiving anti-cancer medication for at least 4 weeks. Males and females of childbearing potential must agree to use effective contraception starting prior to the first day of treatment and continuing during treatment Additional criteria may apply Exclusion Criteria: Subjects with documented diffuse peritoneal disease or persistent abundant ascites Subjects with known prolonged QtC interval Concomitant or recent (<4 weeks or 5 half-lives of the last treatment, whichever is shorter) treatment with agents with anti-tumor activity, including immunotherapies, or experimental therapies. Bone treatments and supportive care can be continued Major surgery within 4 weeks, Radiation therapy for the treatment of metastases within less than 3 weeks (if single fraction of radiotherapy, then within 2 weeks) and radionuclide therapy for the treatment of metastases within 4 weeks prior to screening Uncontrolled intercurrent illness including, but not limited to, ongoing and uncontrolled infection (TBC, COVID or HIV patients treated with at least two anti-retroviral drugs and control of their infection with at least 500 /mm3 CD4+ T-cells in their blood and patients cured from Hepatitis B or C (i.e negativity of PCR) and liver function compatible with eligibility criteria are allowed to participate), multiple myeloma, multiple sclerosis, myasthenia gravis, or psychiatric illness/social situations that, in the opinion of the investigator, would limit compliance with study requirement Any other conditions that, in the investigator's opinion, might indicate the subject to be unsuitable for the study Additional criteria may apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
DEKA Biosciences
Phone
920-227-5115
Email
clinical@dekabiosciences.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charlotte Moser, MD, PhD, MBA
Organizational Affiliation
DEKA Biosciences
Official's Role
Study Director
Facility Information:
Facility Name
Northwell Health
City
Manhasset
State/Province
New York
ZIP/Postal Code
11030
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Research
Phone
516-734-8896
First Name & Middle Initial & Last Name & Degree
Xinhua Zhu, MD, PhD
Facility Name
Mary Crowley Cancer Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Douglas Orr, MD
Phone
972-566-3000
Email
referral@marycrowley.org
First Name & Middle Initial & Last Name & Degree
Douglas Orr, MD
Facility Name
University of Texas Southwestern
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Research
Phone
833-722-6237
First Name & Middle Initial & Last Name & Degree
Syed Kazmi, MD
Facility Name
The University of Texas M.D. Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ashabari Sprenger, PhD
Phone
713-834-6993
Email
amukherjee1@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Siqing Fu, MD, PhD
Facility Name
NEXT Oncology
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maryann Poole
Phone
703-280-5390
Email
mpoole@nextoncology.com
First Name & Middle Initial & Last Name & Degree
Alex Spira, MD

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
At this time, IPD sharing has not been defined and/or decided if it will be shared.

Learn more about this trial

Evaluating Safety and Biomarkers Using DK210 (EGFR) for Locally Advanced or Metastatic EGFR+ Tumors

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