Clinical Trials /

Safety & Immunogenicity of JNJ-64041757, Live-attenuated Double-deleted Listeria Immunotherapy, in Subjects With Non Small Cell Lung Cancer

NCT02592967

Description:

The purpose of this study is to determine the recommended Phase 2 dose (RP2D) of JNJ-64041757 a live attenuated double deleted (LADD) Listeria monocytogenes (bacteria in which two virulence genes, which encode molecules that help cause disease, have been removed) when administered intravenously to participants with advanced (Stage IIIb) or metastatic (Stage IV) NSCLC (adenocarcinoma).

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Safety & Immunogenicity of JNJ-64041757, Live-attenuated Double-deleted Listeria Immunotherapy, in Subjects With Non Small Cell Lung Cancer
  • Official Title: An Open Label Phase 1 Study of Safety and Immunogenicity of JNJ-64041757, A Live Attenuated Listeria Monocytogenes Immunotherapy, in Subjects With Non-Small Cell Lung Cancer

Clinical Trial IDs

  • ORG STUDY ID: CR107667
  • SECONDARY ID: 64041757LUC1001
  • NCT ID: NCT02592967

Conditions

  • Carcinoma, Non-Small-Cell Lung

Interventions

DrugSynonymsArms
JNJ-64041757 (Cohort 1A and 1B)Cohort 1A and 1B
JNJ-64041757 (Cohort 2A and 2B)Cohort 2A and 2B

Purpose

The purpose of this study is to determine the recommended Phase 2 dose (RP2D) of JNJ-64041757 a live attenuated double deleted (LADD) Listeria monocytogenes (bacteria in which two virulence genes, which encode molecules that help cause disease, have been removed) when administered intravenously to participants with advanced (Stage IIIb) or metastatic (Stage IV) NSCLC (adenocarcinoma).

Detailed Description

      This is a first-in-human (FIH), Phase 1, open-label, multicenter and 2-part study in
      participants with advanced (Stage IIIb) or metastatic (Stage IV) non-small cell lung cancer
      (NSCLC) (adenocarcinoma). Part 1 of study will be Dose Escalation phase to determine the
      recommended Phase 2 dose (RP2D) based on safety and pharmacodynamic assessments and Part 2
      will be Dose Expansion Phase to evaluate 2 expansion cohorts (Cohort 2A and 2B) after the
      RP2D for JNJ-64041757 is determined in Part 1. The study will consist of a Screening Period
      (from signing of informed consent until immediately before the first dose), an open-label
      Treatment Period (from the first dose of study drug until the End-of-Treatment Visit); and a
      Post treatment Follow-up Period (after the End-of Treatment Visit until study
      discontinuation). Dose limiting toxicity (DLT) in part 1, antigen-specific T-cell response in
      part 2 and incidence of adverse events in both the parts will be primarily evaluated.
    

Trial Arms

NameTypeDescriptionInterventions
Cohort 1A and 1BExperimentalJNJ-64041757 will be administered intravenously (IV) once every 21 days.
  • JNJ-64041757 (Cohort 1A and 1B)
Cohort 2A and 2BExperimentalJNJ-64041757 will be administered intravenously (IV) once every 21 days.
  • JNJ-64041757 (Cohort 2A and 2B)

Eligibility Criteria

        Inclusion Criteria:

          -  Disease-related criteria for Part 1 and Part 2: 1) Histologically or cytologically
             documented non-small cell lung cancer (NSCLC) - adenocarcinoma; 2) Stage III b or IV
             disease; 3) Tested for presence of echinoderm microtubule-associated protein-like 4
             anaplastic lymphoma kinase (EML4-ALK) rearrangement; 4) Received at least 2 prior
             lines of Food and Drug Administration (FDA)-approved systemic therapy, of which one
             therapy has to be a platinum-containing regimen OR failed or completed a first-line
             platinum-containing regimen and refused a second-line regimen despite being informed
             about the different therapeutic options and their specific clinical benefit by the
             investigator; the content of this informed consent discussion including the
             therapeutic options reviewed by the investigator needs to be documented and the
             subject needs to sign a specific consent form; Disease-related criteria for Cohort 2B
             only: 1) Mesothelin protein overexpression, defined by immunohistochemistry (IHC) as
             detection of the protein by greater than or equal (>=) 50 percent (%) of tumor cells
             on archived tumor material; 2) Primary tumor or metastatic lesion(s) amenable to tumor
             core biopsies

          -  At least 1 measurable tumor lesion per RECIST v1.1 (exception: subjects in Part 1 are
             not required to present with measurable disease)

          -  Eastern Cooperative Oncology Group (ECOG) Performance status score of 0 to 1

          -  At least 28 days since the last chemotherapy or immunotherapy prior to the first dose;
             at least 14 days since the last radiation prior to the first dose (exception:
             palliative radiotherapy for pain can be used greater than or equal to (>=) 7 days
             prior to or after infusion)

        Exclusion Criteria:

          -  Untreated brain metastases. Subjects must have completed treatment for brain
             metastasis, and be neurologically stable off steroids, for at least 28 days prior to
             first dose of study drug

          -  History of listeriosis or vaccination with a listeria-based vaccine or prophylactic
             vaccine (eg, influenza, pneumococcal, diphtheria, tetanus, and pertussis [dTP/dTAP])
             within 28 days of study treatment

          -  Known allergy to both penicillin and trimethoprim/sulfamethoxazole. Participants who
             are allergic to only one of these antibiotics are allowed to enroll

          -  Concurrent treatment with anti-Tumor necrosis factor alpha (TNF alpha) therapies,
             systemic corticosteroids (prednisone dose greater than [>]10 mg per day or equivalent)
             or other immune suppressive drugs within the 2 weeks prior to Screening. Steroids that
             are topical, inhaled, nasal (spray) or ophthalmic solution are permitted

          -  Positive test result for human immunodeficiency virus (HIV) or acquired immune
             deficiency syndrome (AIDS)
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part 1: Incidence of Dose-limiting toxicity (DLT)
Time Frame:First 21 days after the first infusion
Safety Issue:
Description:Percentage of participants who experienced DLT will be evaluated. The DLT dose level is defined as an unacceptable level of toxicity as evidenced by a DLT rate of greater than or equal to (>=) 33%.

Secondary Outcome Measures

Measure:Part 1 and Part 2: Objective Response Rate (ORR)
Time Frame:Baseline up to 30 days after last dose of study drug
Safety Issue:
Description:Objective response rate is defined as the percentage of participants who achieve complete response (CR) or partial response (PR), as assessed by the investigator.
Measure:Part 1 and Part 2: Duration of Response (DOR)
Time Frame:Baseline up to 30 days after last dose of study drug
Safety Issue:
Description:Duration of response will be calculated from the date of initial documentation of a response (CR or PR) to the date of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death.
Measure:Part 1 and Part 2: Progression-free Survival (PFS)
Time Frame:Baseline up to 30 days after last dose of study drug
Safety Issue:
Description:Progression-free survival is defined as the duration from the date of first dose of study drug until the date of first documented evidence of progressive disease (or relapse for subjects who experience CR during the study) or death, whichever comes first.
Measure:Part 1 and Part 2: Blood Culture Assessment of JNJ-64041757
Time Frame:Periodically during treatment and up to one year after End of Treatment (EOT) visit
Safety Issue:
Description:This assessment will include the reporting of surveillance blood cultures (peripherally drawn, and through venous access device [if applicable]) for 1 year after the completion of JNJ-64041757 therapy.
Measure:Part 1 and Part 2: Shedding Profile of JNJ-64041757 From Cultured Samples of Feces, Urine, and Saliva
Time Frame:During cycle 1 (up to 21 days of treatment period) and at EOT visit (within 30 days after last dose)
Safety Issue:
Description:The shedding profile of JNJ-64041757 will be studied in cultures of (1) feces by stool or rectal swab, (2) urine samples, and (3) saliva samples.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Janssen Research & Development, LLC

Trial Keywords

  • Carcinoma, Non-Small-Cell Lung
  • JNJ-64041757
  • Listeria monocytogenes

Last Updated

November 26, 2018