Trial of TRX518 (Anti-GITR mAb) in Stage III or IV Malignant Melanoma or Other Solid Tumors (TRX518-001)
Primary Purpose
Unresectable Stage III or Stage IV Malignant Melanoma or Other Solid Tumor Malignancies
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TRX518
Sponsored by

About this trial
This is an interventional treatment trial for Unresectable Stage III or Stage IV Malignant Melanoma or Other Solid Tumor Malignancies focused on measuring Malignant melanoma, Metastatic, Unresectable, Stage III or Stage IV, Solid tumor
Eligibility Criteria
Inclusion Criteria (Parts B & C):
- 18 years or older
- Histologically confirmed unresectable Stage III or Stage IV malignant melanoma, or other solid tumor malignancies
- Failed to respond to or relapsed following standard treatment, declined or was not eligible for standard treatment.
- Expected survival of at least 12 weeks.
- Eastern Cooperative Oncology Group performance status score of 0 or 1 is required.
- Evidence of adequate organ function by standard laboratory tests.
Exclusion Criteria (Parts B & C):
- Evidence of progression of central nervous system (CNS) metastases or symptomatic CNS metastases within 35 days prior to dosing.
- Ocular melanoma which has not metastasized or presence of a non-solid tumor.
- A history of any major surgery within 4 weeks prior to dosing.
- Any history of antitumor therapy completed within 28 days prior to dosing.
- Subjects with active autoimmune disease or history of known or suspected autoimmune disease, with the exception of subjects with isolated vitiligo, resolved childhood asthma/atopy, psoriasis not requiring systemic treatment and controlled thyroid disorders.
- Clinically significant heart disease, defined as NYHA Class III or IV.
- Any significant systemic infection requiring IV antibiotics.
- Known to be human immunodeficiency virus (HIV) positive, have hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCAb) unless HCV RNA undetected/negative.
- Treatment with any other anti-human GITR monoclonal antibody (mAb) or immunomodulatory therapy 42 days prior to dosing (30 days for Interleukin-2 & Interferon-α, 7 days for Topical Imiquimod).
- Adverse events from prior anti-cancer therapy that have not resolved to grade ≤1 except for alopecia, vitiligo, or endocrinopathy managed with replacement therapy.
- Use of any investigational drugs within 30 days prior to dosing.
- Any condition that requires or is likely to require treatment with pharmacologic doses of systemic corticosteroids. Subjects are permitted to receive physiologic replacement of corticosteroid therapy (≤ 10 mg prednisone daily).
Sites / Locations
- Immunotherapeutics Core / Memorial Sloan Kettering Cancer Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
TRX518
Arm Description
Outcomes
Primary Outcome Measures
Part A: Adverse Events
Any adverse change in health or side effect from the initiation of the study drug dose through completion or premature withdrawal
Part A: TRX518 peak concentration (Cmax)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Part A: Time to peak concentration (Tmax)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Part A: Area under the curve (AUC)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Part A: Define a maximum single dose at which there are tolerable side effects and/or maximum PK/PcD parameter changes
Parts B and C: Adverse Events
Any adverse change in health or side effect from the initiation of the study drug dose through completion or premature withdrawal
Secondary Outcome Measures
Part A: Evaluate the effect of TRX518 on lymphoid cell subset number and function
Part A: Assess TRX518 immunogenicity
Part A: Evaluate the effect of TRX518 on long-term safety measuring vital signs, tumor status, adverse events
Parts B & C: TRX518 peak concentration (Cmax)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Parts B & C: Time to peak concentration (Tmax)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Parts B & C: Area under the curve (AUC)
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Parts B & C: Evaluate multi-dose TRX18 monotherapy for any evidence of antitumor activity (objective response rate, [ORR] progression free survival [PFS], duration of response and overall survival [OS]; RECIST v1.1 will be utilized
objective response rate [ORR], progression free survival [PFS], duration of response [DoR] and overall survival [OS]); RECIST v1.1 criteria will be utilized
Parts B & C: Evaluate the effect of multi-dose TRX518 monotherapy on lymphoid cell subset number and function
Parts B & C: Assess TRX518 immunogenicity
Full Information
NCT ID
NCT01239134
First Posted
November 9, 2010
Last Updated
August 12, 2019
Sponsor
Leap Therapeutics, Inc.
Collaborators
Cancer Research Institute, New York City
1. Study Identification
Unique Protocol Identification Number
NCT01239134
Brief Title
Trial of TRX518 (Anti-GITR mAb) in Stage III or IV Malignant Melanoma or Other Solid Tumors
Acronym
TRX518-001
Official Title
Part A: A First-in-Human Single Ascending Dose Study of TRX518 in Subjects With Unresectable Stage III or Stage IV Malignant Melanoma or Other Solid Tumor Malignancies Part B: A Dose-Escalation Study of Multi-dose TRX518 Monotherapy Part C: An Expansion Cohort of Multi-dose TRX518 Monotherapy at the Maximum Tolerated Dose
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
October 2010 (Actual)
Primary Completion Date
September 2018 (Actual)
Study Completion Date
September 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Leap Therapeutics, Inc.
Collaborators
Cancer Research Institute, New York City
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
TRX518-001 is an open label, non-randomized single group assignment, Phase 1 single dose escalation study in adults with biopsy proven unresectable Stage III or Stage IV melanoma or other solid tumor malignancies.
Part A: The study objectives are to determine the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) profiles of TRX518 and to define the maximum tolerated dose at which there are tolerable side effects and/or maximum PK/PD parameter changes.
Subjects will be assigned to a cohort in the order screening is completed. Dose will depend upon the cohort in which a subject is enrolled and cohorts will be dosed consecutively by ascending dose. Part A has been completed.
Part B: A Dose-Escalation Study of Multi-dose TRX518 Monotherapy with objectives including characterization of the safety, tolerability, and pharmacokinetics, as well as, evaluate for evidence of anti-tumor activity and assess TRX518 immunogenicity.
Part C: An Expansion Cohort of Multi-dose TRX518 Monotherapy at the Maximum Tolerated Dose
Detailed Description
The following visits are required:
Part A:
Screening visit: 1 to 2 appointments will be conducted to determine eligibility. All or most requirements can be determined from the patient's medical records.
Baseline visit: within 7 days of the planned study dosing day a baseline physical exam, blood tests and electrocardiogram will be obtained.
Dosing visit: 1 outpatient visit where TRX518 will be given IV over 1 hour followed by 4 hours of observation and some repeat blood tests.
Follow up visits: 5 outpatient visits following dosing at 1, 8 and 15 days and 3, 6, 12, and 18 weeks post dosing
Long term follow-up: 4 brief assessments by medical record review and/or telephone contact at 6, 12, 18, and 24 months post dosing.
The core study duration is 18 weeks. The follow-up study duration is 24 months.
Parts B & C:
Screening/Baseline visit: 1 appointment will be conducted to perform testing and evaluations for eligibility within 28 days of the first dosing day.
Dosing Visits: Each subject will receive IV doses of TRX518 once every other week (e.g., D1 and D15) in 28-day cycles
Follow up visits: When a patient stops treatment, they will enter the Follow-up Period and have an End of Treatment study visit approximately 30 days after the last dose of study drug. Subsequently, patients will have long-term follow-up approximately every 12 weeks until death or lost to follow up.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Unresectable Stage III or Stage IV Malignant Melanoma or Other Solid Tumor Malignancies
Keywords
Malignant melanoma, Metastatic, Unresectable, Stage III or Stage IV, Solid tumor
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TRX518
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
TRX518
Intervention Description
Humanized, Fc disabled, anti-human GITR (glucocorticoid-induced tumor necrosis factor receptor) monoclonal antibody
Primary Outcome Measure Information:
Title
Part A: Adverse Events
Description
Any adverse change in health or side effect from the initiation of the study drug dose through completion or premature withdrawal
Time Frame
through 30 days post last dose
Title
Part A: TRX518 peak concentration (Cmax)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
various timepoints through 1 week post dose
Title
Part A: Time to peak concentration (Tmax)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
various timepoints through 1 week post dose
Title
Part A: Area under the curve (AUC)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
various timepoints through 1 week post dose
Title
Part A: Define a maximum single dose at which there are tolerable side effects and/or maximum PK/PcD parameter changes
Time Frame
End of Cycle 1 (Day 28)
Title
Parts B and C: Adverse Events
Description
Any adverse change in health or side effect from the initiation of the study drug dose through completion or premature withdrawal
Time Frame
through 30 days post dose
Secondary Outcome Measure Information:
Title
Part A: Evaluate the effect of TRX518 on lymphoid cell subset number and function
Time Frame
At baseline and at various timepoints up to 6 weeks post dose
Title
Part A: Assess TRX518 immunogenicity
Time Frame
At baseline and at various timepoints up to 18 weeks post dose
Title
Part A: Evaluate the effect of TRX518 on long-term safety measuring vital signs, tumor status, adverse events
Time Frame
At Months 6, 12, 18 and 24
Title
Parts B & C: TRX518 peak concentration (Cmax)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
At each study visit from baseline up to end of treatment visit
Title
Parts B & C: Time to peak concentration (Tmax)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
At each study visit from baseline up to end of treatment visit
Title
Parts B & C: Area under the curve (AUC)
Description
Observations of the distribution, duration of effects and chemical changes of TRX518 in the body and the effects and routes of the body's elimination of TRX518
Time Frame
At each study visit from baseline up to end of treatment visit
Title
Parts B & C: Evaluate multi-dose TRX18 monotherapy for any evidence of antitumor activity (objective response rate, [ORR] progression free survival [PFS], duration of response and overall survival [OS]; RECIST v1.1 will be utilized
Description
objective response rate [ORR], progression free survival [PFS], duration of response [DoR] and overall survival [OS]); RECIST v1.1 criteria will be utilized
Time Frame
Every 8 weeks while on study treatment and every 12 weeks for survival until death or lost to follow up.
Title
Parts B & C: Evaluate the effect of multi-dose TRX518 monotherapy on lymphoid cell subset number and function
Time Frame
At baseline and at various timepoints up to end of treatment visit
Title
Parts B & C: Assess TRX518 immunogenicity
Time Frame
At baseline and at various timepoints up to end of treatment visit
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria (Parts B & C):
18 years or older
Histologically confirmed unresectable Stage III or Stage IV malignant melanoma, or other solid tumor malignancies
Failed to respond to or relapsed following standard treatment, declined or was not eligible for standard treatment.
Expected survival of at least 12 weeks.
Eastern Cooperative Oncology Group performance status score of 0 or 1 is required.
Evidence of adequate organ function by standard laboratory tests.
Exclusion Criteria (Parts B & C):
Evidence of progression of central nervous system (CNS) metastases or symptomatic CNS metastases within 35 days prior to dosing.
Ocular melanoma which has not metastasized or presence of a non-solid tumor.
A history of any major surgery within 4 weeks prior to dosing.
Any history of antitumor therapy completed within 28 days prior to dosing.
Subjects with active autoimmune disease or history of known or suspected autoimmune disease, with the exception of subjects with isolated vitiligo, resolved childhood asthma/atopy, psoriasis not requiring systemic treatment and controlled thyroid disorders.
Clinically significant heart disease, defined as NYHA Class III or IV.
Any significant systemic infection requiring IV antibiotics.
Known to be human immunodeficiency virus (HIV) positive, have hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCAb) unless HCV RNA undetected/negative.
Treatment with any other anti-human GITR monoclonal antibody (mAb) or immunomodulatory therapy 42 days prior to dosing (30 days for Interleukin-2 & Interferon-α, 7 days for Topical Imiquimod).
Adverse events from prior anti-cancer therapy that have not resolved to grade ≤1 except for alopecia, vitiligo, or endocrinopathy managed with replacement therapy.
Use of any investigational drugs within 30 days prior to dosing.
Any condition that requires or is likely to require treatment with pharmacologic doses of systemic corticosteroids. Subjects are permitted to receive physiologic replacement of corticosteroid therapy (≤ 10 mg prednisone daily).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Principle Investigator: Jedd Wolchok, MD, PhD
Organizational Affiliation
Memorial Sloan Kettering Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Immunotherapeutics Core / Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.mskcc.org/mskcc/html/14327.cfm
Description
Melanoma Trials at MSKCC
Learn more about this trial
Trial of TRX518 (Anti-GITR mAb) in Stage III or IV Malignant Melanoma or Other Solid Tumors
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