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.
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
Drug | Synonyms | Arms |
---|
ADXS31-164 | | ADXS31-164 |
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
Name | Type | Description | Interventions |
---|
ADXS31-164 | Experimental | Dose/Potency 5 x 108 CFU; 1 x 109 CFU; 5 x 109 CFU; 1 x 1010 CFU | |
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