Clinical Trials /

Dose Escalation Study of ADXS31-164 in Subjects With HER2 Expressing Solid Tumors

NCT02386501

Description:

This is a Phase 1b, multicenter, open-label, dose-escalation study designed to estimate the maximum tolerated dose (MTD) and determine the recommended Phase 2 dose (RP2D) of ADXS31-164. Once the RP2D has been selected, up to 4 expansion cohorts will be evaluated.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Dose Escalation Study of ADXS31-164 in Subjects With HER2 Expressing Solid Tumors
  • Official Title: A Phase 1b Dose Escalation Study of ADXS31-164 in Subjects With HER2 Expressing Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: 164-05
  • NCT ID: NCT02386501

Conditions

  • HER2 Expressing Solid Tumors

Interventions

DrugSynonymsArms
ADXS31-164ADXS31-164

Purpose

This is a Phase 1b, multicenter, open-label, dose-escalation study designed to estimate the maximum tolerated dose (MTD) and determine the recommended Phase 2 dose (RP2D) of ADXS31-164. Once the RP2D has been selected, up to 4 expansion cohorts will be evaluated.

Detailed Description

      This is a Phase 1b, dose-escalation, open-label study in subjects with HER2 expressing solid
      tumors. Subjects will receive escalating doses of ADXS31-164 every 3 weeks during a 12-week
      treatment cycle. Subjects will receive a prophylactic regimen completed at least 30 minutes
      prior to each ADXS31-164 infusion to mitigate and manage the potential immune response seen
      with immunotherapy administration. In addition, all subjects will participate in a 3 year Lm
      surveillance period. The surveillance period will begin following the last dose of study
      treatment or at the time of study discontinuation. This period is intended to help ensure the
      eradication of Lm bacteria. This period will also include a 6- month course of
      trimethoprim/sulfamethoxazole which will be initiated approximately 72 hours after the
      completion of the last dose of ADXS31-164 or immediately following study discontinuation. In
      subjects with a sulfa allergy, the 6-month course should consist of ampicillin 500 mg 4 times
      daily initiated approximately 72 hours following the last dose of study treatment or
      immediately following study discontinuation.

      Dose escalations and de-escalations will be dictated by a 3+3 design. Three dose levels may
      be evaluated during the dose escalation portion starting with Dose Level 1 at 1 x 109 colony
      forming units (CFU). Once the Maximum Tolerated Dose (MTD) and RP2D have been identified, up
      to 4 HER2 overexpressing tumor specific expansion cohorts will be evaluated. The specific
      tumor types included in the expansion cohorts may include breast and gastric cancer with the
      remaining to be determined by the sponsor after review of data from Part A. Treatment cycles
      can be repeated at the RP2D (or less) for each subject for up to 2 years, until a study
      discontinuation criterion is met or he/she has completed >6 months of study therapy and at
      least 1 cycle of treatment post observation of a complete response (CR)
    

Trial Arms

NameTypeDescriptionInterventions
ADXS31-164ExperimentalDose/Potency 5 x 108 CFU; 1 x 109 CFU; 5 x 109 CFU; 1 x 1010 CFU
  • ADXS31-164

Eligibility Criteria

        Inclusion Criteria:

          -  HER2 Positive

          -  Have histological or cytological diagnosis of locally advanced/metastatic HER2 solid
             tumors that has progressed or become intolerant to standard therapy or for which no
             standard therapy is available

          -  Have measurable and/or evaluable disease based on RECIST 1.1.

          -  ECOG performance status of 0 to 1

        Exclusion Criteria:

          -  Is newly diagnosed with a curative treatment option available.

          -  Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any
             other form of' immunosuppressive therapy within 7 days prior to the first dose of
             trial treatment.

          -  Has had a prior monoclonal antibody therapy within 2 weeks prior to study Day 1.
             (Prior anti-HER2 therapy is acceptable).

          -  Has received anticancer chemotherapy, surgical treatment, and/or radiation therapy
             (except palliative radiation therapy for disease-related pain with a consult with the
             sponsor's medical monitor) within ≤2 weeks of first study treatment.

          -  Is dependent on, currently or has received within the past 4 weeks corticosteroids
             (hormone replacement therapy, topical corticosteroids and occasional inhaled
             corticosteroids are allowed).

          -  Has a contraindication to administration of trimethoprim/sulfamethoxazole or
             ampicillin.

          -  Has implanted medical device(s) that pose a high risk for colonization and/or cannot
             be easily removed (e.g., prosthetic joints, artificial heart valves, pacemakers,
             orthopedic screw(s), metal plate(s), bone graft(s), or other exogenous implant(s)).
             NOTE: More common devices and prosthetics which include arterial and venous stents,
             dental and breast implants, and venous access devices (e.g., Port-a-Cath or Mediport)
             are permitted. Sponsor must be contacted prior to consenting any subject who has any
             other device and/or implant.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of patients with dose-limiting toxicities for each dose level as assessed by CTCAE v 4.0
Time Frame:4 Months
Safety Issue:
Description:The type, incidence, severity, and causality of each AE, the duration of the event, and any required treatment interventions will be tabulated.

Secondary Outcome Measures

Measure:Proportion of patients who have objective tumor response (complete or partial)
Time Frame:3 Years
Safety Issue:
Description:Tumor response will be evaluated by RECIST 1.1 and irRECIST criteria.
Measure:Changes in clinical immunology based upon serum
Time Frame:Baseline through 12 Weeks
Safety Issue:
Description:Immunologic effects will be measured and evaluated by collection of peripheral blood for preparation of peripheral blood mononuclear cells (PBMCs) and serum at baseline, prior to each treatment and posttreatment in the first treatment cycle only.

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Advaxis, Inc.

Last Updated

July 16, 2020