Clinical Trials /

NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy

NCT03589339

Description:

The 1100 study is an open-label, Phase I, prospective clinical study to assess the safety of intratumoral injection of NBTXR3 activated by radiotherapy in combination with anti-PD-1 therapy.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy
  • Official Title: A Phase I Study of NBTXR3 Activated by Radiotherapy for Patients With Advanced Cancers Treated With An Anti-PD-1 Therapy

Clinical Trial IDs

  • ORG STUDY ID: 1100
  • NCT ID: NCT03589339

Conditions

  • Radiotherapy
  • Immunotherapy
  • Microsatellite Instability-High Solid Malignant Tumour
  • Metastasis From Malignant Tumor of Stomach (Disorder)
  • Squamous Cell Carcinoma of Head and Neck
  • Metastasis From Malignant Tumor of Cervix
  • Metastatic Squamous Cell Carcinoma
  • Metastasis From Malignant Melanoma of Skin (Disorder)
  • Merkel Cell Carcinoma (Disorder)
  • Metastasis From Malignant Tumor of Lung
  • Metastasis From Malignant Tumor of Bladder (Disorder)

Interventions

DrugSynonymsArms
NBTXR3NBTXR3 activated by SABR

Purpose

The 1100 study is an open-label, Phase I, prospective clinical study to assess the safety of intratumoral injection of NBTXR3 activated by radiotherapy in combination with anti-PD-1 therapy.

Detailed Description

      The 1100 study aims to evaluate the safety, efficacy, and tolerability of NBTXR3 activated by
      radiotherapy in combination with an anti-PD-1 therapy in three cohorts of patients. The first
      cohort includes patients with LRR or R/M HNSCC with the target lesion in a previously
      irradiated field. In cohorts two and three, patients present with lung or liver metastases
      from any primary cancer eligible for anti-PD-1 therapy. These patients have a high unmet need
      and the Sponsor hypothesizes that NBTXR3 activated by radiotherapy will act synergistically
      with anti-PD-1 to enhance the therapeutic index of radiotherapy maximizing local effect, to
      overcome radio-resistance, to increase the local efficacy of immunotherapy, and to improve
      distant tumor control via an abscopal effect. Eligible patients will receive a single
      intratumoral injection of NBTXR3 subsequently activated by radiotherapy and then an approved
      anti-PD-1. The end of treatment visit will take place 4 weeks after the last radiotherapy
      fraction. Patients will be followed for long-term safety and efficacy until the end of the
      study.
    

Trial Arms

NameTypeDescriptionInterventions
NBTXR3 activated by SABRExperimental
  • NBTXR3

Eligibility Criteria

        Inclusion Criteria:

          -  Signed informed consent form

          -  Biopsy-confirmed cancer diagnosis indicated to received anti-PD-1 therapy

          -  Has not received prior anti-PD-1 therapy (i.e., anti-PD-1 naïve) or is currently
             receiving anti-PD-1 therapy and can be considered an anti-PD-1 non-responder (per SITC
             guidelines)

          -  Has at least one tumor lesion that can be accurately measured according to RECIST 1.1.
             and is amenable for intratumoral injection

          -  ECOG performance status 0-2

          -  Life expectancy >12 weeks

          -  Adequate organ and bone marrow function

          -  Negative pregnancy test ≤ 7 days prior to NBTXR3 injection in all female participants
             of child-bearing potential

        Exclusion Criteria:

          -  History of severe immune-related adverse events related to administration of anti-PD-1

          -  Symptomatic central nervous system metastases and/or carcinomatous meningitis

          -  Active autoimmune disease that has required systemic treatment in the past 2 years

          -  Known HIV or active hepatitis B/C infection

          -  Active infection requiring systemic treatment

          -  Received a live virus vaccine within 30 days prior to study treatment

          -  History of pneumonitis that required steroids or with current pneumonitis

          -  Extensive metastatic disease burden considered to be unamenable for radiation
             treatment

          -  Locoregional recurrent HNSCC with ulceration

          -  Has received prior therapy with a checkpoint inhibitor, within 4 weeks prior to NBTXR3
             injection

          -  Has received prior systemic anti-neoplastic therapy, including investigational agents,
             within 4 weeks prior to NBTXR3 injection

          -  Has not recovered from AEs due to previous anti-neoplastic therapies and/or
             interventions (including radiation) to ≤ Grade 1 or baseline at screening

          -  Clinically significant cardiac arrhythmias

          -  Class III or IV Congestive Heart Failure as defined by the New York Heart Association
             functional classification system < 6 months prior to screening

          -  A pregnant or nursing female, or women of child-bearing potential and men who are
             sexually active and not willing/able to use medically acceptable forms of
             contraception

          -  Any condition for which participation would not be in the best interest of the
             participant
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Determination of the Recommended Dose
Time Frame:24 Months
Safety Issue:
Description:Determination of DLTs, the MTD (if possible), and RP2Ds for each cohort

Secondary Outcome Measures

Measure:Evaluation of the anti-tumor response of R3/RT/PD-1
Time Frame:24 months
Safety Issue:
Description:Evaluation of the Objective Response Rate: complete or partial response, as defined by RECIST 1.1 and iRECIST
Measure:Assessment of the safety and feasibility of R3/RT/PD-1
Time Frame:24 months
Safety Issue:
Description:Assessment of the number of participants with related late onset toxicities defined as any Grade ≥3 AE occurring after the EOT visit and determination of the number of participants with feasible NBTXR3 intratumoral injection
Measure:Evaluation of the body kinetic profile of intratumorally injected NBTXR3
Time Frame:24 months
Safety Issue:
Description:Evaluation of the time-course dependent accumulation of hafnium in blood and urine following NBTXR3 intratumoral injection

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Nanobiotix

Trial Keywords

  • Oral Cavity Cancer
  • Oropharynx Cancer
  • Lung Metastasis
  • Liver Metastasis

Last Updated

January 29, 2021