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Study of Navtemadlin Plus Pembrolizumab as Maintenance Therapy in Locally Advanced and Metastatic Non-Small Cell Lung Cancer

Primary Purpose

Non Small Cell Lung Cancer

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Navtemadlin
Navtemadlin Placebo
Pembrolizumab
Sponsored by
Kartos Therapeutics, Inc.
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 Navtemadlin

Eligibility Criteria

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

Inclusion Criteria: ECOG 0-1 Histologically or cytologically confirmed diagnosis of NSCLC documented as TP53WT Locally advanced or metastatic disease; must have completed up to 4 cycles of platinum-based chemo plus CPI and achieved a CR or PR per RECIST V1.1 Adequate hematologic, hepatic and renal function (within 14 days) Exclusion Criteria: Symptomatic or uncontrolled central nervous system (CNS) metastases Prior treatment with a MDM2 inhibitor Grade 2 or higher QTc prolongation (>480 msec per NCI-CTCAE criteria version 5.0) History of bleeding diathesis; major hemorrhage or intracranial hemorrhage within 24 weeks History of major organ transplant Active pneumonitis or known history of interstitial lung disease, drug-related pneumonitis, or radiation pneumonitis Prior radiotherapy, cytoreductive therapy, cytokine therapy or any investigational therapy within 28 days Medical condition, serious intercurrent illness, psychiatric condition or other circumstance that, in the Investigator's judgment could jeopardize the subject's safety, or that could interfere with study objectives

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Navtemadlin in combination with pembrolizumab

    Navtemadlin placebo in combination with pembrolizumab

    Arm Description

    Navtemadlin will be administered orally, once daily (QD), on days 1-7 in a 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of a 21-day cycle.

    Navtemadlin placebo will be administered orally, once daily (QD), on days 1-7 in a 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of a 21-day cycle.

    Outcomes

    Primary Outcome Measures

    Phase 1b- To determine the recommended Phase 2 dose (RP2D)
    The Safety Review Committee will determine the RP2D based on safety data of the combination of navtemadlin and pembrolizumab.
    Phase 2- To assess the treatment effect of navtemadlin plus pembrolizumab treatment on PFS compared with the treatment effect of navtemadlin placebo plus pembrolizumab treatment.
    PFS is defined as the time from randomization date to disease progression (assessed by the Independent Review Committee [IRC] per RECIST v1.1) or death, whichever occurs first

    Secondary Outcome Measures

    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Will determine the Maximum observed concentration (Cmax) on Cycle 1 Day 1
    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Will determine the area under the plasma concentration versus time curve (AUC) on Cycle 1 Day 1
    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Will determine the time of maximum plasma concentration (Tmax) on Cycle 1 Day 1
    Phase 1b- To assess the treatment effect on progression-free survival (PFS)
    PFS is defined as the time from first dose date to disease progression (assessed by the IRC and Investigator per RECIST v1.1) or death, whichever occurs first
    Phase 2- To assess the treatment effect of navtemadlin plus pembrolizumab treatment on PFS compared with the treatment effect of navtemadlin placebo plus pembrolizumab treatment.
    PFS is defined as the time from randomization date to disease progression (assessed by the Investigator per RECIST v1.1) or death, whichever occurs first

    Full Information

    First Posted
    January 17, 2023
    Last Updated
    January 27, 2023
    Sponsor
    Kartos Therapeutics, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05705466
    Brief Title
    Study of Navtemadlin Plus Pembrolizumab as Maintenance Therapy in Locally Advanced and Metastatic Non-Small Cell Lung Cancer
    Official Title
    A Two-Part, Phase 1b/2, Multicenter, Open-Label, Dose Escalation and Double-Blind, Randomized, Placebo-Controlled, Dose Expansion Study of the Safety, Efficacy and Pharmacokinetics of Navtemadlin Plus Pembrolizumab as Maintenance Therapy in Subjects With Locally Advanced and Metastatic Non-Small Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    June 2023 (Anticipated)
    Primary Completion Date
    December 2025 (Anticipated)
    Study Completion Date
    December 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Kartos Therapeutics, Inc.

    4. Oversight

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

    5. Study Description

    Brief Summary
    This study evaluates Navtemadlin (KRT-232) in combination with Pembrolizumab as a maintenance therapy in patients with locally advanced and metastatic non small cell lung cancer.
    Detailed Description
    This is a 2 part, phase 1b/2, maintenance study for patients who have achieved a partial response (PR) or complete response (CR) after completion of up to 4 cycles of a combination platinum-based chemotherapy plus CPI regimen. Phase 1b is a 3+3 dose escalation design that will be used to determine the maximum tolerated dose (MTD) and/or the recommended phase 2 dose (RP2D) of navtemadlin in combination with pembrolizumab. A Safety Review Committee (SRC) will review the safety data during the dose escalation to decide on dose escalation and/or exploration of intermediate doses. Phase 2 will evaluate the efficacy and safety of the RP2D of navtemadlin plus pembrolizumab compared to navtemadlin placebo plus pembrolizumab. Each Arm will have approximately 40 subjects enrolled for a total of approximately 80 subjects. Eligible subjects will be randomized 1:1. This part of the study has a randomized, controlled, double-blind design. A stratified, permuted-block randomization scheme will be used for treatment allocation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non Small Cell Lung Cancer
    Keywords
    Navtemadlin

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    92 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Navtemadlin in combination with pembrolizumab
    Arm Type
    Experimental
    Arm Description
    Navtemadlin will be administered orally, once daily (QD), on days 1-7 in a 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of a 21-day cycle.
    Arm Title
    Navtemadlin placebo in combination with pembrolizumab
    Arm Type
    Placebo Comparator
    Arm Description
    Navtemadlin placebo will be administered orally, once daily (QD), on days 1-7 in a 21-day cycle. Pembrolizumab will be administered intravenously on Day 1 of a 21-day cycle.
    Intervention Type
    Drug
    Intervention Name(s)
    Navtemadlin
    Other Intervention Name(s)
    KRT-232
    Intervention Description
    Navtemadlin is an experimental MDM2 anticancer drug taken by mouth.
    Intervention Type
    Drug
    Intervention Name(s)
    Navtemadlin Placebo
    Intervention Description
    Navtemadlin placebo is a placebo that is the same in appearance to navtemadlin drug taken by mouth.
    Intervention Type
    Drug
    Intervention Name(s)
    Pembrolizumab
    Other Intervention Name(s)
    Keytruda
    Intervention Description
    Pembrolizumab is a humanized antibody used in cancer immunotherapy that will be administered intravenously
    Primary Outcome Measure Information:
    Title
    Phase 1b- To determine the recommended Phase 2 dose (RP2D)
    Description
    The Safety Review Committee will determine the RP2D based on safety data of the combination of navtemadlin and pembrolizumab.
    Time Frame
    21 days
    Title
    Phase 2- To assess the treatment effect of navtemadlin plus pembrolizumab treatment on PFS compared with the treatment effect of navtemadlin placebo plus pembrolizumab treatment.
    Description
    PFS is defined as the time from randomization date to disease progression (assessed by the Independent Review Committee [IRC] per RECIST v1.1) or death, whichever occurs first
    Time Frame
    64 Months
    Secondary Outcome Measure Information:
    Title
    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Description
    Will determine the Maximum observed concentration (Cmax) on Cycle 1 Day 1
    Time Frame
    1 day
    Title
    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Description
    Will determine the area under the plasma concentration versus time curve (AUC) on Cycle 1 Day 1
    Time Frame
    1 day
    Title
    Phase 1b- To characterize the pharmacokinetic (PK) profile of navtemadlin
    Description
    Will determine the time of maximum plasma concentration (Tmax) on Cycle 1 Day 1
    Time Frame
    1 day
    Title
    Phase 1b- To assess the treatment effect on progression-free survival (PFS)
    Description
    PFS is defined as the time from first dose date to disease progression (assessed by the IRC and Investigator per RECIST v1.1) or death, whichever occurs first
    Time Frame
    64 Months
    Title
    Phase 2- To assess the treatment effect of navtemadlin plus pembrolizumab treatment on PFS compared with the treatment effect of navtemadlin placebo plus pembrolizumab treatment.
    Description
    PFS is defined as the time from randomization date to disease progression (assessed by the Investigator per RECIST v1.1) or death, whichever occurs first
    Time Frame
    64 Months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: ECOG 0-1 Histologically or cytologically confirmed diagnosis of NSCLC documented as TP53WT Locally advanced or metastatic disease; must have completed up to 4 cycles of platinum-based chemo plus CPI and achieved a CR or PR per RECIST V1.1 Adequate hematologic, hepatic and renal function (within 14 days) Exclusion Criteria: Symptomatic or uncontrolled central nervous system (CNS) metastases Prior treatment with a MDM2 inhibitor Grade 2 or higher QTc prolongation (>480 msec per NCI-CTCAE criteria version 5.0) History of bleeding diathesis; major hemorrhage or intracranial hemorrhage within 24 weeks History of major organ transplant Active pneumonitis or known history of interstitial lung disease, drug-related pneumonitis, or radiation pneumonitis Prior radiotherapy, cytoreductive therapy, cytokine therapy or any investigational therapy within 28 days Medical condition, serious intercurrent illness, psychiatric condition or other circumstance that, in the Investigator's judgment could jeopardize the subject's safety, or that could interfere with study objectives
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    John Mei
    Phone
    650-542-0136
    Email
    jmei@kartosthera.com

    12. IPD Sharing Statement

    Learn more about this trial

    Study of Navtemadlin Plus Pembrolizumab as Maintenance Therapy in Locally Advanced and Metastatic Non-Small Cell Lung Cancer

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