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A Study of DeTIL-0255 in Adults With Advanced Malignancies

Primary Purpose

Platinum-resistant Ovarian Cancer, Endometrial Cancer, Cervical Cancer

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Drug Product De-TIL-0255
Sponsored by
Nurix Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Platinum-resistant Ovarian Cancer focused on measuring NX-DeTIL-0255, Adoptive Cell Therapy, Tumor Infiltrating Lymphocyte, ACT, TIL, DeTIL

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • One of the following malignancies: Recurrent or persistent platinum-resistant EOC, recurrent, metastatic or persistent carcinoma of the cervix with progression after treatment with taxane-containing regimen, or advance or recurrent endometrial cancer with disease progression after or during second line or greater therapy
  • Disease that is metastatic and measurable by RECIST v1.1 criteria
  • A resectable lesion for TIL generation
  • At least 2 prior lines of therapy
  • ≥ 18 years and ≤ 70 years of age
  • Life expectancy of at least 4 months
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ and bone marrow function, in the absence of growth factors
  • Patients of child-bearing potential must use adequate contraceptive measures to avoid pregnancy for the duration of the study as defined in the protocol
  • A signed consent form indicating that the subjects understands the purpose and procedures required for the study

Exclusion Criteria:

  • Known untreated brain metastases
  • Uncontrolled intercurrent illness
  • History of known seizure disorder
  • Unable to comply with study requirements
  • Toxicities from previous anticancer therapies that have not resolved to baseline levels or to Grade 1 or less except for alopecia and peripheral neuropathy
  • Pregnant, breastfeeding, or planning to become pregnant while enrolled on this study or within 6 months after DeTIL infusion
  • Live vaccine within 28 days of first dose of NMA chemotherapy or planned live vaccination within 6 months following DeTIL infusion
  • Active known second malignancy with the exception of any of the following: Adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or adequately treated follicular or papillary thyroid cancer; or any other cancer from which the patient has been disease-free for ≥ 2 years
  • Systemic anti-cancer therapy, including investigational agents, or radiotherapy within 4 weeks of tumor resection
  • Major surgery within 4 weeks before tumor resection, or will not have fully recovered from surgery, or has surgery planned within 8 weeks after infusion
  • Use of systemic corticosteroids within 15 days (or other immunosuppressive drugs within 30 days) prior to tumor resection
  • Use of biotin or other supplements containing higher that the daily adequate intake of biotin
  • Clinically significant, uncontrolled cardiac, class III or IV heart failure, thromboembolic events, cardiovascular disease, or history of myocardial infarction within 6 months of planned start of study drug
  • History or current evidence of anything that might confound the results of the study

Sites / Locations

  • Rutgers Cancer Institute of New Jersey
  • Roswell Park Comprehensive Cancer Center
  • Allegheny General Hospital
  • UPMC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Safety Run In

EOC

Cervical

Endometrial

Arm Description

Patients with gynecological malignancies

Recurrent or persistent platinum-resistant epithelial ovarian cancer (EOC), including primary peritoneal and fallopian tube carcinoma

Recurrent, metastatic, or persistent cervical carcinoma

Advanced or recurrent endometrial cancer

Outcomes

Primary Outcome Measures

Incidence of treatment emergent adverse events
NX-DeTIL-0255-201
Incidence of all deaths
NX-DeTIL-0255-201
Incidence of dose limiting toxicities
NX-DeTIL-0255-201
Objective response rate (ORR) per disease-specific response criteria as assessed by the Investigator
NX-DeTIL-0255-201
Duration of response (DOR) as assessed by the Investigator
NX-DeTIL-0255-201
Disease control rate (DCR) as assessed by the Investigator
NX-DeTIL-0255-201
Progression-free survival (PFS) as assessed by the Investigator
NX-DeTIL-0255-201
Overall survival (OS) as assessed by the Investigator
NX-DeTIL-0255-201

Secondary Outcome Measures

Changes from baseline in immune cell infiltration in the tumor following DeTIL-0255 infusion
NX-DeTIL-0255-201

Full Information

First Posted
October 4, 2021
Last Updated
November 15, 2022
Sponsor
Nurix Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05107739
Brief Title
A Study of DeTIL-0255 in Adults With Advanced Malignancies
Official Title
A Phase 1 Safety and Tolerability Study of DeTIL-0255 in Adults With Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 22, 2021 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
July 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nurix 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 is a first-in-human Phase 1 multicenter, open-label oncology study designed to evaluate the safety and efficacy of NX-DeTIL-0255-201 in patients with advanced malignancies.
Detailed Description
This study includes a safety run in and a cohort expansion. The safety run in will include patients with any of the indications under study including: Recurrent or persistent platinum-resistant epithelial ovarian cancer (EOC), including primary peritoneal and fallopian tube carcinoma Recurrent, metastatic, or persistent cervical carcinoma Advanced or recurrent endometrial cancer Cohort expansion will include patients with advanced malignancies who have received at least two prior systemic therapies in the same indications.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Platinum-resistant Ovarian Cancer, Endometrial Cancer, Cervical Cancer
Keywords
NX-DeTIL-0255, Adoptive Cell Therapy, Tumor Infiltrating Lymphocyte, ACT, TIL, DeTIL

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Safety Run In
Arm Type
Experimental
Arm Description
Patients with gynecological malignancies
Arm Title
EOC
Arm Type
Experimental
Arm Description
Recurrent or persistent platinum-resistant epithelial ovarian cancer (EOC), including primary peritoneal and fallopian tube carcinoma
Arm Title
Cervical
Arm Type
Experimental
Arm Description
Recurrent, metastatic, or persistent cervical carcinoma
Arm Title
Endometrial
Arm Type
Experimental
Arm Description
Advanced or recurrent endometrial cancer
Intervention Type
Biological
Intervention Name(s)
Drug Product De-TIL-0255
Intervention Description
Autologous tumor-infiltrating lymphocytes
Primary Outcome Measure Information:
Title
Incidence of treatment emergent adverse events
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Incidence of all deaths
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Incidence of dose limiting toxicities
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Objective response rate (ORR) per disease-specific response criteria as assessed by the Investigator
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Duration of response (DOR) as assessed by the Investigator
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Disease control rate (DCR) as assessed by the Investigator
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Progression-free survival (PFS) as assessed by the Investigator
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Title
Overall survival (OS) as assessed by the Investigator
Description
NX-DeTIL-0255-201
Time Frame
24 Months
Secondary Outcome Measure Information:
Title
Changes from baseline in immune cell infiltration in the tumor following DeTIL-0255 infusion
Description
NX-DeTIL-0255-201
Time Frame
24 Months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: One of the following malignancies: Recurrent or persistent platinum-resistant EOC, recurrent, metastatic or persistent carcinoma of the cervix with progression after treatment with taxane-containing regimen, or advance or recurrent endometrial cancer with disease progression after or during second line or greater therapy Disease that is metastatic and measurable by RECIST v1.1 criteria A resectable lesion for TIL generation At least 2 prior lines of therapy ≥ 18 years and ≤ 70 years of age Life expectancy of at least 4 months Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Adequate organ and bone marrow function, in the absence of growth factors Patients of child-bearing potential must use adequate contraceptive measures to avoid pregnancy for the duration of the study as defined in the protocol A signed consent form indicating that the subjects understands the purpose and procedures required for the study Exclusion Criteria: Known untreated brain metastases Uncontrolled intercurrent illness History of known seizure disorder Unable to comply with study requirements Toxicities from previous anticancer therapies that have not resolved to baseline levels or to Grade 1 or less except for alopecia and peripheral neuropathy Pregnant, breastfeeding, or planning to become pregnant while enrolled on this study or within 6 months after DeTIL infusion Live vaccine within 28 days of first dose of NMA chemotherapy or planned live vaccination within 6 months following DeTIL infusion Active known second malignancy with the exception of any of the following: Adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or adequately treated follicular or papillary thyroid cancer; or any other cancer from which the patient has been disease-free for ≥ 2 years Systemic anti-cancer therapy, including investigational agents, or radiotherapy within 4 weeks of tumor resection Major surgery within 4 weeks before tumor resection, or will not have fully recovered from surgery, or has surgery planned within 8 weeks after infusion Use of systemic corticosteroids within 15 days (or other immunosuppressive drugs within 30 days) prior to tumor resection Use of biotin or other supplements containing higher that the daily adequate intake of biotin Clinically significant, uncontrolled cardiac, class III or IV heart failure, thromboembolic events, cardiovascular disease, or history of myocardial infarction within 6 months of planned start of study drug History or current evidence of anything that might confound the results of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Brown
Organizational Affiliation
Nurix Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Rutgers Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
Roswell Park Comprehensive Cancer Center
City
Buffalo
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Facility Name
Allegheny General Hospital
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15212
Country
United States
Facility Name
UPMC
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of DeTIL-0255 in Adults With Advanced Malignancies

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