Clinical Trials /

Phase 1 Study to Determine the MTD, Safety, Tolerability, PK and Preliminary Anti-tumor Effects of LNS8801alone and With Pembrolizumab

NCT04130516

Description:

This Phase 1, first-in-human, open-label, multicenter study follows a 3+3 ascending dose escalation design to determine the MTD/RP2D and to characterize the safety, tolerability, PK, and antitumor effects of LNS8801 alone and in combination with pembrolizumab. The study will include a dose escalation phase, a dose expansion phase, and phase 2A cohorts. Up to 200 patients will be accrued for this study. Up to ten study sites in the United States will participate in the study.

Related Conditions:
  • Head and Neck Squamous Cell Carcinoma
  • Lymphoma
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Phase 1 Study to Determine the MTD, Safety, Tolerability, PK and Preliminary Anti-tumor Effects of LNS8801alone and With Pembrolizumab
  • Official Title: A Multicenter Phase 1-2A Study to Assess the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of LNS8801 in Patients With Advanced Cancer With and Without Pembrolizumab

Clinical Trial IDs

  • ORG STUDY ID: LNS-101
  • SECONDARY ID: MK3475-B47
  • NCT ID: NCT04130516

Conditions

  • Solid Tumor, Adult
  • Lymphoma

Interventions

DrugSynonymsArms
LNS8801 -Small molecule, orally bioavailable, selective agonist of GPERActive
Pembrolizumab - anti-PD-1 antibodyKeytruda, PembrolizumabActive

Purpose

This Phase 1, first-in-human, open-label, multicenter study follows a 3+3 ascending dose escalation design to determine the MTD/RP2D and to characterize the safety, tolerability, PK, and antitumor effects of LNS8801 alone and in combination with pembrolizumab. The study will include a dose escalation phase, a dose expansion phase, and phase 2A cohorts. Up to 200 patients will be accrued for this study. Up to ten study sites in the United States will participate in the study.

Detailed Description

      In this Phase 1, first-in-human, open-label, multi-center study. Cohorts will enroll at least
      3 patients in accordance with a traditional dose escalation 3+3 design, and the study will
      determine the MTD/RP2D of LNS8801. With permission from the Safety Review Committee (SRC), 2
      cohorts may be expanded to include 8 to 10 patients to further explore PK and
      pharmacodynamics. LNS8801 will be administered 3 days/week or once or twice a day during 21
      day cycle until disease progression or unacceptable toxicity occurs.

      Safety assessments will be performed on all patients at screening, throughout their
      participation in the study, and for 30 days (90 days in combination cohorts) following the
      last dose of study drug. Throughout the study, imaging of tumors for evidence of tumor
      response and/or progression will be performed; biopsies will be performed on accessible
      lesions.

      After the RP2D of LNS8801 is identified and the safety of dosing LNS8801 with pembrolizumab
      has been established, expansion cohorts and Phase 2A cohorts will open. Any 2 dose escalation
      cohorts may be expanded to 8 to 10 patients to include additional patients to further explore
      PK and PD.

      This protocol also includes RP2D PD-1/L1 refractory expansion cohorts of advanced cancer
      patients who have previously had a clinical benefit on anti-PD-1/L1 therapy alone or in
      combination (complete response or partial response of any duration, or confirmed stable
      disease for at least 16 weeks) but have since relapsed and not had an intervening cytotoxic
      chemotherapy. Up to 28 patients may be studied in each cohort with LNS8801 therapy alone or
      with a combination of LNS8801 and pembrolizumab. The monotherapy cohort will also study
      patients that are no longer eligible for PD-1/L1 therapy due to serious immune related side
      effects to prior therapy regardless of response to the prior therapy.

      The study will also include the following 12 cohorts.

      Monotherapy:

      COHORT M1: 10 patients with advanced solid tumor malignancies having received ≤4 prior lines
      of prior systemic therapy will be treated with the monotherapy RP2D of LNS8801. Immediate
      prior line of therapy must have been anti-PD-1/L1 (mono or combination) therapy with
      demonstrated clinical benefit (complete response or partial response of any duration, or
      stable disease for ≥16 weeks) and subsequent progression of disease with no intervening
      cytotoxic chemotherapy. Inclusion and exclusion criteria will otherwise be consistent with
      those criteria specified above.

      COHORT M2: 10 patients with advanced solid tumor malignancies having received ≤2 prior lines
      of systemic therapy, and not eligible for cohort M6, will be treated with the monotherapy
      RP2D of LNS8801. Inclusion and exclusion criteria will otherwise be consistent with those
      criteria specified above.

      COHORT M3: 10 patients with advanced malignant cutaneous melanoma having received as their
      immediate prior line of therapy a PD-1/L1 targeted immune checkpoint inhibitor (IO), alone or
      in combination, and having been forced to discontinue IO therapy due to an immune-related
      adverse event (irAE) will be treated with the monotherapy RP2D of LNS8801. Inclusion and
      exclusion criteria will otherwise be consistent with those criteria specified above.

      COHORT M4: 10 patients with advanced solid tumor malignancies, other than cutaneous melanoma,
      having received as their immediate prior line of therapy a PD-1/L1 targeted immune checkpoint
      inhibitor (IO), alone or in combination, and having been forced to discontinue IO therapy due
      to an immune-related adverse event (irAE) will be treated with the monotherapy RP2D of
      LNS8801. Inclusion and exclusion criteria will otherwise be consistent with those criteria
      specified above.

      COHORT M5: 10 patients with metastatic uveal melanoma that is refractory to or ineligible for
      an approved standard-of-care therapy and have not been previously treated with a PD-1/L1
      therapy will be treated with the monotherapy RP2D of LNS8801. Inclusion and exclusion
      criteria will otherwise be consistent with those criteria specified above.

      COHORT M6: 10 patients with ALK mutation-positive NSCLC that is refractory to or ineligible
      for an approved standard-of-care therapy will be treated with the monotherapy RP2D of
      LNS8801. Inclusion and exclusion criteria will otherwise be consistent with those criteria
      specified above.

      Combination with Pembrolizumab:

      COHORT C1: 10 patients with advanced solid tumor malignancies having received ≤4 prior lines
      of prior systemic therapy will be treated with the combination of LNS8801 + pembrolizumab.
      The immediate prior therapy must have included anti-PD-1/L1 therapy, dosed alone or in
      combination, with demonstrated clinical benefit (complete response or partial response of any
      duration, or stable disease for ≥16 weeks) and subsequent progression of disease with no
      intervening cytotoxic chemotherapy. Inclusion and exclusion criteria will otherwise be
      consistent with those criteria specified above.

      COHORT C2: 10 patients with advanced solid tumor malignancies having received ≤2 prior lines
      of prior systemic therapy, and not eligible for cohort M6, will be treated with the
      combination of LNS8801 + pembrolizumab. Inclusion and exclusion criteria will otherwise be
      consistent with those criteria specified above.

      COHORT C3: 10 patients with metastatic non-small cell lung cancer (NSCLC) expressing PD-L1
      (Tumor Proportion Score [TPS] ≥1% and ≤49%) as determined by an FDA-approved test will be
      treated with the combination of LNS8801 plus pembrolizumab. Eligible patients must either
      have no EGFR or ALK genomic tumor aberrations or have not demonstrated disease response on or
      following FDA-approved therapy for these aberrations. Inclusion and exclusion criteria will
      otherwise be consistent with those criteria specified above.

      COHORT C4: 10 patients with metastatic or unresectable, recurrent Head and Neck Squamous Cell
      Cancer (HNSCC) expressing PD-L1 (Combined Positive Score [CPS] ≥1 and ≤19) as determined by
      an FDA-approved test will be treated with the combination of LNS8801 plus pembrolizumab.
      Disease can either be treatment-naive or with disease progression on or following
      platinum-containing chemotherapy. Inclusion and exclusion criteria will otherwise be
      consistent with those criteria specified above.

      COHORT C5: 10 patients with metastatic uveal melanoma that is refractory to or ineligible for
      an approved standard-of-care therapy and have not been previously treated with a PD-1/L1
      therapy will be treated with the combination of LNS8801 plus pembrolizumab. Inclusion and
      exclusion criteria will otherwise be consistent with those criteria specified above.

      COHORT C6: 10 patients with advanced malignant cutaneous melanoma that is refractory to or
      ineligible for an approved standard-of-care therapy will be treated with the combination of
      LNS8801 + pembrolizumab. Inclusion and exclusion criteria will otherwise be consistent with
      those criteria specified above.

      Assuming pembrolizumab is not contraindicated, enrollment to cohorts M1 and C1, cohorts M2
      and C2, and cohorts M5 and C5 will occur in parallel with assignment of patients based on a
      simple central randomization conducted by the study CRO. If pembrolizumab is contraindicated,
      the patient will be assigned to the next appropriate monotherapy cohort, if possible.

      To further evaluate the correlation of prolactin response and antitumor activity, in all
      study cohorts, ≥5/10 patients with prolactin response (a 25% or greater increase in
      circulating prolactin on Cycle 1, Day 1) must be evaluated. If ˂5/10 patients are available
      for evaluation in any cohort, up to 5 additional patients will be enrolled to ensure
      evaluation of at least 5 prolactin responders.

      Up to 200 patients will be accrued for this study at up to ten study sites in the United
      States.
    

Trial Arms

NameTypeDescriptionInterventions
ActiveOtherPhase 1 open-label
  • LNS8801 -Small molecule, orally bioavailable, selective agonist of GPER
  • Pembrolizumab - anti-PD-1 antibody

Eligibility Criteria

        Inclusion Criteria:

          1. Has histopathologically confirmed locally advanced or metastatic cancer (solid tumor
             or lymphoma) that has progressed following at least 1 line of therapy if a regulatory
             approved or standard of care therapy exists and no other standard therapy with proven
             clinical benefit is available or the patient declines further standard of care.

             Note: Must have measurable disease per RECIST v1.1 or RANO as assessed by the local
             site investigator/radiologist. Lesions in a previously irradiated area are measurable
             if progression has been demonstrated after radiation. Lesions must be measurable in at
             least 2 dimensions in a spiral CT scan or MRI. For lymphoma patients only, the minimum
             measurement must be >15 mm on the long axis and >10 mm on the short axis.

               1. Must provide access to de-identified historical scans or scan reports for the
                  assessment of the patient's rate of progression on and after their previous
                  regimen, if available.

               2. Must provide access to existing formalin-fixed biopsy tissue or slides for
                  histology assessments if a pretreatment biopsy is not performed or unsuccessful
                  for any reason.

          2. In the anti-PD-1/L1 therapy refractory cohorts, patients must have first had a
             clinical benefit from (complete response or partial response of any duration, or
             stable disease for at least 16 weeks) followed by documented disease progression while
             on or following anti-PD-1/L1 treatment (administered either as monotherapy or in
             combination). Patients may not have received intervening cytotoxic chemotherapy
             between finishing anti-PD-1/L1 treatment and commencing study treatment. Progression
             is defined by meeting all of the following criteria:

               1. Has received anti-PD-1/L1 therapy at least twice if dosed every 4 weeks (q4w) or
                  longer, 3 times if dosed every 3 weeks (q3w) or 4 times if dosed every 2 weeks
                  (q2w).

               2. Has demonstrated progressive disease (PD) while on or after anti-PD-1/L1 therapy
                  as defined by RECIST v1.1 or RANO.

                  Note: Patients who have experienced Grade 3 or greater immunological adverse
                  events (irAE) on previous anti-PD-1/L1 therapy before 16 weeks may also be
                  included in monotherapy cohorts regardless of disease response.

          3. Is an adult ≥18 years of age on day of signing informed consent.

          4. Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

          5. Has an estimated life expectancy of >3 months.

          6. Patients who have surgically accessible lesions must agree to biopsies from
             nonirradiated tumor lesions or irradiated tumor lesions that have shown progression
             since irradiation. If no surgically accessible lesions exist, patients must consent
             for Sponsor to access historical biopsies.

             a. For lymphoma patients only: patients must be able to provide a core or excisional
             lymph node biopsy for biomarker analysis from a newly obtained biopsy prior to drug
             treatment.

          7. Is able to swallow capsules and/or tablets.

          8. Has adequate organ and bone marrow function defined by:

             - Absolute neutrophil count ≥1.5 × 109/L (≥1500/mm3).

               -  Hemoglobin ≥9.0 g/dL or equivalent.

               -  Platelet count ≥75 × 109/L (≥75,000/mm3).

               -  Total bilirubin ≤1.5 × institutional upper limit of normal (ULN), unless known
                  Gilbert syndrome has been diagnosed.

               -  Measured or calculated creatinine clearance (glomerular filtration rate) ≥50
                  mL/min/1.73 m2.

               -  Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 × ULN or
                  ≤5 × ULN with cancer in the liver.

               -  For cohorts receiving LNS8801/pembrolizumab combination therapy with
                  pembrolizumab, prothrombin time (PT) or activated partial thromboplastin time
                  (aPTT) must be ≤1.5 × ULN. If a participant is receiving anticoagulant therapy,
                  PT or aPTT must be within therapeutic range of intended use of anticoagulants.

          9. Female patients of childbearing potential must have a negative serum pregnancy test at
             screening and a negative (serum or urine) pregnancy test within 72 hours before the
             first dose of study drug. If the urine test is positive or cannot be confirmed
             negative, a serum pregnancy test will be required and must be negative for the patient
             to be eligible.

         10. Female patients must not be breastfeeding.

         11. Female patients of childbearing potential must be willing to use a highly effective
             contraception method before study entry, while on study drug, and for a period of at
             least 4 months after the last dose of study drug.

             Note: Women receiving estrogen-based contraceptives will be excluded from the study.

             Note: A woman is considered of childbearing potential unless she is postmenopausal (≥1
             year without menses and confirmed with a follicle-stimulating hormone test) or
             surgically sterilized via bilateral oophorectomy, hysterectomy, bilateral tubal
             ligation, or successful Essure® placement with a documented confirmation test at least
             3 months after the procedure.

             Male patients must be surgically sterile or willing to use a highly effective
             double-barrier contraception method (eg, male condom with diaphragm or male condom
             with cervical cap) upon study entry, while on study drug, and for a period of at least
             4 months after the last dose of study drug.

             (Highly effective contraception is defined as a method of contraception that has a <1%
             failure rate when used consistently and correctly (as defined by the International
             Council for Harmonization Guidance on Nonclinical Safety Studies for the Conduct of
             Human Clinical Research M3 [R2]). These methods include implants, injectables,
             combined hormonal contraceptives (eg, combined oral contraceptives [excluding
             estrogen-based contraceptives], patch, and vaginal ring), some intrauterine devices
             (IUDs) (eg, IUD or intrauterine system), sexual abstinence, or a monogamous
             relationship with a vasectomized partner. True abstinence, when in line with the
             preferred and usual lifestyle of the patient, is considered a highly effective method
             only if defined as refraining from heterosexual intercourse during the entire period
             of risk associated with the study drug (ie, 60 days after discontinuing study drug or
             5 times the terminal elimination half-life, whichever is longer). Periodic abstinence
             (eg, calendar, ovulation, symptothermal, or post ovulation methods) and withdrawal are
             not acceptable methods of contraception.)

         12. Is able to understand and voluntarily sign a written informed consent form and is
             willing and able to comply with protocol requirements.

        14. Phase 2A cohort-specific inclusion criteria are provided below: Monotherapy (M) cohorts
        will be dosed with LNS8801 alone. Combination (C) cohorts will be dosed with LNS8801 and
        pembrolizumab.

        a. COHORT M1: i. Advanced solid tumor malignancy ii. Received ≤4 prior lines of prior
        systemic therapy. iii. PD-1/L1 refractory as described in inclusion criteria 2, above. iv.
        No available standard of care as described in inclusion criteria 1, above.

        b. COHORT M2: i. Advanced solid tumor malignancy. ii. Received ≤ 2 prior lines of prior
        systemic therapy. iii. No available standard of care as described in inclusion criteria 1,
        above

        c. COHORT M3: i. Advanced cutaneous melanoma ii. Immediate prior line of therapy was a
        PD-1/L1 immune checkpoint inhibitor (IO), alone or in combination, and was discontinued due
        to an immune-related adverse event (irAE).

        iii. No available standard of care as described in inclusion criteria 1, above.

        d. COHORT M4: i. Advanced solid tumor malignancy, except cutaneous melanoma. ii. Immediate
        prior line of therapy was a PD-1/L1 immune checkpoint inhibitor (IO), alone or in
        combination, and was discontinued due to an immune-related adverse event (irAE).

        iii. No available standard of care as described in inclusion criteria 1, above.

        e. COHORT M5: i. Metastatic uveal melanoma. ii. No previous PD-1/L1 therapy. iii. No
        available standard of care as described in inclusion criteria 1, above.

        f. COHORT M6: i. ALK mutation-positive non-small cell lung cancer (NSCLC). ii. No available
        standard of care as described in inclusion criteria 1, above.

        g. COHORT C1: i. Advanced solid tumor malignancy. ii. Received ≤4 prior lines of prior
        systemic therapy. iii. PD-1/L1 refractory as described in inclusion criteria 2, above iv.
        No available standard of care as described in inclusion criteria 1, above.

        h. COHORT C2: i. Advanced solid tumor malignancy. ii. Received ≤2 prior lines of prior
        systemic therapy. iii. No available standard of care as described in inclusion criteria 1,
        above.

        i. COHORT C3: i. Metastatic NSCLC expressing PD-L1 with a Tumor Proportion Score (TPS) ≥1%
        and ≤49% as determined by an FDA-approved test ii. Must not have EGFR or ALK genomic tumor
        aberrations or have demonstrated disease response on or following FDA-approved therapy for
        these aberrations.

        iii. Eligible for pembrolizumab as the standard of care or no available standard of care
        available.

        j. COHORT C4: i. Metastatic or unresectable, recurrent Head and Neck Squamous Cell Cancer
        (HNSCC) expressing PD-L1 with a Combined Positive Score (CPS) ≥1 and ≤19 as determined by
        an FDA-approved test ii. Disease is either treatment-naive or with disease progression on
        or following platinum-containing chemotherapy.

        iii. Eligible for pembrolizumab as the standard of care or no available standard of care
        available.

        k. COHORT C5: i. Metastatic uveal melanoma. ii. No previous PD-1/L1 therapy. iii. No
        available standard of care as described in inclusion criteria 1, above.

        l. COHORT C6: i. Malignant cutaneous melanoma. ii. No available standard of care as
        described in inclusion criteria 1, above

        Exclusion Criteria:

          1. Has thyroid cancer or gall bladder cancer (excluded from Phase 1 cohorts only).

          2. Has any cancer that is known to be estrogen receptor-positive (ERalpha+).

          3. Received an anticancer therapy within 4 weeks (6 weeks for nitrosoureas, mitomycin C,
             or pembrolizumab given on a 6-week cycle) or 5 half-lives, whichever is shorter,
             before the first dose of study drug. Except in anti-PD-1/L1 refractory cohorts, where
             patients may start LNS8801 therapy at what would be the beginning of the next cycle of
             their immunotherapy cycle (eg, LNS8801 may be dosed 3 or 6 weeks after the last dose
             of pembrolizumab depending on cycle, or 4 weeks after nivolumab) if that is shorter.

          4. Has unresolved toxicities from previous anticancer therapy. Anticancer therapy
             toxicities are defined as toxicities (other than alopecia) not yet resolved according
             to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events
             (CTCAE) v5.0 ≤ Grade 1, or baseline (participants with ≤ Grade 2 neuropathy may be
             eligible).

               -  Note: Patients in an LNS8801/pembrolizumab combination cohort must not have
                  undergone prior allogeneic hematopoietic stem cell transplantation within the
                  last 5 years. (Participants who have had a transplant greater than 5 years ago
                  are eligible as long as there are no symptoms of acute graft versus host disease
                  [GVHD])

          5. Patients must not be participating in another study of an investigational agent or
             have used an investigational device within 4 weeks before the first dose of study
             drug.

             Note: Patients who have entered the follow-up phase of an investigational study may
             participate as long as it has been 4 weeks after the last dose of the previous
             investigational agent.

          6. Has a symptomatic primary central nervous system (CNS) tumor, symptomatic CNS
             metastases, leptomeningeal carcinomatosis, or untreated spinal cord compression.

             Note: Patients are eligible if neurologic symptoms and CNS imaging are stable and
             steroid dose is stable for 14 days prior to the first dose of study drug and no CNS
             surgery or radiation has been performed for 28 days (14 days if stereotactic
             radiosurgery).

             a. In a LNS8801/pembrolizumab combination cohorts, has known active CNS metastases
             and/or carcinomatous meningitis.

          7. Requires the use of antitumor necrosis factor (anti-TNF) therapies, such as
             infliximab, or has received treatment with anti-TNF therapies within 5 half-lives of
             that therapy.

          8. Has an active autoimmune disease that required systemic treatment in the past 2 years
             (ie, with use of disease-modifying antirheumatic agents or immunosuppressive drugs).

             Note: Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid
             replacement therapy for adrenal, thyroid, or pituitary insufficiency) is permitted.

          9. Has a diagnosis of immunodeficiency, is on immunosuppressive therapy, or is receiving
             chronic systemic or enteric steroid therapy (in dosing exceeding 10 mg/day of
             prednisone equivalent) or any other form of immunosuppressive therapy within 7 days
             prior to the first dose of study drug.

             Note: At screening, patients may be using systemic corticosteroids (dose 10 mg/day of
             prednisone or equivalent) or topical or inhaled corticosteroids.

         10. Is receiving any other investigational agent(s) or has received an investigational
             agent within 30 days or 5 half-lives, whichever is shorter, of the first dose of study
             drug.

         11. Has had major surgery (excluding placement of vascular access) within 4 weeks prior to
             the planned start of LNS8801.

         12. Has had radiotherapy with a limited field for palliation (less than 2 weeks) within 1
             week of the first dose of study drug to non-CNS disease, with the exception of
             patients receiving radiation to more than 30% of the bone marrow or with a wide field
             of radiation, which must be completed at least 4 weeks prior to the first dose of
             study drug. Participants must have recovered from all radiation-related toxicities,
             not require corticosteroids, and not have had radiation pneumonitis.

         13. Has evidence of pneumonitis or interstitial lung disease.

             a. For pembrolizumab combination cohorts, has a history of (noninfectious) pneumonitis
             that required steroids or has current pneumonitis

         14. Has any of the following known infections:

               1. Human immunodeficiency virus (HIV), hepatitis B virus (HBV) (ie, hepatitis B
                  surface antigen-positive), or hepatitis C virus (HCV) (ie, detectable HCV
                  ribonucleic acid [RNA]).

                  Note: Patients with a prior history of treated HBV infection who are
                  antigen-negative or patients with a prior history of treated HCV infection who
                  are HCV RNA-undetectable may be enrolled.

               2. Active infections requiring systemic therapy (including asymptomatic infections
                  with positive virus titers and the Investigator's judgment that worsening of the
                  condition is likely with study drug or the condition would impair or prohibit a
                  patient's participation in the study).

         15. Has active malabsorption syndrome or other condition likely to affect gastrointestinal
             absorption of the study drug.

         16. Has received a live vaccine within 30 days of the planned start of study drug.

         17. Has a corrected QT interval (QTc) by Fridericia method >450 msec for male patients or
             >470 msec for female patients, or a history or risk factors for or use of medications
             known to prolong the QTc or that may be associated with torsades de pointes.

             Note: Isolated right bundle branch block and incomplete right bundle branch block and
             left anterior hemiblock are acceptable.

         18. Has had any prior treatment for the present solid malignancy with GPER agonists (eg,
             tamoxifen, raloxifene, or estrogen hormone replacement therapy). History of oral
             contraceptive use is permissible.

         19. Is using a strong inhibitor or inducer of cytochrome P450 1A2, 2C9, 2C19, 2D6, or 3A4.

         20. Requires treatment with a proton pump inhibitor.

         21. Has received estrogen treatment since cancer diagnosis or the presumed initiation of
             their cancer, including estrogen-based contraceptives.

         22. Has a cancer that was treated with estrogen hormone therapy.

         23. Is currently using estrogen hormone replacement therapy, was diagnosed while on
             estrogen hormone replacement therapy, or has used estrogen replacement therapy since
             diagnosis.

         24. Is pregnant, lactating, has been pregnant within the last 2 years, or is planning to
             attempt to become pregnant or impregnate someone during this study or within 90 days
             after dosing of study drug (120 days for LNS8801/pembrolizumab combination cohorts).

         25. Has a history of another active malignancy (a second cancer) within the previous 2
             years except for localized cancers that are not related to the current cancer being
             treated, are considered cured, and, in the opinion of the Investigator, presents a low
             risk of recurrence. These exceptions include, but are not limited to, basal or
             squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the
             prostate, cervix, or breast.

         26. Has an uncontrolled intercurrent illness including, but not limited to, symptomatic
             congestive heart failure, hypertension, unstable angina pectoris, cardiac arrhythmia,
             autoimmune or inflammatory diseases, or psychiatric illness/social situations that
             would limit compliance with study requirements.

         27. Has a history or current evidence of any condition, therapy, or laboratory abnormality
             that might confound the results of the study, interfere with the participant's
             participation for the full duration of the study, or is not in the best interest of
             the participant to participate, in the opinion of the treating investigator.

         28. Has a known psychiatric or substance abuse disorder that would interfere with the
             participant's ability to cooperate with the requirements of the study in the medical
             judgement of the investigator.

         29. Has received radiation therapy to the lung that is >30 Gy within 6 months of the first
             dose of trial treatment for patients with non-small cell lung cancer.

         30. In the LNS8801/pembrolizumab combination cohorts, has received prior therapy with an
             anti-PD-1, anti-PD-L1, or anti PD L2 agent or with an agent directed to another
             stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137), and was
             discontinued from that treatment due to a Grade 3 or higher irAE.

         31. Has had an allogenic tissue/solid organ transplant.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:The primary outcome of this study during dose escalation is to the determination of the MTD or RP2D of LNS8801 dosed alone and in combination with pembrolizumab
Time Frame:Duration of study, approximately 24 months
Safety Issue:
Description:

Secondary Outcome Measures

Measure:To assess the Cmax of ascending doses of LNS8801
Time Frame:During first 23 days of dosing
Safety Issue:
Description:
Measure:To assess the AUC of ascending doses of LNS8801
Time Frame:During first 23 days of dosing
Safety Issue:
Description:
Measure:To assess accumulation of LNS8801 during ascending doses
Time Frame:Duration of study, approximately 24 months
Safety Issue:
Description:
Measure:To assess the number of participants with treatment related adverse events assessed by CTCAE v4.0 dosed with LNS8801 alone.
Time Frame:Duration of study, approximately 24 months
Safety Issue:
Description:
Measure:To assess the number of participants with treatment related adverse events assessed by CTCAE v4.0 dosed with LNS8801 and pembrolizumab.
Time Frame:Duration of study, approximately 24 months
Safety Issue:
Description:
Measure:Assess the clinical benefit rate (CBR) based on RECIST V1.1 criteria
Time Frame:Tumor response will be assessed every 8 weeks for the first year, every 12 weeks through study completion, which is estimated to be up to 24 months for ORR rate evaluation over time
Safety Issue:
Description:
Measure:Assess overall response rate (ORR) based on RECIST V1.1 criteria
Time Frame:Tumor response will be assessed every 8 weeks for the first year, every 12 weeks through study completion, which is estimated to be up to 24 months for ORR rate evaluation over time.
Safety Issue:
Description:
Measure:Assess progression free survival (PFS) based on RECIST V1.1 criteria
Time Frame:Tumor response will be assessed every 8 weeks for the first year, every 12 weeks through study completion, which is estimated to be up to 24 months for CBR rate evaluation over time
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Linnaeus Therapeutics, Inc.

Trial Keywords

  • Melanoma, Uveal Melanoma, NSCLC, HNSCC

Last Updated

August 17, 2021