Evaluating Safety and Biomarkers Using DK210 (EGFR) for Locally Advanced or Metastatic EGFR+ Tumors
Cancer, Solid Tumor, Colorectal Cancer
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
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
Experimental
Experimental
Experimental
Experimental
DK210 (EGFR) Monotherapy (Dose escalation and expansion)
DK210 (EGFR) + chemotherapy
DK210 (EGFR) + radiation
DK210 (EGFR) + immunotherapy
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