Description:
This study will enroll patients who have metastatic pancreatic cancer and have progressed on
prior chemotherapy.
Part 1 (dose escalation) participants will receive
epacadostat/pembrolizumab/cyclophosphamide(CY)/GVAX pancreas vaccine followed by
epacadostat/pembrolizumab/CRS-207, Part 1X (dose escalation) participants will receive
epacadostat/pembrolizumab/CRS-207. Part 2X (dose expansion) participants will receive
epacadostat/pembrolizumab/CRS-207.
The primary objectives of this study are to determine the recommended dose of epacadostat in
this combination and assess survival of subjects in both treatment groups.
Title
- Brief Title: Epacadostat, Pembrolizumab, and CRS-207, With or Without CY/GVAX Pancreas in Patients With Metastatic Pancreas Cancer
- Official Title: Phase 2 Study of Epacadostat, Pembrolizumab, and CRS-207, With or Without Cyclophosphamide and GVAX Pancreas Vaccine in Patients With Metastatic Pancreas Cancer
Clinical Trial IDs
- ORG STUDY ID:
J16173
- SECONDARY ID:
IRB00118520
- NCT ID:
NCT03006302
Conditions
- Metastatic Pancreatic Adenocarcinoma
Interventions
Drug | Synonyms | Arms |
---|
Epacadostat | INCB024360 | Epacadostat/Pembrolizumab/CRS-207 |
Pembrolizumab | MK-3475, anti-PD-1 mAb | Epacadostat/Pembrolizumab/CRS-207 |
CRS-207 | | Epacadostat/Pembrolizumab/CRS-207 |
CY | cyclophosphamide, cytoxan | Epacadostat/Pembrolizumab/CY/GVAX/CRS-207 |
GVAX | GVAX Pancreas Vaccine, Panc 10.05 pcDNA-1/GM-Neo, Panc 6.03 pcDNA-1/GM-Neo | Epacadostat/Pembrolizumab/CY/GVAX/CRS-207 |
Purpose
This study will enroll patients who have metastatic pancreatic cancer and have progressed on
prior chemotherapy.
Part 1 (dose escalation) participants will receive
epacadostat/pembrolizumab/cyclophosphamide(CY)/GVAX pancreas vaccine followed by
epacadostat/pembrolizumab/CRS-207, Part 1X (dose escalation) participants will receive
epacadostat/pembrolizumab/CRS-207. Part 2X (dose expansion) participants will receive
epacadostat/pembrolizumab/CRS-207.
The primary objectives of this study are to determine the recommended dose of epacadostat in
this combination and assess survival of subjects in both treatment groups.
Trial Arms
Name | Type | Description | Interventions |
---|
Epacadostat/Pembrolizumab/CY/GVAX/CRS-207 | Experimental | | - Epacadostat
- Pembrolizumab
- CRS-207
- CY
- GVAX
|
Epacadostat/Pembrolizumab/CRS-207 | Experimental | | - Epacadostat
- Pembrolizumab
- CRS-207
|
Eligibility Criteria
Inclusion Criteria (abbreviated):
- Documented adenocarcinoma of the pancreas
- Have disease progression after prior chemotherapy for metastatic pancreas cancer (or
adjuvant or neoadjuvant if progression occurred within 6 months of completing this
regimen)
- Presence of at least one measurable lesion
- Patient acceptance to have a tumor biopsy of an accessible lesion at 2 time points
(baseline and on study)
- ECOG performance status of 0 or 1
- Life expectancy of greater than 3 months
- Adequate organ and marrow function defined by study-specified laboratory tests
Exclusion Criteria (abbreviated):
- Brain metastases
- Clinical or radiographic ascites (some trace amount may be allowed)
- Rapidly progressing disease
- Live vaccine within 30 days of study treatment (flu vaccine allowed)
- Surgery within 28 days of study treatment (some exceptions for minor procedures)
- Use of an investigational agent or device within 28 days of study treatment.
- Chemotherapy, radiation, or biological cancer therapy within 14 days of study
treatment.
- Prior treatment with anti-CTLA-4, anti-PD-1, anti-PD-L1, or anti PD-L2, or with IDO
inhibitor.
- Use of growth factors within 14 days of study treatment
- Use of any systemic steroids within 14 days of study treatment or other
immunosuppressive agents within 7 days of study treatment.
- Use of more than 2 g/day of acetaminophen
- Use of any UGT1A9 inhibitor
- Use of warfarin
- Use of MAOIs or drugs with significant MAOI activity within the 21 days of screening
- History of Seratonin Syndome
- Known allergy to both penicillin and sulfa
- Known or suspected hypersensitivity to any monoclonal antibody or any study drug
component
- Have artificial joints or implants that cannot be easily removed or a history of
infection associated with an implant
- Significant or malignant pleural effusion
- New pulmonary embolism, extremity deep venous thromboembolism, or portal vein
thrombosis within 2 months of study enrollment
- History of autoimmune disease (exceptions for Graves or Hashimoto's disease, vitiligo,
and type I diabetes mellitus)
- Gastrointestinal condition that may affect drug absorption
- Significant heart disease or heart disease requiring antibiotic for prevention of
endocarditis
- History of abnormal electrocardiogram (ECG) that is deemed meaningful by the
investigator
- History of (non-infectious) pneumonitis that required steroids, evidence of
interstitial lung disease or active, non-infectious pneumonitis
- Pulse oximetry of < 92% on room air or the need for supplemental home oxygen
- Infection with HIV, hepatitis B or hepatitis C
- Other conditions, including alcohol or drug dependence, intercurrent illness, or lack
of sufficient peripheral venous access that would affect the patient's ability to
comply with study visits and procedures
- Pregnant or breastfeeding women
- Unwillingness or inability to follow the study schedule for any reason
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Recommended Dose of Epacadostat |
Time Frame: | 1 year |
Safety Issue: | |
Description: | Evaluate 4 dose levels of epacadostat, in order to determine recommended dose for use in combination with pembrolizumab, CY, GVAX, and CRS-207 |
Secondary Outcome Measures
Measure: | Number of patients experiencing treatment related toxicities |
Time Frame: | 4 years |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to death due to any cause |
Measure: | Progression Free Survival (PFS) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to disease progression (by RECIST 1.1) or death, whichever comes first |
Measure: | immune-related Progression Free Survival (irPFS) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to disease progression (by irRC) or death, whichever comes first. |
Measure: | Objective Response Rate (ORR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Proportion of subjects who achieve a Complete Response (CR) or Partial Response (PR) by RECIST 1.1 |
Measure: | immune-related Objective Response Rate (irORR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Proportion of subjects who achieve a Complete Response (CR) or Partial Response (PR) by irRC |
Measure: | Best Overall Response (BOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Summary of the best response (by RECIST 1.1) achieved by each patient |
Measure: | immune-related Best Overall Response (irBOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Summary of the best response (by irRC) achieved by each patient |
Measure: | Time to Objective Response (TTOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to partial or complete response by RECIST 1.1 |
Measure: | immune-related Time to Objective Response (irTTOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to partial or complete response by irRC |
Measure: | Duration of Response (DOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from partial or complete response to disease progression, by RECIST 1.1 |
Measure: | immune-related Duration of Response (irDOR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from partial or complete response to disease progression, by irRC |
Measure: | Duration of Clinical Benefit (DCB) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to date of disease progression in subjects achieving a partial or complete response by RECIST 1.1 |
Measure: | immune-related Duration of Clinical Benefit (irDCB) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Average time from randomization to date of disease progression in subjects achieving a partial or complete response by RECIST 1.1 |
Measure: | Disease Control Rate (DCR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Percentage of subjects achieving stable disease or better by RECIST 1.1 |
Measure: | immune-related Disease Control Rate (irDCR) |
Time Frame: | 4 years |
Safety Issue: | |
Description: | Percentage of subjects achieving stable disease or better by irRC |
Measure: | Tumor Marker (CA19-9) Kinetics |
Time Frame: | 4 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins |
Trial Keywords
- pancreatic cancer
- vaccine
- immunotherapy
- MK-3475
- PD-1
- IDO
Last Updated
August 20, 2021