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YH001 Plus Envafolimab With or Without Doxorubicin in Patients With Advanced or Metastatic Sarcoma

Primary Purpose

Advanced Sarcoma, Metastatic Sarcoma, Soft Tissue Sarcoma

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
YH001
Envafolimab
Doxorubicin
Sponsored by
Tracon Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Sarcoma focused on measuring Tracon, STS, LMS, DDLS, ASPS, envafolimab, YH001, CTLA-4, PD-L1, chondrosarcoma

Eligibility Criteria

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

Inclusion Criteria:

  1. Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who are refractory to or intolerant to standard treatments for their disease.
  2. Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who have not received any immune checkpoint inhibitors or doxorubicin, and with histology for which doxorubicin is considered a reasonable treatment option (for Cohort 1B, 2B and Expanded Cohort 1B and/or 2B)
  3. Measurable disease by RECIST 1.1
  4. Age ≥ 18 years
  5. Adequate organ function
  6. Left ventricular ejection fraction (LVEF) as measured by echo or multigated acquisition scan of > 50% (for patients to receive doxorubicin)
  7. Willingness and ability to consent for self to participate in study
  8. Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
  9. Men who are sterile or agree to use a condom with spermicide .
  10. Women of non-child bearing potential due to surgical sterilization or medically-documented ovarian failure confirmed by medical history, or women of child bearing potential who test negative for pregnancy at time of enrollment and agree to use at least 2 acceptable methods of birth control

Exclusion Criteria:

  1. Gastrointestinal stromal tumor (GIST) or desmoid tumors
  2. Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days prior to enrollment
  3. Known allergy to any component of any study drug that the patient would receive if enrolled into this study
  4. Prior T-cell or NK-cell therapy
  5. Prior pericardial or mediastinal radiation (for patients to receive doxorubicin)
  6. Acute coronary syndromes within 6 months of enrollment
  7. Women who are pregnant or breast feeding
  8. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for this study

Sites / Locations

  • Sarcoma Oncology Center
  • Northwestern University
  • Memorial Sloan Kettering Cancer Center
  • Duke University
  • Cleveland Clinic
  • University of Pittsburgh Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

P1 Cohort 1A: Dose 1 YH001 + Dose 1 Envafolimab Q3WK

P1 Cohort 2A: Dose 2 YH001 + Dose 1 Envafolimab Q3WK

P1 Cohort 1B: Dose 1 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK

P1 Cohort 2B: Dose 2 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK

P2: Sarcoma Subtype 1 RP2D YH001 + Dose 1 Envafolimab Q3WK

P2: Sarcoma Subtype 2 RP2D YH001 + Dose 1 Envafolimab Q3WK

P2: Sarcoma Subtype 3 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK

P2: Sarcoma Subtype 4 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK

Arm Description

Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.

Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.

Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.

Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.

Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks

Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks

Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses

Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses

Outcomes

Primary Outcome Measures

Phase 1: Determine recommended phase 2 dose of YH001 in combination with Envafolimab
Evaluate safety and tolerability and determine the recommended Phase 2 dose (RP2D) of YH001 when given with envafolimab dosed SC every 3 weeks in patients with advanced or metastatic sarcoma who are refractory to or intolerant to other available therapies.
Phase 1: Determine recommended phase 2 dose of YH001 in combination with Envafolimab with Doxorubicin
Evaluate safety and tolerability and determine RP2D of YH001 in combination with envafolimab dosed SC every 3 weeks and doxorubicin dosed every three weeks in patients with advanced or metastatic sarcoma who have not received doxorubicin and are refractory to or intolerant to other available therapies.
Phase 2: Determine the objective response rate (ORR) of YH001 in combination with Envafolimab and Doxorubicin
Determine the ORR of envafolimab, YH001 and doxorubicin by RECIST 1.1 by investigator assessment in patients who have not received immune checkpoint inhibitors or doxorubicin with subtypes of advanced or metastatic soft tissue sarcoma.
Phase 2: Determine the objective response rate (ORR) of YH001 in combination with Envafolimab
Determine the ORR of envafolimab and YH001 by RECIST 1.1 by investigator in patients with subtypes of advanced or metastatic soft tissue sarcoma who have not received immune checkpoint inhibitors.

Secondary Outcome Measures

Phase 1: YH001 concentrations
Determine YH001 trough concentration when given with envafolimab with or without doxorubicin.
Phase 1: Envafolimab concentrations
Determine envafolimab trough concentration when given with YH001 with or without doxorubicin.
Phase 1: Determine the Rate of YH001 Immunogenicity
Evaluate the formation of YH001 anti-drug antibodies (ADA).
Phase 1: Determine the Rate of Envafolimab Immunogenicity
Evaluate the formation of envafolimab anti-drug antibodies (ADA).
Phase 1: Assessment of antitumor activity
Assess objective response rate (ORR) of YH001 by investigator using RECIST 1.1 when combined with envafolimab or envafolimab/doxorubicin combination in patients with advanced or metastatic sarcoma.
Phase 2: Determine the disease control rate (DCR)
Determine the Disease Control Rate of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Phase 2: Determine duration of response (DOR)
Determine the Duration of Response of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Phase 2: Determine Progression Free Survival (PFS)
Determine Progression Free Survival of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Phase 2: Determine Overall Survival (OS)
Determine Overall Survival of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Phase 2: YH001 concentration
Determine YH001 trough concentration when given with envafolimab with or without doxorubicin.
Phase 2: Envafolimab concentration
Determine envafolimab trough concentration when given with YH001 with or without doxorubicin.
Phase 2: Determine the Rate of YH001 Immunogenicity
Evaluate the formation of YH001 anti-drug antibodies (ADA).
Phase 2: Determine the Rate of Envafolimab Immunogenicity
Evaluate the formation of envafolimab anti-drug antibodies (ADA).
Phase 2: Type Incidence and Severity of Adverse Events
Type, incidence, severity (graded by National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE] Version 5.0), timing, seriousness, and relatedness of AEs and laboratory abnormalities.

Full Information

First Posted
June 28, 2022
Last Updated
September 19, 2023
Sponsor
Tracon Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05448820
Brief Title
YH001 Plus Envafolimab With or Without Doxorubicin in Patients With Advanced or Metastatic Sarcoma
Official Title
A Phase 1/2 Study of YH001 in Combination With Envafolimab With or Without Doxorubicin in Patients With Advanced or Metastatic Sarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 14, 2022 (Actual)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
September 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tracon Pharmaceuticals Inc.

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 multicenter, open label, Phase 1/2 study of YH001 initially given in combination with envafolimab, and then given in combination with envafolimab plus doxorubicin in patients with advanced or metastatic sarcoma, followed by Phase 2 cohorts of patients with select histologies of advanced or metastatic sarcoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Sarcoma, Metastatic Sarcoma, Soft Tissue Sarcoma
Keywords
Tracon, STS, LMS, DDLS, ASPS, envafolimab, YH001, CTLA-4, PD-L1, chondrosarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
P1 Cohort 1A: Dose 1 YH001 + Dose 1 Envafolimab Q3WK
Arm Type
Experimental
Arm Description
Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.
Arm Title
P1 Cohort 2A: Dose 2 YH001 + Dose 1 Envafolimab Q3WK
Arm Type
Experimental
Arm Description
Dose 1 of YH001 will be dosed in combination with Dose 1 Envafolimab every 3 weeks.
Arm Title
P1 Cohort 1B: Dose 1 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
Arm Type
Experimental
Arm Description
Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.
Arm Title
P1 Cohort 2B: Dose 2 YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
Arm Type
Experimental
Arm Description
Dose 1 of YH001 will be dosed in combination with Dose 1 of Envafolimab with Doxorubicin every 3 weeks.
Arm Title
P2: Sarcoma Subtype 1 RP2D YH001 + Dose 1 Envafolimab Q3WK
Arm Type
Experimental
Arm Description
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks
Arm Title
P2: Sarcoma Subtype 2 RP2D YH001 + Dose 1 Envafolimab Q3WK
Arm Type
Experimental
Arm Description
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks
Arm Title
P2: Sarcoma Subtype 3 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
Arm Type
Experimental
Arm Description
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses
Arm Title
P2: Sarcoma Subtype 4 RP2D YH001 + Dose 1 Envafolimab + Doxorubicin Q3WK
Arm Type
Experimental
Arm Description
Recommended Phase 2 Dose of YH001 in combination with Dose 1 of Envafolimab every 3 weeks and Doxorubicin every 3 weeks for a maximum of 6 doses
Intervention Type
Drug
Intervention Name(s)
YH001
Intervention Description
Anti-CTLA4 antibody
Intervention Type
Drug
Intervention Name(s)
Envafolimab
Other Intervention Name(s)
KN035
Intervention Description
Anti-PD-L1 antibody
Intervention Type
Drug
Intervention Name(s)
Doxorubicin
Intervention Description
Anthracycline
Primary Outcome Measure Information:
Title
Phase 1: Determine recommended phase 2 dose of YH001 in combination with Envafolimab
Description
Evaluate safety and tolerability and determine the recommended Phase 2 dose (RP2D) of YH001 when given with envafolimab dosed SC every 3 weeks in patients with advanced or metastatic sarcoma who are refractory to or intolerant to other available therapies.
Time Frame
8 months
Title
Phase 1: Determine recommended phase 2 dose of YH001 in combination with Envafolimab with Doxorubicin
Description
Evaluate safety and tolerability and determine RP2D of YH001 in combination with envafolimab dosed SC every 3 weeks and doxorubicin dosed every three weeks in patients with advanced or metastatic sarcoma who have not received doxorubicin and are refractory to or intolerant to other available therapies.
Time Frame
8 months
Title
Phase 2: Determine the objective response rate (ORR) of YH001 in combination with Envafolimab and Doxorubicin
Description
Determine the ORR of envafolimab, YH001 and doxorubicin by RECIST 1.1 by investigator assessment in patients who have not received immune checkpoint inhibitors or doxorubicin with subtypes of advanced or metastatic soft tissue sarcoma.
Time Frame
18 months
Title
Phase 2: Determine the objective response rate (ORR) of YH001 in combination with Envafolimab
Description
Determine the ORR of envafolimab and YH001 by RECIST 1.1 by investigator in patients with subtypes of advanced or metastatic soft tissue sarcoma who have not received immune checkpoint inhibitors.
Time Frame
22 months
Secondary Outcome Measure Information:
Title
Phase 1: YH001 concentrations
Description
Determine YH001 trough concentration when given with envafolimab with or without doxorubicin.
Time Frame
8 months
Title
Phase 1: Envafolimab concentrations
Description
Determine envafolimab trough concentration when given with YH001 with or without doxorubicin.
Time Frame
8 months
Title
Phase 1: Determine the Rate of YH001 Immunogenicity
Description
Evaluate the formation of YH001 anti-drug antibodies (ADA).
Time Frame
8 months
Title
Phase 1: Determine the Rate of Envafolimab Immunogenicity
Description
Evaluate the formation of envafolimab anti-drug antibodies (ADA).
Time Frame
8 months
Title
Phase 1: Assessment of antitumor activity
Description
Assess objective response rate (ORR) of YH001 by investigator using RECIST 1.1 when combined with envafolimab or envafolimab/doxorubicin combination in patients with advanced or metastatic sarcoma.
Time Frame
8 months
Title
Phase 2: Determine the disease control rate (DCR)
Description
Determine the Disease Control Rate of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Time Frame
22 months
Title
Phase 2: Determine duration of response (DOR)
Description
Determine the Duration of Response of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Time Frame
22 months
Title
Phase 2: Determine Progression Free Survival (PFS)
Description
Determine Progression Free Survival of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Time Frame
22 months
Title
Phase 2: Determine Overall Survival (OS)
Description
Determine Overall Survival of envafolimab, YH001 and doxorubicin or envafolimab and YH001 in patients with advanced or metastatic sarcoma.
Time Frame
22 months
Title
Phase 2: YH001 concentration
Description
Determine YH001 trough concentration when given with envafolimab with or without doxorubicin.
Time Frame
22 months
Title
Phase 2: Envafolimab concentration
Description
Determine envafolimab trough concentration when given with YH001 with or without doxorubicin.
Time Frame
22 months
Title
Phase 2: Determine the Rate of YH001 Immunogenicity
Description
Evaluate the formation of YH001 anti-drug antibodies (ADA).
Time Frame
22 months
Title
Phase 2: Determine the Rate of Envafolimab Immunogenicity
Description
Evaluate the formation of envafolimab anti-drug antibodies (ADA).
Time Frame
22 months
Title
Phase 2: Type Incidence and Severity of Adverse Events
Description
Type, incidence, severity (graded by National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE] Version 5.0), timing, seriousness, and relatedness of AEs and laboratory abnormalities.
Time Frame
25 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who are refractory to or intolerant to standard treatments for their disease. Histologically confirmed advanced or metastatic sarcoma patients without UPS or MFS who have not received any immune checkpoint inhibitors or doxorubicin, and with histology for which doxorubicin is considered a reasonable treatment option (for Cohort 1B, 2B and Expanded Cohort 1B and/or 2B) Measurable disease by RECIST 1.1 Age ≥ 18 years Adequate organ function Left ventricular ejection fraction (LVEF) as measured by echo or multigated acquisition scan of > 50% (for patients to receive doxorubicin) Willingness and ability to consent for self to participate in study Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures Men who are sterile or agree to use a condom with spermicide . Women of non-child bearing potential due to surgical sterilization or medically-documented ovarian failure confirmed by medical history, or women of child bearing potential who test negative for pregnancy at time of enrollment and agree to use at least 2 acceptable methods of birth control Exclusion Criteria: Gastrointestinal stromal tumor (GIST) or desmoid tumors Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days prior to enrollment Known allergy to any component of any study drug that the patient would receive if enrolled into this study Prior T-cell or NK-cell therapy Prior pericardial or mediastinal radiation (for patients to receive doxorubicin) Acute coronary syndromes within 6 months of enrollment Women who are pregnant or breast feeding Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the patient inappropriate for this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Freddo, MD
Organizational Affiliation
Medical Monitor
Official's Role
Study Director
Facility Information:
Facility Name
Sarcoma Oncology Center
City
Santa Monica
State/Province
California
ZIP/Postal Code
90403
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Duke University
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.traconpharma.com
Description
TRACON Pharmaceuticals

Learn more about this trial

YH001 Plus Envafolimab With or Without Doxorubicin in Patients With Advanced or Metastatic Sarcoma

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