Description:
Multicenter, open-label, phase 1a/1b trial of TTI-621 in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.
Multicenter, open-label, phase 1a/1b trial of TTI-621 in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.
Recruiting
Phase 1
Drug | Synonyms | Arms |
---|---|---|
TTI-621 | SIRPαFc | Acute Lymphoblastic Leukemia |
TTI-621 plus Rituximab | TTI-621 plus Rituxan | Rituximab Combination |
TTI-621 plus Nivolumab | TTI-621 plus Opdivo | Nivolumab Combination |
This is a trial of TTI-621 in subjects with relapsed or refractory hematologic malignancies and selected solid tumors. TTI-621 (SIRPαFc) is a soluble recombinant fusion protein created by directly linking the sequences encoding the N-terminal CD47 binding domain of human SIRPα with the Fc domain of human immunoglobulin (IgG1). TTI-621 acts by binding human CD47 and preventing it from delivering an inhibitory "do not eat" (anti phagocytic) signal to macrophages. This trial will be conducted in 2 phases and 4 parts: Phase 1a Part 1 (escalation phase) and Phase 1b Parts 2-4 (expansion phase). In the dose Escalation Phase (phase 1a Part 1), subjects with lymphoma will be enrolled in sequential dose cohorts to receive TTI-621 to characterize safety, tolerability, pharmacokinetics, and the maximum-tolerated dose (MTD). In the Expansion Phase (phase 1b Parts 2-4), TTI-621 will be given to subjects with a variety of hematologic malignancies and selected solid tumors to further define safety and to characterize efficacy. In the Expansion Phase Part 2, the safety and efficacy of TTI-621 will also be assessed when it is given in combination with other anti-cancer drugs. The dose of TTI-621 to be delivered in the Expansion Phase Parts 2-3 of the study may be increased or decreased based on the subject's tolerability and on the subject's response to treatment. In the phase 1b dose optimization of the study (Part 4), further dose escalation of TTI-621, beyond the dose determined during phase 1a dose escalation, will be pursued in patients with relapsed and/or refractory CTCL following a 3+3 escalation design and using a revised DLT criteria to further evaluate the safety and tolerability of TTI-621 at dose levels higher than the initially recommended phase 1b Parts 2-3. Secondary objectives include further characterization of the pharmacokinetics, pharmacodynamics, and development of ADA; and to gain preliminary evidence of the anti-tumor activity of TTI-621 in subjects with a variety of hematologic malignancies and selected solid tumors. In addition, the safety of TTI-621 will be evaluated in combination with other anti-cancer agents.
Name | Type | Description | Interventions |
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TTI-621 Escalation Phase | Experimental | The Escalation Phase will include multiple doses of TTI-621 |
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Indolent B-Cell Lymphoma | Experimental | Monotherapy expansion cohort with TTI-621 |
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Aggressive B-Cell Lymphoma | Experimental | Monotherapy expansion cohort with TTI-621 |
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T-Cell Lymphoma | Experimental | Monotherapy expansion cohort with TTI-621 |
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Hodgkin Lymphoma | Experimental | Monotherapy expansion cohort with TTI-621 |
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Chronic Lymphocytic Leukemia | Experimental | Monotherapy expansion cohort with TTI-621 |
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Acute Lymphoblastic Leukemia | Experimental | Monotherapy expansion cohort with TTI-621 |
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Multiple Myeloma | Experimental | Monotherapy expansion cohort with TTI-621 |
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Acute Myeloid Leukemia | Experimental | Monotherapy expansion cohort with TTI-621 |
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Myelodysplastic Syndrome | Experimental | Monotherapy expansion cohort with TTI-621 |
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Myeloproliferative Neoplasms | Experimental | Monotherapy expansion cohort with TTI-621 |
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Small Cell Lung Cancer | Experimental | Monotherapy expansion cohort with TTI-621 |
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Rituximab Combination | Experimental | Combination therapy expansion cohort with TTI-621 plus Rituximab for CD20 positive malignancies |
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Nivolumab Combination | Experimental | Combination therapy expansion cohort with TTI-621 plus Nivolumab for Hodgkin Lymphoma |
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Cutaneous T-Cell Lymphoma (CTCL) | Experimental | Monotherapy expansion cohort with TTI-621 |
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Peripheral T-Cell Lymphoma (PTCL) | Experimental | Monotherapy expansion cohort with TTI-621 |
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Part 4: Cutaneous T-Cell Lymphoma (CTCL) | Experimental | Monotherapy expansion Part 4 (Dose Optimization) cohort with TTI-621 |
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Inclusion Criteria: 1. Advanced measurable malignancy 2. Adequate hematologic status 3. Relapsed or are refractory following at least 2 prior systemic therapeutic attempts (1 prior systemic attempt for PTCL). For CTCL, extracorporal photochemotherapy (ECP) will be considered a systemic therapy. Local radiation and topical agents are not systemic therapies. 4. Adequate coagulation function 5. Adequate hepatic function 6. Adequate renal function Exclusion Criteria: 1. Known, current central nervous system disease involvement or untreated brain metastases 2. Allogeneic transplant within 30 days prior to the planned start of treatment or subjects with active graft-vs-host disease with the exception of Grade 1 skin involvement 3. History of hemolytic anemia or bleeding diathesis
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Measure: | Incidence and severity of adverse events |
Time Frame: | 42 months |
Safety Issue: | |
Description: | Safety and tolerability of TTI-621 when given alone and in combination with other anti-cancer agents to subjects with a variety of hematologic malignancies and with selected solid tumors, and to evaluate the safety of a standardized intra-subject TTI-621 dose intensification schedule. Part 4: To further evaluate the safety and tolerability of TTI-621 at dose levels higher than the initially recommended phase 1b Parts 2 and 3 dose and to reassess the MTD and/or recommended phase 2 dose per revised DLT criteria following a 3+3 dose escalation schema. |
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Trillium Therapeutics Inc. |
September 1, 2021