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A Study to Evaluate the Safety and Effectiveness of ILIxadencel Administered Into Tumors in Combination With Checkpoint Inhibitor (CPI) in Patients With ADvanced Cancer (ILIAD)

Primary Purpose

Carcinoma, Squamous Cell of Head and Neck, Gastric Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ilixadencel
Pembrolizumab
Sponsored by
Mendus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Squamous Cell of Head and Neck focused on measuring immunotherapy, ilixadencel, checkpoint inhibitor, allogeneic, somatic cell therapy, dendritic cell, intratumoral, in situ

Eligibility Criteria

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

Inclusion Criteria:

  • Must provide written informed consent.
  • Must have histologically confirmed and specific (Human Papilloma Virus) HPV-positive or HPV-negative squamous cell carcinoma of the head and neck (SCCHN), non-small-cell lung cancer (NSCLC) or gastric or gastroesophageal junction (GEJ) adenocarcinoma. Patients with other tumor types who are candidates for pembrolizumab therapy (according to the FDA-approved prescribing information at the time of inclusion) can also be enrolled in Phase 1b. Tumor histology and most recent pathology report must be in subject's medical record. Tumor samples and/or biopsies will not be collected as part of this study.
  • Eligible for pembrolizumab treatment per country-specific label and per physician's decision.
  • ECOG (Eastern Cooperative Oncology Group) performance status of 0 or 1.
  • Adequate organ function.
  • Women of childbearing potential must follow contraceptive requirements; must have a negative pregnancy blood test at screening, and a negative blood or urine pregnancy test within 24 hours before each dose of ilixadencel; and must not be breastfeeding.
  • Male subjects must agree to use condoms from screening until 90 days after the last dose of ilixadencel, or must have a female partner using a highly effective method of contraception as described above.

Exclusion Criteria:

  • Prior history of invasive malignancy, unless complete remission has been achieved for at least 3 years and no additional therapy is required except for hormonal therapy or bisphosphonates.
  • Active or previously untreated brain and/or leptomeningeal metastasis.
  • Active autoimmune disease, pneumonitis or interstitial lung disease.
  • Certain heart conditions including, but not limited to: Congestive heart failure; uncontrolled hypertension; unstable angina pectoris; pericarditis; myocarditis; mycardial infarction 6 months prior to study.
  • Systemic immunosuppression except for replacement therapy.
  • Life expectancy of less than 3 months.
  • Any prior treatment with ilixadencel or prior treatment with anticancer agents (except pembrolizumab or other CPI for subjects in Phase 1b) within 4 weeks of starting study medication.
  • Major surgery or significant traumatic injury within 4 weeks before study start.
  • Known infection with human immunodeficiency virus (HIV).
  • Active tuberculosis; active infection requiring anti-infective therapy (hepatitis with a negative viral load on maintenance will not be excluded).

Other protocol-defined inclusion/exclusion criteria could apply.

Sites / Locations

  • Site 1010
  • Site 1006
  • Site 1011
  • Site 1004
  • Site 1009

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

Phase 1b: Cohort 1, ilixadencel + pembrolizumab

Phase 1b: Cohort 2, ilixadencel + pembrolizumab

Phase 1b: Cohort 3, ilixadencel + pembrolizumab

Phase 1b: Cohort 4, ilixadencel + pembrolizumab

Phase 2 exp. cohorts HNSCC/NSCLC/Gastric/GEJ

Phase 2 comparator cohorts HNSCC/NSCLC/Gastric/GEJ

Arm Description

3 x 10⁶ DCs (Dendritic Cells) of ilixadencel, 2x over 4 weeks (w). Pembrolizumab I.V. q3w

10 x 10⁶ DCs of ilixadencel, 2x over 4 weeks. Pembrolizumab I.V. q3w

10 x 10⁶ DCs of ilixadencel, 3x over 10 weeks. Pembrolizumab I.V. q3w

Ilixadencel 3 times over 10 weeks: 1st dose 20 x 10⁶ DCs ilixadencel; 2nd dose 10 x 10⁶ DCs; 3rd dose 10 x 10⁶ DCs. Pembrolizumab I.V. q3w

Subjects with HNSCC, NSCLC, gastric or gastroesophageal junction (GEJ) adenocarcinoma. ilixadencel administered intra-tumorally up to 3 times over 10 weeks; dose determined after Phase 1b. Pembrolizumab I.V. q3w according to currently approved doses and indications.

Subjects with HNSCC, NSCLC, gastric/GEJ adenocarcinoma receiving active treatment with pembrolizumab I.V. q3w according to currently approved doses and indications.

Outcomes

Primary Outcome Measures

Frequency of adverse events (AEs) (Phase 1b)
Number of adverse events
Severity of adverse events (AEs) (Phase 1b)
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Number of Dose Limiting Toxicities (DLTs) (Phase 1b)
Dose Limiting Toxicities measured using CTCAE v5.0 and protocol DLT definition.
Number of subjects with clinically significant laboratory test abnormalities (Phase 1b)
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Number of subjects with vital sign abnormalities (Phase 1b)
Vital signs grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Antitumor Objective Response Rate (ORR) (Phase 2)
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, centrally assessed using RECIST (Response Evaluation Criteria in Solid Tumors) v1.1

Secondary Outcome Measures

Antitumor Objective Response Rate (ORR) RECIST 1.1 (Phase 1b and Phase 2)
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, investigator and centrally assessed using RECIST (Response Evaluation Criteria in Solid Tumors) v1.1
Antitumor Objective Response Rate (ORR) iRECIST (Phase 1b and Phase 2)
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, investigator assessed using iRECIST (Immune Response Evaluation Criteria in Solid Tumors)
Clinical Benefit Rate (Phase 1b and Phase 2)
Rate of complete and partial response and stable disease by investigator and centrally assessed RECIST (Response Evaluation Criteria in Solid Tumors) v1.1
Duration of response (Phase 1b and Phase 2)
Measured in weeks. Assessed using RECIST v1.1 and iRECIST
Time to Progression (TTP) (Phase 1b and Phase 2)
Measured in weeks. Assessed using RECIST v1.1 and iRECIST
Progression-free Survival (PFS) (Phase 1b and Phase 2)
Measured in weeks. Centrally assessed using RECIST v1.1
Overall Survival (OS) (Phase 1b and Phase 2)
Measured in months
Frequency of adverse events (AEs) (Phase 2)
Number of adverse events
Severity of adverse events (AEs) (Phase 2)
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Number of Dose Limiting Toxicities (DLTs) (Phase 2)
Dose Limiting Toxicities measured using CTCAE v5.0 and protocol DLT definition.
Number of subjects with clinically significant laboratory test abnormalities (Phase 2)
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Number of subjects with vital sign abnormalities (Phase 2)
Vital signs grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0

Full Information

First Posted
November 7, 2018
Last Updated
March 1, 2022
Sponsor
Mendus
Collaborators
PPD
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1. Study Identification

Unique Protocol Identification Number
NCT03735290
Brief Title
A Study to Evaluate the Safety and Effectiveness of ILIxadencel Administered Into Tumors in Combination With Checkpoint Inhibitor (CPI) in Patients With ADvanced Cancer
Acronym
ILIAD
Official Title
A Randomized, Open-label, Multi-center, Phase 1b/2 Trial Evaluating the Safety and Efficacy of Intratumorally-administered Ilixadencel in Combination With Checkpoint Inhibitor (CPI) in Advanced Cancer Subjects Who Are Candidates for CPI Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Terminated
Why Stopped
Decision made not to move to Phase 2
Study Start Date
January 14, 2019 (Actual)
Primary Completion Date
December 3, 2021 (Actual)
Study Completion Date
December 3, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mendus
Collaborators
PPD

4. Oversight

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

5. Study Description

Brief Summary
Patients in the Phase 1b part of the study will be treated with ilixadencel at an increasing dose and frequency, in combination with standard doses and schedules of checkpoint inhibitor (CPI) pembrolizumab. The Phase 1b study will determine the optimal dose and schedule of ilixadencel. Patients in the Phase 2 part of the study will be randomly assigned to receive either ilixadencel (at the dose determined in Phase 1b) combined with the CPI, or only the CPI. Note: Recruitment to Phase 1b of the study has been completed.
Detailed Description
Despite improvements achieved with the use of CPIs, 50-80% of cancer patients do not respond to this therapy. There is growing evidence that combining CPIs with other forms of immunotherapy has the potential to improve the desired effects of both CPIs and immunotherapies. This study looks at the safety and effectiveness of the immunotherapy ilixadencel when used in combination with a CPI. A Dose-escalation Committee (DEC) will monitor the study for any significant safety issues during Phase 1b. Note: Recruitment to Phase 1b of the study has been completed. The study did not move forward to Phase 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Squamous Cell of Head and Neck, Gastric Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma, Non-small Cell Lung Cancer
Keywords
immunotherapy, ilixadencel, checkpoint inhibitor, allogeneic, somatic cell therapy, dendritic cell, intratumoral, in situ

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Single arm phase 1b. Randomized phase 2.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase 1b: Cohort 1, ilixadencel + pembrolizumab
Arm Type
Experimental
Arm Description
3 x 10⁶ DCs (Dendritic Cells) of ilixadencel, 2x over 4 weeks (w). Pembrolizumab I.V. q3w
Arm Title
Phase 1b: Cohort 2, ilixadencel + pembrolizumab
Arm Type
Experimental
Arm Description
10 x 10⁶ DCs of ilixadencel, 2x over 4 weeks. Pembrolizumab I.V. q3w
Arm Title
Phase 1b: Cohort 3, ilixadencel + pembrolizumab
Arm Type
Experimental
Arm Description
10 x 10⁶ DCs of ilixadencel, 3x over 10 weeks. Pembrolizumab I.V. q3w
Arm Title
Phase 1b: Cohort 4, ilixadencel + pembrolizumab
Arm Type
Experimental
Arm Description
Ilixadencel 3 times over 10 weeks: 1st dose 20 x 10⁶ DCs ilixadencel; 2nd dose 10 x 10⁶ DCs; 3rd dose 10 x 10⁶ DCs. Pembrolizumab I.V. q3w
Arm Title
Phase 2 exp. cohorts HNSCC/NSCLC/Gastric/GEJ
Arm Type
Experimental
Arm Description
Subjects with HNSCC, NSCLC, gastric or gastroesophageal junction (GEJ) adenocarcinoma. ilixadencel administered intra-tumorally up to 3 times over 10 weeks; dose determined after Phase 1b. Pembrolizumab I.V. q3w according to currently approved doses and indications.
Arm Title
Phase 2 comparator cohorts HNSCC/NSCLC/Gastric/GEJ
Arm Type
Active Comparator
Arm Description
Subjects with HNSCC, NSCLC, gastric/GEJ adenocarcinoma receiving active treatment with pembrolizumab I.V. q3w according to currently approved doses and indications.
Intervention Type
Biological
Intervention Name(s)
ilixadencel
Intervention Description
Intra-tumoral injection
Intervention Type
Drug
Intervention Name(s)
Pembrolizumab
Intervention Description
Administered intravenously over 30 minutes, every 3 weeks, at a dose of 200 mg
Primary Outcome Measure Information:
Title
Frequency of adverse events (AEs) (Phase 1b)
Description
Number of adverse events
Time Frame
Up to Week 27
Title
Severity of adverse events (AEs) (Phase 1b)
Description
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27
Title
Number of Dose Limiting Toxicities (DLTs) (Phase 1b)
Description
Dose Limiting Toxicities measured using CTCAE v5.0 and protocol DLT definition.
Time Frame
Up to Week 27
Title
Number of subjects with clinically significant laboratory test abnormalities (Phase 1b)
Description
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27
Title
Number of subjects with vital sign abnormalities (Phase 1b)
Description
Vital signs grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27
Title
Antitumor Objective Response Rate (ORR) (Phase 2)
Description
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, centrally assessed using RECIST (Response Evaluation Criteria in Solid Tumors) v1.1
Time Frame
Up to Week 27
Secondary Outcome Measure Information:
Title
Antitumor Objective Response Rate (ORR) RECIST 1.1 (Phase 1b and Phase 2)
Description
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, investigator and centrally assessed using RECIST (Response Evaluation Criteria in Solid Tumors) v1.1
Time Frame
Up to Week 27
Title
Antitumor Objective Response Rate (ORR) iRECIST (Phase 1b and Phase 2)
Description
Antitumor activity of ilixadencel plus CPI (checkpoint inhibitor) in each tumor type, investigator assessed using iRECIST (Immune Response Evaluation Criteria in Solid Tumors)
Time Frame
Up to Week 27
Title
Clinical Benefit Rate (Phase 1b and Phase 2)
Description
Rate of complete and partial response and stable disease by investigator and centrally assessed RECIST (Response Evaluation Criteria in Solid Tumors) v1.1
Time Frame
Up to Week 27
Title
Duration of response (Phase 1b and Phase 2)
Description
Measured in weeks. Assessed using RECIST v1.1 and iRECIST
Time Frame
Up to 24 months after Cycle 1 Day 1
Title
Time to Progression (TTP) (Phase 1b and Phase 2)
Description
Measured in weeks. Assessed using RECIST v1.1 and iRECIST
Time Frame
Up to 24 months after Cycle 1 Day 1
Title
Progression-free Survival (PFS) (Phase 1b and Phase 2)
Description
Measured in weeks. Centrally assessed using RECIST v1.1
Time Frame
Up to 24 months after Cycle 1 Day 1
Title
Overall Survival (OS) (Phase 1b and Phase 2)
Description
Measured in months
Time Frame
Up to 5 years
Title
Frequency of adverse events (AEs) (Phase 2)
Description
Number of adverse events
Time Frame
Up to Week 27
Title
Severity of adverse events (AEs) (Phase 2)
Description
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27
Title
Number of Dose Limiting Toxicities (DLTs) (Phase 2)
Description
Dose Limiting Toxicities measured using CTCAE v5.0 and protocol DLT definition.
Time Frame
Up to week 27
Title
Number of subjects with clinically significant laboratory test abnormalities (Phase 2)
Description
Grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27
Title
Number of subjects with vital sign abnormalities (Phase 2)
Description
Vital signs grading per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time Frame
Up to Week 27

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must provide written informed consent. Must have histologically confirmed and specific (Human Papilloma Virus) HPV-positive or HPV-negative squamous cell carcinoma of the head and neck (SCCHN), non-small-cell lung cancer (NSCLC) or gastric or gastroesophageal junction (GEJ) adenocarcinoma. Patients with other tumor types who are candidates for pembrolizumab therapy (according to the FDA-approved prescribing information at the time of inclusion) can also be enrolled in Phase 1b. Tumor histology and most recent pathology report must be in subject's medical record. Tumor samples and/or biopsies will not be collected as part of this study. Eligible for pembrolizumab treatment per country-specific label and per physician's decision. ECOG (Eastern Cooperative Oncology Group) performance status of 0 or 1. Adequate organ function. Women of childbearing potential must follow contraceptive requirements; must have a negative pregnancy blood test at screening, and a negative blood or urine pregnancy test within 24 hours before each dose of ilixadencel; and must not be breastfeeding. Male subjects must agree to use condoms from screening until 90 days after the last dose of ilixadencel, or must have a female partner using a highly effective method of contraception as described above. Exclusion Criteria: Prior history of invasive malignancy, unless complete remission has been achieved for at least 3 years and no additional therapy is required except for hormonal therapy or bisphosphonates. Active or previously untreated brain and/or leptomeningeal metastasis. Active autoimmune disease, pneumonitis or interstitial lung disease. Certain heart conditions including, but not limited to: Congestive heart failure; uncontrolled hypertension; unstable angina pectoris; pericarditis; myocarditis; mycardial infarction 6 months prior to study. Systemic immunosuppression except for replacement therapy. Life expectancy of less than 3 months. Any prior treatment with ilixadencel or prior treatment with anticancer agents (except pembrolizumab or other CPI for subjects in Phase 1b) within 4 weeks of starting study medication. Major surgery or significant traumatic injury within 4 weeks before study start. Known infection with human immunodeficiency virus (HIV). Active tuberculosis; active infection requiring anti-infective therapy (hepatitis with a negative viral load on maintenance will not be excluded). Other protocol-defined inclusion/exclusion criteria could apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Petra Domeij
Organizational Affiliation
Mendus
Official's Role
Study Director
Facility Information:
Facility Name
Site 1010
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33124
Country
United States
Facility Name
Site 1006
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Site 1011
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Site 1004
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
Site 1009
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www.fda.gov/Safety/MedWatch/SafetyInformation/default.htm
Description
FDA Safety Alerts and Recalls

Learn more about this trial

A Study to Evaluate the Safety and Effectiveness of ILIxadencel Administered Into Tumors in Combination With Checkpoint Inhibitor (CPI) in Patients With ADvanced Cancer

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