Study of NKTR 255 in Combination With Cetuximab in Solid Tumors
Head and Neck Squamous Cell Carcinoma, Colorectal Cancer, Cutaneous Squamous Cell Carcinoma
About this trial
This is an interventional treatment trial for Head and Neck Squamous Cell Carcinoma focused on measuring HNSCC, Head and Neck Squamous Cell Carcinoma, CRC, Colorectal Cancer, cSCC, Cutaneous Squamous Cell Carcinoma, ASCC, Anal Squamous Cell Carcinoma, Cervical Cancer, NKTR-255, Cetuximab, Erbitux®
Eligibility Criteria
Key Inclusion Criteria:
- Histologically confirmed diagnosis of a locally advanced or metastatic HNSCC, CRC, cSCC, ASCC, or cervical cancer.
- Life expectancy > 12 weeks as determined by the Investigator.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
- Measurable disease per RECIST 1.1.
HNSCC:
- Progression on any first or second line platinum-based chemotherapy and/or anti-PD-1 or programmed death-ligand 1 antibody.
CRC:
- Patients must have received or were intolerant to at least 2 prior cancer therapy regimens administered for metastatic disease.
cSCC
- Patients must have received prior therapy including anti-PD-1 and platinum-based chemotherapy, have documented platinum-refractory disease, or be ineligible/unfit for platinum-based therapy.
aSCC
- Patients must have received prior therapy including anti-PD-1 and platinum-based chemotherapy, have documented platinum-refractory disease, or be ineligible/unfit for platinum-based therapy.
- If human immunodeficiency virus (HIV)-positive, patients must also have CD4+ count ≥ 300/μL, undetectable viral load, and be receiving highly active antiretroviral therapy at the time of screening.
Cervical Cancer
- Patients must have experienced progression (or toxicity precluding additional treatment) on any first- or second-line platinum-based chemotherapy and anti-PD-(L)1, have documented platinum-refractory disease, or be ineligible/unfit for platinum-based therapy.
- Patients must have known status by pathology for HPV
Key Exclusion Criteria:
- Use of an investigational agent or an investigational device within 28 days before administration of first dose of study drug(s)
- Prior surgery or radiotherapy within 14 days of initiating study drug(s)
- Evidence of clinically significant interstitial lung disease or active, noninfectious pneumonitis; active infection requiring systemic therapy within 7 days prior to dosing
- Patients who have been previously treated with IL-2 or IL-15
- Known Grade 3 or 4 hypersensitivity reaction to cetuximab, history of allergy to red meat or tick bites, or history of positive test results for immunoglobulin E antibodies against cetuximab
- Patients who have an active, known, or suspected autoimmune disease
NOTE: Other protocol defined inclusion/exclusion criteria may apply
Sites / Locations
- University of California, San Diego
- University of California, San Francisco
- University of Minnesota
- Mary Crowley Cancer Research
- MD Anderson Cancer Center
- START Center for Cancer Care
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Dose Escalation of NKTR-255 with Cetuximab
Dose Expansion of NKTR-255 with Cetuximab - Cohort A
Dose Expansion of NKTR-255 with Cetuximab - Cohort B
Dose Expansion of NKTR-255 with Cetuximab - Cohort C
Dose Expansion of NKTR-255 with Cetuximab - Cohort D
Dose Expansion of NKTR-255 with Cetuximab - Cohort E
Establish RP2D, of NKTR-255 with cetuximab.
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with HNSCC.
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with CRC.
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with cSCC.
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with ASCC.
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with cervical cancer.