Description:
A Phase 1, first-in-human, SRF617 monotherapy and combination therapy, dose escalation,
safety, and tumor biopsy expansion study of SRF617, an antibody that inhibits CD39 activity,
in patients with advanced solid tumors. Inhibition of CD39 activity may improve the ability
to mount an immune response against tumor cells.
Title
- Brief Title: Study of SRF617 in Patients With Advanced Solid Tumors
- Official Title: A Phase 1 Study of SRF617 in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
SRF617-101
- SECONDARY ID:
KNC62
- NCT ID:
NCT04336098
Conditions
Interventions
Drug | Synonyms | Arms |
---|
SRF617 | | Combination Therapy - SRF617 with Gemcitabine + Albumin-bound Paclitaxel |
Gemcitabine | | Combination Therapy - SRF617 with Gemcitabine + Albumin-bound Paclitaxel |
Albumin-Bound Paclitaxel | Abraxane® | Combination Therapy - SRF617 with Gemcitabine + Albumin-bound Paclitaxel |
Pembrolizumab | Keytruda® | Combination Therapy - SRF617 with Pembrolizumab |
Purpose
A Phase 1, first-in-human, SRF617 monotherapy and combination therapy, dose escalation,
safety, and tumor biopsy expansion study of SRF617, an antibody that inhibits CD39 activity,
in patients with advanced solid tumors. Inhibition of CD39 activity may improve the ability
to mount an immune response against tumor cells.
Detailed Description
A Phase 1, open-label, first-in-human, SRF617 monotherapy and combination therapy dose
escalation, safety, and tumor biopsy expansion study in patients with advanced solid tumors.
The monotherapy dose escalation portion of the study will evaluate the safety, tolerability,
pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of SRF617 as monotherapy in
patients with advanced solid tumors. The monotherapy tumor biopsy expansion portion of the
study will further evaluate the safety and intratumoral pharmacodynamics of SRF617
monotherapy. The combination therapy dose escalation portion of the study will evaluate the
safety, tolerability, PK, and preliminary efficacy of SRF617 in combination with gemcitabine
+ albumin-bound paclitaxel, or SRF617 in combination with pembrolizumab, in patients with
locally advanced or metastatic solid tumors. The combination therapy dose escalation portion
of the study will evaluate the safety, tolerability, PK, and preliminary efficacy of SRF617
in combination with gemcitabine + albumin-bound paclitaxel, or SRF617 in combination with
pembrolizumab, in patients with locally advanced or metastatic solid tumors. The combination
expansion will evaluate SRF617 in combination with pembrolizumab in PD-1 naive patients with
HER2 negative gastric or gastroesophageal junction (GEJ) adenocarcinoma and SRF617 in
combination with gemcitabine + albumin-bound paclitaxel in patients with advanced pancreatic
ductal adenocarcinoma (PDAC).
Trial Arms
Name | Type | Description | Interventions |
---|
Monotherapy Dose Escalation | Experimental | The monotherapy dose escalation portion of the study will evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of SRF617 as monotherapy in up to 36 patients with advanced solid tumors. | |
Monotherapy Tumor Biopsy Expansion | Experimental | The monotherapy tumor biopsy expansion portion of the study will further evaluate the safety and intratumoral pharmacodynamics of SRF617 monotherapy in up to 20 patients at cleared and recommended phase 2 dose levels. | |
Combination Therapy - SRF617 with Gemcitabine + Albumin-bound Paclitaxel | Experimental | This portion of the study will evaluate the safety, tolerability, PK, and preliminary efficacy of SRF617 in combination with gemcitabine + albumin-bound paclitaxel in patients with locally advanced or metastatic solid tumors. Enrollment at the recommended phase 2 combination dose may be expanded to include approximately 10 additional patients with advanced pancreatic ductal adenocarcinoma (PDAC) to further evaluate safety with SRF617 and gemcitabine + albumin-bound paclitaxel combination therapy. | - SRF617
- Gemcitabine
- Albumin-Bound Paclitaxel
|
Combination Therapy - SRF617 with Pembrolizumab | Experimental | This portion of the study will evaluate the safety, tolerability, PK, and preliminary efficacy of SRF617 in combination with pembrolizumab (Keytruda®) in patients with locally advanced or metastatic solid tumors. Enrollment at the recommended phase 2 combination dose may be expanded to include approximately 10 additional patients with HER2 negative gastric cancer (GC) or gastroesophageal junction (GEJ) adenocarcinoma to further evaluate safety with SRF617 and pembrolizumab combination therapy. | |
Eligibility Criteria
Abbreviated Inclusion Criteria:
1. Be ≥ 18 years of age on day of signing the informed consent
2. Experienced disease progression during or after standard therapy or were intolerant of
standard therapy, and for whom no appropriate therapies are available (based on the
judgment of the Investigator). (Exception: patients in combination expansion cohorts
please refer to inclusion criteria 12 and 13)
3. Histological or cytological evidence of advanced, relapsed, or refractory solid tumor
cancer that is not a candidate for curative therapy
4. For all patients in the combination expansion cohorts, have at least one lesion that
is measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as
assessed by local site Investigator/radiology. The measurable lesion must be outside
of a radiation field if the participant received prior radiation. Lesions situated in
a previously irradiated area are considered measurable if progression has been
demonstrated in such lesions.
5. Have tumor tissue that is accessible for pretreatment and on treatment biopsy in the
opinion of the Investigator and be willing to undergo pretreatment and on-treatment
biopsies per protocol (for patients in the monotherapy tumor biopsy expansion cohort
only)
6. Adequate renal function, defined as serum creatinine clearance ≥ 30 mL/min per
Cockcroft-Gault formula
7. Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (≤ 3 x ULN if elevated because of
Gilbert's syndrome); patients to be treated with SRF617 in combination with
albumin-bound paclitaxel must have total bilirubin ≤ 1.5 × ULN)
8. Aspartate aminotransferase and alanine aminotransferase < 2.5 x ULN (< 5 x ULN if
liver metastasis is present)
9. Adequate hematologic function, defined as absolute neutrophil count (ANC) ≥ 1.0 x
109/L, hemoglobin ≥ 8.0 g/dL, and platelet count ≥ 75 x 109/L. Blood cell transfusion
to meet enrollment criteria is not allowed
10. Prothrombin time (PT) or international normalized ratio (INR) and activated partial
thromboplastin time (aPTT) ≤1.5 × ULN unless the patient is receiving anticoagulant
therapy as long as PT or aPTT is within therapeutic range of intended use of
anticoagulants
11. Eastern Cooperative Oncology Group performance status of 0 to 1
12. For the SRF617 + gemcitabine + albumin-bound paclitaxel safety expansion cohort only:
1. Patients with confirmed advanced PDAC naive to any prior treatment
2. Prior neoadjuvant therapy for PDAC is permitted if neoadjuvant therapy was
completed at least 6 months prior to study enrollment
3. Patients initially diagnosed with locally advanced PDAC who have undergone
chemotherapy then resection and had no evidence of disease are eligible if
relapse or metastatic disease has occurred and if the last dose of chemotherapy
was received more than 6 months before study entry
13. For the SRF617+ pembrolizumab safety expansion cohort only:
1. Patients with Stage IV unresectable locally advanced or metastatic HER2 GEJ who
have received a maximum of one prior line of anticancer therapy
2. Patients must be anti PD(L)-1 treatment naïve
14. Willingness of male and female patients who are not surgically sterile or
postmenopausal to use medically acceptable methods of birth control for the duration
of the study treatment period (or beginning 14 days before the initiation of
pembrolizumab for oral contraception), including 30 days after the last dose of
SRF617, or 120 days after the last dose of pembrolizumab for patients in the SRF617 +
pembrolizumab cohort; male patients must refrain from donating sperm during this
period. Sexually active men, and women using oral contraceptive pills, should also use
barrier contraception with spermicide. Azoospermic male patients and WCBP who are
continuously not heterosexually active are exempt from contraceptive requirements;
however, female patients must still undergo pregnancy testing as described in this
section.
Abbreviated Exclusion Criteria:
1. Previously received an anti-CD39 antibody or anti-CD39 targeted therapy
2. History of Grade 3 allergic or anaphylactic reaction to any monoclonal antibody
therapy (mAb), or any excipient in the study drugs
3. Major surgery within 4 weeks before Screening
4. Unstable or severe uncontrolled medical condition (eg, unstable cardiac function,
unstable pulmonary condition including pneumonitis and/or interstitial lung disease,
uncontrolled diabetes) or any important medical illness or abnormal laboratory finding
that would, in the Investigator's judgment, increase the risk to the patient
associated with his or her participation in the study
5. Discontinuation from previous therapy with an anti PD-1, anti-PD-L1, or anti-
programmed cell death ligand 2 (PD-L2) agent or with an agent directed to another
stimulatory or co inhibitory T-cell receptor (eg, cytotoxic T-lymphocyte-associated
protein 4 [CTLA-4], OX 40, CD137) due to a Grade 3 or higher immune-related AE
6. For patients in the SRF617 + pembrolizumab combination cohort only, prior therapy with
anti-PD-1 or anti-PD-L1 agents is not permitted
7. Received prior systemic anti-cancer therapy including investigational agents within 4
weeks before the first dose of study drug Note: For the SRF617+ gemcitabine+
albumin-bound paclitaxel safety expansion cohort only, prior systemic anticancer
therapy (except for neoadjuvant therapy) is not permitted
8. Currently participating in or has participated in a study of an investigational agent
or has 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 if it has been at least 4 weeks after the last dose of the previous
investigational agent
9. Received prior radiotherapy within 2 weeks of start of study treatment. Patients must
have recovered from all radiation-related toxicities, not require corticosteroids, and
not have had radiation pneumonitis. A 1-week washout is permitted for palliative
radiation (≤ 2 weeks of radiotherapy) to non-central nervous system disease.
10. Has received radiation therapy to the lung that is >30Gy within 6 months of the first
dose of study treatment
11. Current pneumonitis or history of (non-infectious) pneumonitis requiring steroids
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Limiting Toxicity of SRF617 |
Time Frame: | Assessed during first 28 days of treatment |
Safety Issue: | |
Description: | Evaluation of dose-limiting toxicity (DLT). |
Secondary Outcome Measures
Measure: | Safety Analysis: Summary of adverse events (AEs) and based on treatment-emergent AEs (TEAEs) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Safety and tolerability of SRF617 monotherapy and combination therapy will be assessed by summarizing adverse events (AEs) and will be based on treatment-emergent AEs (TEAEs). A TEAE is an AE that emerges or worsens in the period from the first dose of study drug to 30 days after the last dose of study drug assessed by per CTCAE version 5.0 or higher. |
Measure: | Pharmacokinetics (PK) of SRF617 |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Serum concentrations of SRF617 will be collected and analyzed to evaluate the PK of SRF617. |
Measure: | Pharmacodynamics of SRF617 |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Pharmacodynamics of SRF617 will be evaluated via serum target occupancy. |
Measure: | Objective response rate (ORR) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | ORR will be estimated by the percentage of patients achieving a best overall response of CR or PR per iRECIST. |
Measure: | Duration of response (DoR) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | DoR is defined as the time from the first documented response (CR or PR) to documented disease progression as determined by applicable disease criteria, or documented death due to any cause, whichever occurs first. |
Measure: | Disease control rate (DCR) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | DCR is defined as the percentage of patients with CR, partial PR, or stable disease lasting a minimum of 12 weeks. |
Measure: | Progression-free survival (PFS) |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | PFS is defined as the time from the first treatment on study with study drug to documented disease progression as determined by applicable disease criteria or death. |
Measure: | Landmark PFS rate |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Landmark PFS is defined as the percentage of patients who have not developed PFS events (ie, death or documented disease progression as determined by applicable disease criteria) at 6 months, 1 year, 1.5 years, and 2 years. |
Measure: | Effect of SRF617 on intratumoral CD39 enzymatic activity |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | Levels of intratumoral CD39 enzymatic activity will be evaluated in patients receiving pretreatment and on-treatment tumor biopsies via an in situ ATPase histochemistry assay. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Surface Oncology |
Trial Keywords
- metastatic solid tumors
- advanced solid tumors
- Phase 1
- SRF617
- CD39
- safety
- efficacy
- immunotherapy
- adenosine pathway
- cancer
- immuno-oncology
- pancreatic cancer
- gastric cancer
- pembrolizumab
- Keytruda®
- gemcitabine
- albumin-bound paclitaxel
- Abraxane®
- nab-paclitaxel
- gastroesophageal junction adenocarcinoma
- GEJ
- PD-1
Last Updated
June 4, 2021