Description:
The purpose of the study is to evaluate the safety and preliminary efficacy of SNK01
(autologous natural killer cell), as a single agent and in combination with avelumab or
pembrolizumab, for the treatment of subjects with advanced and/or metastatic refractory
cancer that has failed three or more prior lines of conventional standard of care therapy.
Title
- Brief Title: Safety of SNK01 in Subjects With Pathologically Confirmed Metastatic and/or Unresectable Cancer Refractory to Conventional Therapy
- Official Title: Phase 1, Open-Label, Safety Study of Escalating Doses of Ex Vivo Expanded, Autologous Natural Killer Cells in Patients With Pathologically Confirmed Cancer Refractory to Conventional Therapy
Clinical Trial IDs
- ORG STUDY ID:
SNK01-US01
- NCT ID:
NCT03941262
Conditions
- Refractory Cancer
- Metastatic Cancer
- Recurrent Cancer
- Unresectable Carcinoma
- Solid Tumor, Adult
- Advanced Cancer
- Advanced Solid Tumor
Interventions
Drug | Synonyms | Arms |
---|
SNK01 | | Cohort 1 - Low dose SNK01 |
Avelumab | Bavencio | Cohort 4 - SNK01 with avelumab |
Pembrolizumab | Keytruda | Cohort 4 - SNK01 with pembrolizumab |
Purpose
The purpose of the study is to evaluate the safety and preliminary efficacy of SNK01
(autologous natural killer cell), as a single agent and in combination with avelumab or
pembrolizumab, for the treatment of subjects with advanced and/or metastatic refractory
cancer that has failed three or more prior lines of conventional standard of care therapy.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1 - Low dose SNK01 | Experimental | SNK01 (low dose) administered once a week for five weeks. | |
Cohort 2 - Medium dose SNK01 | Experimental | SNK01 (medium dose) administered once a week for five weeks. | |
Cohort 3 - High dose SNK01 | Experimental | SNK01 (high dose) administered once a week for five weeks. | |
Cohort 4 - SNK01 with avelumab | Experimental | SNK01 (high dose) administered in combination with avelumab once every two weeks (14-day cycle) for five cycles. | |
Cohort 4 - SNK01 with pembrolizumab | Experimental | SNK01 (high dose) administered in combination with pembrolizumab once every three weeks (21-day cycle) for five cycles. | |
Eligibility Criteria
Inclusion Criteria:
- Voluntary written informed consent signed by patient, obtained prior to study
enrollment.
- Males and females ages 18 to 75 years, inclusive.
- Pathologically confirmed diagnosis of refractory cancer that has failed three or more
prior lines of conventional standard of care therapy.
- Diagnosed with any histologically confirmed malignancy whose disease is confirmed to
be metastatic and/or unresectable for which standard curative or beneficial treatments
are no longer effective.
- Eastern Cooperative Oncology Group (ECOG) performance status <2.
- At least 4 weeks since any prior systemic therapy (excluding corticosteroid therapy)
to treat the underlying malignancy (standard or investigational).
- At least 2 weeks since prior palliative radiotherapy.
- Adequate bone marrow function:
- Neutrophils: 2.0-8.0 K/uL
- Platelet Count: 140-440 K/uL
- Hemoglobin: 10.0-18.0 g/dL
- No ongoing transfusion requirements
- Adequate hepatic function:
- Serum total bilirubin < 1.5 x upper limit of normal (ULN)
- Serum albumin ≥ 3.0 g/dL
- Alanine transaminase (ALT) and aspartate transaminase (AST) ≤ 2.5 x ULN
- International normalized ratio (INR) ≤ 1.5 x ULN
- Adequate renal function with creatinine ≤ 2.0 mg/dL.
- Negative pregnancy test for women of childbearing potential and use of effective
contraception (hormonal or barrier method of birth control) during study.
Exclusion Criteria:
- Pregnant and/or lactating females.
- Life expectancy of less than three months.
- Currently being treated by "biological therapy" as defined by the National Cancer
Institute (example: checkpoint inhibitors, adoptive cell transfer, monoclonal
antibodies, treatment vaccines, cytokines, Bacillus Calmette-Guerin (BCG), chimeric
antigen receptor T cell therapy (CAR-T), and natural killer cell therapy).
- Patients tested positive for hepatitis B and/or C surface antigen.
- High fever or any active or unresolved infection, including human immunodeficiency
virus (HIV) positive.
- Autoimmune disease requiring therapy; immunodeficiency, or any disease process
requiring immunosuppressive therapy.
- Prior clinical trial requiring patient to receive an investigational drug within two
weeks of enrollment.
- Congestive heart failure, unstable angina or other underlying cardiac disease; history
of thrombosis currently requiring anticoagulation.
- Mental or psychological illness preventing cooperation with treatment, efficacy
evaluations, or unable to understand the informed consent process.
- Subjects who have undergone prior organ transplantation, including allogeneic
stem-cell transplantation.
- Adult subjects who lack capacity to consent for themselves and for whom consent must
be provided by a legally authorized representative.
- For SNK01+avelumab arm only: Subjects with prior hypersensitivity to avelumab or its
excipients, including known severe hypersensitivity reactions to monoclonal antibodies
(NCI CTCAE v4.03 Grade ≥ 3).
- For SNK01+avelumab arm only: Subjects with a significant immune-mediated adverse event
due to a prior checkpoint inhibitor immunotherapy that led to permanent
discontinuation of the therapy.
Maximum Eligible Age: | 75 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | To assess the safety profile |
Time Frame: | Up to 6 months |
Safety Issue: | |
Description: | Assessed by the incidence and severity of dose limiting toxicity (DLT) and other adverse events graded according to the National Cancer Institute's Common Toxicity Criteria for Adverse Events (NCI-CTCAE), Version 5.0, or the cytokine release syndrome revised grading system. |
Secondary Outcome Measures
Measure: | To assess clinical objective response rate (ORR) of SNK01 in patients with refractory cancer |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Objective response rate (ORR) is defined by the percentage of subjects who achieve a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1. |
Measure: | To assess clinical objective response rate (ORR) of SNK01 in combination with avelumab in patients with refractory cancer |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Objective response rate (ORR) is defined by the percentage of subjects who achieve a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1. |
Measure: | To assess clinical objective response rate (ORR) of SNK01 in combination with pembrolizumab in patients with refractory cancer |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | Objective response rate (ORR) is defined by the percentage of subjects who achieve a confirmed complete response (CR) or partial response (PR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | NKGen Biotech, Inc. |
Trial Keywords
- Natural killer cell
- NK cell
- Expanded natural killer cell
- Immunotherapy
- Cancer
- Metastatic cancer
- Advanced solid tumor
- Refractory cancer
- Recurrent cancer
- Unresectable carcinoma
- Solid tumor
- Neoplasms
Last Updated
May 3, 2021