Description:
Open label, multicenter, multidose, first-in-human Phase 1/2 study of RTX-240 for the
treatment of patients with (1) relapsed/refractoryR/R or locally advanced solid tumors (Phase
1/2) or (2) R/R AML (Phase 1 only).
Title
- Brief Title: RTX-240 Monotherapy
- Official Title: Phase 1/2 Study of RTX-240 Monotherapy
Clinical Trial IDs
- ORG STUDY ID:
RTX-240-01
- NCT ID:
NCT04372706
Conditions
Interventions
Drug | Synonyms | Arms |
---|
RTX-240 | | Part 1: RTX-240 Dose Escalation |
Purpose
Open label, multicenter, multidose, first-in-human Phase 1/2 study of RTX-240 for the
treatment of patients with (1) relapsed/refractoryR/R or locally advanced solid tumors (Phase
1/2) or (2) R/R AML (Phase 1 only).
Detailed Description
This is a Phase 1/2, open label, multicenter, multidose, first-in-human (FIH) dose escalation
and expansion to determine the safety and tolerability, recommended phase 2 dose and optimal
dosing interval, pharmacology, and antitumor activity of RTX-240 in adult patients with
relapsed/refractory or locally advanced solid tumors (Phase 1/2) or relapsed/refractory acute
myeloid leukemia (Phase 1 only). RTX-240 is a cellular therapy that co-expresses 4-1BBL and
IL-15TP, a fusion of IL-15 and IL-15 receptor alpha, with the goal of harnessing the innate
and adaptive immune systems for the treatment of cancer. The study will include a monotherapy
dose escalation phase followed by an expansion phase in specified tumor types.
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1: RTX-240 Dose Escalation | Experimental | Phase 1: RTX-240 monotherapy dose escalation in Solid Tumors. | |
Part 2: RTX-240 Solid Tumor Expansion | Experimental | Phase 2: RTX-240 administered intravenously on Day 1 of each cycle. | |
Part 3: RTX-240 Dose Escalation | Experimental | Phase 1: RTX-240 monotherapy dose escalation in AML | |
Eligibility Criteria
Inclusion Criteria:
- Signed written informed consent obtained prior to study procedures
- Patients ≥18 years with an ECOG 0 or 1 (Parts 1 and 2) or 0-2 (Part 3).
- Relapsed/Refractory (R/R) or locally advanced, unresectable solid tumor for which no
standard therapy exists (Parts 1 and 2), or for which the patient is ineligible or has
declined standard therapyR/R, cytologically confirmed AML (Part 3).
- Disease must be measurable per Response Evaluation Criteria
- The shorter of 28 days or 5 half-lives must have elapsed since the completion of prior
therapy, before initiation of study treatment.
- Adequate Organ Function as Defined by the protocol:
- GFR ≥ 50 mL/min/1.73,
- AST and ALT ≤ 3 × the ULN and total bilirubin ≤ 1.5 × ULN,
- In the absence of cancer within the liver, or AST and ALT ≤ 5 × ULN and total
bilirubin ≤ 3 × ULN, in the setting of primary or metastatic liver tumors.
- ANC ≥ 10 × 103/μL and platelet count ≥ 100 × 103/μL without myeloid growth factor
support or transfusion, respectively, for at least one week.
- Hemoglobin should be ≥ 9 g/dL without red blood cell transfusion for at least two
weeks.
- Patients must have LVEF ≥ 45%
- Patients enrolling into Part 2 of the study must be diagnosed with a solid tumor that
has been selected for an expansion cohort
Exclusion Criteria:
- Primary central nervous system (CNS) malignancy or CNS involvement, unless
asymptomatic, previously treated, and stable without steroids (Parts 1 and 2) or known
CNS leukemia (Part 3).
- Known hypersensitivity to any component of study treatment or excipients.
- Positive antibody screen using institution's standard type and screen test.
- Clinically significant, active and uncontrolled infection, including human
immunodeficiency virus (HIV), Hepatitis B virus (HBV), or Hepatitis C virus (HCV).
- Clinically significant coagulopathy, uncontrolled hypertension or autoimmune hemolytic
anemia
- Leukemic blast count ≥25 x 103/µL (Part 3)
- Concomitant conditions requiring active immunosuppression
- Grade 3 immune related Adverse Event (irAE)
- Prior malignancy within the past 3 years, with protocol specified exceptions
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety Assessment: Measured by incidence of Treatment Emergent Adverse Events (TEAEs) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | PK of RTX-240 as measured by detection of the number of RTX cells positive for both 4-1BBL and IL-15 using flow cytometry. |
Time Frame: | Assessed From the 1st dose of RTX-240 until 30 days after last of study treatment |
Safety Issue: | |
Description: | |
Measure: | Determination of the Immunogenicity of RTX-240 Measured by the incidence of antibodies to RTX-240 |
Time Frame: | Assessed From the 1st dose of RTX-240 until 30 days after last of study treatment |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by clinical benefit rate (CBR) (% of patients who achieve CR, PR or SD) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by duration of response (DoR) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by progression free survival (PFS) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by overall survival (OS) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by time to response (TTR). |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-tumor activity of RTX-240 measured by time to progression (TTP) |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Measure: | Anti-Tumor activity of RTX-240 Measured by Overall Response Rate (ORR) in Dose Escalation |
Time Frame: | Up to 38 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Rubius Therapeutics |
Last Updated
May 4, 2021