search
Back to results

Study of NKTR 255 in Combination With Cetuximab in Solid Tumors

Primary Purpose

Head and Neck Squamous Cell Carcinoma, Colorectal Cancer, Cutaneous Squamous Cell Carcinoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NKTR-255
Cetuximab
Sponsored by
Nektar Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

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

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

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

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

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

Arm Description

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.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) of NKTR-255 in combination with Cetuximab in R/R HNSCC or CRC for Phase 1b Dose Escalation
Safety and tolerability of NKTR-255 in combination with cetuximab as evaluated by dose limiting toxicities, incidence of drug-related Adverse Events (AEs), SAEs, and AEs leading to discontinuation, deaths, and clinical laboratory abnormalities per CTCAE 5.0
Incidence of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) of NKTR-255 monotherapy and in combination with Cetuximab in R/R HNSCC, CRC, cSCC, ASCC, and cervical cancer for Phase 2 Dose Expansion
Safety and tolerability of NKTR-255 in combination with cetuximab as evaluated by dose limiting toxicities, incidence of drug-related Adverse Events (AEs), SAEs, and AEs leading to discontinuation, deaths, and clinical laboratory abnormalities per CTCAE 5.0
The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) or NKTR-255 in combination with cetuximab in R/R HNSCC or CRC for Phase 1b Dose Escalation
To define the MTD and/or RP2D of NKTR-255 in combination with cetuximab
Objective Response Rate (ORR) by RECIST 1.1 of NKTR-255 in combination with Cetuximab in R/R metastatic HNSCC or CRC for Phase 2 Dose Expansion
ORR is defined as the proportion of enrolled participants who achieved a Best Overall Response (BOR) of CR or PR. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR.

Secondary Outcome Measures

ORR by RECIST 1.1 of NKTR-255 monotherapy in R/R cSCC, ASCC, and cervical cancer
ORR is defined as the proportion of enrolled participants who achieved a Best Overall Response (BOR) of CR or PR. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR.
Overall Survival (OS) of NKTR-255 monotherapy and in combination with Cetuximab
OS is defined as the time from date of first dose to the date of death.
Progression-Free Survival (PFS) of NKTR-255 monotherapy and in combination with Cetuximab
PFS is defined as the time from date of first dose to the date of the first objectively documented tumor progression or death due to any cause
Change from baseline in immune cell populations (natural killer NK], CD8+ cells, and other immune populations) after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Change in tumor cells levels after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Change in cytokine levels after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Changes in gene expression after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Maximum Plasma Concentration (Cmax) for NKTR-255 and cetuximab
Area under the concentration-time curve (AUC) for NKTR-255 and cetuximab
Clearance (CL) for NKTR-255 and cetuximab
Volume of Distribution of NKTR-255 and cetuximab
Half-life of NKTR-255 and cetuximab
The development of anti-drug antibodies (ADA) against NKTR-255 and cetuximab
The timing of appearance of anti-NKTR-255 and anti-cetuximab antibodies will be examined.

Full Information

First Posted
October 30, 2020
Last Updated
May 15, 2023
Sponsor
Nektar Therapeutics
search

1. Study Identification

Unique Protocol Identification Number
NCT04616196
Brief Title
Study of NKTR 255 in Combination With Cetuximab in Solid Tumors
Official Title
A Phase 1b/2, Open-label, Multicenter, Dose Escalation and Dose Expansion Study of NKTR-255 Monotherapy or in Combination With Cetuximab as a Salvage Regimen for Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
October 30, 2020 (Actual)
Primary Completion Date
March 30, 2023 (Actual)
Study Completion Date
March 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nektar Therapeutics

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
This is a Phase 1b/2, open-label multicenter study evaluating NKTR-255 as a monotherapy and together with cetuximab in patients with head and neck squamous cell carcinoma (HNSCC), colorectal carcinoma (CRC), cutaneous squamous cell carcinoma (cSCC), anal cell carcinoma (ASCC) and cervical cancer. The recommended phase 2 dose of NKTR-255, determined in the dose escalation phase (Phase 1b), will be used to treat patients in Phase 2 of this study.
Detailed Description
NKTR-255 is a cytokine that is designed to regulate T and natural killer cell activation, proliferation and promote their anti-tumor effects. In the dose escalation (Phase 1/b) phase patients with HNSCC or CRC will be treated with ascending doses of NKTR-255 in combination with cetuximab, until the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) is reached. The recommended phase 2 dose of NKTR-255 will be used to treat patients in Phase 2 of this study. In the dose expansion phase (Phase 2), patients will be treated with NKTR-255 alone and together with cetuximab as follows: Cohort A - HNSCC; Cohort B - CRC; Cohort C - cSCC; Cohort D - ASCC; Cohort E - Cervical Cancer. Patients who achieve optimal response will be given the option to continue treatment with NKTR-255 as single agent for maintenance.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Squamous Cell Carcinoma, Colorectal Cancer, Cutaneous Squamous Cell Carcinoma, Anal Squamous Cell Carcinoma, Cervical Cancer
Keywords
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®

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Phase 1: Dose escalation cohorts will be sequential Phase 2: Cohorts A and B will be in parallel
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation of NKTR-255 with Cetuximab
Arm Type
Experimental
Arm Description
Establish RP2D, of NKTR-255 with cetuximab.
Arm Title
Dose Expansion of NKTR-255 with Cetuximab - Cohort A
Arm Type
Experimental
Arm Description
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with HNSCC.
Arm Title
Dose Expansion of NKTR-255 with Cetuximab - Cohort B
Arm Type
Experimental
Arm Description
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with CRC.
Arm Title
Dose Expansion of NKTR-255 with Cetuximab - Cohort C
Arm Type
Experimental
Arm Description
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with cSCC.
Arm Title
Dose Expansion of NKTR-255 with Cetuximab - Cohort D
Arm Type
Experimental
Arm Description
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with ASCC.
Arm Title
Dose Expansion of NKTR-255 with Cetuximab - Cohort E
Arm Type
Experimental
Arm Description
The RP2D of NKTR-255 will be evaluated as monotherapy and in combination with cetuximab in patients with cervical cancer.
Intervention Type
Drug
Intervention Name(s)
NKTR-255
Intervention Description
NKTR-255 IV every 21 days
Intervention Type
Drug
Intervention Name(s)
Cetuximab
Other Intervention Name(s)
Erbitux®
Intervention Description
Cetuximab will be given at specified doses on specified days
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) of NKTR-255 in combination with Cetuximab in R/R HNSCC or CRC for Phase 1b Dose Escalation
Description
Safety and tolerability of NKTR-255 in combination with cetuximab as evaluated by dose limiting toxicities, incidence of drug-related Adverse Events (AEs), SAEs, and AEs leading to discontinuation, deaths, and clinical laboratory abnormalities per CTCAE 5.0
Time Frame
60 days after the last dose of study treatment.
Title
Incidence of Treatment-Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) of NKTR-255 monotherapy and in combination with Cetuximab in R/R HNSCC, CRC, cSCC, ASCC, and cervical cancer for Phase 2 Dose Expansion
Description
Safety and tolerability of NKTR-255 in combination with cetuximab as evaluated by dose limiting toxicities, incidence of drug-related Adverse Events (AEs), SAEs, and AEs leading to discontinuation, deaths, and clinical laboratory abnormalities per CTCAE 5.0
Time Frame
Through study completion, an expected average of 1 year
Title
The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) or NKTR-255 in combination with cetuximab in R/R HNSCC or CRC for Phase 1b Dose Escalation
Description
To define the MTD and/or RP2D of NKTR-255 in combination with cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
Objective Response Rate (ORR) by RECIST 1.1 of NKTR-255 in combination with Cetuximab in R/R metastatic HNSCC or CRC for Phase 2 Dose Expansion
Description
ORR is defined as the proportion of enrolled participants who achieved a Best Overall Response (BOR) of CR or PR. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR.
Time Frame
Through study completion, an expected average of 1 year
Secondary Outcome Measure Information:
Title
ORR by RECIST 1.1 of NKTR-255 monotherapy in R/R cSCC, ASCC, and cervical cancer
Description
ORR is defined as the proportion of enrolled participants who achieved a Best Overall Response (BOR) of CR or PR. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR is calculated as the sum of CR and PR.
Time Frame
Through study completion, an expected average of 1 year
Title
Overall Survival (OS) of NKTR-255 monotherapy and in combination with Cetuximab
Description
OS is defined as the time from date of first dose to the date of death.
Time Frame
Through study completion, an expected average of 1 year
Title
Progression-Free Survival (PFS) of NKTR-255 monotherapy and in combination with Cetuximab
Description
PFS is defined as the time from date of first dose to the date of the first objectively documented tumor progression or death due to any cause
Time Frame
Through study completion, an expected average of 1 year
Title
Change from baseline in immune cell populations (natural killer NK], CD8+ cells, and other immune populations) after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Time Frame
Through study completion, an expected average of 1 year
Title
Change in tumor cells levels after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Time Frame
Through study completion, an expected average of 1 year
Title
Change in cytokine levels after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Time Frame
Through study completion, an expected average of 1 year
Title
Changes in gene expression after administration of NKTR-255 in combination with cetuximab and NKTR-255 monotherapy
Time Frame
Through study completion, an expected average of 1 year
Title
Maximum Plasma Concentration (Cmax) for NKTR-255 and cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
Area under the concentration-time curve (AUC) for NKTR-255 and cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
Clearance (CL) for NKTR-255 and cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
Volume of Distribution of NKTR-255 and cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
Half-life of NKTR-255 and cetuximab
Time Frame
Through study completion, an expected average of 1 year
Title
The development of anti-drug antibodies (ADA) against NKTR-255 and cetuximab
Description
The timing of appearance of anti-NKTR-255 and anti-cetuximab antibodies will be examined.
Time Frame
Through study completion, an expected average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Nektar Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
University of California, San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Mary Crowley Cancer Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
START Center for Cancer Care
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of NKTR 255 in Combination With Cetuximab in Solid Tumors

We'll reach out to this number within 24 hrs