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Phase 1 Study of CK-301 (Cosibelimab) as a Single Agent in Subjects With Advanced Cancers

Primary Purpose

Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Carcinoma, Small Cell

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CK-301 (cosibelimab)
Sponsored by
Checkpoint Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Neoplasms focused on measuring Cancer, PD-L1, PDL1, PD-1, PD1, Solid tumors, Anti PD-L1, Non-small cell lung cancer, NSCLC, CK-301, CSCC, Skin cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Signed written informed consent.
  • Male or female subjects aged greater than or equal to 18 years.
  • For NSCLC: Histologically or cytologically confirmed diagnosis of unresectable recurrent or metastatic non-small cell lung cancer.
  • For CRC: Histologically confirmed diagnosis of recurrent or metastatic colorectal cancer assessed as microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR).
  • For EC: Histologically or cytologically confirmed advanced, recurrent or metastatic endometrial carcinoma.
  • For cSCC: Histologically confirmed diagnosis of unresectable or metastatic cutaneous squamous cell carcinoma not amenable to local therapy.
  • For SCLC: Histologically or cytologically confirmed diagnosis of unresectable small cell lung cancer.
  • For MPM: Histologically or cytologically confirmed diagnosis of unresectable malignant pleural or peritoneal mesothelioma.
  • For HNSCC: Histologically or cytologically confirmed diagnosis of recurrent or metastatic HNSCC (oral cavity, pharynx, larynx), stage III/IV and not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
  • For MEL: Histologically confirmed diagnosis of unresectable Stage III or metastatic melanoma not amenable to local therapy (excluding uveal or ocular melanoma).
  • For MCC: Histologically confirmed diagnosis of metastatic Merkel cell carcinoma not amenable to local therapy.
  • For RCC: Histologically confirmed diagnosis of renal cell carcinoma (with clear cell component) with advanced or metastatic disease that is not amenable to cure by surgery or other means.
  • For UC: Histologically or cytologically documented locally advanced or metastatic transitional cell carcinoma of the urothelium (including renal pelvis, ureters, urinary bladder, urethra) not amenable to cure by surgery or other means.
  • For HL: Histologically confirmed primary diagnosis of classical Hodgkin's lymphoma.
  • For B-cell NHL: Histologically confirmed diagnosis of non-Hodgkin lymphoma.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at trial entry and an estimated life expectancy of at least 3 months
  • Must have at least one measurable lesion based on RECIST 1.1.
  • Have provided a formalin fixed tumor tissue sample from a biopsy of a tumor lesion either at the time of or after the diagnosis of metastatic disease has been made AND from a site not previously irradiated.
  • Adequate hematological, hepatic and renal function as defined in the protocol.
  • Effective contraception for both male and female subjects if the risk of conception exists.
  • Other protocol defined inclusion criteria could apply.

Exclusion Criteria:

  • Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways.
  • Concurrent treatment with a non-permitted drug.
  • History of severe hypersensitivity reactions to other monoclonal antibodies.
  • Prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast, or localized prostate cancer.
  • Chemotherapy, radioactive, biological cancer therapy, or tyrosine kinase inhibitor (TKI) therapy, within four weeks prior to the first dose of study drug, or who has not recovered to NCI CTCAE Grade 1 or better from the AEs due to cancer therapeutics administered more than four weeks earlier.
  • Significant acute or chronic infections as defined in the protocol.
  • Active or history of interstitial lung disease (ILD), or has had a history of pneumonitis that has required oral or IV steroids.
  • Active or suspected autoimmune disease or a documented history of autoimmune disease.
  • Known current drug or alcohol abuse.
  • Underlying medical conditions that will make the administration of study drug hazardous or obscure the interpretation of toxicity determination or adverse events.
  • Use of other investigational therapy within 28 days before study drug administration.
  • Pregnant or breastfeeding.
  • Uncontrolled or significant cardiovascular disease.
  • Psychiatric illness or social situation that would preclude study compliance.
  • Receipt of live, attenuated vaccine within 28 days prior to the first dose of study drug.

Sites / Locations

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Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CK-301 (cosibelimab)

Arm Description

Part 1 - Dose Escalation; Part 2 - Dose Expansion

Outcomes

Primary Outcome Measures

Dose Limiting Toxicity
Number of subjects with Treatment-Emergent Adverse Events according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03 (or most current version)
Confirmed Objective Response Rate (ORR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)

Secondary Outcome Measures

Confirmed Best Overall Response (BOR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)
Duration of Response (DoR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)
Objective response rate and duration of response (DOR) based on Modified RECIST 1.1 for immune based therapeutics
Overall Survival (OS)
Pharmacokinetic parameter: AUC (0-t) of CK-301
Pharmacokinetic parameter: AUC (0-infinity) of CK-301
Pharmacokinetic parameter: Cmax of CK-301
Pharmacokinetic parameter: Tmax of CK-301
Pharmacokinetic parameter: T(1/2) of CK-301
Number of subjects with anti-CK-301 antibodies

Full Information

First Posted
July 6, 2017
Last Updated
August 28, 2023
Sponsor
Checkpoint Therapeutics, Inc.
Collaborators
Novotech (Australia) Pty Limited
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1. Study Identification

Unique Protocol Identification Number
NCT03212404
Brief Title
Phase 1 Study of CK-301 (Cosibelimab) as a Single Agent in Subjects With Advanced Cancers
Official Title
A Phase 1, Open-label, Multicenter, Dose-escalation Study of CK-301 Administered Intravenously as a Single Agent to Subjects With Advanced Cancers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 20, 2017 (Actual)
Primary Completion Date
November 18, 2021 (Actual)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Checkpoint Therapeutics, Inc.
Collaborators
Novotech (Australia) Pty Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
CK-301 (cosibelimab) is a fully human monoclonal antibody of IgG1 subtype that directly binds to Programmed Death-Ligand 1 (PD-L1) and blocks its interactions with the Programmed Death-1 (PD-1) and B7.1 receptors. The primary objectives of this study are to assess the safety, tolerability and efficacy of CK-301 when administered intravenously as a single agent to subjects with selected recurrent or metastatic cancers.
Detailed Description
This is a first-in-human, Phase 1, open-label, multicenter, dose-escalation study of CK-301 (cosibelimab), a fully human monoclonal IgG1 antibody targeting PD-L1. The study will consist of 3 periods: Screening (up to 28 days), Treatment (28-day cycles), and Follow-up (up to 6 months of visits with survival follow-up for select cohorts). Following the dose escalation portion of the study, additional evaluable subjects may be included in order to further characterize safety and efficacy at selected doses and/or in specific patient sub-groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Carcinoma, Small Cell, Malignant Mesothelioma, Advanced, Head and Neck Cancer, Melanoma, Merkel Cell Carcinoma, Renal Cell Carcinoma, Urothelial Carcinoma, Classical Hodgkin Lymphoma, Cutaneous Squamous Cell Carcinoma, Non Hodgkin Lymphoma, Endometrial Cancer
Keywords
Cancer, PD-L1, PDL1, PD-1, PD1, Solid tumors, Anti PD-L1, Non-small cell lung cancer, NSCLC, CK-301, CSCC, Skin cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CK-301 (cosibelimab)
Arm Type
Experimental
Arm Description
Part 1 - Dose Escalation; Part 2 - Dose Expansion
Intervention Type
Drug
Intervention Name(s)
CK-301 (cosibelimab)
Intervention Description
CK-301 will be administered in periods of 28-day cycles.
Primary Outcome Measure Information:
Title
Dose Limiting Toxicity
Time Frame
Up to 4 weeks
Title
Number of subjects with Treatment-Emergent Adverse Events according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03 (or most current version)
Time Frame
Screening through 4 weeks after study completion, an average of 6 months
Title
Confirmed Objective Response Rate (ORR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)
Time Frame
Part 2 Only: Average of 6 months
Secondary Outcome Measure Information:
Title
Confirmed Best Overall Response (BOR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)
Time Frame
Every 8 weeks for first 32 weeks, then 12 weeks through study completion, an average of 6 months
Title
Duration of Response (DoR) as per Response Evaluation Criteria in Solid Tumors (RECIST Version 1.1)
Time Frame
Every 8 weeks for first 32 weeks, then 12 weeks through study completion, an average of 6 months
Title
Objective response rate and duration of response (DOR) based on Modified RECIST 1.1 for immune based therapeutics
Time Frame
Part 2 Only: Every 8 weeks for first 32 weeks, then 12 weeks through study completion, an average of 6 months
Title
Overall Survival (OS)
Time Frame
Part 2 Only: Every 8 weeks for first 32 weeks, then 12 weeks through study completion, an average of 6 months
Title
Pharmacokinetic parameter: AUC (0-t) of CK-301
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months
Title
Pharmacokinetic parameter: AUC (0-infinity) of CK-301
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months
Title
Pharmacokinetic parameter: Cmax of CK-301
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months
Title
Pharmacokinetic parameter: Tmax of CK-301
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months
Title
Pharmacokinetic parameter: T(1/2) of CK-301
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months
Title
Number of subjects with anti-CK-301 antibodies
Time Frame
Baseline up to 12 weeks after study completion, an average of 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written informed consent. Male or female subjects aged greater than or equal to 18 years. For NSCLC: Histologically or cytologically confirmed diagnosis of unresectable recurrent or metastatic non-small cell lung cancer. For CRC: Histologically confirmed diagnosis of recurrent or metastatic colorectal cancer assessed as microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR). For EC: Histologically or cytologically confirmed advanced, recurrent or metastatic endometrial carcinoma. For cSCC: Histologically confirmed diagnosis of unresectable or metastatic cutaneous squamous cell carcinoma not amenable to local therapy. For SCLC: Histologically or cytologically confirmed diagnosis of unresectable small cell lung cancer. For MPM: Histologically or cytologically confirmed diagnosis of unresectable malignant pleural or peritoneal mesothelioma. For HNSCC: Histologically or cytologically confirmed diagnosis of recurrent or metastatic HNSCC (oral cavity, pharynx, larynx), stage III/IV and not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy). For MEL: Histologically confirmed diagnosis of unresectable Stage III or metastatic melanoma not amenable to local therapy (excluding uveal or ocular melanoma). For MCC: Histologically confirmed diagnosis of metastatic Merkel cell carcinoma not amenable to local therapy. For RCC: Histologically confirmed diagnosis of renal cell carcinoma (with clear cell component) with advanced or metastatic disease that is not amenable to cure by surgery or other means. For UC: Histologically or cytologically documented locally advanced or metastatic transitional cell carcinoma of the urothelium (including renal pelvis, ureters, urinary bladder, urethra) not amenable to cure by surgery or other means. For HL: Histologically confirmed primary diagnosis of classical Hodgkin's lymphoma. For B-cell NHL: Histologically confirmed diagnosis of non-Hodgkin lymphoma. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at trial entry and an estimated life expectancy of at least 3 months Must have at least one measurable lesion based on RECIST 1.1. Have provided a formalin fixed tumor tissue sample from a biopsy of a tumor lesion either at the time of or after the diagnosis of metastatic disease has been made AND from a site not previously irradiated. Adequate hematological, hepatic and renal function as defined in the protocol. Effective contraception for both male and female subjects if the risk of conception exists. Other protocol defined inclusion criteria could apply. Exclusion Criteria: Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways. Concurrent treatment with a non-permitted drug. History of severe hypersensitivity reactions to other monoclonal antibodies. Prior malignancy active within the previous 2 years except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix or breast, or localized prostate cancer. Chemotherapy, radioactive, biological cancer therapy, or tyrosine kinase inhibitor (TKI) therapy, within four weeks prior to the first dose of study drug, or who has not recovered to NCI CTCAE Grade 1 or better from the AEs due to cancer therapeutics administered more than four weeks earlier. Significant acute or chronic infections as defined in the protocol. Active or history of interstitial lung disease (ILD), or has had a history of pneumonitis that has required oral or IV steroids. Active or suspected autoimmune disease or a documented history of autoimmune disease. Known current drug or alcohol abuse. Underlying medical conditions that will make the administration of study drug hazardous or obscure the interpretation of toxicity determination or adverse events. Use of other investigational therapy within 28 days before study drug administration. Pregnant or breastfeeding. Uncontrolled or significant cardiovascular disease. Psychiatric illness or social situation that would preclude study compliance. Receipt of live, attenuated vaccine within 28 days prior to the first dose of study drug.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
James Oliviero
Phone
001-212-574-2830
Email
info@checkpointtx.com
Facility Information:
Facility Name
Research Site
City
Wollongong
State/Province
New South Wales
ZIP/Postal Code
2500
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Benowa
State/Province
Queensland
ZIP/Postal Code
4217
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Buderim
State/Province
Queensland
ZIP/Postal Code
4556
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Greenslopes
State/Province
Queensland
ZIP/Postal Code
4120
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Box Hill
State/Province
Victoria
ZIP/Postal Code
3128
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Malvern
State/Province
Victoria
ZIP/Postal Code
3144
Country
Australia
Individual Site Status
Recruiting
Facility Name
Research Site
City
Besançon
ZIP/Postal Code
25030
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Bordeaux
ZIP/Postal Code
33075
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Grenoble
ZIP/Postal Code
38700
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Lyon
ZIP/Postal Code
69495
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Nice
Country
France
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Christchurch
ZIP/Postal Code
8140
Country
New Zealand
Individual Site Status
Recruiting
Facility Name
Research Site
City
Kraków
ZIP/Postal Code
31-826
Country
Poland
Individual Site Status
Completed
Facility Name
Research Site
City
Lublin
ZIP/Postal Code
20064
Country
Poland
Individual Site Status
Completed
Facility Name
Research Site
City
Poznań
ZIP/Postal Code
60693
Country
Poland
Individual Site Status
Completed
Facility Name
Research Site
City
Warsaw
ZIP/Postal Code
02-781
Country
Poland
Individual Site Status
Completed
Facility Name
Research Site
City
Łódź
ZIP/Postal Code
90302
Country
Poland
Individual Site Status
Completed
Facility Name
Research Site
City
Chelyabinsk
ZIP/Postal Code
454087
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Kazan
ZIP/Postal Code
420029
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Murmansk
ZIP/Postal Code
183047
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Novosibirsk
ZIP/Postal Code
630108
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Omsk
ZIP/Postal Code
644013
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Saint Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Saint Petersburg
ZIP/Postal Code
197758
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Tyumen
ZIP/Postal Code
625041
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Volgograd
ZIP/Postal Code
400138
Country
Russian Federation
Individual Site Status
Completed
Facility Name
Research Site
City
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
George
ZIP/Postal Code
6529
Country
South Africa
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Port Elizabeth
Country
South Africa
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Pretoria
ZIP/Postal Code
0081
Country
South Africa
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Soweto
ZIP/Postal Code
2013
Country
South Africa
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Barcelona
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
La Laguna
ZIP/Postal Code
38320
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Madrid
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Málaga
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Sevilla
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Valencia
Country
Spain
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Hat Yai
State/Province
Songkhla
ZIP/Postal Code
90110
Country
Thailand
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10210
Country
Thailand
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Chiang Mai
ZIP/Postal Code
50200
Country
Thailand
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Chernivtsi
ZIP/Postal Code
58013
Country
Ukraine
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Kharkiv
ZIP/Postal Code
61103
Country
Ukraine
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Sumy
ZIP/Postal Code
40022
Country
Ukraine
Individual Site Status
Active, not recruiting

12. IPD Sharing Statement

Learn more about this trial

Phase 1 Study of CK-301 (Cosibelimab) as a Single Agent in Subjects With Advanced Cancers

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