Description:
CMP-001-002 is a Phase 1b study of CMP-001 administered to participants with advanced
melanoma who are either receiving pembrolizumab, or who have previously received an
anti-programmed cell death protein 1 (anti-PD-1)/programmed death-ligand 1 (PD-L1) therapy
for advanced melanoma, and who have not responded (that is, immunotherapy resistant).
This study will be conducted in two parts:
Part 1 will consist of a Dose Escalation Phase and a Dose Expansion Phase
- Dose Escalation Phase will be conducted to assess and identify a recommended phase 2
dose (RP2D) of CMP-001 for subcutaneous (SC) administration
- The Dose Expansion Phase is intended to further characterize the safety,
pharmacodynamics, and preliminary evidence of antitumor activity of the RP2D of CMP-001
administered SC in combination with pembrolizumab
Part 2 will assess the safety and preliminary evidence of antitumor activity of CMP-001,
administered both SC and intratumoral (IT) when given in combination with pembrolizumab.
Participants will continue treatment with CMP-001 in combination with pembrolizumab as long
as they do not experience unacceptable toxicities and when continued treatment, is in the
participant's best interest according to the Investigator.
Title
- Brief Title: Phase 1B Study Evaluating Alternative Routes of Administration of CMP-001 in Combination With Pembrolizumab in Participants With Advanced Melanoma
- Official Title: A Multicenter, Two Part, Phase 1B Study Evaluating Alternative Routes of Administration of CMP-001 in Combination With Pembrolizumab in Subjects With Advanced Melanoma
Clinical Trial IDs
- ORG STUDY ID:
CMP-001-002
- NCT ID:
NCT03084640
Conditions
Interventions
Drug | Synonyms | Arms |
---|
CMP-001 | | Part 1: Dose-Escalation - CMP-001 (SC) and Pembrolizumab |
Pembrolizumab | Keytruda | Part 1: Dose-Escalation - CMP-001 (SC) and Pembrolizumab |
CMP-001 | | Part 2: CMP-001 (SC and IT) and Pembrolizumab |
Purpose
CMP-001-002 is a Phase 1b study of CMP-001 administered to participants with advanced
melanoma who are either receiving pembrolizumab, or who have previously received an
anti-programmed cell death protein 1 (anti-PD-1)/programmed death-ligand 1 (PD-L1) therapy
for advanced melanoma, and who have not responded (that is, immunotherapy resistant).
This study will be conducted in two parts:
Part 1 will consist of a Dose Escalation Phase and a Dose Expansion Phase
- Dose Escalation Phase will be conducted to assess and identify a recommended phase 2
dose (RP2D) of CMP-001 for subcutaneous (SC) administration
- The Dose Expansion Phase is intended to further characterize the safety,
pharmacodynamics, and preliminary evidence of antitumor activity of the RP2D of CMP-001
administered SC in combination with pembrolizumab
Part 2 will assess the safety and preliminary evidence of antitumor activity of CMP-001,
administered both SC and intratumoral (IT) when given in combination with pembrolizumab.
Participants will continue treatment with CMP-001 in combination with pembrolizumab as long
as they do not experience unacceptable toxicities and when continued treatment, is in the
participant's best interest according to the Investigator.
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1: Dose-Escalation - CMP-001 (SC) and Pembrolizumab | Experimental | Participants will receive up to 7 escalating dose levels (5 milligrams [mg], 7.5 mg, 10 mg, 12.5 mg, 15 mg, 17.5 mg, and 20 mg) of CMP-001 via SC injection once a week for 3 weeks and every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. | |
Part 1: Dose-Expansion - CMP-001 (SC) and Pembrolizumab | Experimental | Participants will receive RP2D (as determined in Part 1 dose-escalation phase) of CMP-001 via SC injection once a week for 3 weeks and every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. | |
Part 2: CMP-001 (SC and IT) and Pembrolizumab | Experimental | Participants will receive CMP-001 via SC injection once weekly for 2 weeks, then IT injection once weekly for 4 weeks, and SC injection once weekly for every 3 weeks thereafter until discontinuation of treatment in combination with pembrolizumab at its labelled dose and schedule. CMP-001 planned IT dose level in Part 2 will be up to 10 mg and the SC dose will be the RP2D determined from Part 1 dose-escalation phase of the study. | - CMP-001
- Pembrolizumab
- CMP-001
|
Eligibility Criteria
Inclusion Criteria:
• Participants enrolled into Part 1 must have tumor lesions where repeated IT injections
are not feasible and in whom, based on the Investigator's judgement, SC injection is the
only viable route of CMP-001 administration. Participants with lesions that are easily
accessible for IT injections are not eligible to participate in Part 1. Participants
enrolled into Part 2 must have at least one tumor lesion with a longest diameter of >/= 0.5
cm amenable for IT injection of CMP-001.
All participants enrolled into either Part 1 or Part 2 must meet all of the following
inclusion criteria to be eligible:
- Histopathologically confirmed diagnosis of metastatic or unresectable malignant
melanoma. Ocular melanoma participants are not eligible.
- Participants must have received prior treatment with anti-PD-1 or anti-PD-L1 therapy
(alone or as part of a combination) in the advanced or metastatic setting and had
documented progression per RECIST. Participants must have received at least 4 doses of
anti-PD-1 or anti-PD-L1 therapy.
- Participants must have measurable disease by RECIST Version 1.1.
- Capable of understanding and complying with protocol requirements.
- A life expectancy of greater than 24 weeks at Screening.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Most recent laboratory values (within 3 weeks prior to Week 1 Day 1) meet the
following standards:
1. Bone marrow function: neutrophil count greater than or equal to (>/=) 1,000/cubic
millimeter (mm^3), platelet count >/=75,000/mm^3 and hemoglobin concentration >/=
8.0 grams per deciliter (g/dL).
2. Liver function: total bilirubin less than or equal to (<=) 1.5 times the upper
limit of normal (ULN) of each institution, aspartate aminotransferase and alanine
aminotransferase <=3 times the ULN range of each institution.
3. Lactate dehydrogenase (LDH) <=2.0 times the ULN range of each institution.
4. Renal function: serum creatinine <=1.5 times the ULN range of each institution.
- The participant must sign a written informed consent form prior to the initiation of
any study procedures. Adult participants unable to provide written informed consent on
their own behalf will not be eligible for the study.
Exclusion Criteria:
- Pregnant or breast feeding
- Received investigational therapy (that is, small molecule or biologic) within 30 days
prior to the start of CMP-001 dosing on Week 1 Day 1. However, if an investigational
drug has a short half-life, a reduced wash out period may be acceptable upon
permission given by the Sponsor.
- Received treatment with anti- cytotoxic T-lymphocyte-associated protein 4
(anti-CTLA-4) antibody within 30 days prior to the start of CMP-001 dosing on Week 1
Day 1.
- Known infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) or
hepatitis C virus (HCV).
- Developed autoimmune disorders of Grade 4 while on prior immunotherapy. Participants
who developed autoimmune disorders of Grade <=3 may enroll if the disorder has
resolved to Grade <=1 and the participant has been off systemic steroids at doses
greater than (>) 10 milligrams per day (mg/day) for at least 2 weeks.
- Require systemic pharmacologic doses of corticosteroids at or above the equivalent of
10 mg/day prednisone; replacement doses, topical, ophthalmologic and inhalational
steroids are permitted. Participants who have a history of adrenal insufficiency and
are receiving greater than 10 mg/day systemic steroids may be eligible but only after
Sponsor consultation. Participants who are currently receiving steroids at a dose of
<=10 mg/day do not need to discontinue steroids prior to enrollment.
- Active (that is, symptomatic or growing) central nervous system (CNS) metastases.
Participants with CNS metastases are eligible for the trial if: a) the metastases have
been treated by surgery and/or radiotherapy; b) the participant is off corticosteroids
>10 mg/day and is neurologically stable for at least 2 weeks prior to Screening; c)
brain MRI completed within 3 months of Screening.
- Any concurrent uncontrolled illness, including mental illness or substance abuse,
which in the opinion of the Investigator, would make the participant unable to
cooperate or participate in the trial.
- Severe uncontrolled cardiac disease within 6 months of screening, including but not
limited to uncontrolled hypertension; unstable angina; myocardial infarction (MI) or
cerebrovascular accident (CVA).
- Requires prohibited treatment that is, non-protocol specified anticancer.
pharmacotherapy, surgery or conventional radiotherapy for treatment of malignant
tumor)
- Women of child-bearing potential who are unable or unwilling to use an acceptable
method of contraception.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part 1: Dose-Escalation Phase: RP2D of CMP-001 When Administered SC and Given in Combination With Pembrolizumab |
Time Frame: | 15 days from date of first CMP-001 injection (Week 1 Day 1) |
Safety Issue: | |
Description: | TEAEs will be evaluated using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. |
Secondary Outcome Measures
Measure: | Part 1 Dose Escalation and Dose Expansion: Number of Participants With TEAEs |
Time Frame: | From first dose of CMP-001 (Week 1 Day 1) until 30 days after the last CMP-001 injection (up to approximately 2.5 years) |
Safety Issue: | |
Description: | TEAEs will be evaluated using CTCAE version 5.0. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Oral Temperature |
Time Frame: | From screening up to end of treatment (EOT) (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Oral temperature should be measured in supine or seated position, following at least 30 minutes of rest. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Respiratory Rate |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Respiratory rate should be measured in supine or seated position, following at least 30 minutes of rest. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Systolic and Diastolic Blood Pressure |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Blood pressure should be measured in supine or seated position, following at least 30 minutes of rest. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Body Weight |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Physical examination included body weight measurement. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Body Mass Index (BMI) |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Physical examination included BMI measurement. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG) Parameters |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | ECG parameters will include heart rate and PR, QRS, QT, and QT corrected for heart rate (QTc) intervals. QT will be corrected using Fridericia's (QTcF) formula. ECG will be performed after the participant has been resting in supine or semi-supine position for at least 5 minutes. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Parameters |
Time Frame: | From screening up to EOT (up to approximately 2.5 years) |
Safety Issue: | |
Description: | Clinical laboratory parameters includes serum chemistry, hematology, urinalysis, coagulation and thyroid function tests. |
Measure: | Part 1 Dose Escalation: Concentration of Chemokine IP-10 |
Time Frame: | Day 1 of Weeks 1, 3, 15 and Day 2 of Week 3, 15 |
Safety Issue: | |
Description: | |
Measure: | Part 1 and Part 2: Objective Response Rate (ORR) (Percentage of Participants With Objective Response) as per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Using Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI) Scans |
Time Frame: | Baseline until confirmed disease progression (CR or PR) or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
Safety Issue: | |
Description: | ORR will be calculated as the number of participants with a confirmed complete response (CR) or partial response (PR) divided by the number of participants dosed. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Best Overall Response (BOR) Rate (Percentage of Participants With Best Objective Response of CR or PR) as per RECIST Version 1.1 Using CT or MRI Scans |
Time Frame: | Baseline until confirmed disease progression (CR or PR) or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
Safety Issue: | |
Description: | BOR will be calculated as the number of participants with best response of CR or PR divided by the number of participants dosed. |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Time to Response (TTR) as per RECIST Version 1.1 Using CT or MRI Scans |
Time Frame: | From first dose of CMP-001 until disease progression or death, whichever occur first (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
Safety Issue: | |
Description: | |
Measure: | Part 1 Dose Escalation and Dose Expansion, and Part 2: Duration of Response (DOR) as per RECIST Version 1.1 Using CT or MRI Scans |
Time Frame: | From the date of first confirmed CR or PR until the first date of recurrent or progressive disease (assessment at every 12 weeks throughout the study from Week 1 Day 1, up to approximately 2.5 years) |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Checkmate Pharmaceuticals |
Last Updated
July 29, 2021